Increasing First-Attempt Endotracheal Intubation Success Rates In The Aeromedical Environment, Jared Copeland

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem Statement: In 2022, the first-attempt endotracheal intubation success rate of an aeromedical agency had steadily declined and was currently below the international average of 88.48%. This decreased success rate potentially placed patients at risk for adverse events that increase morbidity and mortality. Background: Patients who experience a failed first-attempt intubation are at greater risk of intubation related complications. These complications include hypoxemia episodes, severe arrhythmias, pulmonary aspiration, hypotension episodes, cardiac arrest, and death. Literature Review: Preoxygenation, patient positioning, maintenance of oxygenation, drug selection, and device utilization have been found to increase first-attempt endotracheal success rates. Project Aims: The project …

Implementation Of The Academic Autistic Spectrum Partnership In Research And Education (Aaspire)-Based Guidelines To Improve Perioperative Care Of Patients With Autism Spectrum Disorder, Kayleigh Brink

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Implementation of the Academic Autistic Spectrum Partnership in Research and Education (AASPIRE)-based Guidelines to Improve Perioperative Care of Patients with Autism Spectrum Disorder

Kayleigh Brink

Introduction: Autism Spectrum Disorder (ASD) is becoming more prevalent with an increasing need to identify and eliminate barriers to care. Healthcare Providers (HCP) have shown limited knowledge and confidence when managing patients with ASD. The inability to provide specialized care and recognize symptoms of pain or discomfort could result in behavioral difficulties.

Purpose: The purpose of this project was to improve confidence among HCPs to identify ASD characteristics and to improve the use of …

The Experiences Of Women College Presidents While Leading Through An Institutional Crisis: The Perceived Successes And Failures Of Crisis Communication Strategies, Madison Marie Speck

Graduate Theses, Dissertations, and Problem Reports (ETD)

This multi-site case study explored the uncommonly discussed yet organic intersection between the study of crisis communication and the study of crisis leadership and in turn, what it means in the context of a college presidency. This study has a unique focus on women presidents at small, private colleges and the ways in which they communicate with various stakeholders during a crisis environment. The research is guided by Boin’s Model of Crisis Leadership which guides and assesses crisis leadership performance; however this study introduces nuances to the framework that are suggested as a result of the findings; most of which …

Two Essays To Encourage Agritourism Cluster Development In The Appalachian Region: An Analysis Of Agritourism Operation Regarding Clustering And Toolkit Curriculum For Cluster Development, Oluwatoyin Adebisi

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study focused on encouraging agritourism operators in the study area to engage in clustering. Collaboration within networks and clusters is strongly encouraged as a catalyst for accelerating industrial transformation, developing regional competitive advantages, and boosting company and job creation. All these factors ultimately contribute to economic progress and prosperity. A snowball sampling method was used to survey 192 agritourism operators, with 145 responses meeting the inclusion criteria for analysis. Exploratory factor analysis was employed to identify factors contributing to agritourism business development in the selected six states. Based on a linear regression model, the findings reveal that net income …

A Critical Event Narrative Analysis Of African Women Immigrant Entrepreneurs In The United States: Impacts Before, During, And After The Covid-19 Pandemic, Damilola T. Fasinu

Graduate Theses, Dissertations, and Problem Reports (ETD)

This doctoral research presents a qualitative critical event narrative study focused on African Women Immigrant Entrepreneurs (AWIE) in the United States during the COVID-19 pandemic. The study aims to explore the unique challenges, coping mechanisms, and resilience strategies of AWIE by examining their experiences before, during, and after the pandemic. The research is driven by three guiding questions: (1) How do AWIE describe their experience before the pandemic? (2) During the pandemic? (3) After the pandemic? This inquiry provides a comprehensive narrative, capturing the challenges and successes experienced in the pre-pandemic environment, documenting the immediate impacts of the pandemic on …

Interactions Between Myeloid Cells And Neutrophil Extracellular Traps In Pancreatic Ductal Adenocarcinoma, Hillary Gabrielle Pratt

Graduate Theses, Dissertations, and Problem Reports (ETD)

The 5-year-survival rate for pancreatic ductal adenocarcinoma (PDAC) is only 12% due in part to a lack of therapeutic strategies that target the pathophysiology of the disease. The only known curative therapy is surgical resection of the PDAC tumor, but only 20% of patients are eligible at the time of presentation. To improve outcomes for patients, new therapeutic options are needed. The PDAC tumor microenvironment (TME) is uniquely fibrotic and hypoxic, which is in part driven by the immune cell composition in the TME. Myeloid cells are a prominent immune infiltrate within the PDAC TME, so these cells have been …

Implementing Unmanned Aerial Vehicles To Collect Human Gait Data At Distance And Altitude For Identification And Re-Identification, Donn E. Bartram

Graduate Theses, Dissertations, and Problem Reports (ETD)

Gait patterns are a class of biometric information pertaining to the way a person moves and poses. Gait information is unique to each person and can be used to identify and reidentify people. Historically, this task has been achieved through the use of multiple ground-based imaging sensors. However, as Unmanned Aerial Vehicles (UAVs) advance, they present the opportunity to evolve the process of persons identification and re-identification. Collecting human gait data using UAVs at distances ranging from 20m to 500m and altitudes ranging from 0m to 120m is a challenging task. The current biometric data collection methods, primarily designed for …

Evaluation Of Probable Maximum Precipitation (Pmp) For West Virginia To Predict Current And Future Pmp & Utilizing Acid Mine Drainage (Amd) Sludge In Reclamation, Grace Katherine Kerr

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis includes two main topics: 1) evaluation of probable maximum precipitation (PMP) for West Virginia to predict current and future PMP, and 2) utilizing acid mine drainage (AMD) sludge as a reclamation plan.

Probable maximum precipitation (PMP) is essential for dam design as well as for the inspection, operation, maintenance, and repairs of these facilities. West Virginia Department of Environmental Protection Dam Safety utilizes the 6-hr, 10-mi² (26-km²) PMP established by Hydrometeorological Report (HMR) 51 based on the analysis of extreme rainfall. These PMP are outdated because there have been unaccounted for extreme rainfall events that …

Leds For Controlled Environment Agriculture: Leveraging Light To Optimize Crops, Tristan D. Sanders

Graduate Theses, Dissertations, and Problem Reports (ETD)

Indoor agriculture is a growing industry with many of its benefits being recognized. Light emitting diodes (LEDs) reduce production costs compared to traditional light sources. LEDs emit narrow bandwidths of light that allow growers to easily change the wavelengths plants are being grown under by using different combinations of wavelengths. Manipulating the light that plants are grown under is a method to change their physiology which is the basis of this thesis. The goal of the first two studies was to investigate how different light spectra can be used to enhance the nutrition content, growth, and morphology of kale and …

Utilizing Suas-Based Remote Sensing For Sustainable Outdoor Recreational Trail Design And Monitoring, Isaac C. Kinder

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study utilizes sUAS-based remote sensing and hydrologic models to analyze and predict locations susceptible to water-based trail erosion. Erosion is frequently cited as the most significant environmental impact of trails and often requires costly design and management considerations. A professionally designed trail totaling 4 km in length was segmented based on presence or absence of water-based erosion for analyses and then flown with sUAS technology. Three Logistic regression (LR) models were generated utilizing several hydrologic terrain models of varying resolutions to determine the effects of spatial resolution on the models’ predictive accuracies. Receiver operator characteristics, kappa, and overall accuracy …

Benefits And Barriers Of Using Prefilled Precedex Syringes In The Operating Room: A Cost Comparison, Ashley White

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to a report published by the Institute of Medicine, at least 44,000 and possibly up to 98,000 Americans die each year because of medical errors in hospitals. More than 7,000 of those deaths are from medication errors alone (Stucki et al., 2013). Anesthesia providers in the operating room (OR) are at even greater risk to commit medication errors due to their easy access to medications and their autonomy to make independent choices for medication administration. A small rural community hospital in Pennsylvania lacks a protocol for Precedex preparation. Evidence-based research show the benefit of prefilled ready-to-administer syringes, but the …

Theorizing Mathematical Proof As Becoming: A Deleuzio-Guattarian Investigation, Joshua P. Case

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this dissertation, I utilize the post-structural philosophy of Gilles Deleuze and Félix Guattari as a lens for investigating the proof process. Deleuze and Guattari were both post- structural philosophers who, like many in this tradition, troubled traditional notions related to stable identities, meaning, language, and mathematics. For Deleuze, sense and meaning is not the result of a sterile, transcendent effect or condition that is associated with propositions and states of affairs. Rather, it is the result of a material production that emerges from the world and that has independence from language and the mind. I apply this framework to …

You Belong With Me: What Communication Professionals Can Learn From Swifties, Rachel Belle Johnson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pop powerhouse Taylor Swift has managed to create a dedicated fanbase that has the power to disrupt national sporting leagues and boost the American economy. Her Swifties are an exemplar in the world of fandom. Taylor Swift’s online interactions with fans, especially in the early days of her career, are partially responsible for her success in creating and maintaining this fanbase. Using principles of social informational processing theory (SIPT), this research examines what aspects of Taylor Swift’s computer-mediated communication with fans have fostered such intense feelings of community in her fandom of Swifties. Using in-depth interviews to explore the relationships …

Understanding Learners' Perception Of Virtual Reality-Assisted Learning In Engineering Education, Mohammad Samin Mansur

Graduate Theses, Dissertations, and Problem Reports (ETD)

Virtual reality (VR)-assisted learning may facilitate an immersive and interactive learning environment and enable learners to explore and interact with learning content at their own pace and interest. However, it is still unknown how well VR is received in engineering learning while empowering autonomy and personalization. The objective of this study is to investigate learners' perceptions of VR-assisted learning in engineering education while allowing learners to learn at their own pace, driven by their personal preference. To this end, experiments were conducted, in which thirty engineering students were recruited and immersed in a VR setting designed to deliver an interactive …

An Inquiry Into The Accessibility Of Campus Recreation For College Students With Disabilities, Kayla B. Abrahamson

Graduate Theses, Dissertations, and Problem Reports (ETD)

University recreation centers are identified as the main sources of physical activity for college students. However, an estimated 68% of college students with disabilities (SWD) use their campus recreational facilities less than five times per year (Yoh et al., 2008). Structural and programmatic accessibility barriers may account for low facility use and corresponding low physical activity levels among college SWD. An accessibility assessment of facilities and programming is warranted to identify priority areas for barrier removal. This collective case study evaluates the accessibility of three campus recreation facilities at 4-year public universities in the southeast U.S. Adopting a mixed-method approach, …

Stormwater Responses To Climatic And Land Cover Changes In Lowly Urbanized Subcoastal Environments, Md Tanvirul Islam

Graduate Theses, Dissertations, and Problem Reports (ETD)

Stormwater runoff is widely considered a significant factor in coastal inundation and water quality degradation. The main objective of this thesis is to determine the potential impacts on stormwater runoff in lowly urbanized coastal/subcoastal environments under a changing climate and land use/cover. The East Fork San Jacinto River Basin (Area = 2577 of southern Texas, USA was considered a pilot area for this study. Given the sparse availability of high-resolution precipitation data in space and time, this research first evaluated four remotely sensed and/or reconstructed precipitation products (CMORPH-CDR, MERRA, PERSIANN-CDR, and PRISM) by comparing the data with the historical gauge …

Self-Care And Quality Of Life Of Remotely Monitored Appalachians With Heart Failure, Patrick Rexrode Murphy

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Self-Care and Quality of Life of Remotely Monitored Appalachians with Heart Failure

Patrick R. Murphy

Background: About 6.2 million persons are living with heart failure in the United States and over 960,000 new cases are diagnosed annually. The cost to provide care to this population exceeds $30 billion per year. Rates of heart failure are higher in the Appalachian region where persons are more likely to experience poverty, lack resources, and be geographically isolated. Heart failure coupled with these unique challenges can negatively impact self-care and quality of life. Numerous interventions have been attempted to support this population, but …

Performance Evaluation Of Composite Utility Structures Under Wildfires And Mitigation Methods, Siddhant Sitoula

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Fiber Reinforced Polymer (FRP) composite utility poles and crossarms have been getting wider attention from the utility industries because of their advantages over the traditional wooden, concrete, and steel poles. Wood is vulnerable to fire, rot, and animal damage. Concrete poles are heavier, increasing both transportation and installation costs of the poles, in addition to limited-service life (40-50 years). Similarly, steel poles have durability and safety concerns because of their inherent corrosive nature and conductivity. These disadvantages are significantly reduced by the use of FRP composites in utility structures because of FRP’s strength, specific gravity, flexibility, non-conductivity and durability …

Isometric Force-Time Characteristics Of Different Positions In The Clean In Weightlifters, Kyle G. Rochau

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the sport of weightlifting, the ability to produce force known as strength is of great importance. Coaches can implement strategies to help their weightlifters increase their maximal strength levels such as performing full lifts like the snatch and clean & jerk or performing derivatives of those movements such as a clean pull from the knee or a mid-thigh pull. Performing weightlifting derivatives helps strengthen key technical positions in the full lifts, aiding their success. Having muscular weakness in these positions may be detrimental to the success of a lift. Therefore, it is in the best interest of the weightlifting …

Between Wages And Wellbeing: Examining The Role Of Employers In Increasing Covid-19 Vaccine Uptake In The State Of West Virginia, Nathaniel Udoh Godwin

Graduate Theses, Dissertations, and Problem Reports (ETD)

The novel coronavirus disease 2019 (COVID-19) stretched public health systems globally, with millions of cases confirmed across all continents of the world. The United States health systems struggled as the country grappled with emerging variants of the virus, differing levels of vaccine acceptance, misinformation, and disparity in health outcomes. As COVID-19 vaccines emerged, the U.S. Government sought to bolster uptake through myriad measures, including announcing vaccine requirements for federal employees, which was met with mixed reactions. Accordingly, some employers and businesses adopted a “no jab, no job” policy, while others stopped short of mandates but encouraged and incentivized vaccine uptake …

A Podcasting Series On The Historical Event Of Hawk’S Nest Tunnel Disaster, Hannah G. Morgan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This professional project will look into the Hawk’s Nest Tunnel Disaster – a disaster that was birthed due to extreme capitalism and exploitation during the 1930s. This project will explore historical documents, books and interviews with those who are passionate about the event. With that research material, I will produce an educational narrative podcast with a cohesive storyline detailing the event, including a beginning, middle and end. The podcast series will be uploaded to Apple Podcasts and Spotify. This professional project can be replicated and used for other similar projects.

Executive Compensation And Competitive Behavior Of The Firm: A Behavioral Agency Perspective, Oleksandr Tsaruk

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation attempts to address the research question: how does the CEO’s compensation structure affect the firm’s competitive actions in the context of rivalry with competitors? Prior research has systematically examined antecedents of firms’ competitive actions, such as TMT characteristics, industry structure, exogenous shocks, competitive attacks and counterattacks. However, there is a lack of systemic research on how CEO compensation structure serves as a motivational factor of the firm’s competitive actions. The influence of the CEO on a firm’s competitive behavior has long interested scholars in strategy research. Thus, filling this gap in the literature is of significant importance.

This …

Dentin-Sealer Bond Strength. A Review: An In-Vitro Comparison Between Guttaflow 2 ®, Endosequence Bc High Flow ®, Tubli-Seal ®, Sealapex ®, And Ah Plus Jet ® Sealers., Zied Diab

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: One objective of non-surgical endodontic therapy is the formation of a hermetic seal with elimination of any portal of entry of bacteria and their byproducts into the root canal space from periapical tissue. Extensive research has been conducted to determine ideal endodontic sealers. Bioceramic sealers have risen to prominence due to reported decreased shrinkage, less toxicity, and superior bond strength to root dentin compared to zinc oxide eugenol, calcium hydroxide, and resin-based sealers. GuttaFlow2®, a new sealer on the market, is composed of calcium silicate in combination with gutta-percha particles. Researchers from Coltene (Altstätten, Switzerland), the manufacturer of GuttaFlow2® …

Modification Of Gas Atomized Metal Powders Through Mechanical Chemical Bonding Technique, Philip Thomas Mallory

Graduate Theses, Dissertations, and Problem Reports (ETD)

Additive Manufacturing (AM) has become popular for commercial applications where high-performance parts can now be created, tested, and modified more efficiently thus expediting the design process. Because of its relatively easy access today a lot of research and improvements are coming out yearly for improved AM machines and the material used. At WVU, a new way of modifying as-receive commercial gas-atomized metal powders used in AM has been developed using Mechanical Chemical Bonding (MCB) methodology which uses high rotational blades to create an environment where it increases the particle-on-particle interaction. During this high energetic process all irregular shaped particles, with …

Engineering Applications Of Artificial Intelligence To Forecast Production Of Shale Wells, Yasir Jassim Alkalby

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the application of artificial intelligence (AI) and supervised machine learning techniques to forecast production from unconventional shale wells, utilizing actual field measurement data over a period of two years. Traditional methods, such as decline curve analysis, offer valuable insights but often fail to fully capture the complex nuances affecting productivity and tend to rely excessively on empirical equations.

In this research, the AI-based Shale Analytics approach, introduced by Mohaghegh in 2017, is employed. This method leverages Big Data Analytics to identify unique patterns from actual field observations, enhancing the evaluation and quantification of various productivity factors, facilitating …

Implementation Of A Pilot Quality Improvement Project To Guide The Administration Of Intraoperative Dexamethasone For Postoperative Nausea And Vomiting Prophylaxis In Patients With Diabetes Undergoing Orthopedic Procedures, Brittany W. Hall

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: At a local tertiary care hospital, there was no recommendation to guide anesthesia providers in the administration of intraoperative dexamethasone to patients with diabetes. While dexamethasone is a highly effective antiemetic, it may promote hyperglycemia in patients with diabetes.

Purpose: The purpose of this project was to guide and educate about current recommendations for the administration of dexamethasone for PONV prophylaxis in patients with diabetes.

Intervention: 1) Examined pre-intervention practices of dexamethasone administration. 2) Educated about current and best practices to anesthesia staff. 3) Developed badge buddy cards outlining the guideline. 4) Examined post-intervention practices. 5) Evaluated the effect …

Ethics In Action: Exploring B Corporation Certification, Value Congruence, And Empathy Within Organizations, Jiahui Lu

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is comprised of three studies. It explores ethical practices within organizational settings from three different perspectives: a macro perspective, an individual perspective, and a micro-level interaction perspective. The first study examines the earnings management behavior of B Corporation managers, providing a macro view of how an external corporate certification may address the broader issue of business ethics. The findings of this study contribute to the legitimacy of B Corporations and our understanding of the relationship between corporate social responsibility and earnings management. The second study investigates the effect of value congruence on employee whistleblowing at for-profit social mission …

Defining Success For An Introductory Mathematics Non-Stem Pathway Course, Clark D. Metz

Graduate Theses, Dissertations, and Problem Reports (ETD)

The enduring debate surrounding college algebra, traditionally a gateway for STEM pathways, underscores the necessity for curricular evolution in response to the rising popularity of non-STEM majors. This dissertation explores the success of an applied college algebra course designed for non-STEM students. The study aimed to determine whether this alternative course could meet diverse student needs while promoting academic achievement and fostering positive attitudes towards mathematics. Findings revealed through a novel approach of a difference-in-differences analysis that students enrolled in the applied college algebra course exhibited higher pass rates due to the introduction of the new course. The lower failure …

The Role Of Synaptic Zinc Signaling In Excitatory Circuits Of The Mouse Auditory Cortex, Philip T R Bender

Graduate Theses, Dissertations, and Problem Reports (ETD)

Synaptic zinc signaling modulates synaptic activity and is present in specific populations of cortical neurons, suggesting that synaptic zinc contributes to the diversity of intracortical synaptic microcircuits and their functional specificity. The pool of chelatable synaptic zinc is controlled by the zinc transport protein ZnT3, a protein which functions by moving free zinc into glutamatergic presynaptic vesicles, from which it is co-released with glutamate during synaptic transmission. Once synaptic zinc is released within the synaptic cleft, it acts on glutamate receptors on the post-synaptic spine, including ionotropic NMDA and AMPA receptors. While the inhibitory function of zinc on NMDA receptors …

Feminist Pedagogy In The Esl Classroom: A Retrospective Qualitative Case Study, Lindsei Pereira Da Silva

Graduate Theses, Dissertations, and Problem Reports (ETD)

Even though feminist pedagogy in the context of higher education has been widely researched, there is a dearth of scholarship available when it comes to feminist pedagogy in the context of English as a Second Language. The present retrospective qualitative case study investigated the ways in which feminist pedagogy is represented in the teaching philosophies and intended teaching practices of ESL instructors in the Summer 2023 Fulbright Pre-Academic Program. The research findings indicate that feminist pedagogy was represented in the teaching philosophies and intended teaching practices of the ESL instructors in several ways, despite the fact that they had not …