Digital Commons Network^™

Mental Health Service Use In The Kingdom Of Saudi Arabia, Abdulaziz S. Alangari

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: The goal of this project was to increase knowledge concerning the current prevalence, needs and barriers to mental health service use in the Kingdom of Saudi Arabia (KSA). It’s purpose was to gather data that would help to inform future policy decisions aimed at optimizing the use and availability of these services in the KSA. There were three specific aims: 1) Examine the barriers to initiation and continuation of mental health treatment in people with a disorder diagnosed during the previous 12-months. 2) Explore the prevalence and predictors of mental health treatment dropout. 3) Examine the prevalence and patterns …

Evaluation Of The Care And Communication Bundle To Improve Palliative Care In Intensive Care Units, Angela Susan Bohon

Graduate Theses, Dissertations, and Problem Reports (ETD)

Review of local data and concerns from nursing staff revealed the need to improve palliative care in a local, community hospital Intensive Care Unit (ICU). This effort was mobilized by implementing the Care and Communication Bundle within evidence-based time frames, into this local, community ICU, using Lewin’s Change theory as a guide for implementation. The Care and Communication Bundle is a grouping of nine palliative, quality measures found to improve palliative care in the ICU. A pre/post-educational intervention evaluated if the implementation of the Care and Communication Bundle in the ICU improved palliative care by reviewing the documentation of the …

West Virginia Dentists' Perception Of The Knowledge And Skills Of Two Vs. Four Year Dental Hygiene Graduates, Kaitlyn M. Mcquain

Graduate Theses, Dissertations, and Problem Reports (ETD)

The entry level for the dental hygiene profession has, historically been an associate degree. In 2016 the American Dental Hygiene Association (ADHA) approved the Bachelor’s Degree level of education as the preferred for entry level degree. This study is to determine practicing West Virginia dentists preference for the education level of their entry-level dental hygiene employees. There were 1020 surveys electronically distributed to practicing WV dentists to obtain their opinions and preferences. WVU Research Electronic Data Capture (REDCap) was used to determine response percentages and Chi-square statistics were used to compare 2017 to 2019 response rates. Between 2016-2017 and 2018-2019, …

Lived Experiences: Exploring The Impact Of Trauma On Educator Experiences And Classroom Practices, Danelle Ann Klaman

Education

The purpose of this phenomenological study was to explore teachers’ experiences working with children impacted by adverse childhood experiences. As a dissertation in practice, this qualitative study was intended to examine the lived experiences of educators in regard to how trauma presents itself in the classroom setting and to explore their perceptions on the greater impact of trauma towards curricular outcomes, the classroom environment, and implications with regard to their role as educators. Data were collected from 12 interviews with six female middle school educators, employed within a school district that serves a medium sized community and the surrounding rural …

Comparing And Linking Organic Carbon And Iron In Soil And Headwater Stream In A Pasture And A Forest Catchment In A Central Appalachian Region, West Virginia, Lili Lei

Graduate Theses, Dissertations, and Problem Reports (ETD)

Continued global warming and surface water brownification are two main environmental issues which have attracted attention and are related to soil organic carbon (SOC) cycling. Iron oxides differ in reducibility and thus have essential roles in regulating SOC preservation and remineralization in soil and transport of dissolved organic carbon (DOC) from soil to surface water. In the central Appalachian region, anthropogenic disturbances are increasing, which leads to major issues of soil degradation and depletion of SOC concentrations. Cropland and pasture soils are subject to intense disturbances compared to the forest soil, which may lead to differences in SOC fractions and …

Exploring The User Experiences Of A Bird Id Mobile App Among College Students In Western India, Jayvijay V. Raol

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study explores user experiences of a sample of college age young adults from western India, with a bird ID mobile app. Mobile apps provide an attractive and interactive access to information and their reach and versatility can often bypass challenges of poor infrastructure and lack of access to sources for information. Studies that examine the influence of mobile apps on users’ knowledge and awareness are still in their infancy. Mobile phones and mobile applications have become increasingly prevalent in the educational setting, not only as technology for instructional delivery, but also as a means of improving user experience when …

Comparison Of Skeletal And Dentoalveolar Changes Between Two Bone-Borne Maxillary Expanders, Mohamad Sarraj

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Bone-borne maxillary expander (BBME) are designed to provide additional anchorage to widen the maxillary arch for patients who exhibit maxillary transverse deficiency. One form of BBME is the hybrid BBME which uses mini-implants (bone-borne) and posterior teeth (tooth-borne) as anchorage for maxillary expansion. The other form of BBME is absolute BBME which only uses mini-implants as anchorage. It is not clear in the literature if there is a difference in skeletal and dental changes with these two types of expanders. The objective of this study was to compare the skeletal, dentoalveolar, and periodontal changes between the hybrid and the …

Advancing Quantitative Understanding Of Escherichia Coli Concentrations In A Contemporary Mixed Land-Use Watershed, In West Virginia, Usa, Fritz Petersen

Graduate Theses, Dissertations, and Problem Reports (ETD)

A scarcity of field-based research investigating the relationships between E. coli (fecal matter) concentration, suspended particulate matter (SPM; including size distribution), physicochemical parameters (water temperature, pH, SPC, DO, chloride) and land use practices and the importance of these relationships, particularly for human health, policy makers, and water resource managers, provided the impetus for this research. A 22-site, nested-scale, experimental watershed study design was implemented to investigate E. coli concentrations and the aforementioned relationships in a contemporary mixed land use watershed in the Appalachian region of the eastern United States. Results from a reduced (n=4 sites) study showed SPM in the …

Internalization Of Sociocultural Standards Of Beauty, Perception Of Career Barriers, Depression, And State Physical Appearance Anxiety Among College Women, Adrionia Molder

Graduate Theses, Dissertations, and Problem Reports (ETD)

Women experience barriers that impede progress in a career and career goals, resulting in reduced career-related outcomes. Although gender discrimination has been identified as a contributing factor to the differential career development of men and women in the United States (U.S.), women’s career-related outcomes may be better explained by unaccounted for career barriers. Most notably, internalization of sociocultural standards of beauty, depression, and anxiety have been found to reduce women’s career-related outcomes. Therefore, the goal of this study was to explore career barriers that currently impact women’s career development in the U.S. Based on Social Cognitive Career Theory (Lent, Brown, …

Multimorbidity, Immune Checkpoint Inhibitor Use, And Healthcare Expenditures Among Older Patients With Late-Stage Melanoma, Pragya Rai

Graduate Theses, Dissertations, and Problem Reports (ETD)

With decades of unchanged cancer care with no added survival benefit, immune checkpoint inhibitors (ICI) changed the treatment landscape of late-stage melanoma in 2011. A key factor in determining the use of ICIs is the presence of pre-existing chronic conditions, which can influence the outcome. However, the prevalence of multimorbidity (defined as presence of two or more chronic conditions) among older patients with late-stage melanoma remains unknown. It also remains unknown if the presence of multimorbidity factors into the use of ICIs. Hospital-related factors associated with ICI use have been studied. Yet, patient-level factors, such as age, sex, marital status, …

Potential Benefits From Practices In Construction Waste Material Controls, Abdulaziz Alwadhenani

Graduate Theses, Dissertations, and Problem Reports (ETD)

Construction waste is generated from the various construction activities of building, maintaining, renovating, and demolishing infrastructure facilities. These materials include, but are not limited to, concrete, rubble, fiberglass, asphalt, bricks, wood, and scrap metals. In the last few decades, there has been a significant increase in the volume of construction and demolition (C&D) waste materials in the United States (U.S.). Between 1990 and 2017, the total increase in debris generation has surpassed 320%. According to U.S. solid waste management statistics, more than 50% of C&D waste has been and continues to be transported to landfills. The disposal of C&D waste …

Role Centrality And Shared Activities With Grandchildren: Effects On Grandparent Wellbeing, Madeline Marie Marello

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research shows that physical and mental health are closely linked (Ohrnberger, Fichera, & Sutton, 2017). Further, social role theory states that holding and enacting valued roles, such as grandparenting, can buffer the negative effects of health on depression (Reitzes & Mutran, 2004). Using data from 247 grandparents (Mean age = 66.5; range 42 to 90 years; 46.2% grandfathers), we examined whether grandparent role centrality and engagement with grandchildren altered the effects of physical health on depression. We then explored model differences between 164 custodial and 83 traditional grandparents. We found that for all grandparents the model was of sufficient fit: …

A Qualitative Case Study Research Investigation Of Youth Outcomes During An Appalachian Water-Quality Citizen Science Program, Jessica Kaplan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Citizen science has grown in the past decades to not only include everyday people in research, but also varying levels of engagement with diverse opportunities for participant learning and growth. However, few studies reflect the actual learning outcomes of educational citizen science specifically in youth. This single case study research study focuses on assessing learning and other outcomes of an environmental education, collaborative citizen science program with youth in Morgantown, West Virginia. In this study, a water quality monitoring citizen science program focused on Deckers Creek in Morgantown, WV was adapted for a high school afterschool club. Potential outcomes of …

Investigation Of Particle Measurement In Different Dilution Ratios With Gasoline Direct Injection And Port Fuel Injection, John Adam Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

Ambient air quality has been a concern in the United States since the mid-1900’s, forcing legislations like the Air Pollution Control Act and Clean Air Act necessary to bring focus on air pollution and quality. The Environmental Protection Agency (EPA) continues to update the requirements for more efficient vehicles and emissions sampling methods. Today the EPA has implemented regulations on modern spark ignited engines without any major focus on the type of injection technologies being used. While particle matter (PM) is a requirement to measure for a vehicle certification, more research should focus on the particle number (PN) measurements that …

Adolescent Adventures In Geology: Impacts Of Geoscience-Focused Stem Education Combined With Recreation Activities On Adolescents’ Perceived Self-Efficacy, Lauren Janowicz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Quality, informal learning techniques combined with outdoor adventure recreation, or adventure STEM programming, is a potentially powerful complement to and extension of formal education (Fu et al., 2015). To address this underexplored field, West Virginia University (WVU) and the United States Geological Survey (USGS) partnered to create a geology STEM, outdoor adventure recreation camp. This thesis research project employed qualitative directed content analysis to examine the potential impacts of this adventure STEM program on participants’ perceptions of their outdoor recreation (OR) self-efficacy (Bandura, 1994; Mittelstaedt et al., 2009). Semi-structured interviews were conducted with 15 adolescent participants with an average age …

The Effect Of Relationship-Building Programs On The Resilience Of Women In Agriculture, Robert Bertsch

Education

The purpose of this study was to describe the relationship between participation in relationship-building programs and online social groups, and the individual resilience of women in agriculture in the United States. Women have demonstrated a unique ability to connect farms and ranches with social resources, drive change and adaptation in agriculture, facilitate farm and ranch succession, and build community after a disaster. The capacity of agriculture and rural communities to adapt in the face of significant adversity depends on those unique abilities. Improving the resilience in women in agriculture is critical to the overall resilience of rural America. Unfortunately, most …

Utilizing The Concerns Based Adoption Model To Support Teachers In Implementing The Mtss Behavior Pathway, Amanda Mae Henry

Education

Schools and educators are faced with the tremendous task of preparing students to be successful in school and beyond in a fast-paced, ever changing world. Behavioral skills, just as academic skills are critical for student success. While the West Fargo secondary schools have established a systematic and effective structure of support for academic success, known as MTSS academics, no such structure exists to address the behavioral needs of students. Further, there is no system in place for the training of teachers to begin the implementation of the MTSS behavior supports. Without teacher training during the implementation of the program, teachers …

Selective Precipitation And Recovery Of Rare Earth Elements From Acid Mine Drainage, Robyn Lauren Christoferson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The ability to secure rare earth elements (REEs) in the United States is of concern due to the rapid growth in demand and the monopolistic supply chain. The demand for REEs has skyrocketed in recent years due to the development of many green technologies. The United States and many other countries are currently reliant on China for REEs, who currently control greater than 90% of the global supply. Due to the severe impact of previous Chinese export quotas, it is important to lessen the reliance on importation and explore methods of recycling REEs from secondary sources. A secondary REE source …

Adaptation Of Coal Mine Floor Rating (Cmfr) To Eastern U.S. Coal Mines, Sena Cicek

Graduate Theses, Dissertations, and Problem Reports (ETD)

Floor heave—the excessive deformation and failure of floor strata—is a serious problem for many underground coal mining operations in the U.S. There is an accepted floor heave design methodology developed for the Illinois basin coal mines (Gadde, 2009). However, for Eastern U.S. coal mines in the Appalachian region, there is not any systematic design method to assess floor heave potential. In order to prevent stability problems associated with floor failure and to ensure the safety of the miners in this region, a systematic and proactive method to assess the potential of floor stability that also takes the floor failure mechanisms …

Respiratory Flow Characteristics Of Intensive Care Healthcare Workers Performing Patient Care Activities, Shawn R. Williamson

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the United States, under OSHA regulations, all respirators used in the workplace must be certified by the National Institute of Occupational Safety and Health (NIOSH). Under current NIOSH standards, loose-fitting powered air-purifying respirators (PAPR) must provide a minimum operational flow of 170 liters per minute. The objective of this study was to characterize the breathing flow rates of nine health care workers during patient care activities typically performed in a hospital's intensive care unit. This characterization will be used to determine the feasibility of lowering the minimum operational flow rate of PAPRS used in health care settings.

Each participant …

Scaling-Based Robust Predictions Of Periodic Stream Water Quality Variables Across The Contiguous U.S., Mohammad Abu Zafer Siddik

Graduate Theses, Dissertations, and Problem Reports (ETD)

Stream water quality is at the core of the biological and ecological health of streams and rivers. Subject to the environmental variation and in-stream metabolic activities, key water quality indicators such as dissolved oxygen (DO), water temperature (Tw), and chlorophyll a (Chl a, an indicator of primary productivity) typically follow a concave-shaped diurnal cycle. Variation and changes in climatic drivers (e.g., solar radiation, air temperature, and pressure), land uses, and hydrologic variables lead to a high spatiotemporal variability in stream water quality. The spatiotemporal variation challenges the development of robust models for predictions across large scales (e.g., county, state, country), …

Pilot Study Of Behavioral Activation As Adjunct Treatment For Depression In Primary Care, Lindsay Ellen Toler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Many individuals receiving care at a predominantly free primary health care clinic in the northern part of West Virginia are experiencing depression, and medication therapy is the most common form of management with limited resources for psychosocial treatment. Brief psychosocial therapy interventions provided by the primary care provider should be explored as an adjunct treatment for this population in the primary care setting.

A pilot study was conducted to explore the integration of behavioral activation, a brief psychosocial intervention focused on decreasing depressed behavior by increasing nondepressed behavior to reinforce corresponding improvements in mood. Eligible patients were invited to attend …

Predictors Of Cardiovascular And Gastrointestinal Disorders, Inappropriate Nonsteroidal Anti-Inflammatory Drug Use, And Alzheimer’S Disease And Related Dementia In Older Adults With Osteoarthritis, Jayeshkumar Patel

Graduate Theses, Dissertations, and Problem Reports (ETD)

Osteoarthritis (OA) is a degenerative arthritis affecting over 30 million Americans most of whom are over 65 years or older. Its clinical management is complicated by several disease- and treatment-specific factors. These include the co-occurrence of cardiovascular and gastrointestinal disorders (CV-GID), the inappropriate use of non-steroidal anti-inflammatory drugs (NSAID) to manage pain, and the risk of certain age-related chronic conditions like Alzheimer’s disease and related dementia (ADRD). Moreover, older adults with OA are at a higher risk of CV-GID, inappropriate NSAID use, and ADRD. Additionally, these factors can also affect one another in both a positive and a negative way. …

Using Ai And Machine Learning To Indicate Shale Anisotropy And Assist In Completions Design, Cole E. Palmer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Operating companies in the unconventional Marcellus shale play have all faced a similar and problematic issue, while attempting to produce natural gas over the last decade. Companies have quickly realized that not every perforation along their horizontal wells are producing gas. In fact, producing perforations are only ranging from 15%-70% of the total perforations along the horizontal wellbore [1]. This unexplained issue results in millions of dollars in lost revenue per well, in addition to the sunk cost of paying for completions that are not actually yielding any produced gas.

What is causing these perforations to have no produced gas? …

Energy Forensics Analysis, Rupa Das

Graduate Theses, Dissertations, and Problem Reports (ETD)

The energy consumed by a building can reveal information about the occupants and their activities inside the building. This could be utilized by industries and law enforcement agencies for commercial or legal purposes. Utility data from Smart Meter (SM) readings can reveal detailed information that could be mapped to foretell resident occupancy and type of appliance usage over desired time intervals. However, obtaining SM data in the United States is laborious and subjected to legal and procedural constraints. This research develops a user-driven simulation tool with realistic data options and assumptions of potential human behavior to determine energy usage patterns …

The Impact Of The Global Financial Crisis On Visitation To The Monongahela National Forest: An Activity-Based Segmentation Approach, Connor Braxton Akers

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research on recreational use market segments and trends are essential for determining how tourism businesses can better meet the needs of their customers and find new target markets especially during challenging times. The purpose of this study is to determine how recreation participation has changed over five years on the Monongahela National Forest following the world financial crisis in 2008. Data used for this research were collected with the National Visitor Use Monitoring (NVUM) surveys in fiscal years 2009 and 2014. NVUM surveys are onsite interviews conducted at the end of a visit. The surveys produce descriptive information about visitors. …

Pulmonary Immune Responses To Respirable Elongate Mineral Particles Of Asbestiform And Non-Asbestiform Morphologies, Timur Khaliullin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Inhalation exposure to asbestiform elongate mineral particles (EMPs) may cause pulmonary fibrosis, lung and pleural cancer. At the same time, epidemiological evidence for non-asbestiform EMP pathogenicity is scarce, with little if any risk of cancer, but consistent findings of pneumoconiosis and increased mortality. Globally, conditions caused by asbestos exposures contribute most to the occupational cancer burden and are responsible for the increasing mortality for occupational respiratory diseases. Immunological components of the fiber-induced lesions are extremely understudied, partly due to the lack of comparable test articles. In this study I utilized respirable preparations of asbestiform and non-asbestiform riebeckite and tremolite to …

Understanding The Host Immune Response Against Pseudomonas Aeruginosa To Develop Novel Therapeutics And Vaccines, Emel Sen Kilic

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pseudomonas aeruginosa is a Gram-negative opportunistic bacterium that causes a broad range of acute and chronic infections. The high adaptability and emergence of multidrug-resistant strains of this bacterium pose a significant threat to human health. Particularly, pneumonia caused by this pathogen is associated with high morbidity and mortality in immunocompromised patients. To prevent these infections, we aimed to develop novel vaccine strategies by characterizing the host immune response against P. aeruginosa. During respiratory infections, P. aeruginosa first contacts with epithelial cells along the respiratory tract. Using RNA-sequencing, we were able to characterize transcriptional changes of the epithelial cells in …

Development, Analysis And Case Studies Of Impact Resistant Steel Sets For Underground Roof Fall Rehabilitation, Dakota D. Faulkner

Graduate Theses, Dissertations, and Problem Reports (ETD)

Underground mines often experience roof falls in entries, crosscuts, and intersections of active mining sections, main travel ways, and belt entries. Roof fall heights greater than 20 ft (6 m) make re-bolting of the newly exposed roof dangerous and impractical. To protect mine personnel, belts, moving vehicles, and other equipment, mine operators typically install steel structures such as square or arch sets in the roof fall areas. Wood lagging is usually installed between the steel-sets to enclose the area and protect the entry from recurring falls. Usually the void space above the steel-sets and wood lagging is backfilled. However, backfilling …

Development And Implementation Of A Novel Voltage-Free Interface For Capillary Electrophoresis-Mass Spectrometry Separations Of Proteins, Courtney J. Kristoff

Graduate Theses, Dissertations, and Problem Reports (ETD)

Capillary electrophoresis-mass spectrometry is a powerful technique for high-throughput and high efficiency separations combined with structural identification. Electrospray ionization is the primary interface used to couple capillary electrophoresis to mass analyzers; however, improved designs continue to be reported. A new interfacing method based on vibrating sharp-edge spray ionization is presented in this work to overcome the challenges of decoupling applied voltages and to enhance the compatibility with separations performed at near-neutral pH. The versatility and ease of use of this ionization source is demonstrated using β-blockers, peptides, and proteins. The cationic β-blocker pindolol was injected electrokinetically and detected at concentrations …