Digital Commons Network^™

Student Perceptions Of The Effectiveness Of Collegiate Recovery Programs And Collegiate Recovery Communities, Michael Anthony Herold

Theses and Dissertations

Research on the objective effectiveness of Collegiate Recovery Programs and Collegiate Recovery Communities (CRPs / CRCs) has shown success in maintaining recovery and improving academic outcomes for college students in recovery, but research on the experiences of this population is starting to emerge. This study used a mixed-method design to investigate the perceptions of members of CRPs / CRCs regarding the impact of participation on their recovery from substance abuse and their overall quality of life. Thirty-one participants completed the Drug Avoidance Self-Efficacy Scale (DASES) and the Quality of Life Index – Generic Version iii (QLI). Paired samples t-tests were …

Examining Factors Among People With Opioid Use Disorder And Comorbid Mental Health Disorders, Tori Denae Livingston

Theses and Dissertations

Opioid use disorder (OUD) affects over two million Americans, and over 42,000 Americans perished of opioid overdoses in 2016 (Volkow et al., 2019). During the initial years of the opioid crisis, overdose deaths were primarily attributed to prescription analgesics, heroin, and synthetic opioids. However, it was illicit prescription opioid painkiller use that ranked highest in terms of fatalities (Volkow et al., 2019). The increasing prevalence of opioid use among individuals with mental health disorders is in stark contrast to the ongoing opioid crisis (Prince, 2019). Additionally, there is evidence that individuals undergoing substance use treatment and concurrently suffering from a …

Political Skill: A Potential Buffer To Abusive Supervision, Emotional Labor, And Burnout, Keith R. Cole

Graduate Theses and Dissertations (2019 - present)

This dissertation examines the relationship among political skill, abusive supervision, emotional labor, and burnout through the lens of the conservation of resources theory. The study proposes that political skill is a personal resource that individuals can use to buffer the negative consequences of abusive supervision and emotional labor, as well as prevent burnout. Moreover, this work proposes that political skill will lessen the harmful effects of abusive supervision on emotional labor, and emotional labor on burnout, respectively. The study also highlights the importance of political skill in managing abusive supervision, emotional labor, and burnout in organizations. This work tests a …

A 21 Year Meta Analysis Of The Effectiveness Of Trauma-Sensitive Schools Initiatives, Megan Ann Blanton

Graduate Theses and Dissertations (2019 - present)

Childhood exposure to adversity is prevalent, with most individuals in the United States having experienced at least one adverse event in childhood (Child and Adolescent Health Measurement Initiative, 2019; Merrick et al., 2018). Low dosages of childhood adversity experienced within the context of a safe and caring home environment can promote the development of healthy coping skills that prepare children for future adversity. However, childhood adversity that is intense, chronic, or complex can result in a toxic stress response that leads to the development of mental illness, physical health concerns, cognitive deficits, academic performance deficits, and in severe cases, premature …

Impact Of Using Gagne’S Nine Events Of Instruction On Student’S Academic Achievement And Satisfaction In An Online English Course For French Speakers, Yara Olive Paterne Loua

Graduate Theses and Dissertations (2019 - present)

This dissertation explored the effect of Gagne's nine events of instruction on student academic achievement and satisfaction during an online English class for French speakers. A group of 30 Facebook users from French-speaking countries in North and Sub-Saharan Africa participated in the research. They were divided randomly into two groups: one receiving traditional instruction through an asynchronous online lecture with PowerPoint presentation, and the other using instruction utilizing Gagne's nine events of instruction integrated with an LMS designed for this purpose. This mixed methods study explored several hypotheses related to academic achievement and satisfaction in the two groups. While the …

Enhancing The Hearing Conservation Audiological Test Battery In Noise-Exposed Dod Service Members, Taylor N. Paige

Graduate Theses and Dissertations (2019 - present)

This research study compared how audiometric results differ in service members who are and those who are not exposed to occupational hazardous noise. To address this question, the performance of 21 service members with no occupational noise was compared to the performance of 23 service members with reported occupational noise exposure. Standard audiometric tests were employed, as well as expanded test measures including extended high frequency audiometry and speech in noise testing.

Results indicated the experimental group performed more poorly on some Modified Rhyme Test (speech in noise test) conditions, as well as were more likely to have absent audiometric …

Word Reading, Reading Comprehension, And Eye Movements During Reading In Chinese Persons With Aphasia, Xiaobin Wang

Graduate Theses and Dissertations (2019 - present)

Individuals with aphasia (IWA) often exhibit challenges in single word reading as well as in reading comprehension. Recently, eye-tracking technology has become instrumental in delving deeper into reading behaviors. Specifically, it has illuminated the differences in word reading and comprehension abilities among aphasic English speakers. However, there is a noticeable scarcity of research focusing on these aspects among Chinese IWA. The current study aimed to contrast the abilities of Chinese IWA and neurotypical controls in reading single words, with an emphasis on types like regular, irregular, and pseudowords, and reading comprehension abilities. Further, this study investigated the patterns of eye …

Emergent Literacy And Early Reading Skills In Chinese-Mandarin: Evidence From Kindergarten And First-Grade Children, Yingshan Huang

Graduate Theses and Dissertations (2019 - present)

The development of emergent literacy, a precursor to formal reading, has been linked to subsequent conventional literacy skills in Chinese children. The factors important for acquiring Chinese reading skills, such as phonological and morphological awareness, have primarily been studied in primary school children rather than preschoolers. The complete picture of factors contributing to early reading skills in Mandarin-speaking Chinese preschool children remains unclear. Objectives: The aim of this study was to explore emergent literacy and early reading skills in preschool and early school-aged children and investigate the connections between them to address gaps in existing literature. Methodology: A cross-sectional design …

Unlocking The Mysteries Of Opportunism: Neuroendocrine Insights From An Aseasonal Breeder (Taeniopygia Guttata), Jessica A. Moodie

Graduate Theses and Dissertations (2019 - present)

The regulation of reproductive physiology in animals is mediated by the Hypothalamus-Pituitary-Gonad (HPG) axis. In seasonal breeders, a conserved reciprocal switching of deiodinase enzymes alters thyroid hormone signaling, which controls HPG activity. This study tested the hypothesis that neural regulation of the HPG axis as described in seasonal systems is conserved and repurposed to respond to other cues in aseasonal species. Using water deprivation and nest restriction in the opportunistic Zebra Finch, we were able to create a breeding group and non-breeding group, confirmed by egg laying and changes in ovarian anatomy. Breeding females had clear follicular hierarchy, increased ovary …

Influences Of A Formal Mentoring Program On African American Male Achievement Throughout High School And Beyond, Justin Smith

Graduate Theses and Dissertations (2019 - present)

There has been a growing concern for African-American male students (Hawkins-Jones & Reeves, 2020) due to the fact that they maintain consistently low achievement levels throughout their education and graduate from high school at lower rates than their peers. Their failure rate in math and reading on the National Assessment of Educational Practice (U.S. Department of Education, 2017) is above average, and the U.S. Department of Education, National Center for Education Statistics (Hussar et al., 2020) reported that they also have higher than average dropout, suspension, and truancy rates. The achievement and discipline gaps that African-American male students face in …

Perceptions Of College Students With Disabilities Regarding The Impact Of Instructional Supports On Academic Success, John O. Oreye

Graduate Theses and Dissertations (2019 - present)

This qualitative phenomenological study explored how college students with disabilities (SWDs) accessed accommodations from their universities and their perceptions of service delivery by university faculty and staff. An additional purpose of this study was to seek the type and effectiveness of accommodations received by college SWDs. I recruited participants through the disability resource office of a regional university in the Southeastern United States. The diverse population studied was college SWDs, and the phenomenon of interest was their experience with receiving accommodations from their university. The seven participants who took part in interviews identified as college students with a disability that …

Examining The Efficacy Of Using Irt As An Nde Method For Cfrp And Ztcfrp Composites, William Wyatt Taylor

Graduate Theses and Dissertations (2019 - present)

A film adhesive is commonly used to form the bond-line between composite parts. The bond-line's quality and performance can be affected by defects such as voids, impurities, and agglomerations. Identifying these defects is possible with non-destructive evaluation testing (NDE). In this thesis, the joule-heating effect (JH) through carbon nanofiber (CNF) and carbon nanotube (CNT) modified film adhesive bonded to control carbon fiber reinforced polymer (CCFRP) was used along with infrared thermography testing (IRT) for bond-line defect inspection as a preliminary study. Due to the difference in the electrical conductivity between the modified epoxy and the defect, JH can cause a …

Gravel Conveyance System: An Evaluation On E. Coli Removal Capabilities, Madison Grace

Graduate Theses and Dissertations (2019 - present)

In many rural, low-income communities such as the Black Belt of Alabama, there is a lack of wastewater infrastructure and solutions leaving homeowners non-compliant to state and federal law and with potential health risks on their property. New regulations have allowed for onsite, surface discharge for single family homes that are not connected to a centralized sewer or large flow development. These new regulations also contain strict disinfection criteria for the treated wastewater that will be discharged. A low-cost and low-maintenance treatment system that provides adequate disinfection is necessary to allow homeowners to take advantage of the new opportunity for …

Evaluation Of Intravenous Iron In The Inpatient Setting At A Large Health System., Abby Miller Pharmd Candidate, Robert D. Beckett Pharmd, Bcps, Cole Luty Pharmd, Jamie Gaul Pharmd, Bcps

Parkview Pharmacy Department

Presented at the ASHP Midyear Clinical Meeting. December 2023.

This project evaluated the appropriateness of interleukin (IL)-17 and IL-23 inhibitor usage within Parkview Health, in both inpatient and outpatient settings. This project set out to determine whether the inpatient use of intravenous (IV) iron replacement was justified and followed evidence-based guidelines.

Medication Use Evaluation Of Il-17 And Il-23 Inhibitors At A Large Health System., Corey Uetrecht Pharmd Candidate, Robert D. Beckett , Pharmd, Bcps, Kevin Baumgartner Pharmd, Jennifer Sposito Pharmd

Parkview Pharmacy Department

Presented at the ASHP Midyear Clinical Meeting. December 2023.

This project evaluated the appropriateness of interleukin (IL)-17 and IL-23 inhibitor usage within Parkview Health, in both inpatient and outpatient settings.

Who Owns Children’S Dna?, Nila Bala

Michigan Law Review

In recent years, DNA has become increasingly easy to collect, test, and sequence, making it far more accessible to law enforcement. While legal scholars have examined this phenomenon generally, this Article examines the control and use of children’s DNA, asking who ultimately owns children’s DNA. I explore two common ways parents—currently considered “owners” of children’s DNA— might turn over children’s DNA to law enforcement: (1) “consensual” searches and (2) direct-to-consumer testing. My fundamental thesis is that parental consent is an insufficient safeguard to protect a child’s DNA from law enforcement. At present, the law leaves parents in complete control of …

Parent Choice: Learning Pods Or Public Education During Covid-19 Pandemic, Shari Kinney

Electronic Theses and Dissertations

The purpose of this phenomenological qualitative study was to examine the decision-making process of K-12 parents living in the Appalachian Highlands who chose to remove their children from traditional public schools to join learning pods (sometimes referred to as pandemic pods) during the COVID-19 pandemic. In order to answer this overarching question, the researcher focused her study on two areas: first, what were the possible push factors that influenced parents to remove their children from public schools, and secondly, what were the pull factors that lead parents to choose learning pods over other school choice options. Through the data collected …

Twenty Years Of Capacity Building Across The Cancer Prevention And Control Research Network, Mary Wangen, Cam Escoffery, Maria E Fernandez, Daniela B Friedman, Peggy Hannon, Linda K Ko, Annette E Maxwell, Courtney Petagna, Betsy Risendal, Catherine Rohweder, Jennifer Leeman

Faculty, Staff and Student Publications

PURPOSE: to improve population health, community members need capacity (i.e., knowledge, skills, and tools) to select and implement evidence-based interventions (EBIs) to fit the needs of their local settings. Since 2002, the Centers for Disease Control and Prevention has funded the national Cancer Prevention and Control Research Network (CPCRN) to accelerate the implementation of cancer prevention and control EBIs in communities. The CPCRN has developed multiple strategies to build community members' capacity to implement EBIs. This paper describes the history of CPCRN's experience developing and lessons learned through the use of five capacity-building strategies: (1) mini-grant programs, (2) training, (3) …

The Special Sauce Of The Cancer Prevention And Control Research Network: 20 Years Of Lessons Learned In Developing The Evidence Base, Building Community Capacity, And Translating Research Into Practice, Stephanie B Wheeler, Rebecca J Lee, Alexa L Young, Adam Dodd, Charlotte Ellis, Bryan J Weiner, Kurt M Ribisl, Prajakta Adsul, Sarah A Birken, María E Fernández, Peggy A Hannon, James R Hébert, Linda K Ko, Aaron Seaman, Thuy Vu, Heather M Brandt, Rebecca S Williams

Faculty, Staff and Student Publications

PURPOSE: The Cancer Prevention and Control Research Network (CPCRN) is a national network focused on accelerating the translation of cancer prevention and control research evidence into practice through collaborative, multicenter projects in partnership with diverse communities. From 2003 to 2022, the CPCRN included 613 members.

METHODS: We: (1) characterize the extent and nature of collaborations through a bibliometric analysis of 20 years of Network publications; and (2) describe key features and functions of the CPCRN as related to organizational structure, productivity, impact, and focus on health equity, partnership development, and capacity building through analysis of 22 in-depth interviews and review …

New Student Journal On Digitalcommons@Tmc, Alice Sherwood

TMC Library Newsletter (2015-)

The first student journal, "Nexus Health Policy Journal," launched on Digital Commons@TMC. This is a first-of-its-kind student-run, peer-reviewed journal founded in 2023 and managed by Students for Social Organization, Advocacy, and Policy.

Through a collection of high-quality scholarly articles researched and written by medical students, Nexus aims to explore many sections of health policies including but not limited to: Public Health, Healthcare Access, Health Insurance, Health Equity and Disparities, Mental Health, and Substance Abuse, Pharmaceutical and Drug, Medical Research and Development, Global Health, Emergency Preparedness and Response, Patient Rights and Privacy, Health Technology and Telemedicine, and End-of-Life Care and …

The Preventive Effect Of Glass Ionomer Cement Restorations On Secondary Caries Formation: A Systematic Review And Meta-Analysis, Kelsey Xingyun Ge, Ryan Quock, Chun-Hung Chu, Ollie Yiru Yu

Faculty, Staff and Student Publications

Objective: The objective is to compare the preventive effect on secondary caries of glass ionomer cement (GIC) restorations with amalgam or resin-composite restorations.

Methods: Two independent researchers conducted a systematic search of English publications in PubMed, Web of Science, Cochrane and Scopus. They selected randomized clinical trials comparing secondary caries incidences around GIC restorations (conventional GIC or resin-modified GIC) with amalgam or resin-composite restorations. Meta-analysis of the secondary-caries incidences with risk ratio (RR) and 95% confidence interval (95% CI) as the effect measure was performed.

Results: This review included 64 studies. These studies included 8310 GIC restorations and 5857 amalgam …

Biological Age Mediates The Effects Of Perceived Neighborhood Problems On Heart Failure Risk Among Black Persons, Ganga Bey, James Pike, Priya Palta, Anthony Zannas, Qian Xiao, Shelly-Ann Love, Gerardo Heiss

Faculty, Staff and Student Publications

OBJECTIVE: We assessed whether biological age, measured by the epigenetic clock GrimAge, mediates the association of objective and subjective neighborhood disadvantage with incident HF among Black persons.

METHODS: Participants were 1448 self-reported Black adults (mean age (standard deviation, SD) = 64.3 (5.5)) dually enrolled in two community-based cohorts in Jackson, Mississippi, the ARIC and JHS cohorts, who were free of HF as of January 1, 2000. Incident HF events leading to hospitalization through December 31, 2017, were classified using ICD-9 discharge codes of HF. Multilevel age- and sex-adjusted Cox causal mediation models were used to examine whether biological age (at …

Machine Learning To Predict Mortality For Aneurysmal Subarachnoid Hemorrhage (Asah) Using A Large Nationwide Ehr Database, Gen Zhu, Anthony Yuan, Duo Yu, Alicia Zha, Hulin Wu

Faculty, Staff and Student Publications

Aneurysmal subarachnoid hemorrhage (aSAH) develops quickly once it occurs and threatens the life of patients. We aimed to use machine learning to predict mortality for SAH patients at an early stage which can help doctors make clinical decisions. In our study, we applied different machine learning methods to an aSAH cohort extracted from a national EHR database, the Cerner Health Facts EHR database (2000-2018). The outcome of interest was in-hospital mortality, as either passing away while still in the hospital or being discharged to hospice care. Machine learning-based models were primarily evaluated by the area under the receiver operating characteristic …

Alignment Between 24-H Light-Dark And Activity-Rest Rhythms Is Associated With Diabetes And Glucose Metabolism In A Nationally Representative Sample Of American Adults, Qian Xiao, John Durbin, Cici Bauer, Chris Ho Ching Yeung, Mariana G Figueiro

Faculty, Staff and Student Publications

OBJECTIVE: The alignment between environmental stimuli (e.g., dark, light) and behavior cycles (e.g., rest, activity) is an essential feature of the circadian timing system, a key contributor to metabolic health. However, no previous studies have investigated light-activity alignment in relation to glycemic control in human populations.

RESEARCH DESIGN AND METHODS: The analysis included ∼7,000 adults (aged 20-80 years) from the National Health and Nutrition Examination Survey (NHANES) (2011-2014) with actigraphy-measured, multiday, 24-h activity and light data. We used phasor analysis to derive phasor magnitude and phasor angle, which measures coupling strength and phase difference between the activity-rest and light-dark cycles, …

The Potential Predictive Value Of Cardiac Mechanics For Left Ventricular Reverse Remodelling In Dilated Cardiomyopathy, Ao Kan, Qimin Fang, Shuhao Li, Wenying Liu, Xinwei Tao, Kaiyao Huang, Mengyao Hu, Zhaofeng Feng, Lianggeng Gong

Faculty, Staff and Student Publications

AIMS: Left ventricular reverse remodelling (LVRR) is an important objective of optimal medical management for dilated cardiomyopathy (DCM) patients, as it is associated with favourable long-term outcomes. Cardiac magnetic resonance (CMR) can comprehensively assess cardiac structure and function. We aimed to assess the CMR parameters at baseline and investigate independent variables to predict LVRR in DCM patients.

METHODS AND RESULTS: Nighty-eight initially diagnosed DCM patients who underwent CMR and echocardiography examinations at baseline were included. CMR parameters and feature tracking (FT) based left ventricular (LV) global strain (nStrain) and nStrain indexed to LV cardiac mass index (rStrain) were measured. The …

Design Of An Fgf-1-Fgf-2 Heterodimer Variant With Enhanced Stability And Cell Proliferation Activity, Nicholas Alan Pohlman

Chemistry & Biochemistry Undergraduate Honors Theses

The FGF-1 subfamily, composed of FGF-1 and FGF-2, assists in broad health-related processes such as cell proliferation and angiogenesis respectively.^1,2 The subfamily shows promising signs as a therapeutic, however, the inherent thermal instability leads to a low half-life in vivo.³ To assist in improving the stability, FGF-1 and FGF-2 were connected via a 12-residue glycine linker ultimately producing a heterodimer. This heterodimer was further examined to discover its novel properties. Inspiration for this project was drawn from previous research which performed five mutations on FGF-1 ultimately improving stability in the protein complex. In addition to these five …

Sex Differences In Fatigability And Recovery Following A 5 Km Running Time Trial In Recreationally Active Adults, Maria Solleiro Pons, Sandra K. Hunter, Paul Ansdell

Exercise Science Faculty Research and Publications

Females demonstrate greater fatigue resistance compared to males in tasks ranging from single-limb contractions to whole-body exercise, including running. Many of the studies investigating sex differences in fatigability following running, however, occur after long duration, low-intensity tasks and it is unknown whether there is a sex difference in fatigability following high-intensity running. This study compared fatigability and recovery following a 5 km running time trial in young males and females. Sixteen recreationally active participants (8 males, 8 females, age: 23 ± 4 years) completed a familiarisation and experimental trial. Knee-extensor maximal voluntary contractions (MVCs) were performed before and up to …

Social Costs Of Dobbs' Pro-Adoption Agenda, Malinda L. Seymore

Faculty Scholarship

Abortion opponents have long claimed that women denied access to abortion can simply give their children up for adoption. Justice Alito repeated this argument in Dobbs v. Jackson Women’s Health. Of course, this claim assumes away the burdens of the pregnancy itself, which can result in economic strife, domestic violence, health risks, and potentially death in childbirth. But even on its own terms, the argument that adoption is an adequate substitute for abortion access makes normative assumptions about adoption as a social good in and of itself, ignoring the social costs of adoption for birth parents and adoptees. Idealizing adoption …

Validity And Test-Retest Reliability Of A Digital Dynamic Visual Acuity Test Of Vestibular Function, Lydia F. Grunstra, Courtney D. Hall, Kara D. Stressman

Undergraduate Honors Theses

The vestibular system senses head motion and facilitates gaze stabilization, allowing for clear vision during movement. The vestibulo-ocular reflex (VOR) causes the eyes to move opposite head motion, thus maintaining focus on a target. Consequently, uncompensated loss of vestibular function leads to reduced VOR function resulting in dizziness, nausea, and visual disturbance. Different testing methods have been developed to measure VOR loss. These tests generally require bulky, expensive equipment, and must be performed by a trained examiner. A newly developed digital form of the dynamic visual acuity (DVA) test requires less equipment, is cost-effective, and may be performed at home …

The Disney College Experience: A Full Recollection Of Moments And Memories Of The Disney College Program Internship, Lauren Jumonville

Undergraduate Honors Theses

I decided to do the Disney College Program as my honors thesis because Disney is something I am very passionate about. I worked for the Disney Company before and knew that I wanted to continue my experience with them. I went into the program hoping to discover what the college program could do to prepare me (or any prospective programmer) for the profession and for a life in performance. In January of 2023, I made my way to Orlando, Florida, to start my next journey with the Walt Disney World Company. I went through four different orientation processes, as well …