Video-Based Heart Failure Education: A Feasibility Study, Avery Pivont

Graduate Theses, Dissertations, and Problem Reports (ETD)

Video-Based Heart Failure Education: A Feasibility Study

Avery Pivont

Background:  Heart failure (HF) is a leading cause of hospitalization in the U.S., contributing to high readmission rates and significant healthcare costs. Many of these readmissions are preventable and often stem from inadequate patient education. Effective patient education is a critical component of HF management; however, many healthcare facilities lack specialized HF nurse educators, resulting in inconsistent patient education.

Problem Statement: A quality improvement team at a large academic hospital identified increased heart failure (HF) readmission rates across an entire health system, largely attributed to inconsistent discharge education and limited availability …

Improving Access To Care And Utilization Of Telehealth In Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project, Sarah R. Bergstrom

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Improving Access to Care and Utilization of Telehealth in Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project

Sarah Bergstrom

Introduction/Background. Inflammatory bowel disease (IBD) tends to affect pediatric patients with a more severe, aggressive phenotype as compared to adults. Following closely with a pediatric gastroenterologist (GI) is best practice to manage pediatric IBD. However, pediatric subspecialty clinics are generally located within academic institutions in urban areas. Patients in rural areas often have limited access to pediatric GI care, and poor access to care is associated with increased risk of poor disease control. Telehealth subspecialty …

Improving Sedative Administration In Patients Receiving Paralytics During Intubation: A Quality Improvement Initiative Within A Large Academic Medical Center In West Virginia, David Bryon Underwood

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Awake paralysis (AWP) occurs when long-acting neuromuscular blockers outlast short-acting sedatives during intubation, leaving patients chemically paralyzed but conscious. This highlights the critical need for timely post-intubation sedation.

Background: A 2024 review in the Neurological Critical Care Unit (NCCU) revealed that 72% of patients who received rocuronium were not given a post-intubation sedative. The difference in duration of action of paralyzing agents versus sedatives can result in patients being conscious while paralyzed, potentially resulting in hemodynamic instability and psychological harm.

Purpose: The quality improvement initiative aimed to reduce the number of patients receiving neuromuscular blocking agents without post-intubation sedation. …

Embodiment Among Collegiate Women Athletes: The Perceived Impact On Sport Performance, Commitment, And Enjoyment, Hannah Lynne Silva-Breen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Collegiate women athletes report high rates of body dissatisfaction and wanting more support for improving their body image within their athletic departments. Guided by the Developmental Theory of Embodiment (DTE; Piran, 2017), the purpose of this study was to examine collegiate women athletes’ perceptions of the relationship between their embodiment and aspects of their sport experience. Participants were 311 women currently competing in 24 different sports within NCAA and NAIA athletics. Participants completed the Experience of Embodiment Scale, Subjective Performance Questionnaire, Sport Commitment Questionnaire-2, and open-ended response questions about the perceived relationship between these variables. A convergent parallel mixed methods …

Evaluation Of The Antimicrobial Activity Of Four Endodontic Sealers Against Streptococcus Mutans And Enterococcus Faecalis Using The Agar Diffusion Test, Dakota Alan Bailey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Evaluation of the Antimicrobial Activity of Four Endodontic Sealers Against

Streptococcus mutans and Enterococcus faecalis Using the Agar Diffusion Test

Dakota A. Bailey, D.D.S.

Introduction: The antimicrobial activity of root canal sealers may contribute to the elimination of residual microorganisms that persist following chemomechanical preparation. Limited research has directly compared contemporary bioceramic sealers with traditional sealers against both Streptococcus mutans and Enterococcus faecalis. NeoSEALER EzFlo is a recently introduced bioceramic sealer with limited published antimicrobial data. The purpose of this study was to evaluate the antimicrobial activity of EndoSequence BC HiFlow, NeoSEALER EzFlo, AH Plus Jet, and Kerr Pulp …

Electronic Cigarettes Increase Blood-Brain And Blood-Tumor Barrier Drug Efflux In A Preclinical Lung Cancer Model Of Brain Metastasis, Cullen Parker Wolford

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation (a) provided a comprehensive review of the known therapeutic challenges in nicotine delivery system users with lung cancer and (b) investigated the impact of electronic cigarettes on blood-brain/blood-tumor barrier function and efficacy of small molecule KRAS inhibitors in a syngeneic lung cancer brain metastasis model. The blood-brain barrier is a physiochemical barrier that limits systemic delivery of therapeutics into brain. When tumors invade the central nervous system, the blood-brain barrier is disrupted and subsequently forms a blood-tumor barrier. Despite the inherent leakiness and variable permeability of the blood-tumor barrier, it continues to restrict anti-cancer drugs from accumulating at …

A Mixed Methods Study Of The Transition To Adult Health Care For Sexual Minority Young Adults With Chronic Pain: Understanding The Impact Of Stigma, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minorities with chronic pain are likely to experience stigma stemming from their sexual identity and chronic pain. Pain stigma and sexual minority stigma are associated with increased health disparities and differences in health care utilization, particularly for adults. The transition to the adult health care system appears to be a critical point to understand the impact of stigma on health care utilization to then improve outcomes. With a sample of 48 sexual minority young adults with chronic pain, the current study investigated transition experiences using an explanatory, sequential mixed-methods design that was both observational and cross-sectional. Participants completed quantitative …

Implementation Of A Ventilator-Associated Pneumonia Bundle To Reduce The Incidence Of Ventilator-Associated-Pneumonia And Improve Patient Care, Taylor Ryan Rice

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Ventilator-associated pneumonia (VAP) is a concerning complication that can

develop from complications when a patient is placed on a mechanical ventilator. Endotracheal

intubation puts patients at risk for micro aspiration, which can lead to VAP.

Evidence Review: Nine articles were selected for review; after critical appraisal, seven were

kept for further review. Evidence in these articles shows that using evidence-based methods in a

VAP bundle can decrease the length of stay, mechanical ventilator days, and the incidence of

VAP.

Purpose: The purpose of this project was to improve oral care for intubated patients and keep

the incidence of VAP …

Provider Satisfaction Between General Dentists And Endodontists, Vaidehi Kumar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: Burnout and low professional fulfillment are major issues for dental providers, impacting their well-being, patient care, and workforce stability. While burnout has been widely studied in dentistry, less is known about professional fulfillment and how it varies by specialty and work environment. This cross-sectional study compared professional fulfillment and burnout between general dentists and endodontists, and examined how practice setting, demographics, and job factors affect occupational well-being. Methods: Licensed dentists (n=147; 72 general dentists and 75 endodontists) participated in an anonymous online survey. The Professional Fulfillment Index (PFI) was used to measure three sub-domains: Professional Fulfillment, Interpersonal Disengagement, and …

‘She Dared Not’: Authority In The Monasteries Of The Diocese Of Lincoln, 1400-1540, Morgan Mcminn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Within monastic life, the Benedictine Rule prioritized the role of the abbot, and much of the everyday running of the house was left to his discretion. He was the elected father of the community, the pastor of the flock, the educator who instructed by word and example. He should discipline firmly but be loved and not feared, and he should play no favorite but rather adapt to the situation at hand. His brethren should obey him without question as the representative of Christ in the monastery, their self-will and earthly possessions submitted to him. These elements are also present in …

The Tax Governance Triangle: An Attitudinal Theory Of State Capacity And Tax Compliance., Abdul Wahid Uqaily

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Tax Governance Triangle: An Attitudinal Theory of State Capacity and Tax Compliance

Abdul Wahid Uqaily

Variation in states' extractive capacity is a central puzzle in comparative politics and political economy. Existing scholarship explains this variation largely through institutional quality, administrative capability, or coercive enforcement, with less attention to the attitudinal foundations that shape key actors' willingness to sustain an effective fiscal system. This dissertation addresses that gap by asking: how do the attitudes and behaviors of citizens, bureaucrats, and elites shape variation in a state's extractive capacity?

To answer this question, the dissertation develops the “Tax Governance Triangle” and …

Assessment Of Emissions Factors For Produced Water And Other Atmospheric Liquid Storage Tanks On Natural Gas Sites, David Glenn Childs

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the US natural gas (NG) sector continues to grow, concerns have increased regarding the effects and increasing volume of greenhouse gases emitted into the atmosphere. While NG is a cleaner burning fuel than diesel and gasoline, unburned methane (CH₄) has a global warming potential (GWP) 27-30 times that of carbon dioxide (CO₂). To better quantify CH₄ emissions on NG sites, the US Department of Energy (DOE) granted West Virginia University (WVU) funding to collect direct measurements at well sites and compressor stations.

In this work, a total of 18 sites, including controlled and uncontrolled …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Evaluation Of Engineering Controls In Mitigation Of Fecal And Chloride Contamination To An Urban Stream, Gabriel J. Zenny

Graduate Theses, Dissertations, and Problem Reports (ETD)

Fecal coliform contamination is a major contributor to surface water pollution in the United States’ (U.S.) waterways, whether from combined sewer overflows (CSOs) (point source pollution), runoff from precipitation and snowmelt (nonpoint source pollution), or exfiltration from aging and failing infrastructure. In addition to fecal bacteria, chloride contamination is also a major, prevalent surface water contaminant impacting U.S. waterways. Chloride contamination is predominantly released into U.S. waterways as nonpoint source pollution, endemic to northern areas that use industrial brine and salt as a form of mitigation for ice accumulation on roadways. The purpose of this research was to investigate impairment …

Evaluation Of Acid Mine Drainage Treatment In The Upper Deckers Creek Watershed, Sarah E. Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Acid mine drainage (AMD) is a legacy contaminant, impairing Appalachian watersheds despite decades of regulatory work and investment in remediation. This study analyzes and evaluates the performance of seven AMD treatment systems (5 passive and 2 active) as well as thirteen untreated sources in the headwaters of Deckers Creek. Monthly influent and effluent samples measuring pH, major metals, and acidity were collected from January 2024 through 2026 to assess variability in treatment performance, and engineering site visits were conducted for each treatment system. Based on these two components, recommendations customized for each individual treatment system were made, and the implementation …

Cultural Perceptions And Willingness Or Reluctance To Use Ai Chatbots For Emotional Support By International African Students In Higher Educational Institutions In The United States, Zakariah Issah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The increasing use of artificial intelligence (AI) chatbots for emotional support underscores the need to understand how cultural perceptions shape their adoption among international African students in higher education institutions in the United States. Guided by the Technology Acceptance Model (TAM) and Social Stigma Theory, this qualitative study explored the perceptions, motivations, and barriers influencing the use of AI chatbots for emotional support. Semi-structured interviews were conducted with 20 undergraduate and graduate students from 10 African countries. The findings reveal that participants viewed AI chatbots as conditional and situational sources of emotional support rather than replacements for human relationships. Convenience, …

Managing The Legacy Of Historical Land Use In Central Appalachia: Soil Health, Carbon Storage, And Restoration Across Disturbed Ecosystems, Kyra R. Dukich

Graduate Theses, Dissertations, and Problem Reports (ETD)

Historical mining, intensive timber harvesting, agriculture, and atmospheric acid deposition have left lasting impacts on soil health throughout the Central Appalachian region, reducing soil productivity, carbon storage, and ecosystem resilience. This thesis evaluated restoration strategies across two long-term research systems in West Virginia to determine how land-use history and soil amendments influence soil health, carbon dynamics, and ecosystem recovery. The first study examined reclaimed mine lands and marginal agricultural soils planted with switchgrass (Panicum virgatum) or willow (Salix spp.) and treated with biochar or inorganic fertilizer. Soil greenhouse gas production, aggregate stability, total soil C:N, pH, and soil organic matter …

Plant-Wide Process Modeling, Techno-Economic Optimization, And Bayesian Uncertainty Quantification For Manufacturing Value-Added Products From Lignocellulosic Biomass, Poulomi Das

Graduate Theses, Dissertations, and Problem Reports (ETD)

For decades, many chemicals have been produced from fossil resources, contributing to resource depletion, pollution from extraction and refining, and hazardous byproducts. Growing environmental concerns and declining fossil reserves have intensified the search for sustainable sources of fuels, energy, and chemicals. Lignocellulosic biomass, the only abundant renewable carbon source, is therefore being explored as a feedstock for second-generation biofuels and high-value chemicals.

Currently, global wood-panel industry heavily depends on petroleum-derived commercial adhesives like phenol-formaldehyde, urea-formaldehyde, etc. These formaldehyde-based chemicals cause hazards to both human health and environment through emission of toxic volatile organic compounds. Typically, lignin is considered as one …

Multi-Timescale Monitoring And Modeling For Resilient Smart Grids: Pmu Anomaly Detection And Battery Digital Twins, Muhammad Imran Hossain

Graduate Theses, Dissertations, and Problem Reports (ETD)

Modern power systems face failures at very different timescales. Cyber-physical disturbances may emerge within seconds, while battery degradation develops over hundreds of operating cycles. Both monitoring problems share the same underlying difficulty: power systems produce measurement data in abundance, but reliably labeled examples of abnormal or degraded operation are scarce. Rare grid events are difficult to label, and battery degradation data are heterogeneous across cells, cycling protocols, and chemistries. This thesis addresses these challenges through two complementary domain-informed learning frameworks that constrain representation learning using information specific to each physical problem.

First, at the system level, T-BiGAN, a Transformer-augmented bidirectional …

Data Augmentation And The Reliability Of Conformal Prediction For Uncertainty Quantification In Medical Imaging, Rizwan Ahamed

Graduate Theses, Dissertations, and Problem Reports (ETD)

The safe clinical deployment of deep learning models for high-stakes medical imaging tasks requires more than high average accuracy; it requires demonstrable, per-case reliability. Uncertainty quantification (UQ) provides the missing signal that tells a clinician when a model prediction can be trusted and when a case should be escalated for expert review. Among UQ approaches, conformal prediction (CP) is especially attractive because it produces prediction sets that are guaranteed, under the assumption of exchangeability, to contain the true label with a user chosen probability, and it does so without assumptions about the model or the data distribution. This report first …

Multi-Sensor Fusion For Manual Wheelchair State Estimation, Kathylee Pinnock Branford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Kathylee Pinnock Branford Manual wheelchairs are essential to mobility and independence, yet accurately characterizing wheelchair motion in real-world environments remains challenging. Inertial measurement units (IMUs) provide a practical means of estimating wheelchair kinematics, but existing trajectory-reconstruction studies have largely been limited to short, controlled trials. This report developed and evaluated a four-IMU framework comprising one sensor on each rear wheel and two sensors on the wheelchair frame. Three orientation algorithms (VQF, Mahony AHRS, and Madgwick AHRS), two accelerometer ranges (±2 g and ± 4 g), and calibrated and uncalibrated sensor data were evaluated during indoor motion-capture trials and a outdoor …

Racial Resentment, Immigration Attitudes, And The Politics Of State Immigrant Policy Adoption In The United States, Cindy Osei Agyemang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Immigration remains one of the most contested public policy issues in the United States, and racial attitudes have become increasingly important in shaping public opinion and political debate. While prior research has shown a strong relationship between racial resentment and restrictive immigration attitudes, less is known about whether these attitudes extend to legislative discourse and the adoption of immigrant-inclusive state policies. This dissertation addresses that gap by examining the relationship between racial resentment and immigration politics across three levels of analysis: public opinion, legislative discourse, and state policy adoption. Using a mixed-methods research design, the study combines quantitative and qualitative …

Assessing Mobility And Upper Extremity Function Beyond Laboratory Settings In Manual Wheelchair Users With Spinal Cord Injury Using Inertial Measurement Units, Kathylee Pinnock Branford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Manual wheelchair users with spinal cord injury (SCI) face chronic, repetitive shoulder demands that far exceed those of able-bodied daily life, placing them at high risk for rotator cuff pathology and long-term upper extremity dysfunction. Despite this burden, existing research has relied predominantly on brief laboratory assessments that capture only a narrow part of real-world mechanical demands, leaving critical gaps in the identification of true injury risk factors. This dissertation developed and applied inertial measurement unit (IMU)-based methods and novel algorithms to characterize arm use, mobility, and environmental context during a full week of free living behavior in 25 manual …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Exploring The Application Of Wastewater Monitoring To Determine The Prevalence And Diversity Of Influenza On The Campus Of West Virginia University, Lakyn Renee Sanders

Graduate Theses, Dissertations, and Problem Reports (ETD)

Influenza viruses (IV) affect populations globally, with the World Health Organization (WHO) estimating that IV are responsible for an estimated 3-5 million infections and 290,000 – 650,000 deaths annually^1–3. More specifically, the 2019-2020 IV season is associated with an estimated 38 million illnesses and 22,000 deaths in the United States alone⁴. IV are rapidly spread between individuals through direct contact with infected individuals, contaminated surfaces, or aerosolized virus particles². Traditional IV infection monitoring relies on clinical screening of patients presenting influenza-like symptoms, commonly through the use of multi-target panel tests such as the BioFire …

Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer

Graduate Theses, Dissertations, and Problem Reports (ETD)

To explain how different facets of mindfulness were associated with task performance in distinctive ways, Lindsay and Creswell (2017) proposed the Monitor and Acceptance Theory (MAT). According to this model, the mindfulness facet of monitoring present state awareness was thought to influence task performance differently than the nonjudgmental acceptance facet of mindfulness, but no studies to date have examined this model with respect to an individual's physiological response to stressful tasks. Because dispositional mindfulness has been associated with both increased and decreased physiological and affective reactions to stress in previous studies, the present study tested whether the Monitoring facet of …

Effects Of An Early-Onset Hfd On Hepatic Functioning In A 3xtg Model Of Ad, Matthias Hirst

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Approximately 1 billion people currently live with obesity. Driven by factors such as a high-fat diet (HFD), this pathology can have drastic effects throughout the body, with the liver in particular being a main target of its downstream consequences. Although it is capable of storing lipids, excess fat can conglomerate in the liver and contribute to various hepatic pathologies. A specific pattern of hepatic dysfunction seen in response to an HFD is increased acetylation of mitochondrial proteins. Further, expression and activity of insulin-degrading enzyme (IDE), involved in the degradation of Aβ, are altered in response to an HFD. Aβ …

Sustainable Nutrient Management Opportunities For Small Communities In The U.S. With Lagoon Wastewater Treatment Systems, Denis Sigei Ruto

Graduate Theses, Dissertations, and Problem Reports (ETD)

Lagoon wastewater treatment systems are among the most widely used secondary treatment technologies serving small and rural communities in the United States due to their low capital and operating costs, minimal energy requirements, and operational simplicity. While effective for removal of organic matter and suspended solids, most lagoon systems were not designed to achieve advanced nutrient removal. As regulatory priorities increasingly emphasize control of total nitrogen and total phosphorus to protect receiving waters and public health, lagoon-dependent communities face growing compliance challenges. These challenges are exacerbated by aging infrastructure, limited technical capacity, financial constraints, and insufficient infrastructure data, highlighting the …

The Impacts Of Experiential Learning On Moral Development, Jacob Tyler Greenfield

Graduate Theses, Dissertations, and Problem Reports (ETD)

Burnout remains a widely studied phenomenon in the healthcare literature, with much of the focus placed on reactive mitigation strategies that lack meaningful engagement with moral development. Healthcare education programs rarely incorporate formal learning experiences that promote moral development as a means of addressing burnout symptoms. This qualitative single case study examined how health professions students describe the impact of experiential learning on their moral development. Participants engaged in adapted photovoice methods, focus groups, and interviews to reflect on how serving as a Project MUSHROOM student leader influenced their morality. Four themes emerged: 1) recognizing bias and the need to …

Gcn5l1-Mediated Lysine Acetylation Regulates Mitochondrial Dysfunction In The Aged Heart, Jackson Edmond Stewart

Graduate Theses, Dissertations, and Problem Reports (ETD)

For over a century, cardiovascular disease (CVD) has been and remains the leading cause of death globally. CVD risk and severity increase significantly with advanced age, and mitochondrial dysfunction has been implicated in the pathogenesis of aging. Furthermore, mitochondrial health is crucial for cardiac function, as one-third of total cardiomyocyte volume is occupied by mitochondria in order to meet the high energy demand of contractile and relaxational function. It is thus crucial that we understand the pathological mechanisms driving mitochondrial dysfunction in aging and how this contributes to age-associated cardiovascular disease. The current manuscript aims to fill this knowledge gap …