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Graduate Theses, Dissertations, and Problem Reports (ETD)

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Optimization And Analytics Of Decarbonized Forest And Biomass Supply Chains, Xufeng Zhang Jan 2022

Optimization And Analytics Of Decarbonized Forest And Biomass Supply Chains, Xufeng Zhang

Graduate Theses, Dissertations, and Problem Reports (ETD)

First, a data-driven holistic analysis framework was developed to aid the industrial development of forest biomass for bioenergy to promote the regional bioeconomy. Leveraging the existing but fragmented multi-source data, four components of industrial bioenergy development were integrated into the framework including spatial statistical analysis of biomass feedstock and bioenergy production, machine learning-based suitability assessment, bioenergy plant sites identification and ranking, and socio-economic impacts assessment. A case study was conducted for forest biomass to pellet fuel in the U.S. Mid-Atlantic region. Our results indicate that the great potential of forest biomass with high variation at the county level is primarily …


Chemical Characterization Of Clastic Cave Sediments And Insights Into Particle Transport And Storage In Karst Aquifers, Jill L. Riddell Jan 2022

Chemical Characterization Of Clastic Cave Sediments And Insights Into Particle Transport And Storage In Karst Aquifers, Jill L. Riddell

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Chemical characterization of clastic cave sediments and insights into particle transport and storage in karst aquifers

Jill L. Riddell

Cave sediments can be divided into two groups: precipitates and clastics. Precipitates are speleothems, or lithologic or mineral features that are chemically precipitated in the cave environment. Clastic cave sediments are frequently described by depositional facies, sorting, and particle size (Bosch and White, 2004). Robust analytical chemical analyses of these sediments to quantify their physical and chemical components is rarely performed although some chemical characterization of mineralogy and paleomagnetism has become prevalent in recent years (Chess et al., 2010; Sasowsky …


Methodology For Enhanced Filtration And Dewatering Of Fine-Grain Amd Precipitate Using Geocomposites For Rare Earth Elements Recovery, Iuri Lira Santos Jan 2022

Methodology For Enhanced Filtration And Dewatering Of Fine-Grain Amd Precipitate Using Geocomposites For Rare Earth Elements Recovery, Iuri Lira Santos

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research performed by the West Virginia Water Research Institute (WVWRI) in partnership with the Department of Energy (DOE) has identified that coal mining by-products contain significant amounts of Rare Earth Elements (REEs). REEs currently are in high demand, and extraction from coal mining reject presents a potential for commercialization if extraction is feasible. The coal mining reject include Acid Mine Drainage (AMD) in the aqueous phase and sludge from AMD treatment. A novel two split selective precipitation method was implemented to remove gangue metals, increasing the concentration of REEs in the sludge.

This process presents a two-fold benefit: 1) treatment …


A Monte Carlo Simulation Of Rat Choice Behavior With Interdependent Outcomes, Michelle A. Frankot Jan 2022

A Monte Carlo Simulation Of Rat Choice Behavior With Interdependent Outcomes, Michelle A. Frankot

Graduate Theses, Dissertations, and Problem Reports (ETD)

Preclinical behavioral neuroscience often uses choice paradigms to capture psychiatric symptoms. In particular, the subfield of operant research produces nested datasets with many discrete choices in a session. The standard analytic practice is to aggregate choice into a continuous variable and analyze using ANOVA or linear regression. However, choice data often have multiple interdependent outcomes of interest, violating an assumption of general linear models. The aim of the current study was to quantify the accuracy of linear mixed-effects regression (LMER) for analyzing data from a 4-choice operant task called the Rodent Gambling Task (RGT), which measures decision-making in the context …


Analysis Of Forensically Relevant Evidence Using Electrochemistry, Spectroscopy, And Mass Spectrometry Tools, Colby Edward Ott Jan 2022

Analysis Of Forensically Relevant Evidence Using Electrochemistry, Spectroscopy, And Mass Spectrometry Tools, Colby Edward Ott

Graduate Theses, Dissertations, and Problem Reports (ETD)

Forensic science relies on the use of multiple techniques in the assessment of evidence to increase the accuracy and reliability of the results. However, with the rapidly changing drug landscape due to the introduction of novel psychoactive substances, many traditional screening methods are no longer sensitive or selective enough for use. Additionally, many screening methods such as chemical color tests are prone to false positive and negative results and are subjective. Therefore, the goal of this dissertation was to develop a novel analytical scheme that can provide a more efficient, rapid, and sensitive method that will facilitate adoption in the …


Multifunctional Organoboron Compounds And Boralactonate Salts, Randika T. Abeysinghe Jan 2022

Multifunctional Organoboron Compounds And Boralactonate Salts, Randika T. Abeysinghe

Graduate Theses, Dissertations, and Problem Reports (ETD)

Organoboron compounds have gathered an important significance within the chemistry community on account of their wide range of applications in synthesis, catalysis, and medicinal chemistry. Even though the uses of boron compounds in drug discovery have been overlooked until the last several decades, boronic acid containing molecules have garnered increased attention due to the unique chemical properties of the boron center. Boron-functionalized ��-aryl propionic acid non-steroidal anti-inflammatory drug derivatives (bora-NSAIDs) can be accessed via copper(I)-catalyzed alkene boracarboxylation, using CO2 and B2pin2. To explore and expand the current synthetic and future medicinal chemistry applications of these bora-NSAIDs, methods …


Classifying Blood Glucose Levels Through Noninvasive Features, Rishi Reddy Jan 2022

Classifying Blood Glucose Levels Through Noninvasive Features, Rishi Reddy

Graduate Theses, Dissertations, and Problem Reports (ETD)

Blood glucose monitoring is a key process in the prevention and management of certain chronic diseases, such as diabetes. Currently, glucose monitoring for those interested in their blood glucose levels are confronted with options that are primarily invasive and relatively costly. A growing topic of note is the development of non-invasive monitoring methods for blood glucose. This development holds a significant promise for improvement to the quality of life of a significant portion of the population and is overall met with great enthusiasm from the scientific community as well as commercial interest. This work aims to develop a potential pipeline …


Computational Analysis Of The Stability Limits Of Premixed Methane-Air Combustion In Micro-Channels, Almoutazbellah Adnan Kutkut Jan 2022

Computational Analysis Of The Stability Limits Of Premixed Methane-Air Combustion In Micro-Channels, Almoutazbellah Adnan Kutkut

Graduate Theses, Dissertations, and Problem Reports (ETD)

Technological progress in the last decades facilitated the development of integrated microsystem devices, including electrical and mechanical components for micro-electro-mechanical systems (MEMS). Such systems necessitate an external power supply, but typical batteries yet have some unavoidable limitations. To address this problem, numerous studies have been conducted to develop alternatives powered by micro combustion – in order to effectively utilize the high-density energy of hydrocarbon fuels. Such a global need has resulted in much more attention devoted to the combustion-based micro-power generation systems. However, to better understand the typical combustion characteristics in such microscale systems, design and performance restrictions need to …


Impact Of Radio Frequency Interference And Real-Time Spectral Kurtosis Mitigation, Evan T. Smith Jan 2022

Impact Of Radio Frequency Interference And Real-Time Spectral Kurtosis Mitigation, Evan T. Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

We catalog the ubiquity of Radio Frequency Interference (RFI) plaguing every modern radio telescope and investigate several ways to mitigate it in order to create better science-ready data products for astronomers. There are a myriad of possible RFI sources, including satellite uplinks and downlinks, cellular communications, air traffic radar, and natural sources such as lightning. Real-time RFI mitigation strategies must take these RFI characteristics into account, as the interfering signals can look significantly different at very high time and frequency resolutions.

We examine Spectral Kurtosis (SK) as a real-time statistical RFI detection method, and compare its flagging efficacy against simulated …


Student Understanding Of The Definite Integral When Solving Calculus Volume Problems, Krista Bresock Jan 2022

Student Understanding Of The Definite Integral When Solving Calculus Volume Problems, Krista Bresock

Graduate Theses, Dissertations, and Problem Reports (ETD)

The concept of integration appears in many different scientific fields, and students’ understanding of and ability to use the definite integral in applications is important to success in their STEM (science, technology, engineering, and mathematics) classes. One of the first types of application problems that students encounter is finding the volume of a solid using the definite integral. How students approach these problems and how they use the definite integral to find volumes can have an impact on their future use and understanding of the definite integral.

This study involves a deep and thorough investigation of how ten students understand …


Bottleneck Management Through Strategic Sequencing In Smart Manufacturing Systems, Sayantee Roy Jan 2022

Bottleneck Management Through Strategic Sequencing In Smart Manufacturing Systems, Sayantee Roy

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nowadays, industries put a significant emphasis on finding the optimum order for carrying out jobs in sequence. This is a crucial element in determining net productivity. Depending on the demand criterion, all production systems, including flexible manufacturing systems, follow a predefined sequence of job-based machine operations. The complexity of the problem increases with increasing machines and jobs to sequence, demanding the use of an appropriate sequencing technique. The major contribution of this work is to modify an existing algorithm with a very unusual machine setup and find the optimal sequence which will really minimize the makespan. This custom machine setup …


Understanding The Relationship Between Local Environmental Changes And The Function Of The Ph Low Insertion Peptide, Violetta Burns Casamayor Jan 2021

Understanding The Relationship Between Local Environmental Changes And The Function Of The Ph Low Insertion Peptide, Violetta Burns Casamayor

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cancer is the second leading cause of death in the US with over 1.7 million new cases each year. Current cancer treatments tend to also target healthy tissues due to similarities with cancerous ones, resulting in acute side effects. Early detection is the best approach towards defeating cancer, however, modern imaging techniques require sizeable samples, often implying a late stage in the disease. One common attribute of tumors is their acidic microenvironment, which can be taken advantage of.

The pH Low Insertion Peptide (pHLIP) is a membrane-active peptide that can take advantage of the acidic microenvironment surrounding cancer cells. pHLIP …


The Ethics Of Aerial Bombardment In International Conflicts: From Douhet To Drones, Rauan Zhaksybergen Jan 2021

The Ethics Of Aerial Bombardment In International Conflicts: From Douhet To Drones, Rauan Zhaksybergen

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this thesis, I demonstrate how the question of ethics in aerial bombardment has been evolving and transforming since its inception at the beginning of the twentieth century to contemporary targeted killings/assassinations by drones. I interact with early airpower theories from Douhet, Trenchard, Mitchell, and contemporary air tactics in order to establish a crucial sequence between these early theories and practices of aerial violence and modern ones conducted by armed drones. I show how the evolution of aerial bombardment challenged, influenced, and transformed essentials of conventional warfare, as well as dispersed boundaries between combatants and non-combatants. Contemporary legally uncontrolled targeted …


Remediation Of Spatial Skills In First Semester Calculus Using Haptics-Based Applications, Kristen L. Murphy Jan 2021

Remediation Of Spatial Skills In First Semester Calculus Using Haptics-Based Applications, Kristen L. Murphy

Graduate Theses, Dissertations, and Problem Reports (ETD)

Spatial reasoning is required for many topics in undergraduate mathematics as well as other STEM fields. In calculus specifically, there are few interventions that assess students’ spatial skills and provide remediation. Haptic technology is a novel approach to spatial skills remediation due to its unfamiliarity to students and its flexibility with regard to models. The purpose of this dissertation is two-fold: first, to determine what level of spatial abilities students possess upon entering an undergraduate calculus course, and second, to determine whether haptic feedback will enhance an intervention for improving spatial skills.

The dissertation research was a mixed-methods study using …


Comparative Analysis Of Different Classes Of On-Line State Estimators For Aerodynamics Angles And True Airspeed Sensors For Applications To The Sensor Failure Problem, Alexandra Anne Augsberger Jan 2021

Comparative Analysis Of Different Classes Of On-Line State Estimators For Aerodynamics Angles And True Airspeed Sensors For Applications To The Sensor Failure Problem, Alexandra Anne Augsberger

Graduate Theses, Dissertations, and Problem Reports (ETD)

Throughout aviation history, there have been numerous incidents due to sensor failure that have caused a range of issues from loss of control of the aircraft to crashes resulting in loss of human life. Although there are many hardware-based solutions to this problem, the threat of control hardware failure still exists. This work investigates the efficacy of implementing neural networks (NN) and Kalman filters (KF) to solve the accommodation portion of the sensor failure detection, identification, and accommodation (SFDIA) problem through on-line real-time estimation of specific aircraft dynamic parameters. The implementation of on-line estimation architectures into the aircraft flight control …


Dynamic Data-Driven Smart Proxy Modeling For Numerical Reservoir Simulation, Maher Jasim Alabboodi Jan 2021

Dynamic Data-Driven Smart Proxy Modeling For Numerical Reservoir Simulation, Maher Jasim Alabboodi

Graduate Theses, Dissertations, and Problem Reports (ETD)

A successful Geologic Carbon Dioxide (CO2) Storage (GCS) operation requires the ability to make quick and reliable subsurface modeling decisions; such decisions must be made based on an accurate and realistic modeling of the reservoir. Numerical reservoir simulation is the most common tool used for predicting fluid flow behavior and analyzing uncertainties in the subsurface reservoirs.

In general, a numerical reservoir simulation model has tens of millions of grid blocks and requires intensive computations to be performed at each time-step of the simulation, therefore, they are computationally expensive and time-consuming. As a result, studies (such as uncertainty analysis …


Dynamic Modeling Of A Coal Mill For Simultaneous Dynamic Data Reconciliation And Parameter Estimation, Vinayak Dwivedy Jan 2021

Dynamic Modeling Of A Coal Mill For Simultaneous Dynamic Data Reconciliation And Parameter Estimation, Vinayak Dwivedy

Graduate Theses, Dissertations, and Problem Reports (ETD)

In comparison with other gaseous and liquid fossil fuels used in power production, a coal fired power plants requires additional equipment for fuel preparation. A medium speed mill is usually a preferred equipment which serves in grinding and drying of the raw feed coal. Due to the high recycle of coal particles within a medium speed coal mill, the mill performance is sensitive to the efficiency of grinding and classification operations within mill. The goal of this research is to study the performance of the milling system and develop a method to estimate some of the unmeasured variables, which include …


Understanding Visitor Use At Florida Keys National Marine Sanctuary, Melissa Maria Hurtado Alvarez Jan 2021

Understanding Visitor Use At Florida Keys National Marine Sanctuary, Melissa Maria Hurtado Alvarez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Effective management and monitoring of visitor recreational use is fundamental in marine protected areas. It is common to hear that tourism and outdoor recreation are often qualified as double-edged activities, making valuable socioeconomic contributions but also causing degradation of the environment. The convergence of social and natural resource research and practices can help managers to create better policies that will maximize human benefits from, and minimize human pressures on, ocean and coastal environments. For this study online surveys were sent via Qualtrics to email addresses obtained from the state of Florida during the summer of 2020. The first paper assessed …


Development Of Eccentric Black Hole Binary Searches In The Ligo And Pta Regimes, Belinda D. Cheeseboro Jan 2021

Development Of Eccentric Black Hole Binary Searches In The Ligo And Pta Regimes, Belinda D. Cheeseboro

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the past several years, a plethora of gravitational wave events have been detected leading to better understanding of binary black holes, binary neutron stars, and neutron star black hole binaries. All of these transient detections have helped us better understand the dynamics of these systems as well as the populations of these objects, but each of these sources was detected with models that neglected eccentricity. Eccentricity is one of several potential markers for determining the formation of binary systems. Detecting gravitational waves from eccentric sources can better our understanding of such systems and help constrain theories about their formation. …


Using Numerical Relativity To Explore Strong Gravity And Develop Force-Free Electrodynamics Simulation Software With Best-Practice Development, Patrick E. Nelson Jan 2021

Using Numerical Relativity To Explore Strong Gravity And Develop Force-Free Electrodynamics Simulation Software With Best-Practice Development, Patrick E. Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this dissertation, we explore the effects of extremely strong gravitational and electro- dynamic fields using the techniques of numerical relativity. We use the existing black hole simulation software in the Einstein Toolkit to compute the spin-up of two initially nonspin- ning black holes as they pass by each other in space. The angular momentum is imparted by the tidal interaction between the two black holes, in a parallel to Earth’s tides, as described by classical mechanics, which also transfer angular momentum between the Earth’s rotation and the Moon’s orbit. The largest observed dimensionless spin observed was 0.20 with an …


Consensus Based Control Strategy For Virtual Synchronous Generators In Microgrids, Anusha Kandula Jan 2021

Consensus Based Control Strategy For Virtual Synchronous Generators In Microgrids, Anusha Kandula

Graduate Theses, Dissertations, and Problem Reports (ETD)

Renewable energy sources such as photo-voltaic and wind energy are integrating very rapidly in power systems. These energy-based systems typically adopt power-electronic interfaced inverters to connect to the grid. However, unlike traditional generators, these sources have low inertia, resulting in system stability issues, especially in microgrids where they are the primary sources. To mitigate the low-inertia effect, the inverters are modeled as virtual synchronous generators (VSG), and their control is designed. The VSG emulates the inertia effect of the synchronous generator and maintains the stability of the system. Even though the droop control provides the primary control, it is insufficient …


Identical Twins As A Facial Similarity Benchmark For Human Facial Recognition, John Andrew Mccauley Jan 2021

Identical Twins As A Facial Similarity Benchmark For Human Facial Recognition, John Andrew Mccauley

Graduate Theses, Dissertations, and Problem Reports (ETD)

The problem of distinguishing identical twins and non-twin look-alikes in automated facial recognition (FR) applications has become increasingly important with the widespread adoption of facial biometrics. Due to the high facial similarity of both identical twins and look-alikes, these face pairs represent the hardest cases presented to facial recognition tools. This work presents an application of one of the largest twin datasets compiled to date to address two FR challenges: 1) determining a baseline measure of facial similarity between identical twins and 2) applying this similarity measure to determine the impact of doppelgangers, or look-alikes, on FR performance for large …


Planning Algorithms Under Uncertainty For A Team Of A Uav And A Ugv For Underground Exploration, Matteo De Petrillo Jan 2021

Planning Algorithms Under Uncertainty For A Team Of A Uav And A Ugv For Underground Exploration, Matteo De Petrillo

Graduate Theses, Dissertations, and Problem Reports (ETD)

Robots’ autonomy has been studied for decades in different environments, but only recently, thanks to the advance in technology and interests, robots for underground exploration gained more attention. Due to the many challenges that any robot must face in such harsh environments, this remains an challenging and complex problem to solve.

As technology became cheaper and more accessible, the use of robots for underground ex- ploration increased. One of the main challenges is concerned with robot localization, which is not easily provided by any Global Navigation Services System (GNSS). Many developments have been achieved for indoor mobile ground robots, making …


Improving Characterization Of Small Molecules Using Enhanced Molecular Reaction And Ionization Techniques, Sandra N. Majuta Jan 2021

Improving Characterization Of Small Molecules Using Enhanced Molecular Reaction And Ionization Techniques, Sandra N. Majuta

Graduate Theses, Dissertations, and Problem Reports (ETD)

Metabolomics is an emerging “omics” field, which is comprised of the study of small molecule metabolites in biological systems. It can be argued that the abundances of metabolites within biological samples, such as tissue and plasma, are indicative of various physiological states. Thus, metabolomics analysis has the potential in the clinical scientific field to be an effective tool for early disease diagnosis as well as for proposing and monitoring new treatments for diseases. However, full characterization of the metabolome complement is often hampered by the wide diversity of metabolites, which also exhibit an extremely large concentration range in biological samples. …


Kindergarten Entry Assessment Practices In Pennsylvania, Anne Katona Linn Ed.D. Jan 2021

Kindergarten Entry Assessment Practices In Pennsylvania, Anne Katona Linn Ed.D.

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the Commonwealth of Pennsylvania, there is significant variation in kindergarten programs and the entry assessment systems used in school districts. There are no reliable data on the kindergarten entry assessment (KEA) systems used in public kindergarten programs across the Commonwealth. It is well-established that comprehensive KEAs should be part of a broader preschool through third grade (P-3) continuum of early childhood education to assess whole-child skills, include families and community partners, be culturally and linguistically responsive, and developmentally appropriate. This study aimed to understand the KEA practices of kindergarten teachers in Pennsylvania. An online survey was distributed to kindergarten …


Estimating The Azimuthal Mode Structure Of Ultra Low Frequency Waves And Its Effects On The Radial Diffusion Of Radiation Belt Electrons, Mohammad Barani Jan 2021

Estimating The Azimuthal Mode Structure Of Ultra Low Frequency Waves And Its Effects On The Radial Diffusion Of Radiation Belt Electrons, Mohammad Barani

Graduate Theses, Dissertations, and Problem Reports (ETD)

Characterizing the azimuthal mode number �� of Ultra Low Frequency (ULF) waves is critical to quantifying the radial diffusion of radiation belt electrons. A Wavelet cross-spectral technique is applied to the compressional ULF waves observed by multiple pairs of GOES and MMS satellites to estimate the mode structure of ULF waves. A more realistic distribution of mode numbers is achieved by inclusion of the modes corresponding to different wave propagation directions as well as at �� higher than fundamental mode number. For the event study of a geomagnetic storm using GOES data, ULF wave power is found to dominate at …


Application Of Artificial Intelligence In Three Phase Unbalanced Smart Power Distribution Grid, Deepak Tiwari Jan 2021

Application Of Artificial Intelligence In Three Phase Unbalanced Smart Power Distribution Grid, Deepak Tiwari

Graduate Theses, Dissertations, and Problem Reports (ETD)

Electrification of the transportation sector can play an essential role in curbing fossil fuel scarcity and oil shortages in the world. Electric vehicles (EVs) can significantly reduce CO2 emissions, improve urban pollution. Apart from these advantages of EVs, they may also pose challenges to the distribution grid. Increasing penetration of EVs puts an extra burden and leads to affect the grid severely. Load congestions, voltage drops/regulation, overloading are some of the issues that might incur in the grid because of improper charging of EVs. The uncertain nature of EV owners makes it very difficult to predict the charging pattern. So …


Valorization Of Xylan In Agroforestry Waste Streams, Harrison Appiah Jan 2021

Valorization Of Xylan In Agroforestry Waste Streams, Harrison Appiah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Valorization of Xylan in Agroforestry Waste Streams.

Harrison Appiah

Microwave-assisted deep eutectic solvent and gamma-valerolactone metallic chloride catalyzed conversion of xylan to furfural were investigated using a 2x3 factorial experimental design at two levels of percent microwave power, reaction time, and catalyst concentration. The levels of each factor studied were (20%, 60% microwave power, 2, 4 minutes, and 10, 20mg) respectively. The effect of three metallic chloride catalysts (LiCl, FeCl3.6H20, CuCl2) on the conversion of xylan to furfural was also investigated. The gamma-valerolactone-ferric chloride sent system exhibited the highest mean yield of furfural (56.50%). The next highest furfural yield of …


Review Of Forecasting Univariate Time-Series Data With Application To Water-Energy Nexus Studies & Proposal Of Parallel Hybrid Sarima-Ann Model, Cory Sumner Yarrington Jan 2021

Review Of Forecasting Univariate Time-Series Data With Application To Water-Energy Nexus Studies & Proposal Of Parallel Hybrid Sarima-Ann Model, Cory Sumner Yarrington

Graduate Theses, Dissertations, and Problem Reports (ETD)

The necessary materials for most human activities are water and energy. Integrated analysis to accurately forecast water and energy consumption enables the implementation of efficient short and long-term resource management planning as well as expanding policy and research possibilities for the supportive infrastructure. However, the integral relationship between water and energy (water-energy nexus) poses a difficult problem for modeling. The accessibility and physical overlay of data sets related to water-energy nexus is another main issue for a reliable water-energy consumption forecast. The framework of urban metabolism (UM) uses several types of data to build a global view and highlight issues …


Association Of Incident Cancer To Low-Value Care And Healthcare Cost Burden Among Elderly Medicare Beneficiaries, Chibuzo Iloabuchi Jan 2021

Association Of Incident Cancer To Low-Value Care And Healthcare Cost Burden Among Elderly Medicare Beneficiaries, Chibuzo Iloabuchi

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the United States (US), 25% of healthcare spending is considered wasteful because it is spent reimbursing low-value care. Low-value care is the utilization of healthcare services, medical tests, and procedures that have unclear or no clinical benefit to patients but still exposes them to risk. World-wide, low-value care imposes a significant economic burden on patients, payers, governments, and society. Cancer care among older adults > 65 years is one of the biggest drivers of healthcare expenditure in the US and accounts for nearly 40% of all spending, and low-value care among cancer patients is prevalent and contributes to the financial …