Digital Commons Network^™

Socio-Ecological Predictors Of Social Connection Among Older Adults, Georganna Amateau

Theses and Dissertations

Decades of research has established an unequivocal link between states of social connection and health status. Lack of social connection, whether construed as social isolation or loneliness, negatively influences health and is highly associated with cardiovascular disease, high blood pressure, fall risk, and premature death. Despite extensive research on social isolation and loneliness, evidence relative to the broader construct of social connection suffers. Few studies inform practice standards for community-based organizations. This study aimed to develop a multidimensional, continuous composite variable of social connection and use the composite variable to examine predictors with a socio-ecological lens.

A secondary data analysis …

The Relationships Between Adolescents’ Future Aspirations And Postsecondary Enrollment: Finite Mixture Models, Chu Yi Lu Qiu

Theses and Dissertations

This study took person-centered statistical approaches to explore the multidimensional construct of adolescents' future aspirations and its associations with three covariates (i.e., gender, race, and SES) and a binary, distal outcome measure, postsecondary enrollment. Fourteen survey items representing the multidimensionality of adolescents' future aspirations were extracted from two-waves of Educational Longitudinal Study:2002 student data. The multidimensionality or the latent construct of the adolescents' future aspirations were explored using two finite mixture models called latent class analysis (LCA) and latent transition analysis (LTA). Based on the students' response patterns on the fourteen indicators, three latent classes representing three levels of aspiration …

Understanding Predictors Of Telemedicine Adoption Before, During, And After The Covid-19 Pandemic, Bradford S. Pierce

Theses and Dissertations

This study examined change in physicians’ use of telemedicine before, during, and expectations after the COVID-19 pandemic. It also examined the ability of personal and environmental variables to predict telemedicine adoption, and applied the theory of reasoned action and technology acceptance model to physicians’ adoption of telemedicine during the pandemic. A total of 230 licensed physicians currently practicing in the United States were recruited. Telemedicine accounted for 3.72% of physicians’ clinical work prior to the pandemic, 46.03% during the pandemic, and predicted 25.44% after the pandemic ends. Physicians within hospitals reported less telemedicine use during the pandemic (M = …

Systematic Structure-Activity Relationship Studies Of Nalfurafine, Mengchu Li

Theses and Dissertations

Today’s opioid crisis is one of the most challenging public health emergency. Two million Americans suffer opioid addiction. Over 20 million adults are affected by daily pain without non-addictive analgesics.

Kappa opioid receptor (KOR) is one of the most studied new pain targets void of abuse liability. KOR agonists have shown potent analgesia and also potential in alleviating opioid addiction. The only approved KOR agonist in clinic is nalfurafine (NFU). Though not leading to addiction, the analgesic effects of NFU are accompanied by sedative side effects. Therefore, we designed a systematical structure-activity relationship study of NFU for developing non-addictive analgesics. …

Feeling The Squeeze: The Association Between Multigeneration Caregiving And Informal Caregivers’ Health, Christine L. Patterson

Theses and Dissertations

While U.S. public policy and research has focused on the health needs of the aging population, less attention has been given to the consequences informal caregivers face caring for this generation. With the segment of the population aged 65 years or older growing rapidly, it is important to understand the factors that place informal caregivers at risk for poor health outcomes and health behaviors. Since multigeneration caregivers balance more personal, work, and caregiving demands than single-generation informal caregivers of older adults, they may be at higher risk for poor health outcomes. The aim of this study was to examine the …

Ck2 Phosphorylation Of Human Papillomavirus 16 E2 On Serine 23 Promotes Interaction With Topbp1 And Is Critical For E2 Plasmid Retention Function, Apurva Tadimari Prabhakar

Theses and Dissertations

Human papillomaviruses (HPVs) are the causative agents in most cervical cancers and have been implicated in a rising number of oropharyngeal cancers. HPV positive oropharyngeal cancers have increased significantly over the last two decades with no specific anti-viral therapeutic options for the treatment of HPV diseases. During its lifecycle, HPV16 encoded E2 protein interacts with host cellular factors to regulate viral transcription, replication and genome segregation/retention. Our understanding of the cellular partner proteins that E2 uses to mediate its functions remains incomplete.

Previously, an interaction between E2 and the host protein TopBP1 was identified. In earlier studies, it was also …

Nurse Cognition In Response To Alert Generation During Bar Code Medication Administration (Bcma): An Examination Of Human Factors, Elizabeth A. Sloss

Theses and Dissertations

Introduction: Nurses are at the forefront of care delivery, spending more time with patients than most other providers. Paramount to patient safety is the ability for nurses to make clinical decisions free from human error. Yet, the dynamic clinical environment in which nurses work is characterized by uncertainty, urgency, and high consequence, necessitating that nurses make quick and critical decisions. Notably, medical errors related to clinical decision-making, including medication administration errors, may occur more frequently among new graduate nurses. Therefore, the aims of this dissertation study are to 1) examine patterns of alert generation and alert response decisions (decision outputs) …

Looking For Hope: The Experience Of Early Career Teachers Engaged In A Collaborative Community Of Reflective Practice As A Model Of Induction And Professional Development, Donia E. Spott

Theses and Dissertations

Teaching has always been an isolated profession and many professional development programs are seen as disconnected from the realities and daily needs of teaching. With the pressures of standards, paperwork, classroom management, and learning to teach, early career teachers can be especially vulnerable to becoming discouraged, disillusioned, and demoralized. This study used a qualitative, narrative inquiry approach to tell the stories of seven early career teachers’ experiences with induction and the development of a reflective community to support early career teachers in their professional practice. As part of the action research approach taken in designing the program, the discussions and …

Strategies For Resolution Enhancement In Liquid Chromatography, Shelby Lynn Weatherbee

Theses and Dissertations

Recent research in liquid chromatography (LC) has led to the development of new methodologies to further improve sample analysis. Non-uniform stationary phases are one such area that focuses on developments in selectivity and efficiency of stationary phases. Within this subset of stationary phases are two major focuses: two-dimensional liquid chromatography (2D-LC) and continuous stationary phase gradients that are the basis of this work.

In this work, LC simulation software was adapted to simulate chromatograms based on experimental and modeled injection profiles. This was done by measuring the injection profiles from a 2D-LC active solvent modulation valve using a variety of …

Treatment Outcome Of Perforation Repair With Bio-Ceramic Based Materials: A Retrospective Study, Lolwa Alyahya

Theses and Dissertations

INTRODUCTION:

The aim of this retrospective cohort study was to assess the treatment outcome of orthograde perforation repair using bio-ceramic based materials.

METHODs:

Data from the VCU graduate endodontic practice were analyzed retrospectively. Treatment had been conducted by VCU endodontic residents under the supervision of qualified endodontists during the period from August 2014-December 2020. All cases in which a bio-ceramic based material had been used as a perforation repair material were included. Bio-ceramic based materials included MTA, EndoSequence Root Repair Material Putty and Paste (ERRM), and iRoot BP Plus Root Repair Material (BP-RRM). Perforation repair was performed using a dental …

Continual Learning For Multi-Label Drifting Data Streams Using Homogeneous Ensemble Of Self-Adjusting Nearest Neighbors, Gavin Alberghini

Theses and Dissertations

Multi-label data streams are sequences of multi-label instances arriving over time to a multi-label classifier. The properties of the data stream may continuously change due to concept drift. Therefore, algorithms must adapt constantly to the new data distributions. In this paper we propose a novel ensemble method for multi-label drifting streams named Homogeneous Ensemble of Self-Adjusting Nearest Neighbors (HESAkNN). It leverages a self-adjusting kNN as a base classifier with the advantages of ensembles to adapt to concept drift in the multi-label environment. To promote diverse knowledge within the ensemble, each base classifier is given a unique subset of features and …

Detrimental Role Of Irf1 In Myeloid Cells During Influenza Infection, Bianca L. Baum

Theses and Dissertations

The influenza virus is constantly evolving new ways to overcome both innate and vaccine-induced host defenses, making the innate immune response a critical therapeutic target for minimizing morbidity and mortality caused by infection. Here we examined the role that interferon regulatory factor 1 (IRF1) plays in regulating host innate immune responses in myeloid cells. We found that knocking out IRF1 from myeloid cells in mice (IRF1^DMy) led to a partial protection during IAV infection. Interestingly, recruitment of bone marrow derived myeloid cells as well as NLRP3 inflammasome expression were decreased in the lungs of IRF1^DMy mice, whereas …

Il-36g Cytokine Induction In Oral Epithelial Cells Triggered By Treponema Denticola And Their Role In Chronic Periodontitis, Christopher Blake

Theses and Dissertations

Periodontal disease is a polymicrobial disease affecting 10-15% of the population. Periodontal disease affects the quality of life by reducing mastication and potentially causing tooth loss. Periodontal disease is also linked to more severe, systemic diseases such as cardiovascular disease and rheumatoid arthritis. Development of the diseased state occurs when the plaque biofilm shifts from healthy to dysbiotic. The shift to a dysbiotic biome brings with it a shift in bacterial presence, specifically an increase in gram-negative bacteria, such as T. denticola. T. denticola is a gram-negative, anaerobic spirochete whose relationship with oral epithelial cells is poorly understood. Preliminary data …

Canalpro Eal Accuracy Compared To The Root Zx Eal, Benjamin T. Brown

Theses and Dissertations

CanalPro Electronic Apex Locator Accuracy Compared to the Root ZX Electronic Apex locator

Benjamin Brown, Garry Myers, Caroline Carrico, Duane Schaefer

Department of Endodontics, Virginia Commonwealth University

Objectives: Electronic apex locators (EAL) are an effective instrument in measuring the working length of a canal. The Root ZX is considered the gold standard by many. The aim of this research is to compare the accuracy of the CanalPro EAL to the Root ZX.

Methods: The actual length of 43 single rooted extracted teeth were measured with a #10 hand file when the tip was visualized at the foramen under a microscope. …

Difficult Paintings, Hao (Damien) Ding

Theses and Dissertations

The sublime as a concept has a fraught and racist history. However, it remains the single most helpful idea in describing the deeply felt state of being when one comes across something ineffably powerful. From an art-making perspective, this thesis, and the accompanying exhibition of installations and paintings, proposes an alternative construction of the concept of the sublime. Using Lacanian psychoanalysis as a conceptual point of departure, a painter can manipulate the relationship of the viewer and paintings to create paradoxical moments of simultaneous intimacy and distance, which interact to create an alternative path towards the sublime. Through descriptions of …

Validation Of A Screening Tool For Pediatric Obstructive Sleep Apnea: A Pilot Study, Julia A. Giardina

Theses and Dissertations

Purpose: The purpose of this study was to evaluate the Pediatric-Modified-STOP-Bang (PM-STOP-Bang) as a screening tool to assess sleep related breathing disorders (SRBD) within a pediatric population. The specific aims of this study were: 1) compare the PM-STOP-Bang scores with those from the validated Pediatric Sleep Questionnaire (PSQ), 2) determine the ability of the PM-STOP-Bang and the PSQ screening tools to accurately detect children of high risk for SRBD from a one-night home sleep apnea test (HSAT).

Methods: Orthodontic patients were screened using the PM-STOP-Bang at VCU Graduate Clinic. Patients (n=10) who were recruited and enrolled. Five were determined to …

Hamburger Helper Recipes, John Alex Goss

Theses and Dissertations

Hamburger Helper Recipes is a collection of essays and public addresses that aim to recuperate castoff and misfit material surrounding industries and tools which produce science-fiction fantasies, specifically videogames and television shows. The following essays confront the normative violence of capitalism, whiteness, and hetero-patriarchy that socially and technologically haunt these imaginary worlds and build hegemonic idealogy into their audiences. This collection takes industrial materials and software from their intended commercial purposes of production and “success” into places of abjection and quiet breakdown. The author’s own proximity to masculine and often toxic "work cultures'' within industrial spaces of coding and manufacturing …

Reproducibility And Accuracy Of The Virtual Occlusal Record, Anne M. Harper

Theses and Dissertations

Purpose: To evaluate the reproducibility and accuracy of the virtual occlusal record compared to the gold standard physical bite record

Methods: Two physical bite records of PVS and two virtual bites using an iTero Element scanner were obtained from 22 participants. Intraoral scans were exported as STL files, and virtual occlusal records were created. CBCT images were taken of physical occlusal records and converted to STL files. STL files were superimposed using Geomagic Control X™ Software. Root mean square (RMS) and percent similarity within 0.25 mm tolerance were compared at a significance level of 0.05.

Results: Average …

Virtual Reality Tool For Visualizing The Oral Microbiome, Alexus M. Harris

Theses and Dissertations

There are limited teaching tools for helping both students and patients understand the oral microbiome. It is important to understand the oral microbiome as it heavily influences the health of your oral cavity and the dysbiosis of disease. The oral microbiome influences other aspects of health and serves as an indicator for health. With a greater understanding of the oral microbiome, patients can make healthier lifestyle changes and dentists can better educate their patients. For that reason, the goal of this project was to create a virtual reality tool for visualizing the oral microbiome. The assets for the VR tool …

"Unite The Left": Contextualizing Bukharin's Abc Of Communism And Berkman's Abc Of Anarchism, David Hayter

Theses and Dissertations

In 1919, Nikolai Bukharin, the leading theoretician of the Bolshevik Party, published a manual entitled The ABC of Communism meant to put the governing ideology of the newly formed Soviet State into eminently readable terms. Alexander Berkman, a Russian Anarchist who strongly supported the October Revolution, became disillusioned with the new regime in 1921 and left the country. He later published his own tract entitled The ABC of Anarchism. This thesis pits these two theoretical works against each other as historical documents embodying the nature of leftist polemics that has characterized the movement since the dissolution of the First …

In Vitro Evaluation Of The Solubility Of Endosequence Bc Sealer In Acidic Solutions, Inderpal S. Sappal

Theses and Dissertations

Purpose: In recent years, bioceramic sealers (BCS), such as EndoSequence BC Sealer, have gained popularity in endodontic practices. Previous research has found BCS difficult to remove from canals during retreatments when compared with other endodontic sealers. Acidic solutions have been found to inhibit the set of BCS and increase their solubility. The purpose of this study was to evaluate the efficacy of acidic solutions in the removal of BCS as compared with a traditional retreatment solvent.

Methods: Roots of extracted human single rooted teeth (N=15) were prepared into 17 mm sections, then instrumented with ProTaper Gold (PTG) rotary files up …

The Effect Of Local Anesthesia When Used In Dental Restorative Cases Under General Anesthesia On Control Of Intraoperative Physiologic Parameters And Post-Operative Comfort, Kathryn S. Skarda

Theses and Dissertations

Purpose:

To determine the effect of local anesthesia on post-operative pain and physiologic parameters intraoperatively in patients undergoing dental care under general anesthesia.

Methods:

This study was modeled as a double-blinded randomized control trial. Patients included healthy children under the age of six scheduled for restorative dental treatment under general anesthesia. Patient behavior was evaluated pre and post-operatively using the FLACC score and post-operatively using the Parental Pain Score Measure. Intraoperatively, all participants followed a standardized general anesthesia protocol and were given either local anesthetic infiltration by the dental surgeon performing the surgery or no anesthesia was utilized. Intraoperatively physiologic …

Pushing The Limits: Increasing The Speed And Specificity Of Sars-Cov-2 Testing, Grayson Way

Theses and Dissertations

The prevalence and spread of the current COVID-19 pandemic have highlighted the importance of continual improvements upon current microbiological testing methods. Rapid and accurate testing can help mitigate spread by improving on the time to quarantine and quarantine duration required. As of the writing of this thesis, COVID-19 has been responsible for more than 500,000 deaths in the United States of America, and greater than 2 million deaths globally. The work done in this thesis has shown improvements in the current SARS-CoV-2 testing methodology by reducing the time it takes for patient testing while maintaining accuracy and the sensitivity required …

The Role Of Glt-1 Signaling In Oligodendrocytes During Development And Myelin Repair, Elizabeth Thomason

Theses and Dissertations

The differentiation of oligodendrocyte progenitor cells (OPCs) into myelinating oligodendrocytes (OLGs) requires an increase in the complexity of process morphology, alterations in membrane trafficking, and the production of myelin proteins. Branching and process extension have already been shown to follow glutamate signaling through OLG-expressed excitatory amino acid transporters (EAATs), mostly via GLT-1. It is of note that glutamate homeostasis often goes awry in multiple sclerosis (MS), the main demyelinating disease in humans. Thus, we have sought to gain an understanding of the role that GLT-1 plays under the myelination and remyelination conditions that arise during natural development of OLGs and …

Reliability And Validity Of Three Clinical Methods To Measure Lower Extremity Muscle Power, Mattie E. Pontiff, Li Li, Noelle G. Moreau

Health Sciences & Kinesiology: Faculty Publications

Background: Lower extremity muscle power is critical for daily activities and athletic performance in clinical populations. Objective: The purpose of this study was to determine the reliability and validity of 3 clinically feasible methods to measure lower extremity muscle power during a leg press. Methods: Ten of 26 subjects performed 2 sessions of 5 submaximal leg presses separated by 3-7 days in this repeated-measures cross-sectional design; the remaining performed 1 test session. Power was calculated independently for each method [simple video, linear position transducer, and accelerometer] and compared to the reference force plate. Test-retest reliability was evaluated using intraclass correlation …

The Impact Of Postmodernism On 21st Century Higher Education, Lia B. Wheatley

Liberal Studies (MA) Final Essays

The American undergraduate higher educational institution was organized and developed well over 100 years ago, and for the most part, it was designed around Eurocentric ideals, experiences, and values—ones that hardly reflect the population and principles of a 21^st century America. The higher education system is undoubtedly a product of modernism; however, as postmodernism has become more widespread through mainstream society, universities must reevaluate their means and their ends in order to meet transitioning standards and expectations especially if academe hopes to remain a pillar of our ever-progressing society.

The three majorly impacted areas of higher education include enrollment …

The Effects Of Racial Capitalism On Poor White Laborers, Amy Whittaker

Liberal Studies (MA) Final Essays

While always remembering that racial capitalism’s very nature ensures that non-white Americans suffer incomparable racial oppression, this paper will endeavor to expose the devastation caused to American society as a whole by explaining the ways in which racial capitalism destroyed poor white labors ability to participate fully in the economic system and strangled its chances of living the American dream. It is my hope that by discussing the missing piece of the poor white laborers’ experience under racial capitalism will unite poor white laborers and poor black laborers to work together to end racial capitalism, policing, and the carceral system. …

Nursing, Physical Therapy, And Cytotechnology Graduate And Undergraduate Students' Attitudes Toward Teamwork Before And After Participation In An Interprofessional Education Experience, Shelley C. Mishoe, Muge Akpinar Elci, Rebecca Poston, Kimberly Adams Tufts, Beth Thompson

Community & Environmental Health Faculty Publications

BACKGROUND Educating health professional (HP) students in environments wherein they can learn about, from, and with each other can prepare them for interprofessional collaborative practice (IPCP), which may positively impact patient safety and satisfaction (Brashers et al., 2015; Health Professions Accreditors Collaborative [HPAC], 2019). IPCP is characterized by effective communication, shared values, respect for diverse disciplines and teamwork among health professionals (IOM, 2015). However, professional silos in practice can foster competition rather than collaboration. Knowledge of HP roles and responsibilities is a primary tenet of IPCP (Interprofessional Educational Collaborative [IPEC], 2011).

PURPOSE An interprofessional education (IPE) approach that combined book …

Unraveling A Trifecta Of Weak Non-Covalent Interactions: The Dissociation Energy Of The Anisole-Ammonia 1:1 Complex, John L. Loman, James T. Makuvaza, Damian L. Kokkin, Scott A. Reid

Chemistry Faculty Research and Publications

The anisole-ammonia 1:1 complex is a challenge for both experiment and theory. Early studies supported a non-planar structure, involving a trifecta of weak non-covalent interactions: N-H/O, N-H/π, and C-H/N. The calculated structure and binding energy of the complex proved remarkably sensitive to the level of theory employed. Here, we report the first experimental measurement of the ground state dissociation energy of the complex, and derive an excited (S₁) state dissociation energy that is in excellent agreement with the cutoff observed in the experimental excitation spectrum. Results are compared with previous predictions and new calculations based on benchmarked Density …

Industrie 4.0 Dans Le Secteur Manufacturier, Marie Comeau

États de la question, rapports d’expertise et revues de littérature

La 4^e révolution industrielle modifiera considérablement le monde du travail. Ces transformations ont déjà débuté et sont plus rapides que lors des dernières révolutions industrielles.

L’épidémie de la COVID-19 ravive les discussions autour de l’automatisation intelligente des industries. Pendant des mesures de distanciation physique, l’industrie 4.0 pourrait participer à la réduction des risques de contamination au travail par la réduction du nombre de salariés requis en présentiel et la possibilité de faire fonctionner les chaînes de production à distance.

Pour soutenir ces réflexions, ce rapport de veille produit en 2018 a été mis à jour. Il présente l’industrie 4.0, …