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2020

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An Examination Of The Impacts Of The Wvu Research Apprenticeship Program (Rap), Mostafa Hashemi Jan 2020

An Examination Of The Impacts Of The Wvu Research Apprenticeship Program (Rap), Mostafa Hashemi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Finding solutions to the problem of high attrition rates among students has been widely discussed by policymakers. Many intervention programs have been introduced to address this issue. The current study uses the tripartite integration model of social influence (TIMSI), (Kelman 1958, 1961; Estrada et al., 2011) to investigate and evaluate the effects of the research apprenticeship program (RAP), an intervention program aimed at supporting student performance and persistence through research and mentorship implemented at West Virginia University. The mediation analysis revealed research identity as a significant mediator in the relationship between RAP status and STEM persistence. Furthermore, RAP participants were …


Examining The Use Of Mhealth Technology For Weight Management: A Hybrid Effectiveness-Implementation Trial In Family Medicine, Laurel A. Brabson M.S. Jan 2020

Examining The Use Of Mhealth Technology For Weight Management: A Hybrid Effectiveness-Implementation Trial In Family Medicine, Laurel A. Brabson M.S.

Graduate Theses, Dissertations, and Problem Reports (ETD)

Overweight and obesity are prevalent and problematic conditions in the United States and worldwide, and effective weight management interventions are underutilized. Efforts to improve weight management practices have focused almost exclusively on changing physician behavior, without considering the larger healthcare context or the reciprocal patient-physician relationship. The current study explored the possibility of leveraging technology to improve the implementation of weight management clinical practice guidelines and increase patient-physician weight management discussions. 100 patients of five family medicine physicians were randomly assigned to either complete a weight management mobile application (app) prior to their primary care visit (app condition), or to …


The Effects Of Intrinsic Foot Muscle Strengthening On Foot Posture, Balance, And Agility In Ice Hockey Players, Rebecca Eve Veltrie Jan 2020

The Effects Of Intrinsic Foot Muscle Strengthening On Foot Posture, Balance, And Agility In Ice Hockey Players, Rebecca Eve Veltrie

Graduate Theses, Dissertations, and Problem Reports (ETD)

Context: Research has shown that intrinsic foot muscle strengthening over a 4-week period is beneficial for improvements in dynamic postural control, function, stability and foot posture. Ice hockey is a sport that requires immense levels of balance, stability and performance on the lateral aspect of the skate. With research lacking on the impact of intrinsic foot muscle strengthening on ice hockey athletes’ balance, foot posture and performance, implementation of such a program may be beneficial for ice hockey players. Objective: The purpose of this study was to explore the effects of foot intrinsic muscle strengthening versus a traditional …


Frontal Brain Injury: Effects On Flexibility, Impulse Control, And Attention, Christopher Matthew O'Hearn Jan 2020

Frontal Brain Injury: Effects On Flexibility, Impulse Control, And Attention, Christopher Matthew O'Hearn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Traumatic Brain Injury (TBI) is defined as an impact to the head, penetration of the skull, or rapid deceleration of the skull, resulting in an alteration of brain function or neurological deficit. Cognitive deficits are common following TBI and often go unresolved due to a lack of effective treatments. These deficits often perseverate into the chronic post injury phase, so the development of rehabilitative strategies is imperative. Behavioral flexibility, impulse control, and attention are a few cognitive processes that are commonly affected by TBI. The current research compares these processes between rats with and without a severe frontal brain injury …


Developing A Marginalized And Segregated Community: Case Study Of A West Virginia Neighborhood, Christopher Belkon Agba Jan 2020

Developing A Marginalized And Segregated Community: Case Study Of A West Virginia Neighborhood, Christopher Belkon Agba

Graduate Theses, Dissertations, and Problem Reports (ETD)

A lot of work has been done in the field of community development targeting less developed communities. Many questions have also been raised about why some communities are not as responsive to change as others, despite the efforts and recommendations. This dissertation, therefore, is a critical attempt on how to develop a specific, marginalize, and segregated neighborhood, using residents’ historical narratives and worldviews in Westside, Fairmont, West Virginia. The author uses focus group discussions, informal communications, and semi-structured interviews as primary data sources. He analyzed the manuscript of W.O. Armstrong, the pioneer principal of Dunbar School, which was an All-Black …


Prescribing The Profession: Representations Of Medical Professionalization Debates In American Literary Forms, 1830-1940, Jeffrey Wayne Yeager Jan 2020

Prescribing The Profession: Representations Of Medical Professionalization Debates In American Literary Forms, 1830-1940, Jeffrey Wayne Yeager

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation traces the debates concerning the professionalization of medicine in America across the 19th- and well into the 20th-century and explores how the debates concerning professionalization in any given moment affected popular literary forms. Using Fredric Jameson’s The Political Unconscious as its theoretical framework, this dissertation’s chapters on the gothic, realism, naturalism, and satire trace each mode’s dominant hegemonic position on this issue while showcasing dissenting voices across this century-long discourse. This project’s methodology is centered in the New Historicism. Unlike other projects before it, this dissertation focuses primarily on the historical problem of state …


Implications Of Variability Of Electromyographic Measurements For Assessing Localized Muscle Fatigue, Hamad Nasser Alasim Jan 2020

Implications Of Variability Of Electromyographic Measurements For Assessing Localized Muscle Fatigue, Hamad Nasser Alasim

Graduate Theses, Dissertations, and Problem Reports (ETD)

The impact of work-related musculoskeletal disorders (WMSDs) is enormous due to a combination of direct and indirect costs associated with healthcare, lost workdays and human suffering. Because of the established relationship between Localized Muscle Fatigue (LMF) development and WMSDs, and in order to reduce and/or prevent WMSDs in workplaces, different fatigue assessment methods have been developed. Surface Electromyography (SEMG) is a commonly used LMF assessment technique. The SEMG signals are typically analyzed in time and frequency domains to predict LMF based on a relative change with respect to initial, or under no-fatigue conditions. Quantifying such change, however, relies on the …


Clear Aligner Therapy Vs. Traditional Brackets On Smile Arc, Sarah Elizabeth Larue Jan 2020

Clear Aligner Therapy Vs. Traditional Brackets On Smile Arc, Sarah Elizabeth Larue

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background and Objectives: More so than ever, the public is becoming exceedingly aware of esthetics, and will evaluate their treatment outcome based upon the improvement to their smile and overall enhancement of their facial appearance. Smile arc is considered to be a key component of facial esthetics. Literature has demonstrated that orthodontic treatment mechanics utilizing traditional brackets and wires can cause flattening of the smile arc and that smiles with flatter arcs are judged to be less attractive. The aim of this study was to determine whether clear aligner therapy can help to preserve or improve the smile arc …


The Visual And Spectrophotometric Effect Of External Bleaching On Omnichroma Resin Composite And Natural Teeth, Michael Brian Evans Jan 2020

The Visual And Spectrophotometric Effect Of External Bleaching On Omnichroma Resin Composite And Natural Teeth, Michael Brian Evans

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: To determine the visual and spectrophotometric effect external tooth bleaching has on natural tooth structure and OMNiCHROMA composite at various number of treatments. Variables were compared to determine if there is a detectable difference between the composite and the tooth before and after bleaching.

Methods: Preparation and restoration of 25 previously extracted teeth was completed. OMNiCHROMA composite was used. Each tooth was measured visually with a VITA shade guide and a colorimeter. Measurements were recorded before bleaching, after 5 and 10 treatments. Statistical analysis was completed and ΔE values between the composite and tooth were compared between the 3 …


Tree Growth And Water Use Efficiency During The Twentieth Century: From Global Trends To Local Drivers, Justin Michael Mathias Jan 2020

Tree Growth And Water Use Efficiency During The Twentieth Century: From Global Trends To Local Drivers, Justin Michael Mathias

Graduate Theses, Dissertations, and Problem Reports (ETD)

The frequency and severity of extreme environmental conditions will continue to increase under global environmental change. How terrestrial plants respond to prolonged, and often novel environmental stressors, will have profound impacts on, and feedbacks with, the Earth climate system at local to continental scales. Central to these feedbacks are plant stomata, actively regulated pores on the leaves of plants that act as a control valve over the fluxes of carbon dioxide (CO2) into the leaf during photosynthesis and water vapor (H2O) out of the leaf during transpiration. Importantly, changes in stomatal aperture do not affect the …


Three Essays On The Effect Of Pain-Of-Payment On Consumers' Financial Decisions, Farnoush Reshadi Jan 2020

Three Essays On The Effect Of Pain-Of-Payment On Consumers' Financial Decisions, Farnoush Reshadi

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the past few years, we have witnessed a growing level of consumer debt. Although being in debt increases consumers’ stress and reduces their financial well-being, many consumers still take on high levels of debt and hold on to it even when they have financial resources to pay off the debt. Thus, it is of utmost importance to study factors that may influence consumers’ debt repayment. In this dissertation, I study consumers’ debt repayment behavior through the lens of the double-entry mental accounting theory (Prelec and Loewenstein 1998). This theory argues that consumers’ debt repayment behaviors are driven by pain-of-payment--negative …


Knowledge Of Content For Clinical Nursing Educators: An Ethnographic Investigation Of Clinical Experts Who Transition To The Role Of Novice Clinical Nursing Educator, Stacy Wheat Huber Jan 2020

Knowledge Of Content For Clinical Nursing Educators: An Ethnographic Investigation Of Clinical Experts Who Transition To The Role Of Novice Clinical Nursing Educator, Stacy Wheat Huber

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this research study was to identify and describe the teaching practices and the grounding experiences of the teaching practices novice educators use when teaching undergraduate students in the clinical patient care area. The following research questions guided this investigation: What teaching practices and teacher knowledge do novice clinical nursing educators demonstrate or draw from when teaching undergraduate nursing students in the clinical patient-care area? In what ways do novice clinical nursing educators change or adapt their teaching behaviors as a response to the context of the teaching/learning environment? What grounding educational or professional experiences do novice clinical …


Adolescents’ Interpretations Of Parental Psychological Control: The Role Of Beliefs And Disapproval On Problematic Outcomes, Katelyn F. Romm Jan 2020

Adolescents’ Interpretations Of Parental Psychological Control: The Role Of Beliefs And Disapproval On Problematic Outcomes, Katelyn F. Romm

Graduate Theses, Dissertations, and Problem Reports (ETD)

Parental psychological control has consistently been found to be associated with problematic outcomes among adolescents, including substance use (Galambos, Barker, & Almeida, 2003), risky cyber behaviors (Li, Li, & Newman, 2013), problematic eating behaviors (Soenens et al., 2008), and depressive symptoms (Romm & Metzger, 2018). However, few studies have examined how adolescents reason about and react to psychological control. Recent research has suggested that adolescents vary in their beliefs about parental motivations for using psychological control, as well as their level of disapproval of psychological control (Camras et al., 2012; Kakihara & Tilton-Weaver, 2009). These cognitive factors (i.e., beliefs about …


Retrospective Evaluation Of The Changes In The Nasal And Pharyngeal Airway Volume After Miniscrew Assisted Rapid Palatal Expansion (Marpe) Appliance, Joanna Song Jan 2020

Retrospective Evaluation Of The Changes In The Nasal And Pharyngeal Airway Volume After Miniscrew Assisted Rapid Palatal Expansion (Marpe) Appliance, Joanna Song

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background and Objectives: A transverse deficiency of the maxilla is a pervasive skeletal problem that can affect almost a quarter of the primary dentition population. The interesting relationship between rapid maxillary expansion (RME) and its effects on the surrounding airway is not well described in the literature. For today’s contemporary orthodontist, there are a variety of rapid palatal expanders (RPE) and expansion protocols to prescribe for patient treatment. Of late, the miniscrew-assisted RPE (MARPE) has been receiving attention by clinicians because of its increased orthopedic effects when compared to conventional RPE while avoiding the surgical procedure needed with SARPE. …


On Body Mass Index Analysis From Human Visual Appearance, Min Jiang Jan 2020

On Body Mass Index Analysis From Human Visual Appearance, Min Jiang

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the past few decades, overweight and obesity are spreading widely like an epidemic. Generally, a person is considered overweight by body mass index (BMI). In addition to a body fat measurement, BMI is also a risk factor for many diseases, such as cardiovascular diseases, cancers and diabetes, etc. Therefore, BMI is important for personal health monitoring and medical research. Currently, BMI is measured in person with special devices. It is an urgent demand to explore conveniently preventive tools. This work investigates the feasibility of analyzing BMI from human visual appearances, including 2-dimensional (2D)/3-dimensional (3D) body and face data.

Motivated …


Changing Dynamics Of Opioid Overdoses In West Virginia And Impact Of Medication For Opioid Use Disorder And Recurrence Of Overdose On Reducing Mortality Among West Virginia Medicaid Beneficiaries, Zheng Dai Jan 2020

Changing Dynamics Of Opioid Overdoses In West Virginia And Impact Of Medication For Opioid Use Disorder And Recurrence Of Overdose On Reducing Mortality Among West Virginia Medicaid Beneficiaries, Zheng Dai

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background

With increasing number of opioid overdoses in West Virginia (WV) in recent years and limited number of people receiving treatment, the dissertation study aims to better understand fatal overdose problems in WV and the impact of medication for opioid use disorder (MOUD) in preventing overdose deaths.

Method

WV drug-related deaths from 2005 to 2018 was used to describe the involvement of fentanyl and FAs. WV Medicaid claim data was analyzed to describe the recurrent opioid overdose and the changes in receipt of MOUD. Further, a Medicaid opioid overdose cohort was created to evaluate the effect of occurrence of recurrent …


Impact Of Sire Selection And Breed On Parasite Resistance In Sheep, Andrew Ryan Weaver Jan 2020

Impact Of Sire Selection And Breed On Parasite Resistance In Sheep, Andrew Ryan Weaver

Graduate Theses, Dissertations, and Problem Reports (ETD)

Selection within and among breeds are strategies to mitigate the impact of parasitism given failing chemotherapeutics. While Texels have improved marketability compared to other parasite-resistant breeds, the mechanism by which Texels reduce fecal egg count (FEC) is unclear. The immune response to Haemonchus contortus (Hc) was compared in Texel, parasite-resistant St. Croix, and parasite-susceptible Suffolk sheep. Adult worms exposed to St. Croix- and Texel-derived peripheral blood mononuclear cells and serum in vitro had greater binding around the reproductive structures than Suffolk and worm egg release tended to be affected by breed (P = 0.09). Resistance in Texels …


Understanding The Relationship Between Dental Fear, Behavior Management Problems, And Caregiver-Child Interactions During Young Child Dental Appointments, Christopher Kyle Owen Jan 2020

Understanding The Relationship Between Dental Fear, Behavior Management Problems, And Caregiver-Child Interactions During Young Child Dental Appointments, Christopher Kyle Owen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Positive oral health practices should begin early in life (AAPD; 2013; 2014; 2015); however, dental care-related fear and anxiety and behavior management problems are prevalent among young children in oral health (Klingberg & Broberg, 2007). The study explored caregiver and child dental care-related fear and anxiety, child behavior, and caregiver-child interactions during early childhood dental appointments. Caregiver-child dyad participants (N = 140) were collected from dental practices in West Virginia, Ohio, and Tennessee. Children (n = 139) in the sample were largely White (69.8%) and male (54.0%), with an average age of 3.05 years. Video-taped dental appointments for children under …


Effects Of Appalachian Culture And Pregnancy Status On Pain-Related Fear, Cecelia Irene Nelson Jan 2020

Effects Of Appalachian Culture And Pregnancy Status On Pain-Related Fear, Cecelia Irene Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Fear of pain during pregnancy is an understudied phenomenon with important implications for prenatal and postpartum functioning. The aim of the current study was to understand the role of pregnancy and culture on pain-related fear in Appalachia. Archival datasets, and a new sample of women recruited via Amazon’s Mechanical Turk, were sources of data. Participants completed the Fear of Pain Questionnaire-9 and responded to demographic questions in order to ascertain whether they were pregnant at the time of the study as well as the number and nature of prior pregnancies. In support of hypotheses, results indicated that pregnant women reported …


Essays On The Political Economy Of Governance, Yang Zhou Jan 2020

Essays On The Political Economy Of Governance, Yang Zhou

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation studies the governance structure and its economic impacts in the Chinese context. Specifically, I use a public choice framework to analyze how institutions influence economic and political activities of both public officials and private sectors. Chapter 1 employs the synthetic control method to investigate the effects of institutions to regional economic development. Chongqing Municipality, a province-level region in China, had a unique leader from late 2007 to early 2012 who conducted red ideology movements and legal intervention. The empirical results reveal that although the economic policies promoted the Chongqing economy, the Maoist political policies partially undermined its economic …


The Exploration Of Nanotoxicological Copper And Interspecific Saccharomyces Hybrids, Matthew Joseph Winans Phd Jan 2020

The Exploration Of Nanotoxicological Copper And Interspecific Saccharomyces Hybrids, Matthew Joseph Winans Phd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nanotechnology takes advantage of cellular biology’s natural nanoscale operations by interacting with biomolecules differently than soluble or bulk materials, often altering normal cellular processes such as metabolism or growth. To gain a better understanding of how copper nanoparticles hybridized on cellulose fibers called carboxymethyl cellulose (CMC) affected growth of Saccharomyces cerevisiae, the mechanisms of toxicity were explored. Multiple methodologies covering genetics, proteomics, metallomics, and metabolomics were used during this investigation. The work that lead to this dissertation discovered that these cellulosic copper nanoparticles had a unique toxicity compared to copper. Further investigation suggested a possible ionic or molecular mimicry …


An Interactive Mobile Equipment Task-Training With Virtual Reality, Lazar Zujovic Jan 2020

An Interactive Mobile Equipment Task-Training With Virtual Reality, Lazar Zujovic

Graduate Theses, Dissertations, and Problem Reports (ETD)

Improving the quality of equipment training for the Heavy Equipment Operators (HEO) is a critical task in the ever-lasting effort to improve safety and eliminate equipment-related injuries in mining environments. Traditional miner training includes the use of hardcopy documents and video instructions. However, modern mobile and computer technology offers tremendous potential to improve the training process. One major responsibility for the heavy-machine operators is proper machine inspection. Establishing new training methods that utilize modern technologies—such as 360-degree images, videos, and Virtual Reality—and implementing computers for training purposes have a potential to help new operators learn how to conduct proper machine …


Mnemonic Discrimination And Social Anxiety: The Role Of State Anxiety, Gabriella T. Ponzini Jan 2020

Mnemonic Discrimination And Social Anxiety: The Role Of State Anxiety, Gabriella T. Ponzini

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Mnemonic Similarity Task (MST) measures mnemonic discrimination, or the ability to correctly identify new stimuli from highly similar, old stimuli. Neuroscientific and theoretical suppositions suggest that poor mnemonic discrimination may represent a potential risk or maintenance factor for anxious individuals. However, state affect appears to moderate the relation between mnemonic discrimination abilities and trait anxiety. The current study aimed to elucidate the nascent research on mnemonic discrimination and anxiety by evaluating the MST in a specific subtype of anxiety (i.e., social anxiety) and utilizing a clinically relevant stressor task (i.e., knowledge of a future speech). Participants (N = …


Two Approaches To Analyzing Institutions’ Spending Responses To Campus Sexual Assault, Amanda M. Rose Jan 2020

Two Approaches To Analyzing Institutions’ Spending Responses To Campus Sexual Assault, Amanda M. Rose

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite occupying a growing portion in contemporary U.S. higher education institutions’ annual budgets, empirical research on sexual assault costs is limited. The purpose of this study is to look at whether incidences of sexual violence on campus are associated with increased costs in policies and programs geared toward prevention of these crimes. Informing the analysis is a theoretical framework consisting of the revenue theory of costs and positional arms race theory. This study examines data from both IPEDS and the U.S. Department of Education Crime and Safety website over a ten year period, 2006-2015, for a set of over 2,300 …


The Role Of Flavors In Electronic Cigarette Abuse Liability In Tobacco-Naïve Young Adults, Ilana Haliwa Jan 2020

The Role Of Flavors In Electronic Cigarette Abuse Liability In Tobacco-Naïve Young Adults, Ilana Haliwa

Graduate Theses, Dissertations, and Problem Reports (ETD)

A primary public health concern associated with the use of electronic cigarettes (ECIGS) has been the risk of product initiation by vulnerable young adults who are largely naïve to tobacco. The use of ECIGs among such individuals may be influenced by the wide variety of sweet flavored liquids available for purchase. Previous work suggests that one flavor, menthol, increases the likelihood of abuse of cigarettes. Thus, the United States Food and Drug Administration has requested input from the research community regarding the abuse liability of flavored ECIGs in order to inform future product regulation. Using a double-blind, within-subject study design, …


Role Of Ciliary Proteins Adp Ribosylation Factor Like Gtpase 13b (Arl13b) And Bardet-Biedl Syndrome-8 (Bbs8) In Photoreceptor Outer Segment Morphogenesis, Maintenance, And Viability, Tanya L. Dilan Jan 2020

Role Of Ciliary Proteins Adp Ribosylation Factor Like Gtpase 13b (Arl13b) And Bardet-Biedl Syndrome-8 (Bbs8) In Photoreceptor Outer Segment Morphogenesis, Maintenance, And Viability, Tanya L. Dilan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Photoreceptor neurons are modified primary cilia with an extended ciliary compartment known as the outer segment (OS). The mechanisms behind the elaboration of photoreceptor cilia, OS morphogenesis, and maintenance remain poorly understood. In this work, we focused on dissecting the role of two ciliary proteins, the small GTPase ADP-ribosylation factor-like GTPase 13B (ARL13B) and Bardet-Biedl Syndrome-8 (BBS8) in the context of photoreceptor biology. Both BBS8 and ARL13B are linked to defects in ciliogenesis (cilia development) and Retinitis Pigmentosa (vision loss). ARL13B is implicated in regulating ciliary length, and BBS8 is part of the Bardet-Biedl Syndrome complex (BBSome); the BBSome is …


Experimental, Computational And Analytical Studies Towards A Predictive Scenario For A Burning Accident, Furkan Kodakoglu Jan 2020

Experimental, Computational And Analytical Studies Towards A Predictive Scenario For A Burning Accident, Furkan Kodakoglu

Graduate Theses, Dissertations, and Problem Reports (ETD)

Historically, accidental gas and dust explosions constitute one of the major hazards to both personnel and equipment in the process industries. The current knowledgebase on such explosions does not provide an acceptable level of risk. Therefore, novel preventive mining/fire safety strategies, based on a rigorous predictive scenario for burning accidents, are critically needed. The present dissertation is devoted to such a predictive scenario, with a particular focus on the flame and pressure evolutions in explosions encountered in an enclosure with or without obstructions. The experimental component of this dissertation comprises a series of experiments on explosion venting. Specifically, the influence …


It’S Just Muzak: Music, Activism, And Advertising., Avery Brzobohaty Jan 2020

It’S Just Muzak: Music, Activism, And Advertising., Avery Brzobohaty

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis builds on recent scholarship explaining the relationships between music, advertising, and society through a series of focused case studies in the clothing industry. Globally ubiquitous and reaching all socioeconomic strata, the fashion industry offers a useful focus because, in addition products, it also sells identity. Fashion is a means for individuals to create and express identity by associating themselves with certain brands and styles that help express social, political, economic, and ethical standings as well as gender, sexuality, race, and religion. This thesis considers the ways that sound and music influence the aesthetic and mood of recent fashion …


Asthma-Copd Overlap: Economic Burden And Medication Adherence, Mona Nili Jan 2020

Asthma-Copd Overlap: Economic Burden And Medication Adherence, Mona Nili

Graduate Theses, Dissertations, and Problem Reports (ETD)

In many older adults, asthma and chronic obstructive pulmonary disease (COPD) coexist as “Asthma-COPD overlap” (ACO). This dissertation pursued three Aims: 1) estimate the economic burden of ACO and its contributory factors; 2) evaluate the association of ACO to “cost-related medication nonadherence” (CRN); and 3) identify adherence trajectory patterns and examine the impact of initial maintenance therapies (IMT) type (inhaled corticosteroids monotherapy (ICS) vs. fixed-dose combination of ICS and long-acting beta agonist (ICS/LABA)) on adherence trajectory patterns among older adults Medicare Beneficiaries. The first and second Aims were cross-sectional studies by using Medicare Current Beneficiary Survey data. For the third …


An In-Depth Investigation Of The Effects Of Work-Related Factors On The Development Of Knee Musculoskeletal Disorders Among Construction Roofers, Amrita Dutta Jan 2020

An In-Depth Investigation Of The Effects Of Work-Related Factors On The Development Of Knee Musculoskeletal Disorders Among Construction Roofers, Amrita Dutta

Graduate Theses, Dissertations, and Problem Reports (ETD)

Construction roofers have the uppermost likelihood of developing knee musculoskeletal disorders (MSDs). Roofers spend more than 75% of their total working time being restricted to awkward kneeling postures and repetitive motions in a sloped roof setting. However, the combined effect of knee-straining posture, roof slope and their association to knee MSDs among roofers are still unknown. This dissertation aimed to provide empirical evidence of the effects of two roofing work-related factors namely, roof slope and kneeling working posture, on the development of knee MSDs among construction roofers. These two factors were assessed as potential to increase knee MSD risks in …