Digital Commons Network^™

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 …

Promoting The Use Of Smoke Evacuation Systems In The Operating Room: A Quality Improvement Initiative, Andrea Leigh Drayer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Surgical smoke produced during procedures poses serious health risks to operating

room (OR) staff and patients, yet many hospitals, including an academic medical center in

northern West Virginia, have underutilized smoke evacuation systems. The imminent

enforcement of West Virginia House Bill 4376, mandating smoke evacuation use, provided both

urgency and opportunity for an intervention.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project

was to increase timely compliance with the use of smoke evacuation systems during all smoke-

producing procedures, ensuring alignment with safety standards and legislative requirements.

Methods: A systematic evidence review of academic …

A Quality Improvement Initiative To Improve Central Line Insertion Care Using An Evidence- Based Practice Checklist, Jonathan Andre Barbour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Central line infections in a 33-bed Cardiovascular Intensive Care Unit (CVICU) at a large academic medical center located in the northeastern United States were increasing for patients after cardiovascular surgery. These infections could, potentially, lead to longer hospital stays and lost revenues for the health system. A project explored the implementation of an evidence-based practice (EBP) sterile procedure standardized checklist during central line insertions

Purpose: A quality improvement (QI) initiative project sought to improve central line insertion compliance while monitoring the bedside implementation of an EBP checklist.

Intervention: The Agency for Healthcare Research and Quality’s (AHRQ) Central line-associated bloodstream …

Behavioral Adaptation To Systematically Changing Local Conditions Of Reinforcement, Kento Yasukawa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Adaptation is the continual process of behavioral change in response to changes in environmental contingencies. One example of adaptation is to track the temporal distribution of reinforcers. The present dissertation investigated how responding tracked cyclically changing reinforcement schedules (i.e., cyclic interval [CI]) and how such tracking was influenced by concurrently available alternative reinforcement schedules. Across two experiments, four pigeons responded under a CI 60-s schedule in which the interreinforcer intervals (IRIs) changed systematically according to a sinusoidal function. The primary dependent variable was postreinforcement pauses (PRPs), with local response rates (response rates per IRI) examined as a secondary measure of …

Real-Time Lidar-Based Vehicle Detection Using Pointpillars For Connected And Automated Vehicle Applications, Jared Townsend Behr

Graduate Theses, Dissertations, and Problem Reports (ETD)

This work explores the implementation of a real-time LiDAR processing model for autonomous vehicle design. Automotive perception systems are becoming increasingly important as Advanced Driver Assistance Systems (ADAS) and Connected and Automated Vehicle (CAV) technologies continue to progress toward higher levels of autonomy. Reliable perception is paramount for autonomous features, such as adaptive cruise control (ACC), where identifying and tracking a lead vehicle is a safety critical task.

Many production ADAS perception systems primarily rely on radar and camera sensors for object detection and sensor fusion. These sensors work well to achieve classification and accurate distance detections; however, they are …

An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.

Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and …

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. …

Improving Antibiotic Prescribing For Urinary Tract Infections In Urgent Care Centers, Alexis Alastanos

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Urinary tract infections (UTIs) are one of the most common infections that require antibiotic therapy. Providers working in three urgent care clinics located in Eastern West Virginia diagnosis and treat UTIs based on their clinical judgement. Variability in clinical judgement results in inappropriate antibiotic use which has implications on antibiotic resistance and the financial burden of the patients as well as the entire organization.

Evidence Review: A total of 10 articles were evaluated to support the implementation of antibiotic stewardship initiatives that provide guidance in caring for this population. Interventions include electronic health record enhancements, provider education, and tracking …

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 …

The Coal Mining Kids: Constructing A Working-Class Gay World In West Virginia (1900-2001), Hannah Ford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Located in southwestern West Virginia, Bluefield has been the site of Bluefield State University, the Norfolk & Western Railway headquarters, the Baldwin-Felts Detective Agency, and the Shamrock Bar. The Shamrock was a gay bar opened by Helen Compton, in operation from the late 1960’s until 2001. Bluefield’s early industrial success in coal mining and the railroad quickly urbanized the space between 1900 and 1930, facilitating a diverse, working-class cultural foundation for Bluefield’s gay world. In the 1960’s, urban renewal efforts initiated by the War on Poverty, in combination with public awareness of homosexuality induced by the Lavender Scare, set the …

Multi-Omic Characterization Of Immune And Metabolic Responses To Inflammatory Challenges In Sheep, Samanthia Raceine Johnson

Graduate Theses, Dissertations, and Problem Reports (ETD)

To meet the demands of the growing population, it is imperative to develop sustainable and applicable ways to improve animal health and productivity. The first step in doing so is understanding the mechanisms that govern health and immune response and find ways to appropriately modulate them to improve animal health and productivity. The objective of this study is to use multi-omic techniques to understand breed-specific immune responses in sheep that may contribute to their resistance and susceptibility to parasites and to a greater extent, immunocompetence. Known parasite-resistant breed, St. Croix (STC) were compared to parasite susceptible Suffolk (SUF) sheep for …

Macroinvertebrate Response To Two Highway Construction Projects In West Virginia, Brenden Nauman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Highway development and construction are frequently required to provide efficient transportation for an increasing human population. Specific to the Appalachian region, highway development has been a major goal since the mid 1900’s, with the aim of promoting economic growth and ease of travel. While highways provide necessary services to humans, their construction and presence often impact nearby waterways through multiple mechanisms including sedimentation and urbanization. To understand the degree of impact, streams are often monitored using biological data, which can be used to quantify effects. In this work I used freshwater macroinvertebrate communities to monitor changes in stream health surrounding …

Experimental Evaluation Of 100 Ft X 10 Ft Frp Truss Pedestrian Bridge, Ashish Dhital

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Experimental Evaluation of 100 ft x 10 ft FRP Truss Pedestrian Bridge

Ashish Dhital

FRP truss bridges are now increasingly used in pedestrian bridge applications due to their high strength-to-weight ratio, corrosion resistance, better impact performance compared with conventional materials, and ease of assembly. These advantages make FRP systems attractive for accelerated construction, remote-site installation, and environments where steel or reinforced concrete bridges may experience corrosion-related deterioration. Due to insufficient data on both strength and serviceability (i.e deflection, frequency) performances. Full-scale testing of FRP pedestrian bridges of longer spans (50’-100’) is needed to better understand the dynamic behavior, long-term …

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Energy Partition And Heating Mechanisms In Asymmetric Antiparallel Magnetic Reconnection, Aleksandra Abova-Volkova

Graduate Theses, Dissertations, and Problem Reports (ETD)

Magnetic reconnection is a fundamental plasma physics process whereby a change in magnetic field connectivity drives the conversion of magnetic energy into energy of the surrounding plasma, often explosively. One of the many settings where it occurs is at the dayside magnetopause of Earth and other planets, where the magnetic field, number density, and/or temperature in the plasmas on the two sides upstream of the reconnection site are asymmetric. How the incoming magnetic energy gets partitioned into outgoing energies during asymmetric reconnection remains an outstanding question; of special interest is the fraction that gets converted into internal energy of ions …

Wellness Policies In Action: A Wscc-Based Comparative Analysis Of District-Level Policy And School-Level Practices, Leanne Denise Watson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The United States Department of Agriculture utilized the policy platform to implement and reinforce federal mandates aimed to improve health outcomes for student-aged youth, requiring all schools participating in the National School Lunch and/or Breakfast Program to develop a written wellness policy beginning with the 2016-2017 school year. However, the resulting impacts on school environments are unclear. The Whole School, Whole Community, Whole Child (WSCC) model is a recommended framework to influence wellness policies and school practices and support the holistic development of students. Nonetheless, current literature calls for more research applying the model to support its use. The purpose …

The Importance Of College Radio As An Experiential Learning Opportunity For Students, John Boggess

Graduate Theses, Dissertations, and Problem Reports (ETD)

As society evolves, journalism does too, and many universities are experiencing a significant shift from traditional outlets such as radio to more modern, digital platforms. College radio is a common resource of journalism schools to practice and develop professional skills, but with budget cuts and a lack of continued support from the university, it can be presumed that college campuses might be trying to phase it out. While radio may not be the most booming outlet in the world of journalism today, college radio still possesses the opportunity for students to gain the proper skills for the professional world that …

Technology-Driven Approaches For Invasive Species Detection And Management, Kushal Naharki

Graduate Theses, Dissertations, and Problem Reports (ETD)

Invasive species pose significant ecological, economic, and management challenges globally. Purple loosestrife (Lythrum salicaria), Japanese knotweed (Fallopia japonica), tree of heaven (Ailanthus altissima), and mile-a-minute (Persicaria perfoliata) are widespread invasive plants across the eastern United States and present persistent challenges, particularly in remote and inaccessible landscapes. Effective management of these species requires an integrated approach that combines early detection, targeted intervention, public engagement, and spatial modeling. This dissertation used emerging technologies to improve invasive species detection, monitoring, and management.

Unmanned aerial vehicle (UAV)-based platforms equipped with optical sensors were used to establish …

Analysis Of Battery Degradation Effects On Optimized Torque Splitting In Dual-Motor Electric Vehicles, Homer E. Butcher

Graduate Theses, Dissertations, and Problem Reports (ETD)

Battery electric vehicle performance depends on both powertrain efficiency and battery-health. In dual-motor all-wheel-drive battery electric vehicles, driver-requested torque can be distributed between front and rear electric drive units, creating an opportunity to reduce electrical energy demand through torque allocation. However, lithium-ion battery aging changes the electrical behavior of the energy storage system through capacity fade and internal resistance growth. Capacity fade reduces the usable energy and vehicle range, while resistance growth increases voltage drop, current-related losses, and battery electrical loading. This thesis evaluates how these degradation effects influence the energy consumption, simulated range, and battery electrical behavior of optimized …

Walking In The Footsteps Of My Ancestors: A Deep Map Of Cherokee Forced Removal, Deborah Lyn Kirk

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this study of the place of Cherokee forced removal, I use a Third Space approach to blend Indigenous Methodologies, Deep Mapping, Geospatial mapping and analysis, and 3D Geography. Using a hybrid platform that provides a mélange of media types, storytelling forms, and interactive tools, I reimagine and retell the story of the Cherokee “Trail of Tears.”

In accordance with Cherokee philosophies of duyuktv, harmony, and “a good mind” I first sought out Cherokee sponsorship from community respected and culturally knowledgeable Cherokee citizens; partnered with the National Trail of Tears Association (NTOTA); submitted my research proposal to the Cherokee …

Process Optimization And Quality Control In Manufacturing Of Frp Composites By Vartm, Mohamed Emadeldin Omar Abdelhadi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Railroad tank cars, being one of the most used means of transportation of hazardous material across the country, have not been structurally upgraded for a long time. Thus, the Pipeline and Hazardous Materials Safety Administration (PHMSA), a United States Department of Transportation (USDOT) agency, released a rule for safer transportation of highly hazardous and flammable liquids by railroad to enhance the design specifications of both the new and existing tank cars in May 2015. A multifunctional composite jacket is proposed as a new material to structurally enhance the railroad tank cars to withstand any accidents that could happen en route. …

Three Essays On Personnel And Labor Economics, Chengyuan Hua

Graduate Theses, Dissertations, and Problem Reports (ETD)

Labor market dynamics are not only relevant for worker welfare, but also matter for firm productivity. This dissertation investigates the dynamic interactions between firms and workers, with a particular focus on the determinants and effects of human resources management practices. Using professional sports labor markets as a natural laboratory, I examine three distinct but interconnected mechanisms: managers, hiring decisions, and contract setting.

The first chapter studies how managers matter for worker productivity by exploiting manager moves in Major League Baseball. I first show that manager effects are primarily match-specific using an AKM-type model. Then, staggered difference-in-differences results show positive effects …

Evaluation Of Finger-Tightening Torque Applied To Implant Healing Abutments By Dental Providers With Varying Experience And Physical Characteristics: An In-Vitro Study., Bayan Abuhalimeh

Graduate Theses, Dissertations, and Problem Reports (ETD)

Aim: The primary objective of this project is to measure the actual torque applied by dental providers when finger-tightening a healing abutment and assess the variability among individuals. A secondary objective is to analyze the correlation between applied torque and: provider experience level (residents, general dentist, specialist); gender; age; and, physical attributes (e.g., grip strength, hand size, and dominant hand used for tightening). The null hypothesis is that there is no difference in the mean finger-tightening among the three groups of dental providers, and there are no significant differences in torque values among practitioners based on demographic and professional variables. …

Mechanisms Of Glyphosate Toxicity: Uptake, Mitochondrial Function, And Metabolism, Dionysios Patriarcheas

Graduate Theses, Dissertations, and Problem Reports (ETD)

Glyphosate, the most widely used herbicide in the world, is an inhibitor of chorismate biosynthesis, the precursor of aromatic amino acids. The target of glyphosate is absent in animals, but findings reporting toxicity in model organisms without a known mechanism or target are increasing. Saccharomyces cerevisiae is a useful and versatile model for understanding molecular mechanisms of toxicity. In yeast, previous work has shown that the aspartate/glutamate permease Dip5 is the proposed transporter for glyphosate and that mitochondrial metabolism has been implicated in response to glyphosate toxicity. This dissertation aimed to identify the effects of glyphosate on mitochondrial function through …

A Quality Improvement Initiative To Decrease The Length Of Stay In The Post-Anesthesia Care Unit For Children Undergoing Iv Anesthetic Inductions For Gastrointestinal Procedures, Kaylee Bahret Bangs

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Pediatric patients at WVU Medicine Children’s (WVU-CH) are emerging slowly from anesthetics during diagnostic gastrointestinal procedures which delays discharge from the post-anesthesia care unit. The cumulative effect is an increased length of hospital stay and the associated increases in costs. This project explores a novel method to reduce the amount of medication pediatric patients receive by using virtual reality goggles as a nonpharmacologic intervention to reduce preprocedural anxiety.

Purpose: This quality improvement project seeks to reduce time spent in PACU for children undergoing IV induction GI procedures by using preoperative virtual reality (VR) headsets during IV placement …

Swarm Of One: Self-Organization In Multicellular Robots, Trevor Riley Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Designing robots traditionally relies on centralized, top-down methods that constrain adaptability and resiliency, producing systems optimized for specific tasks. However, such systems often fail in complex environments, such as extraterrestrial, disaster, or natural settings, where designers cannot foresee every scenario a robot may encounter. Achieving autonomy in these contexts requires robots that are resilient and capable of adapting to the unknown. Multicellular organisms exhibit this adaptability through self-organization, where complex structures and behaviors emerge from local interactions among their cells. Such organisms can be viewed simultaneously as a single entity and a swarm of cooperating cells, i.e., a Swarm-of-One.

This …

Comparison Of Three Methods In Diagnosing Maxillary Transverse Discrepancy, Madison Hull Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction

There are several different methods in determining the maxillary transverse discrepancy (MTD). In specific, MTD can be determined with the help of a cone beam computer tomography (CBCT), 3D scan and models, or simply a 2D occlusogram.  Do they provide the same MTD values for diagnosing transverse discrepancies? A patient may need a certain amount of skeletal and dental expansion based on a diagnosis of MTD, but this amount may vary depending on the diagnosis method used. There is a lack of knowledge in the literature comparing 2D and 3D methods in determining MTD. Currently, methods in measuring MTD …

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 …

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 …

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 …