Digital Commons Network^™

The Double Bar-Line: A Qualitative And Quantitative Study Of Career Readiness For Historically Black College And University Voice Performance Majors, Brian L. Fenderson

Theses and Dissertations

Historically Black Colleges and Universities (HBCUs) play a crucial role in providing higher education opportunities for African American students, including those pursuing degrees in voice performance. In recent years, there has been a noticeable lack of performance opportunities and resources available to voice performance majors at HBCUs. This document aims to explore the challenges faced by HBCU voice performance majors who hoped to pursue a career in voice performance. Through a combination of literature review, qualitative interviews, and quantitative surveys, this study will examine the experience of voice performance majors from 1990 – present day. Interviews conducted will speak on …

Associations Between Cardiovascular Disease And Utilization Of Dental Preventive And Periodontic Services, Amirhossein Fakhre Yaseri

Theses and Dissertations

Cardiovascular disease (CVD), including coronary artery disease, heart failure, myocardial infarction, and stroke, remains a leading cause of global mortality, with approximately 20.5 million deaths in 2021. Despite advancements in medical science, CVD prevalence continues to rise, underscoring the need for preventive approaches and increased awareness. CVD is closely associated with oral diseases, and poor oral health is linked to worse cardiovascular outcomes. This study investigates the association between CVD and the utilization of dental preventive and periodontal services using data from the Dental Experience and Research Exchange (DERE) database, which aggregates clinical data from dental practices across the U.S. …

Supercritical Water Oxidation For Removing Pfas Contaminants: A Numerical Study, Ashley Joy Poyner

Theses and Dissertations

Per – and polyfluoroalkyl substances (PFAS) are a group of stable pollutants known for their long lifetimes and resistance to treatment methods used traditionally to remove other contaminants. PFAS and their ability to accumulate in both aquatic and terrestrial environments present threats such as detrimental effects to people and ecosystems due to their ability to penetrate entire systems. Though many methods are being explored to treat PFAS contamination in different systems, Supercritical Water Oxidation (SCWO) is a promising method for both removing and decomposing PFAS, with the ability to completely oxidize these persistent contaminants. This study is a numerical investigation …

Designing A Genetics-Based Bibliotherapy Model For Children With Inborn Errors Of Metabolism, Kaitlyn Abagail Gmitro

Theses and Dissertations

Bibliotherapy is a psychotherapy technique utilized to teach individuals about concepts through the use of literature and the arts. The primary aim of this research was to examine how a bibliotherapy model could be applied to improve diet and treatment adherence for people affected with Inborn Errors of Metabolism. Prior to this research, no paper has proposed a tailored bibliotherapy approach for genetic conditions. Through analysis of the caregiver-child relationship and disclosure process and the perceived support needs of both caregivers and providers caring for children with IEMS, our goal was to propose a bibliotherapy model to improve adherence and …

The Effects Of Acute Nutrient Intake On Raw Segmental Bioelectrical Impedance Values And Fluid Shifts In Premenopausal Women, Callie Unrein

Theses and Dissertations

Background: Raw bioimpedance measures—impedance (Z), resistance (R), reactance (Xc), and phase angle (PhA)—are emerging tools to assess hydration, cellular integrity, and muscle quality. While multifrequency bioimpedance analysis (MF-BIA) can detect acute physiological shifts, its sensitivity to nutrient intake, especially across hormonal phases in women, remains underexplored. Purpose: This study investigated how essential amino acids (EAA), carbohydrates (CHO), and water (CON) influence postprandial segmental bioimpedance and fluid distribution in healthy women, and whether these responses vary by menstrual hormone phase. Methods: Twenty-two recreationally active women (18–40 years) underwent serial MF-BIA (InBody 970) assessments during high- and low-hormone phases, randomized to one …

Estimating Proximity To Failure Using Repetitions In Reserve In Adults Treated For Cancer, Kylah Elizabeth Jackson

Theses and Dissertations

BACKGROUND: There is a consensus from governing bodies that more evidence is needed in understanding how to properly prescribe, monitor and progress resistance training (RT) in oncology populations. Repetitions in reserve (RIR) has been demonstrated as a quick/easy tool to monitor proximity to failure and interventions using RIR have shown promise in improving muscle strength and mass in older adults and apparently healthy populations. However, the validity of RIR in RT in oncology has yet to be examined. Therefore, the purpose of this study was to assess the accuracy of RIR predications in individuals treated for cancer in a pragmatic …

From Pregnancy To Postpartum: A Longitudinal Analysis Of Maternal Depressive Symptoms And Hemoglobin Concentration In Uttar Pradesh, India, Abdullah Nurus Salam Khan

Theses and Dissertations

Background: Perinatal depression and maternal anemia impact maternal health, pregnancy outcomes, and infant growth in low- and middle-income countries. This study examines the prevalence and risk factors of these conditions during pregnancy and postpartum in rural Uttar Pradesh, India. Methods: A prospective cohort study was conducted among 475 pregnant women recruited during early pregnancy (≤20 weeks gestation) and followed through late pregnancy (≥27 weeks) and postpartum (< 42 days of childbirth). The outcome variables were, i) depressive symptoms, assessed using the Edinburgh Postnatal Depression Scale (EPDS), and ii) hemoglobin concentrations, measured using HemoCue Hb 301 analyzer from capillary blood. Multivariable linear regression examined associations of the outcome variables with sociodemographic, obstetric, nutritional, interpersonal, and perinatal factors. Path analysis evaluated direct and indirect paths influencing postpartum hemoglobin. Results: Prevalence of probable depression (EPDS score≥13) peaked in early pregnancy (24%) and declined in late pregnancy (17%) and postpartum (4%). Mean hemoglobin declined from early (10.5 g/dL) to late pregnancy (9.7 g/dL), and partially recovering in postpartum (10.4 g/dL). Household food insecurity was associated with higher depressive symptoms during pregnancy and postpartum (early pregnancy:β=2.61, p=0.011; late pregnancy:β=2.84, p< 0.001; postpartum:β=1.40, p=0.023). Psychological intimate partner violence was associated with greater depressive symptoms in early pregnancy (β=3.19, p=0.001). Receiving more antenatal visits was associated with decrease in depressive symptoms in late pregnancy (β=-0.46, p=0.001) and hemoglobin at postpartum (β=-0.11, p=0.070). Consumption of more food groups was associated with increase in depressive symptoms (β=0.63, p=0.004) and hemoglobin in late pregnancy (β=0.10, p=0.026). Iron folic acid (IFA) consumption was associated with increase in hemoglobin in late pregnancy (β=0.01, p< 0.001) and postpartum (β=0.004, p=0.031). Experiencing postpartum health complications was associated with increase in depressive symptoms (β=0.41, p=0.013) and decrease in hemoglobin concentrations (β=-0.18, p=0.036). Antenatal hemoglobin concentrations mediated the associations of IFA supplementation and dietary diversity with postpartum concentrations. Conclusion: Perinatal depression was associated with socioeconomic vulnerabilities, food insecurity, and intimate partner violence, while hemoglobin concentrations were associated with maternal nutrition and perinatal care. Integrating mental health services and comprehensive nutrition interventions into antenatal and postpartum care can improve psychological and physical well-being of mothers during and after pregnancy.

Approaches To Teaching Music Reading To Students With Dyslexia: A Guide For Piano Teachers, Olivia Grace Bradstreet Colomaio

Theses and Dissertations

Dyslexia is the most common learning disability in the United States, affecting approximately one in five individuals. According to the DSM-V-TR, the ICD-11, and the International Dyslexia Association, dyslexia is a Specific Learning Disorder that causes issues with phonological processing, sequencing of information and information processing, word recognition, reading fluency, and other issues. Due to its prevalence, the chances of piano teachers encountering a student with dyslexia in their teaching studios is highly likely. However, there is relatively little research available for piano teachers of students with dyslexia. In the music lesson, common areas of struggle for students with dyslexia …

Newborn Screening For X-Linked Adrenoleukodystrophy: Experiences, Perspectives, And Future Directions For Genetic Counseling, Sophia Salvatore

Theses and Dissertations

There is a notable lack of research regarding genetic counseling practices for infants with screen-positive results for X-linked adrenoleukodystrophy (X-ALD) via newborn screening (NBS). The exploratory study aimed to understand the experiences of genetic counselors providing follow-up care for these infants, assess the complexities associated with NBS for X-ALD, identify potential gaps in genetic counseling practices, and describe the subsequent impact on patient care. A mixed-methods approach was utilized, incorporating an initial survey and optional semi-structured interviews with practicing genetic counselors who had seen a minimum of five cases of infants with screen-positive results for X-ALD in the last two …

The Role Of B Cells In Promoting Lipid Absorption By Promoting Lacteal Development, Kenny Johnson

Theses and Dissertations

The absorption of dietary lipids in the gut is necessary to maintain the metabolic tone of tissues. Inflammation in the gut can cause defects in lipid absorption, which can result in tissue wasting, otherwise known as cachexia. Cachexia is commonly observed in patients with inflammatory bowel disease and cancer patients. The underlying cause of cachexia is unknown, and there are currently no effective therapeutic options available to treat it. Lymphatic drainage in the small intestine (SI) is specialized to promote the transport of dietary lipids into circulation. Lacteals are blunt-ended lymphatic vessels localized to the central axes of villi in …

Tritium As A Model Tracer For Predicting Per- And Polyfluoroalkyl Exposure And Potential Ecosystem And Human Health Impacts, Erika Craig

Theses and Dissertations

For this thesis, historical tritium and per-and polyfluoroalkyl substances (PFAS) concentrations measured in surface waters of South Carolina at or near the Savannah River Site (SRS) were compared. Statistical linear regression analysis was used to assess the ability of tritium as a model tracer for predicting PFAS concentrations, specifically perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) distributions. Nine years of tritium monitoring data, (2014 – 2022), were analyzed and used in linear regressions to assess their association with PFAS levels of PFOA and PFOS measured during 2023, in and around the SRS and the adjoining Savannah River. Initially, a normality …

Adolescent Sleep Health, Mental Health, And Cardiovascular Disease Risk In Adulthood, Prince Nii Ossah Addo

Theses and Dissertations

Background: Insufficient sleep and poor sleep quality are major public health issues among adolescents in the United States (U.S.). Mental health and substance use challenges are also common among adolescents, particularly those with sleep problems. Although exposures in adolescence have been evidenced to significantly impact future health, little is known about how adolescent sleep health, mental health, and substance use influence future cardiovascular disease (CVD) risk. We, therefore, examined the association between sleep health in adolescence and CVD risk in adulthood and assessed whether the association is mediated by depressive symptoms and substance use in adolescents. Further, we explored the …

The Impact Of Ballet Techniques On Singing Performers, Julie H. Welch

Theses and Dissertations

Singing performers are tasked to being a multifaceted artist using their acting and even dance skills in a performance. Voice teachers have long incorporated physical activity into training, but traditional ballet techniques—such as core tension and neck elongation—can contradict healthy singing practices. Given ballet’s deep historical connection to opera and stage performance, this study aims to examine whether integrating ballet into vocal training enhances or hinders a singer’s technique and overall performance. This investigation surveyed forty subjects who identified as teachers, singing performers, or students earning a performance degree and interviewing select subjects for further information; results will be discussed.

A Conductor’S Rehearsal And Performance Guide To Christopher Tin’S The Drop That Contained The Sea, Augusto Gil

Theses and Dissertations

This document serves as a research resource regarding composer Christopher Tin and provides a conductor’s analysis for his large choral-orchestral work, The Drop That Contained the Sea. Christopher Tin is an American composer of film, television, and video game soundtracks. Though he is most likely best known for his choral-orchestral piece, “Baba Yetu”, written for the video game Civilization IV, Tin has written several choral-orchestral works that have premiered on international stages over the course of recent years, such as his large-scale song cycles Calling All Dawns, The Drop That Contained the Sea, To Shiver the Sky, and The Lost …

Assessing The Feasibility Of Transportable Nuclear Reactors: A Radiological Risk Case Study, Robert John Demuth

Theses and Dissertations

The feasibility of a truly transportable nuclear reactor presents significant radiological challenges that must be addressed to ensure compliance with regulatory limits and operational safety. This study evaluates the radiological constraints associated with the transportability of the Transportable Helium-cooled One-megawatt Reactor (THOR), focusing on neutron activation, shielding performance, and external radiation exposure. Using advanced radiation transport and activation modeling within the SCALE framework, a comprehensive analysis was conducted to quantify dose rates during operation, post-shutdown, and transport. A key aspect of this work involved assessing activation products in core materials, auxiliary components, and surrounding environments to determine their contribution to …

Transcrite Par L'Auteur: Analyzing And Performing The Piano-Vocal Scores Of Maurice Ravel's Operas, Jordan Knapp

Theses and Dissertations

The two operas of Maurice Ravel, L’heure espagnole and L’enfant et les sortilèges, are, like most of the composer’s works, known for their innovative orchestrations and instrumental flourishes. However, the piano-vocal scores of the operas have their own unique qualities worthy of study. With the piano writing at times fiendishly difficult—standing toe-to-toe with Ravel’s solo piano music—the score demands simplification, particularly for less experienced performers serving as accompanist or rehearsal pianist for these works. Many sections of the music are impractical or even impossible for a single pianist to perform, but this study offers alternate solutions and simplifications for pianists …

Understanding Water Washing Needs Of Hydrochar Generated From The Hydrothermal Carbonization Of Food Wastes To Establish Minimum Post-Processing Needs For Soil Amendment Application, Neve Renee Steger

Theses and Dissertations

Hydrothermal carbonization (HTC) is an advantageous and potentially environmentally beneficial approach for the conversion of wet biomass and waste streams into a value-added solid product referred to as hydrochar. Although hydrochar composition and properties generated from the carbonization of a variety of feedstocks have been well studied, there is a need for understanding whether hydrochar requires further refinement and/or treatment prior to being used in environmental applications, particularly when using the hydrochar as a soil amendment. Understanding the need for and extent of hydrochar post-treatment is critical in identifying environmentally beneficial and economically attractive strategies for hydrochar use. In this …

Activation Of Basal Forebrain Afferents Following Systemic Inflammation, Alexis Morgan Blas

Theses and Dissertations

Sepsis is a large-scale immune response typically due to an imbalance of pro- and anti-inflammatory responses due to some type of infection or insult. Around 1.7 million adults in the United States will develop it each year, making it the leading cause of increased morbidity and mortality in hospitals. Sepsis can lead to many different symptoms, one of which is delirium. Delirium is a mental state of confusion and disorientation and involves delusions, hallucinations, memory issues, and most commonly inattention. Delirium is more prevalent in older individuals which leads to further complications and a higher likelihood of development of long-term …

Intimate Partner Violence In Post-Conflict Communities: The Case Of Peru, Karen Eliana León Negreiros

Theses and Dissertations

Intimate partner violence (IPV) is a major public health issue worldwide and the most common type of violence experienced by women. In the last decade, a growing number of studies have evidenced that situations of civil conflict, post-conflict, and displacement can significantly exacerbate IPV and increase the likelihood of experiencing IPV later in life. This study expands on the literature by taking a Geographic Information System (GIS) mapping approach to understand how civil conflict violence in Peru (1980-2000) is associated with IPV rates in the country, 4 years (2004) and 19 years (2019) after the conflict. Study results evidence the …

Healing Histories: Implementing Trauma-Informed Care Practices In Libraries To Support Resilience And Recovery, Cearra Harris

Theses and Dissertations

This dissertation investigated the impact of public library closure on the Edgewood community in Columbia, South Carolina, an area with a rich history and significant ties to the two nearby historically Black Colleges and Universities (HBCUs), Benedict College and Allen University. It explored the intergenerational effects of historical trauma through the lens of collective memory, as documented in oral histories from community members and public library staff. The research aimed to understand the implications of the library's absence in a marginalized community context, emphasizing how such closures can exacerbate existing vulnerabilities. Through oral histories, questionnaires, and interviews, the findings reveal …

Child-Caregiver Relational Closeness And Child Mental Health In Nonparental Care Settings, Amanda Stafford Mcrell

Theses and Dissertations

This dissertation examines child-caregiver relational closeness and child mental health within nonparental care systems in Low- and Middle-Income countries (LMICs). Five key factors impacting the well-being of orphaned, separated, and vulnerable children in LMICs are explored using the Positive Outcomes for Orphans (POFO) dataset: child maltreatment, social support, child-caregiver relationships, and nonparental care systems. First, I examined the relationship between maltreatment, social support, and mental well-being. Findings showed that maltreatment was associated with lower mental well-being, where social support (emotional support, tangible support, positive social support) was associated with greater mental well-being, even in the concurrent presence of maltreatment. Second, …

Investigation Of The Hdl Molecular Architecture Before And After Exercise Training., Prasun Kumar Dev

Theses and Dissertations

The functional characteristics of high-density lipoprotein (HDL) particles are influenced by their structure, including their molecular composition (e.g. HDL lipidome and proteome). However, the effects of exercise training on HDL molecular composition and its relationship with HDL-related traits are largely unknown. In this ancillary study, we investigated the HDL lipidome and proteome of 154 adults before and after 20 weeks of exercise training in the HERITAGE Family Study. The HDL-sized plasma fraction was isolated utilizing FPLC-SEC, followed by untargeted lipidomic and proteomic analysis using LC/MS. We identified 341 known lipid species while 409 HDL associated proteins. Clinical and functional related …

Translating Theory Into Practice: Mediating Academic Advising Reform At Scale Through Improvement Science, Joshua Black

Theses and Dissertations

Improving student outcomes at community colleges is a difficult, multifaceted problem. While no single approach can be a panacea for such a challenging problem of practice, Guided Pathways (GP) research suggests a scalable reform model that may ultimately help to improve the underlying systems and structures colleges have designed to support their students, and in turn, may help colleges to achieve the goal of improved student outcomes more consistently. Because of the breadth of the GP model’s recommendations for reform, however, implementation is complex. To be effective, each of the reforms must be localized, adopted, and brought to scale within …

Frequency-Based Rapid Structural Damage Detection Using Embedded Edge Computing On Resource-Constrained Devices, Ryan Yount

Theses and Dissertations

Structural Health Monitoring (SHM) is essential for ensuring reliability and longevity of useful structures. Traditional SHM approaches rely on manual or remote data transmission and external processing, which introduce latency and can depend on stable communication links. This work aims to advance SHM by integrating edge-computing techniques for rapid damage detection to enable faster and more autonomous structural assessments in resource-constrained environments. The research spans three key contributions including 1) frequency-based damage detection of civil structures using a sensor package with the addition of an edge processor, 2) additions to the computational efficiency of the edge-computing sensor package in a …

Exploring Teacher Perspectives Of Literacy Instruction For Students With Behavioral Needs, Lauren Dalton Astle

Theses and Dissertations

This study examines the perceptions of elementary teachers who have implemented effective literacy instruction strategies to enhance the reading skills of students with significant behavioral challenges in general education classrooms. Recognizing that students with behavioral issues often face amplified academic and social difficulties, the study highlights the necessity of robust literacy instruction to foster academic success. Nineteen teachers, whose students achieved at least 85% student progress in reading as assessed by the Acadience Learning assessments, were interviewed to gather their perceptions of effective instructional practices. The findings identified four critical themes: teacher efficacy, instructional design, an intentional learning environment, and …

A Study To Identify The Causal Rare Genetic Variants In Primary Open And Closed Angle Glaucoma, Pseudoexfoliation Syndrome, And Associated Glaucoma, Suganya K

Theses and Dissertations

BACKGROUND: Glaucoma is the second most common cause of blindness globally typically diagnosed with a triad of clinical symptoms of increased intraocular pressure (IOP) with associated optic disc, optic nerve head (ONH) changes, and visual field defects. Genetic and environmental factors are some of the strong aetiology factors for glaucoma and identification of these factors has a potential implication in the management of the disease and its outcome. There is a paradigm shift towards understanding the genetics of glaucoma, wherein the variants in the nuclear, mitochondrial genome and other regulatory regions are being identified as contributing risk factors.

METHODOLOGY AND …

Comparing The Effects Of Square, 4-7-8, And 6 Breaths-Per-Minute Breathing Conditions On Heart Rate Variability, Co2 Levels, And Mood, Joshua Marchant

Theses and Dissertations

Background and Hypotheses: Square and 4-7-8 breathing are popularly promoted by psychotherapists but have little empirical support. We hypothesized that breathing at 6 breaths per minute (bpm) would improve HRV, reduce blood pressure, and improve mood more than either square or 4-7-8 breathing. We also hypothesized square and 4-7-8 breathing would increase end-tidal CO2 (PETCO2). Methods: Eighty-four college students (60% female) had HRV measured at baseline and during 1) square breathing, 2) 4-7-8 breathing, 3) 6 bpm with a 4:6 inhale-to-exhale ratio, and 4) 6 bpm with a 5:5 ratio. We used a 3-lead electrocardiogram to measure HRV and a …

Key Characteristics Of Long-Lived Portland Cement Concrete Airfield Pavements In The United States Air Force Enterprise, Cameron J. Palmer

Theses and Dissertations

The United States Air Force maintains a $30 billion portfolio of airfield pavements essential for national security. Despite their importance, budget constraints have limited average annual repair funding to $260 million over the past decade, requiring pavements to last significantly longer than their typical life span. This project addresses the central question: What design features or characteristics contribute to the longevity of Portland Cement Concrete (PCC) airfield pavements? Utilizing data from AFCEC's Airfield Pavement Evaluation (APE) team and the PAVER sustainment management system, this study employed linear regression, logistic regression, and deep artificial neural network (ANN) modeling techniques to identify …

"Very Important Stuff For The Ladies": Examining Gender Differences In Celebrity Journalism, Payton E. Pingree

Theses and Dissertations

This thesis explores gender differences in celebrity journalism by analyzing 44 YouTube video interviews from the Oscars red carpet between 2014 and 2024. Using framing theory and feminist theory, the study examines how interviewers interact with male and female celebrities, focusing on four key behaviors: infantilizing, ambivalence, sexualization, and heteronormativity. Through qualitative thematic analysis of interview transcripts, the research reveals that female celebrities are often sexualized through questions about their appearance and subjected to heteronormative expectations when discussing their fashion choices and familial roles. These patterns suggest persistent sexism in celebrity journalism, potentially influencing public perceptions of women in the …

Characterizing The Effects Of Rage Upregulation In Lung Development, Derek Michael Clarke

Theses and Dissertations

The Receptor for Advanced Glycation End-products (RAGE) is a transmembrane, multi-ligand cell surface receptor highly expressed in pulmonary tissue, where it plays a critical role in mediating inflammatory responses. Under chronic toxicant exposure, often associated with cigarette, e-cigarette, and diesel particulate, RAGE transitions from a protective to a deleterious state, contributing to pathological processes. In adult models, RAGE's role in the development of lung disease has been well studied, yet in the context of lung development RAGE has not been well studied with a small number of clinical papers finding increased levels of RAGE in bronchopulmonary dysplasia(BPD) and respiratory distress …