Digital Commons Network^™

A Comparison In Pediatric Dental Website Design From A Guardian And Pediatric Dentists’ Perspective., David M. Voth

Theses and Dissertations

Purpose: This project aims to determine which aspects of pediatric dental practice websites are preferable to the guardians of pediatric dental patients and which of these aspects are currently available to guardians on the websites of pediatric dental practices across the United States. The comparison will reveal if practice websites are meeting the needs of the guardians of pediatric dental patients. Our hope is to provide meaningful guidance to pediatric dentists designing new practice websites and to provide the guardians of pediatric dental patients with an appealing online experience during their use of the aforementioned websites. Methods: A survey with …

Investigating The Role Of Oncogene C-Terminal Binding Protein (Ctbp) In Pancreatic Ductal Adenocarcinoma, Kranthi Kumar Chougoni

Theses and Dissertations

The transcriptional coregulator CtBP2 has been implicated as an oncogene in colon, prostate, breast and ovarian cancers. Previously, we reported overexpression of CtBP2 in human PDAC specimens. However, its exact role in PDAC is still unclear. In the current study, we attempt to delineate the oncogenic role CtBP2 in PDAC growth and metastasis. Using an orthotopic syngeneic pancreatic tumor mouse model (CKP), we found that deletion of Ctbp2 decreases PDAC tumor growth, proliferation, metastasis, EMT and significantly prolongs survival. Further, we identified significant downregulation of Erbb3 mRNA levels upon deletion of Ctbp2 in CKP PDAC cells As ErbB3 signaling was …

Strategies And Devices For Improving Respiratory Drug Delivery To Infants And Children With Cystic Fibrosis, Karl Bass

Theses and Dissertations

Cystic Fibrosis (CF) is a degenerative disease, which causes thickening of the airway surface liquid and reduced mucociliary clearance, which provides an ideal habitat for bacterial infections. Early treatment of CF in children can prevent chronic infection, improve quality of life, and increase life expectancy. The most predominant bacteria found in CF-diseased lungs is Pseudomonas aeruginosa (Pa), which can be treated with inhaled tobramycin. Excipient enhanced growth (EEG) powder formulations are well suited for administering tobramycin to children, as the EEG approach provides minimal upper airway loss and targeted drug delivery. This method uses an initially small aerosol for high …

Internalizing Data Collection: Personal Analytics As An Investigation Of The Self, Neal R. Swisher

Theses and Dissertations

Personal analytics, aka self-tracking, is the practice of using a digital device to track aspects of behavior, such as exercise habits, heart rate, sleep patterns, location, diet, and a host of other data points. This dissertation is an exploration of “self” in self-tracking, informed by theories of subjectivity, autonomy, power and knowledge. As a technological intervention, self-tracking devices change how we experience our own body and behavior. They also serve as methods to digitize human behavior. This data is combined with other data and processed using computational methods. Self-tracking devices are both personal and bureaucratic. They are devices used for …

A Theoretically-Based Mixed Methods Approach To Examining Mental Health Disorders And Help-Seeking Behaviors Among University-Enrolled African American Men, Kofoworola D.A. Williams

Theses and Dissertations

Recent studies show that African American men in college are disproportionately experiencing high levels of psychological distress, increasing their risk of developing mental health symptoms associated with depression and anxiety. Despite being at higher risk for developing mental health symptoms, university-enrolled, African American men are not seeking help even when experiencing high levels of stress and anxiety, impacting their academic performance. The evidence base describing mental health symptom prevalence and evidence-based prevention strategies among university-enrolled, African American men is limited. To that end, this dissertation work utilized a concurrent, mixed methods approach, theoretically-based in the Social Ecological Model (SEM), to …

Examining Body Mass Index And Sepsis Mortality At One Year After Sepsis, Jamie D. Robinson

Theses and Dissertations

Introduction: Sepsis is a serious and life-threatening syndrome affecting 1.7 million Americans annually and resulting in approximately 270,000 deaths. An “obesity paradox” where obese individuals have lower sepsis mortality than their non-obese counterparts has been described. The problem is that the longevity of the effect is unknown, and few studies have examined the obesity paradox after 1-2 months post-diagnosis.

Methods: This retrospective cohort study examined clinical, demographic, and biomarker variables thought to affect sepsis mortality at three-time points: 30 days, 180 days, and at one year post-sepsis diagnosis in order to shed light on specific factors that might define …

Kavana: Photography, Jewish Storytelling, And Memory, Hannah Altman

Theses and Dissertations

Jewish thought suggests that the memory of an action is as primary as the action itself. This is to say that when my hand is wounded, I remember other hands. I trace ache back to other aches - when my mother grabbed my wrist pulling me across the intersection, when my great-grandmother’s fingers went numb on the ship headed towards Cuba fleeing the Nazis, when Miriam’s palms enduringly poured water for the Hebrews throughout their desert journey - this is how the Jew is able to fathom an ache. Because no physical space is a given for the Jewish diaspora, …

Hopeless Heartland: Space And Labor In Virginia, Katrina Hamilton

Theses and Dissertations

In the US, labor market conditions vary by demographics and space. Though space has been shown to be highly related to labor force outcomes, lower-level analyses are under-utilized as statistical workforce analyses tend to rely on national or state-level data. This study addresses variability in labor markets by taking a spatial approach, using cluster analysis and logistic regression to explore variations in labor market variables across census tracts in Virginia. Cluster analysis reveals several hot and cold spots of key labor market indicators: rates of marriage, poverty, educational attainment, and income. In many cases, poor social conditions, such as low …

Martian Mother, Elizabeth Mcgrady

Theses and Dissertations

This paper examines the relationship between humans and land, through the lens of the scientific and religious, bridging the physical realm with the spiritual. It acts as accompanying material to the project titled Martian Mother, supplementary information to the visual work, and an extension of the proposal, the center of the work. The proposal exists to send myself, or a like-minded individual, to Mars with artificial insemination equipment to give birth to the first Martian, becoming the first Martian Mother. This work is rooted firmly in speculative fiction, creating a nonlinear future framework for a new society and space exploration.

Spit In My Mouth: Queer Intimacies, Material Intra-Actions, And Sensuous Becoming, Gm Keaton

Theses and Dissertations

This document describes my multidisciplinary art practice as it intersects with New Materialism, Queer and Affect theory, Ecology, and my embodied and experiential knowledge as a queer subject. The writing is divided into two categories. One is more theoretical, thinking through these different discourses. The other realizes them through relationships and intra-actions between my material kin and me. With these two modes of writing,I propose that embodied and felt knowing is as valid and illuminating as more traditional forms of knowledge. These sections are interdependent and resist linear logic, offering relational meanings to each reader as they find their way …

Prey Begins With Play, Seren C. Moran

Theses and Dissertations

My work examines the lasting psychological and emotional torment of trauma focusing on sexual violence against women. My thesis consists of five short animated films recounting non-fiction experiences of sexual assault. To contextualize my work within cultural and historical representations of sexual violence, this text reflects my research on the mishandling of rape in Western art history as well as contemporary politics and cinema. In both my work and research, I address the complicated, and often contradictory, internal reality of experiencing and remembering trauma and how this relates to artistic strategies such as collage and maximalism. My personal struggles recovering …

Structural Features Contributing To Methylenedioxypyrovalerone (Mdpv) Analog Inhibition Of The Human Dopamine Transporter, Zachary R. Spires

Theses and Dissertations

Monoamine transporters (MATs) are transmembrane neurotransmitter sodium symporters consisting of the dopamine, norepinephrine, and serotonin transporters: DAT, NET, and SERT, respectively. Following an action potential and neurotransmitter vesicular release, MAT-mediated reuptake of these neurotransmitters in the presynaptic membrane contributes to the termination of monoaminergic neurotransmission. MATs are the targets of many drugs providing therapeutic benefits or taken recreationally. One of these drugs is methylenedioxypyrovalerone (MDPV), an abused synthetic cathinone that is a high potency uptake inhibitor of the human DAT (hDAT). In contrast, MDPV is a low potency uptake inhibitor of the Drosophila melanogaster dopamine transporter (dDAT). The reasons for …

Ghost Signs Are More Than Paintings On Brick, Eric Anthony Berdis

Theses and Dissertations

My work embraces a maximalist aesthetic that incorporates, archival research, personal secrets, and pubescent gay boy glamour. I seek to create a stimulating yet jarring experience, while building a world that is both familiar and inherently strange to the viewer. Thrift store cast-offs, hobbyist craft supplies, and saturated drawings are reassembled into a cast of characters and costumes that balance on the line between ghosts, creatures, and friends. While we often think of costume and even art installations as meant to cover bodies and walls, my work tends to reveal more than conceal. I aspire through this work to shine …

(Re)Forming And (Re)Fusing The Sub-Divided Self, Laura Boban

Theses and Dissertations

The split between the individual and being part of a social body is addressed in this paper. I begin with my suburban upbringing; applying notions of separate and sub-divided to the construction of one’s aspirations, gender expression(s), and one’s ideological alignment. I contemplate the forces directing individual and shared desires and the persistent messaging of individual pursuits over efforts that benefit many. What does it mean to participate in a collective dreaming of one’s own wealth, happiness, and power? Can one cultivate an integrated art practice and sense of self? In the studio, I layer and abstract figures, stack household …

On-Demand Electrically Induced Decomposition Of Thin-Film Nitrocellulose Membranes For Wearable Or Implantable Biosensor Systems, Benjamin M. Horstmann

Theses and Dissertations

Implantable or subcutaneous biosensors used for continuous health monitoring have a limited functional lifetime requiring frequent replacement and therefore may be highly discomforting to the patient and become costly. One possible solution to this problem is use of biosensor arrays where each individual reserve sensor can be activated on-demand when the previous one becomes inoperative due to biofouling or enzyme degradation. Each reserve biosensor in the array is housed in an individual Polydimethylsiloxane (PDMS) well and is protected from exposure to bodily fluids such as interstitial fluid ( ISF) by a thin-film nitrocellulose membrane. Controlled activation is achieved by decomposing …

Machine Girl, Yutong Liu

Theses and Dissertations

Machine girl is a character that mimics biology, labor, and humanity.

She relates to machine sympathy and machine learning; She is updating and processing of big data. During the interaction between me and the machine, I found you --- Machine girl.

Machine girl is a brilliant girl. She is an excellent translator and communicator, which is determined by her ability for machine learning. The cyber living space gives her a fundamental learning gift with a mathematical algorithm. She uses this gift to mimic everything from the human brain. She is not reasonable but sensitive. There are many different versions of …

Development Of A Torque-Based Device For The Quantification Of Arm Rigidity In Patients With Parkinson’S Disease, Georgina O. Miller

Theses and Dissertations

Parkinsonian rigidity is caused by the inability of the muscles to relax and extend properly, due to reduced dopamine levels and often begins on one side of the body before spreading contralaterally. The current standard for determining joint rigidity in a clinical setting is a test completed by the clinician based on the feel of the relaxed wrist and elbow joints as they are passively flexed and extended and a series of ordinal rating scales, the Movement Disorder Society’s – Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), Hoehn and Yahr Scale (H&Y), and Parkinson’s Disease Questionnaire-39 (PDQ-39). These methods are used …

Is Direct Transport To A Level I Trauma Center Associated With Better Outcomes In Patients With Traumatic Brain Injury Compared To Patients That Are Transferred To Trauma Level I From Other Hospitals, Narad Mishra

Theses and Dissertations

Transferring patients with traumatic brain injury (TBI) to trauma level I hospital from other lower level hospitals has been shown to increase the mortality compared to when patients are directly transported to trauma centers. Despite the results from studies and the field triage recommendation of transporting the TBI patients to trauma center, nearly half of the TBI cases are transported to other hospitals before transferring to the trauma center. A retrospective analysis of patients with TBI in the state of Virginia was carried out to access if direct transport of patients with TBI to trauma center improves the outcome compare …

Implementation Of A Hierarchical, Embedded, Cyber Attack Detection System For Spi Devices On Unmanned Aerial Systems, Jeremy J. Price

Theses and Dissertations

Unmanned Aerial Systems (UAS) create security concerns as their roles expand in commercial, military, and consumer spaces. The need to secure these systems is recognized in the architecture for a Hierarchical, Embedded, Cyber Attack Detection (HECAD) system. HECAD passively monitors the communication between a flight controller and all its peripherals like sensors and actuators. It ensures the functionality of a UAS is within the set of defined behavior and reports all potential problems, whether the errors were caused by cyber attacks or other physical faults. A portion of the design for Serial Peripheral Interface (SPI) devices on board a flight …

Development Of Dexamethsone Sodium Phosphate Loaded Nanoparticles For Treating Corneal Allograft Rejection, Vineet R. Kulkarni

Theses and Dissertations

Corneas are the most commonly transplanted tissue worldwide, with approximately 80,000 transplantations performed in the United States in 2018 alone. Corneal transplantation is used to restore the vision due to opaque corneas in various diseases such as fungal keratitis, keratoconus, Fuchs’s dystrophy, corneal ulceration, traumatic injury, abrasions or scarring, inflammation, and infection. Corneal transplant surgery could involve replacing the entire cornea (penetrating keratoplasty) or selective replacement of the corneal layers (e.g. Descemet’s membrane endothelial keratoplasty and deep anterior lamellar keratoplasty). Immunologic graft rejection is one of the main causes of graft failure in these corneal transplantations. The 2-year rejection rate …

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …

Reaction Profiling Of Extracellular Protein Phosphorylation Through A Microfluidic Reactor Coupled With Raman Spectroscopy, Abigail Casey

Theses and Dissertations

Diseases and disorders in the human body are considered abnormalities of proper cellular function. Understanding the signal transduction mechanisms that cause these abnormalities is crucial to developing earlier detection methods, better treatment options and effective cures. While current diagnostic procedures are powerful tools in diagnosing diseases, they are ineffective in informing physicians on the real-time behavior of the signal transduction mechanisms associated with diseases and disorders. Currently, disease progression is monitored over time through routine patient visits and testing by one or more of the above techniques. By developing an approach that can monitor structural and conformational changes of proteins …

Education Support For Foster Care Youth: The Impact Of Federal Spending On Employment Outcomes, Carlisle C. Bates

Theses and Dissertations

This study examined the extent to which supportive services funded through the federal John H. Chafee Foster Care Independence Program (CFCP) are associated with academic success and employment in foster care youth. Studies suggest that this group experiences poorer employment outcomes (Gypen, Vanderfaeillie, De Maeyer, Belenger, & Van Holen, 2017; Okpych & Courtney, 2014) and earn less money annually (Gypen et al., 2017; Okpych & Courtney, 2014; Pecora, 2012). Despite a 29.4-billion-dollar annual budget for foster care services, individuals with a foster care history struggle after they transition out of care.

The CFCP is intended to help states improve education …

Characterization Of The Gonococcal Calprotectin Zn-Acquisition System, Tdfh, And The Efficacy Of Metal Starvation For Treating Gonococcal Disease, Michael T. Kammerman

Theses and Dissertations

Abstract

Characterization of the Gonococcal Calprotectin Zn-Acquisition System, TdfH, and the Efficacy of Metal Starvation for Treating Gonococcal Disease.

By Michael T. Kammerman, B.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2020

Major Director: Cynthia Nau Cornelissen, Ph.D.

Professor, Department of Microbiology and Immunology

Neisseria gonorrhoeae, the bacterial agent that is responsible for the human disease gonorrhea, has had a steady increase in the number of infections per year. In 2018 the WHO estimated over 87 million infections occurred world-wide, and the CDC …

Investigation Into The Reaction Profile Of A Bioinspired Nickel Complex, Denver Heitger

Theses and Dissertations

Metal complexes that can activate natural oxidants like H₂O₂ and O₂ have become a key research topic in many labs in hope of mimicking nature, by generating a bioinspired complex that can perform unique chemistry through green processes. To prepare the perfect catalyst, this has lead scientists to explore numerous avenues, including the use of both natural and artificial oxidants, to tease apart the reaction pathway taking place. A ligand system dear to the Lucas Lab (13-DOB) has been metalated with nickel, a cheap and earth abundant transition metal. Our bioinspired metal-(di)oxygen adducts can be formed …

The Quantified Elf, Umico Niwa

Theses and Dissertations

The Quantified Elf is an ongoing collection of scientific, medical, archaeological articles and excerpts from my personal journal. It is a way by which I explore the various ways Western notions of personhood subsume human life into constructs of sexuality and gender, overlooking the various other modes of unbridled existence: plant, microbial. fungal, animal, celestial bodies. The speculative medical papers propose novel forms of body modification to combat gender dysphoria.

Predators And Principles: Think Tank Influence, Media Visibility, And Political Partisanship, Timothy Beryl Bland

Theses and Dissertations

By some measures, the major U.S. political parties have become more extreme in their political positions in recent decades, and scholars have raised concerns about whether the policy expertise provided by today’s think tanks has become similarly partisan and polarized. Furthermore, there is a perception that certain overtly partisan and highly visible think tanks wield considerable and growing influence over the policy platforms of the major U.S. parties, using their media presence to shape public and policymaker views of particular issues. Using publicly accessible tax, media, and congressional data, my proposed study assesses the extent to which media visibility and …

A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez

Theses and Dissertations

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth.

Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson’s r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with …

The Impact Of Aging And Mechanical Injury On Alveolar Epithelial And Macrophage Responses In Acute Lung Injury And Inflammation, Michael S. Valentine

Theses and Dissertations

Patients with severe lung pathologies, such as Acute Respiratory Distress Syndrome (ARDS), often require mechanical ventilation as a clinical intervention; however, this procedure frequently exacerbates the original pulmonary issue and produces an exaggerated inflammatory response that potentially leads to sepsis, multisystem organ failure, and mortality. This acute lung injury (ALI) condition has been termed Ventilator-Induced Lung Injury (VILI). Alveolar overdistension, cyclic atelectasis, and biotrauma are the primary injury mechanisms in VILI that lead to the loss of alveolar barrier integrity and pulmonary inflammation. Stress and strains during mechanical ventilation are believed to initiate alveolar epithelial mechanotransduction signaling mechanisms that contribute …

Epigenetic Regulation Of Drug Metabolizing Enzymes In Normal Aging, Mohamad M. Kronfol

Theses and Dissertations

Geriatric populations are at a higher risk for adverse drug reactions (ADRs). This may be partly due to changes in drug metabolism in old age, but the underlying mechanisms are poorly understood. Prior research in humans and mice has shown age-associated changes to the expression of several genes involved in drug metabolism. Furthermore, studies of human blood showed that epigenetic regulation of genes encoding drug metabolizing enzymes change with age. However, it is unknown if genes in the liver are similarly affected. Therefore, we hypothesize that genes encoding drug metabolizing enzymes may show differential epigenetic regulation in the liver with …