Digital Commons Network^™

A New Electronic Handoff Tool To Facilitate Patient Transfer From The Or To Sicu: A Quality Improvement Initiative, Kaylan Jean Kerrigan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: Transfer of care is a vulnerable time for patients. Continuity of care depends on good communication from the transferring team to the receiving team. Communication failures contribute to frustration among medical staff and poor patient outcomes. Purpose: The purose of this project was to improve handoff communication and satisfaction between the anesthesia team in the operating room (OR) and the receiving surgical intensive care unit (SICU) nurses. Intervention: A new electronic handoff tool was developed for the Epic electronic health record (EHR) to provide SICU nurses with patient information (name, age, allergies), procedure and diagnosis, intubation status, reversal status, …

Finite Element Modeling And Experimental Characterization Of Overmolded Gold-Palladium Composite Leads And Their Mechanical Behavior Under Cyclic Fatigue For Long-Term Implant Applications, Tanner Davis

Graduate Theses, Dissertations, and Problem Reports (ETD)

Auditory Nerve Interface (ANI) devices, currently in developmental stages, represent an emerging neuroprosthetic approach to restore hearing in severe sensorineural loss patients by directly stimulating the auditory nerve via the Utah Slanted Electrode Array (USEA). Conventional implant leads are comprised of multiple wires made from materials such as platinum-iridium and MP35N stainless steel that are overmolded in an insulative material. These materials are not possible to bond with to electrode array used in the ANI device, necessitating the evaluation of a new material like Au-Pd to ensure its functionality and durability under cyclic stresses. This gap necessitates characterization of alternative …

Autonomous Vehicle Supported Mobility Services For Rural Areas, Alvira Ahmed Tasnim

Graduate Theses, Dissertations, and Problem Reports (ETD)

Autonomous Vehicles (AVs) are emerging as a promising mobility solution to address growing transportation demands, particularly unmet traffic demand in rural areas where conventional transit systems often fall short. Rural areas face unique mobility challenges due to dispersed populations, limited infrastructure, and low/no transit coverage. Existing transit services tend to concentrate around dense urban cores, leaving low-demand areas outside underserved. This spatial undercoverage leads to significant mobility gaps for rural residents. This study examines the potential of AV-based ride-sharing services to address these mobility needs by providing flexible, demand-responsive mobility services where fixed-route transit services are either economically or operationally …

Dynamically Scaling Biomimetic Robots Through Parallel Viscoelastic Actuators, Foster Olaf Holmquist

Graduate Theses, Dissertations, and Problem Reports (ETD)

Robots provide a unique proving ground for testing scientists’ understanding of neuromuscular systems. Synergistically, mimicking biological control laws and mechanics could offer robotics the robust and adaptive locomotion of animals. Previous work has utilized the wealth of research on insect biomechanics to develop scaled robotic models but doing so presented a problem: while these robots’ larger scale has simplified manufacturing, the scale has also shifted its mechanics from those of the modeled organisms. While animals walk, forces are generated that describe their mechanics and influence motor control. The musculoskeletal structure and stretch of muscles result in viscous and elastic forces, …

The Effect Of Cerebellar Feedback On The Spatial Processing Of Conspecific Signals In The Electrosensory System, Dakota Ray Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Animals have evolved sensory systems to help decipher important environmental signals that are vital for their survival. Feedback pathways are necessary to allow these signals to stand out in a noisy background, enabling the animal to focus on them more effectively. The electrosensory system of Apteronotus leptorhynchus allows the fish to sense the modulations caused by other conspecifics to allow for proper responses during social interactions. Electroreceptors detect these EODs, and afferent nerves project these signals to the ELL, where electrosensory information is projected to other parts of the brain. Cerebellar feedback to the ELL allows the suppression of lower …

Using Probabilistic Risk Assessment In Drilling R&D Projects, Jacob Matthew Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Well drilling, since its inception, has always carried an intrinsic quantity of risk. Economically, the evolution of data analytics and the tools available to operators provide the opportunity to transform the lessons learned from previous well drilling endeavors into bottom line improvements. Additionally, methods for forecasting and risk management of potential trouble areas have significantly advanced due to the abundance of empirical data from prior drilling operations. Probabilistic Risk Assessment is a viable method through which risk can be tracked and mitigated in project management. Coupled with this data, the usage of Probabilistic Risk Assessment (PRA) provides a quantified, trackable …

Evaluating Osmia Cornifrons As An Effective Pollinator For Agricultural Crops: An Analysis Of Hair Morphology And Sex-Ratio Distorting Bacterium, Wolbachia, Nellie Heitzman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Effective pollination relies not only on the presence of pollinators but also on their morphological adaptations and reproductive biology. In this study, I investigated both the external hair morphology and the intracellular bacterial infection status of Osmia cornifrons, a solitary bee species increasingly used in orchard pollination due to its efficiency and early seasonal activity. Using Scanning Electron Microscopy (SEM), I characterized the distribution and structure of two major hair types present on the bee's body: branched and unbranched. Branched hairs were found widely distributed across the head, thorax, dorsal abdomen, and legs, and appeared to function primarily in incidental …

End-To-End Neural Network Based Optimal Control For Asymmetric Quadrotor Uas, Ross O'Hara

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis presents the development and evaluation of a neural network-based optimal controller for asymmetrically loaded quadrotor unmanned aerial systems (UAS). Traditional control strategies such as PID are typically designed under symmetry assumptions and often degrade in performance when faced with significant loading asymmetries. To address this, a six-degree-of-freedom quadrotor model incorporating rotor dynamics and center-of-mass offsets was developed. A trajectory optimization framework using MATLAB’s fmincon solver generated over 50,000 energy-optimal trajectories across symmetric and asymmetric conditions. These were used to train a range of feedforward neural network architectures in a full-factorial study.

The best-performing controller was identified, having five …

Developing A Simplified Method Of Measuring Ultrafine Particulate Matter Dose Concentrations For Diesel Emissions, Nafisat Ohunene Isa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Developing a Simplified Method of Measuring Ultrafine Particulate Matter Dose

Concentrations for Diesel Emissions

Ultra-fine particulate matter (UFP), particularly from diesel emissions, poses significant health and environmental risks due to its small size and potential to penetrate deep into the respiratory system. Accurate measurement of UFP concentrations is essential for assessing exposure and mitigating health impacts. However, current methods for measuring UFP can be complex, time-consuming, and costly. This study aims to develop a simplified method for efficiently measuring UFP concentrations from diesel emissions, which will enable easier and more widespread monitoring of air quality and public health impacts. …

Individual And Collective Properties Of Tunable Photochemical Belousov-Zhabotinsky Micro-Reactors, Kudakwashe Benedict Shumba

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cell-like model chemical systems are powerful tools that can be used to explore the role of intercellular coupling on population level behaviors in communities of biological cells. Firstly, we present a new method for fabricating such micro-reactors using the photosensitive Belousov–Zhabotinsky (BZ) reaction system employed in silica microparticles. These BZ micro-reactors have a tunable response to photochemical coupling, varying from a fully excitatory response to a fully inhibitory response. Their response can be tuned through variations in either the reactive mixture or, on an individual micro-reactor level, by changes in the synthesis temperature used during the fabrication of the silica …

Analysis Of Shotshell Breech Face Impressions Using A Computer-Based Algorithm, Carly Renee Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Forensic firearm analysis involves the comparison of test fires from a suspect firearm to an unknown sample, typically collected from a crime scene. Test fires and the unknown sample are examined for agreement in class characteristics and sufficient agreement in individual characteristics using a comparison microscope. The forensic analysis of firearms has been challenged both in court and by governmental organizations for its subjective nature and the inability to accurately report error rates.

To combat these challenges, the National Institute of Standards and Technology (NIST) has proposed using computer-based algorithms, such as Congruent Matching Cells (CMC). These CMC algorithm calculates …

Demonstrating The Potential Of Biophilic Design, Sustainable Site Initiatives, And Regenerative Landscape Design To Transform Neglected And Underutilized Spaces Into Vibrant, Eco-Friendly Hubs In Mckeesport Pennsylvania., Chinweuba Stephen Kikanme

Graduate Theses, Dissertations, and Problem Reports (ETD)

McKeesport is a city located along Monongahela and Youghiogheny rivers in Allegheny County, Pennsylvania, about 13 miles southeast of Pittsburgh. It is part of the River metropolitan area. McKeesport, once a thriving center of steel production, is now facing significant challenges associated with industrial decline, urban blight, flood hazard, population decline, brownfield sites and environmental degradation. However, the transformation of neglected spaces within the city into sustainable and vibrant urban hubs offers a powerful opportunity for revitalization. By incorporating natural elements such as green roofs, urban agriculture, and native plant restoration, this project seeks to create spaces that not only …

Authoritarian Control Over Election Administration, Nazar Boyko

Graduate Theses, Dissertations, and Problem Reports (ETD)

Street-level election bureaucracy (SLEB) remains one of the least studied aspects of authoritarian elections. Our current understanding of micro-level election administration in autocracies is fragmented and unsystematic. In this dissertation, I develop and test a theory of authoritarian SLEB that comprehensively addresses key elements of election administration: the incentivization and mobilization of election commissioners, the establishment of control over election commissions, the monitoring of their performance, and the post-election reshaping of their personnel composition. Drawing on rational choice theory, I propose a framework in which autocrats are seen as outcome-maximizers who strategically design SLEB to achieve their electoral goals. The …

Global China In Pakistan: Mixed-Methods Analysis Of Symbolic Domination, Social Media Geopolitics, And Security Corridors, Davide Giacomo Zoppolato

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation explores the discursive and material dimensions of China’s global rise through a case study of the Belt and Road Initiative (BRI) in Pakistan. As China becomes a leading provider of development finance, its infrastructure-led approach is reshaping geographies across the Global South. Focusing on the China–Pakistan Economic Corridor (CPEC)—the BRI’s flagship project—I examine how Chinese and Pakistani actors co-produce development through discourses, infrastructures, and security regimes. Structured around three articles, the dissertation analyzes: (1) the official diplomatic discourses of Chinese state institutions and their reception by Pakistani media outlets; (2) the curated geopolitical discourses of Chinese social media …

From Bobcat To Bursts: Multi-Messenger Constraints On Supermassive Black Holes And Binaries, Jessica Sydnor

Graduate Theses, Dissertations, and Problem Reports (ETD)

Supermassive black hole binaries (SMBHBs) are a natural consequence of hierarchical galaxy formation and evolution. When galaxies merge, their central supermassive black holes (SMBHs) are expected to form bound pairs that evolve from kiloparsec to sub-parsec separations under the influence of dynamical friction, stellar scattering, and gas dynamics. Ultimately, these SMBHs reach the regime where gravitational wave emission dominates and drives the final inspiral and coalescence. Understanding the formation, evolution, and observational signatures of SMBHBs is critical to advancing multi-messenger astrophysics, particularly in the era of pulsar timing arrays (PTAs) and the upcoming Laser Interferometer Space Antenna (LISA), which opens …

It Takes Two To Tango: The Overlooked Process Of Co-Creation In Services Marketing, Natalie A. Marquart

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation investigates the mechanisms of effective co-creation in patient-provider interactions within the U.S. healthcare system, a critical area given pervasive systemic frustrations and the dyadic nature of care. Grounded in Social Cognitive Theory and Service-Dominant Logic, the research proposes a conceptual model where patient self-efficacy fosters cooperation, mediated by the dimensions of symmetry, alignment, and agreement, ultimately influencing patient outcomes. Perceived response efficacy is hypothesized to moderate this relationship. A mixed-methods approach was employed, consisting of two complementary studies. Study 1 utilized qualitative, semi-structured interviews with 20 patients and 5 healthcare providers to deeply explore how self-efficacy, perceived response …

Leveraging Physiological Signal Activity And Self-Report Data To Assess Students’ Trust In “My Friendly Mind” App And Its Impact On Their Mental Health Knowledge: A Mixed-Method Phase 1 Clinical Trial Focusing On Depression And Attention Deficit Hyperactivity Disorder From Human Factors Standpoint., Yeganeh Shahsavar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Mental health issues have become a significant global public health concern, especially among younger generations. The growing number of mental health challenges, combined with limited access to quality care, makes the problem even worse. Studies reveal that over 70% of individuals worldwide in need of mental health services do not receive appropriate care. Digital health technologies have the potential to enhance mental health services by making them more accessible and affordable. Despite the increasing popularity of mental health mobile applications (mHealth), there remains a lack of robust evidence of their effectiveness and the level of user trust, particularly in areas …

Investigation Of Spalling Effects On The Brittle Behavior Of Rectangular Pillars In Underground Stone Mines, Yolver Yesid Jimenez Ibanez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Recent catastrophic collapses in U.S. limestone mines have exposed the limitations of traditional empirical design formulas for brittle rock masses. These events, especially those involving slender pillars, underscore that traditional methods often fail to account for progressive, spalling-dominated failure, highlighting a crucial gap in our understanding. This research addresses this issue by conducting a comprehensive investigation into the mechanics of spalling in rectangular stone mine pillars, utilizing advanced three-dimensional numerical modeling with FLAC3D combined with LiDAR-based geometric modeling.

The stability of a pillar is governed by a complex interaction between the in-situ stress field, rock mass properties, and pillar geometry. …

Three Essays On Environmental Regulation And Economic Revitalization In Energy Rich Regions, Young Gwan Lee

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation consists of three essays that investigate the environmental and regulatory dimensions of unconventional oil and gas (UOG) development and place-based policy in the United States. The research examines how energy production activities interact with water resource management, regulatory compliance behavior, and regional economic resilience. By integrating empirical modeling, quasi-experimental methods, and policy evaluation, the dissertation provides new insights into how environmental risks and economic tradeoffs are shaped by regulatory constraints, strategic behavior of regulated entities, and government interventions in extractive regions. Managing produced water from unconventional oil and gas (UOG) production is a growing environmental challenge, particularly as …

Media Framing Of The Local And National News Coverage Of The East Palestine Train Derailment, Lauren Delo

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research examined digital news coverage of the East Palestine train derailment to determine the frames and dominant frames used in both local and national coverage of the disaster, and whether these frames differed over time. Specifically, this research used a content analysis of digital newspaper articles from five media outlets—three national level and two local level—and applied the frames identified from Colistra’s (2010) study of print news coverage of the 1972 Buffalo Creek mine disaster. Results revealed significant differences between the most frequently used frames between local and national coverage, shifts in frame usage over time within each media …

Investigating The Biology, Hypovirulence, And Pathogenicity Of Three Canker-Causing Phytopathogenic Fungi In The Cryphonectriaceae And Cytosporaceae On American Chestnut (Castanea Dentata) And Oaks (Quercus Spp.) In The Eastern U.S., Danielle N. Mikolajewski

Graduate Theses, Dissertations, and Problem Reports (ETD)

American chestnut (Castanea dentata) and various oak species (Quercus spp.) are impacted by several economically important canker pathogens in the fungal order Diaporthales, namely Cryphonectria parasitica and Endothia gyrosa (Cryphonectriaceae). Cytospora canker caused by several closely related fungi in the fungal genera Cytospora and Valsa (Cytosporaceae) have also been implicated in causing canker diseases of Quercus and Castanea in Asia, Europe and North America. The impacts of C. parasitica on American chestnut have been exhaustively studied and it’s impacts on various oak hosts have also been broadly investigated and reported. Endothia gyrosa has …

Rare Earth Element Recovery From Acid Mine Drainage Using Ion Exchange And Selective Precipitation Processes, Paubla Andrea Gallego Lopez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Rare earth elements (REEs) are used in high-tech applications due to their electromagnetic and optical properties. As global demand for REEs surges, the limitation of primary mineral deposits has increased interest in alternative sources. One such source is acid mine drainage (AMD), which, although typically low in REE concentration, offers a promising avenue for recovery. Among the emerging recovery methods, ion exchange has shown promise due to its effectiveness at low concentrations and lower operational cost than conventional techniques such as acid leaching and solvent extraction.

This research focused on developing a recovery process by combining ion exchange with selective …

Distress Tolerance And Sleep Quality: Potential Moderating And Mediating Factors, Alivia Kay Murdock-Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that insomnia and poor sleep quality are related to a variety of negative physical and mental health outcomes. There is emerging evidence that the psychological construct of distress tolerance is related to the quality of one’s sleep, including the presence of insomnia. However, few studies have explored how additional factors may be related to this association. This study aimed to replicate previous research supporting the association between distress tolerance and sleep and exploring this relation by examining three different hypotheses (e.g., health behaviors, perceived stress, and emotion regulation) that could potentially explain how these two variables are …

Exploration Of Coping And Mental Health In West Virginia Farmers, Jodi Meadows Richmond

Graduate Theses, Dissertations, and Problem Reports (ETD)

Compared nationally, West Virginia currently ranks lowest for life expectancy, highest for drug related deaths and 35^th for access to adequate health (WV DHHR Organization Assessment & Strategic Plan, 2022). The state also ranks first in the nation for depression with one in four adults experiencing some form of depressive condition each year (CDC, 2020). The rurality of the state may limit social interaction and availability of medical treatment facilities (Brew et al., 2016).

The situation is even more dire for those in farming-related occupations. Farmers often struggle with management stress, utilizing appropriate coping strategies, and accessing mental health …

Optical Measurements Of Magnetic Fields In Low-Temperature Plasmas Via Quantum Spectroscopy, Tyler James Gilbert

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate characterization of the magnetic field strength and direction within a plasma is increasingly important as experiments attempt to probe the physics of plasmas at kinetic scales. Non-perturbative laser-based diagnostics which are spatially and temporally localized—such as laser-induced fluorescence (LIF) and Thomson scattering for the measurement of ion and electron distribution functions, respectively—are increasingly relied on for measurements in laboratory plasmas. This work seeks to develop a spatially and temporally localized non-perturbative laser-based diagnostic for the measurement of magnetic fields in laboratory-relevant plasmas. Two such techniques are investigated here: Zeeman-split LIF and quantum beat spectroscopy (QBS).

Zeeman-split LIF measures the …

The Effect Of Carrier Type And Material Used On Results Of 1,1,1,2-Tetrafluoroethane Application To Teeth, Jonathon Logan Williams Dds

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The formulation of a pulpal diagnosis is crucial to prescribe appropriate treatment recommendations for endodontics. The application of a cold stimulus to the tooth’s surface utilizing the refrigerant 1,1,1,2-Tetrafluoroethane (R-134a) is a common way to obtain a pulpal diagnosis. Cotton as a form of applicator is used to absorb the R-134a and create a temperature change in the pulp. There is limited research if there is a better material than cotton to generate this cold response. No studies to date have been found to determine if a sponge as an applicator would generate a more significant cold response than …

Capillary Electrophoresis Analyses Using Ultraviolet Detection And Novel Mass Spectrometry Interfaces For The Characterization Of Small Molecules And Nanoparticles Of Pharmaceutical Interest, Yousef Shaaban Hassan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Capillary electrophoresis (CE) coupled to mass spectrometry (MS) offers a powerful analytical platform that unites high-efficiency separation with molecular-level identification. Despite its potential, limitations in interfacing and usability have constrained the widespread application of CE-MS. This thesis presents methodological advancements to enhance CE-based analysis through innovative interfacing, automation, and application to both small molecules and nanoparticle vaccine formulations. First, a nanoflow sheath CE-VSSI-MS interface is developed to overcome the limitations associated with flow-dependent ionization, enabling the use of narrow-bore capillaries, high separation voltages, and flexible pH conditions. This configuration effectively separated and detected diverse analytes, including β-blockers, amino acids, and …

“Situation Is Out Of Control:” Drug Use, Violence, Resistance, And Politics During The Vietnam War, Andrew Domenic Ray

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Vietnam War was notable because it was a very violent and very public war. Throughout the course of the conflict, the United States imposed anti-guerilla warfare on a grand scale. American soldiers were often given orders to destroy the enemy at all costs; but in a war with no discernable front lines, the difference between combatant and non-combatant was, at best, blurry. The way the war was being fought, coupled with its unpopularity and emerging counterculture at home, made the Vietnam War a hub for illicit drug use among American soldiers. American soldiers use drugs for a number of …

Determination Of Spatial Origin Of Striations On Fired Projectiles, Kaitlin A. Dolan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Firearms examination has been a mainstay of Forensic Science for over a century. One of the principal assessments performed by firearm examiners is the comparison of fired projectiles to a suspect firearm. The AFTE theory of identification, as it pertains to firearms and toolmarks, supports the basis that the barrel of a firearm will impart class and individualizing characteristics onto the fired projectile. The characteristics are developed by the interaction of the projectile surface with the lands of the barrel. Features on the lands, which are incidental to the process of manufacturing, dictate the characteristics observed on the fired projectile. …

Improving Timely Palliative Care Consultation In The Micu: A Nurse-Driven Quality Improvement Initiative, Sandy Louise Gray

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Improving Timely Palliative Care Consultation in the MICU: A Nurse-Driven Quality Improvement Initiative

Sandy L Gray

Background: Early palliative care in intensive care units improves outcomes and reduces costs, yet referrals are often delayed. At J.W. Ruby Memorial Hospital’s medical intensive care unit (MICU), baseline median time to consultation was 112 hours (mean=246), exceeding recommended benchmarks and highlighting the need for a standardized process.

Purpose: This quality improvement project evaluated a nurse-driven screening tool to improve timeliness and consistency of palliative care consultations in the MICU.

Intervention: The tool was embedded in the electronic health record (EHR) …