Digital Commons Network^™

Formalizing The Faustian Bargain Within The Healthcare Domain: An End-Of-Life Approach., Rachel Appel

Electronic Theses and Dissertations

A Faustian Bargain refers to an individual making a “deal with the devil,” exchanging something moral or sacred for an unattainable earthly good. The Faustian Bargain has been used to describe a ubiquitous social dilemma inherent to human civilization: exchanging individual liberty for public goods (e.g., security) provided by societal leaders and governments (Ostrom, 1980). Research on Faustian Bargains often examines tradeoffs between outcome utility (i.e., value derived from the outcomes of a decision) and procedural utility (i.e., value derived from being involved in the decision process (e.g., Frey et al., 2004). Much of the research on Faustian Bargains has …

Automated Usability Evaluation Utilizing Log Files And Data Mining Techniques., Sima Shafaei

Electronic Theses and Dissertations

Usability evaluation is one of the essential aspects of software production. This evaluation should be done during the entire life cycle of a software application, from pre-production to production and post-production. However, the collection and evaluation of usability data can be a very challenging, time-consuming, and expensive task to be conducted manually, particularly for certain types of products and working conditions. These challenges may include the need to recruit participants fully engage and motivate them during evaluation, and factor in environmental conditions. Other challenges may include collecting data in real-world environments, especially when the users are geographically dispersed, minimizing evaluator …

The Experiences Of Leaders Who Transitioned To Leading A Virtual Team During The Covid-19 Pandemic: A Phenomenological Study., Jason W. Oliver

Electronic Theses and Dissertations

The COVID-19 pandemic led to organizations rapidly transitioning their workforces to virtual work settings. This sudden shift brought about many challenges to organizations and their employees. In this study, a phenomenological research approach was used to describe the lived experiences of leaders who transitioned to managing a virtual team during the COVID-19 pandemic. The study also explored how leaders adapted their leadership practices and leveraged people and technology when transitioning to managing a virtual team. The findings revealed seven themes that highlighted both benefits and challenges of virtual leadership and work. Leaders recognized the need for intentionality in their actions …

Organizational Change In Saudi Healthcare Settings: Evaluating Organizational And Individual Readiness For Change, And The Mediating Role Of Readiness For Change Between Management Support And Commitment To Change., Sultan Alsaif

Electronic Theses and Dissertations

BACKGROUND: To respond to the constantly changing environment and developments of healthcare, leaders of healthcare organizations have been trying to introduce and implement transformations that allow their organizations to be able to operate effectively and efficiently to meet the shifts in healthcare demand and to deal with new patterns of health issues, comply with the new policies, and to enhance their present in the market. Thus, it is important for managers to determine the level of readiness for implementing organizational changes from to perspectives. These perspectives include organizational readiness for change and individual readiness for change. METHOD: This first manuscript …

Exploring Burnout And Work Engagement In The United States Refugee Resettlement Policy-Practice Domain: A Qualitatively Driven Mixed-Method Study., Eva X. Nyerges

Electronic Theses and Dissertations

Refugee resettlement workers are crucial actors within refugee resettlement, supporting newcomers’ acculturation into a new society. Little is known about the comprehensive range of organizational characteristics that impact workers’ experiences of burnout and work engagement. This qualitatively driven mixed-method study using Constructivist Grounded Theory analytic techniques aimed to develop a holistic understanding of the organizational elements influencing burnout and work engagement among refugee resettlement workers. Further, the study aimed to illuminate the mechanisms by which job demands and resources influence burnout and work engagement. In-depth qualitative interviews with 22 refugee resettlement workers operating in a southeastern state of the United …

Challenges In The Management Of The Kidney Allograft: From Decline To Failure: Conclusions From A Kidney Disease: Improving Global Outcomes (Kdigo) Controversies Conference, Michelle A Josephson, Yolanda Becker, Klemens Budde, Bertram L Kasiske, Bryce A Kiberd, Alexandre Loupy, Jolanta Małyszko, Roslyn B Mannon, Burkhard Tönshoff, Michael Cheung, Michel Jadoul, Wolfgang C Winkelmayer, Martin Zeier, For Conference Participants

Faculty, Staff and Students Publications

In March 2022, Kidney Disease: Improving Global Outcomes (KDIGO) held a virtual Controversies Conference to address the important but rarely examined phase during which the kidney transplant is failing or has failed. In addition to discussing the definition of a failing allograft, 4 broad areas were considered in the context of a declining functioning graft: prognosis and kidney failure trajectory; immunosuppression strategies; management of medical and psychological complications, and patient factors; and choice of kidney replacement therapy or supportive care following graft loss. Identifying and paying special attention to individuals with failing allografts was felt to be important in order …

Job Characteristics That Enrich Clinician-Educators’ Career: A Theory-Informed Exploratory Survey, M Hossein Tcharmtchi, Shelley Kumar, Jennifer Rama, Brian Rissmiller, Danny Castro, Satid Thammasitboon

Faculty, Staff and Students Publications

Clinician educators (CEs) play a vital role in helping academic institutions achieve the missions of patient care, education and research. The driving forces that motivate pediatric CEs in professional growth and personal satisfaction remain unexplored. An exploratory survey research to investigate the job characteristics and factors that motivate CEs to pursue professional growth with personal satisfaction. Using the Job Characteristics Model (JCM) as a framework, we developed a 22-item survey comprised of the JCM derived Job Diagnostic Survey, Global Job Satisfaction scales and demographics. We collected data from January 2020 to March 2020 from self-identified pediatric CEs (with and without …

Rehydration Rates And Outcomes In Overweight Children With Diabetic Ketoacidosis, Kathleen M Brown, Nicole S Glaser, Julie K Mcmanemy, Andrew Depiero, Lise E Nigrovic, Kimberly S Quayle, Michael J Stoner, Jeff E Schunk, Jennifer L Trainor, Leah Tzimenatos, Arleta Rewers, Sage R Myers, Maria Y Kwok, Simona Ghetti, T Charles Casper, Cody S Olsen, Nathan Kuppermann, Pediatric Emergency Care Applied Research Network Diabetic Ketoacidosis Fluid Study Group

Faculty, Staff and Students Publications

BACKGROUND AND OBJECTIVES: The Pediatric Emergency Care Applied Research Network Fluid Therapies Under Investigation in Diabetic Ketoacidosis (DKA) (FLUID) Trial found that rapid fluid infusion does not increase the risk of cerebral injury. Concern persists, however, whether fluid rates should be adjusted for overweight or obese patients. We used the FLUID Trial database to evaluate associations between fluid infusion rate and outcomes in these patients.

METHODS: We compared children and youth who were overweight, obese, or normal weight, in regard to protocol adherence, mental status changes, time to DKA resolution, and electrolyte abnormalities. We investigated associations between outcomes and the …

Machine Learning For Dynamic And Early Prediction Of Acute Kidney Injury After Cardiac Surgery, Christopher T Ryan, Zijian Zeng, Subhasis Chatterjee, Matthew J Wall, Marc R Moon, Joseph S Coselli, Todd K Rosengart, Meng Li, Ravi K Ghanta

Faculty, Staff and Students Publications

OBJECTIVE: Acute kidney injury after cardiac surgery increases morbidity and mortality. Diagnosis relies on oliguria or increased serum creatinine, which develop 48 to 72 hours after injury. We hypothesized machine learning incorporating preoperative, operative, and intensive care unit data could dynamically predict acute kidney injury before conventional identification.

METHODS: Cardiac surgery patients at a tertiary hospital (2008-2019) were identified using electronic medical records in the Medical Information Mart for Intensive Care IV database. Preoperative and intraoperative parameters included demographics, Charlson Comorbidity subcategories, and operative details. Intensive care unit data included hemodynamics, medications, fluid intake/output, and laboratory results. Kidney Disease: Improving …

Exposure To Agent Orange And Hepatocellular Carcinoma Among Us Military Personnel, Jihane N Benhammou, Mei Leng, Shailja C Shah, George Cholankeril, Tien S Dong, Arpan A Patel, Myron J Tong

Faculty, Staff and Students Publications

IMPORTANCE: Hepatocellular carcinoma (HCC) and its mortality are on the rise. Viral hepatitis and alcohol are leading risk factors; however, other risk factors among veterans are less defined, including Agent Orange (AO), an herbicide linked to several cancers.

OBJECTIVE: To assess the association of AO exposure and HCC in a national cohort of Vietnam veterans.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study included Vietnam veterans who served between 1966 and 1975, were male, were older than 18 years at the time of deployment, and had established follow-up in the Veterans Affairs (VA) between 2000 and 2019. Veterans with AO …

A Hybrid Cognitive Model For Machine Agents In Project And Action Teams, Joshua A. Lapso

Theses and Dissertations

High performing human teams transcend complex domain uncertainty by achieving an emergent state of shared cognition, in which knowledge is organized, represented, and distributed to team members for rapid execution. However, this requires that individuals emit perceivable qualities upon which other members can make inferences about intent. In pursuit of future human and machine team studies, this research presents a hybrid cognitive model for machine agents in fully cooperative and semi-cooperative action and project teams. The hybrid cognitive model unifies the characteristics of the shared mental model and transactive memory system. The resultant model facilitates anytime selection over the two …

Marss: Multi-Agent Reinforcement Learning For Satellite Swarms, Nicholas J. Yielding

Theses and Dissertations

Multi-agent systems and swarms in spacecraft formation flying are of ever-increasing importance in a contested space environment—use of multiple spacecraft to contribute to a cooperative mission potentially increases positive outcomes on orbit, while autonomy becomes an ever more important requirement to reduce reaction time in dynamic situations and lower the burden on space operators. This research explores difficult swarm Guidance Navigation and Control (GNC) scenarios using Deep Reinforcement Learning (DRL). DRL polices are trained to provide guidance inputs to agents in multi-agent swarm environments for completing complex, teamwork focused objectives in geosynchronous orbit. An example scenario is explored for a …

Foreword, The Honorable L. A. Harris Jr.

University of Richmond Law Review

“Your writing is so bad you will not be considered for Law Review and there is some question about your admittance to Law School.”

Life is strange and ironic. In 1974 as a second year law student at the T. C. Williams School of Law at the University of Richmond, I was invited to submit an article to determine if I would be permitted to serve on the Law Review. A member of the Law Review evaluated my article and met with me. In summation he said my writing was so bad that I would not be considered for Law …

The Current State Of Abortion Law In Virginia Leaves Victims Of Domestic And Sexual Violence Vulnerable To Abuse: Why Virginia Should Codify The Right To Abortion In The State Constitution†, Courtenay Schwartz

University of Richmond Law Review

All people must have access to safe and legal reproductive health care—especially victims of sexual and domestic violence who can and do become pregnant because of the violence they experience. This year, the United States Supreme Court overturned Roe v. Wade and Planned Parenthood of Southeastern Pennsylvania v. Casey in Dobbs v. Jackson Women’s Health Organization. In doing so, the Supreme Court held that the Constitution does not protect the right to an abortion. Though abortion access is currently protected in Virginia, this could change with each new General Assembly session. To guard against the danger that this poses to …

Legal Representation Of Parents In Child Dependency Cases In Virginia, Eric J. Reynolds

University of Richmond Law Review

Virginia’s current system of providing court-appointed legal counsel for parents involved in child dependency cases is unsustainable and inadequate, requiring swift and dramatic action from the state government. Inadequate legal representation for parents often leads to poor outcomes for children and a lack of protections for the parents’ due process rights. While attempts to improve the system have been made in recent years, they are often quickly dismissed. The largest hindrances in the current system, this Article suggests, is that court-appointed attorneys for parents are typically underpaid, undertrained, and consequently unable to meaningfully advocate for their client. Due to the …

Greater Socioenvironmental Risk Factors And Higher Chronic Pain Stage Are Associated With Thinner Bilateral Temporal Lobes, Lisa H Antoine, Burel R Goodin, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Previous research indicates ethnic/race group differences in pain and neurodegenerative diseases. Accounting for socioenvironmental factors reduces ethnic/race group differences in clinical and experimental pain. In the current study sample, we previously reported that in individuals with knee pain, ethnic/race group differences were observed in bilateral temporal lobe thickness, areas of the brain associated with risk for Alzheimer's disease, and related dementias. The purpose of the study was to determine if socioenvironmental factors reduce or account for previously observed ethnic/race group differences and explore if a combined effect of socioenvironmental risk and chronic pain severity on temporal lobe cortices is …

Constraints And Affordances For Uk Doctors‐In‐Training To Exercise Agency: A Dialogical Analysis, Karen Mattick, Anna Goulding, Daniele Carrieri, Nicola Brennan, Bryan Burford, Gillian Vance, Tim Dornan

Peninsula Medical School

Introduction The goal of medical education is to develop clinicians who have sufficient agency (capacity to act) to practise effectively in clinical workplaces and to learn from work throughout their careers. Little research has focused on experiences of organisational structures and the role of these in constraining or affording agency. The aim of this study was to identify priorities for organisational change, by identifying and analysing key moments of agency described by doctors-in-training. Methods This was a secondary qualitative analysis of data from a large national mixed methods research programme, which examined the work and wellbeing of UK doctors-in-training. Using …

Examining The Effects Of Mental Health Barriers On Black Undergraduate Students Attending Predominantly White Institutions, Patrice N. Storey

Graduate Theses and Dissertations

Black college students are experiencing mental health issues at an alarming rate. There is, however, a reluctance among Black college students to seek assistance. There is a stigma surrounding mental health. An individual with a mental illness is often stereotyped as weak, uncontrollable, or paralyzed by demons. Historical incidents such as slavery, the Tuskegee Experiment, Jim Crow, and the forced sterilization of Black women have led the Black community to distrust the medical system. The stigma embedded in the Black community is passed down from generation to generation. This literature review examines existing research on Black students and their perception …

Assessment Of Needs And Priorities For Precision Agriculture And Soil Testing In Arkansas, Solomon Frimpong

Graduate Theses and Dissertations

Optimum crop production is needed to meet the growing population's food, water, fiber, and energy needs. However, agricultural productivity is hampered by many destabilizing factors such as pest management challenges, declining water quantity, and climate change which threaten long-term food security. Maximizing productivity will require optimizing resources through Precision Agriculture (PA) by supplying inputs based on crop needs. Precision Agriculture offers tools that can be used to optimize crop management practices globally. However, stakeholders’ perceptions and the lack of data-driven site-specific recommendations limit stakeholders’ ability to fully harness the potential benefits of PA. Identification of stakeholder needs and approaches to …

A Simulated Qualitative Study Exploring Higher Education Faculty's Perceptions Of Factors That Influence Dynamic Decision-Making When Choosing Opportunities For Student Engagement In Asynchronous Online Courses, Leticia De La Garza

Graduate Theses and Dissertations

The purpose of this study was to explore higher education faculty’s perceptions of factors that influence dynamic decision-making when choosing opportunities for student engagement in asynchronous online courses. More specifically, this study sought to understand how faculty in higher education perceived these factors to prevent and facilitate dynamic decision-making when designing instructor presence, student-to-student collaboration, and student-to-academic content engagement opportunities in asynchronous online courses, as Garrison et al. (1999) suggest, for a community of inquiry. There has not been much focus on the dynamic decision-making of online instructors in higher education and a call to continue exploring factors that influence …

Social Media And Mental Health: The Public Health Impact And Future Policy Directives, Renae A. Merrill

Graduate Theses and Dissertations

The relationship between social media use among young people and the increasing concerns of mental health problems in the U.S. and globally is on systemic agendas. Furthermore, research on social media use and mental health indicate reasons to suspect a causal relationship, but more work needs to be done. Therefore, this three-article dissertation seeks to explore (1) associations between social media use, personality, and depression; (2) associations between social media emotional support, anxiety, and personality; and (3) the relationship between social media use and mental health using Deborah Stone’s causal stories framework. Findings from this study provide an improved understanding …

From The Arab World To The United States Of America: The Wellness Of Arab Graduate Women Studying In The U.S., Mariam Mostafa

Graduate Theses and Dissertations

The pursuit of higher education symbolizes a profound and transformative journey, particularly for international students who embark on the path of studying abroad. This dissertation undertakes an in-depth exploration of the well-being of Arab women pursuing their graduate studies in the United States (US), emphasizing four crucial dimensions of wellness: social, mental/emotional, physical, and financial well-being. Employing a qualitative research methodology, this study delves into the multifaceted experiences of this specific student population and investigates how these experiences impact them. Through a series of interviews and rigorous qualitative analysis, we illuminate the distinct challenges and opportunities that Arab graduate students …

Evaluating Garment Fit Perception For Pregnant Women During 1st, 2nd, Or 3rd Trimesters, Nelima Zipporah Barasa

Graduate Theses and Dissertations

During pregnancy, women experience diverse physical body changes as the pregnancy progresses through different periods. It has been noted that anthropometric changes occur during pregnancy in a non-linear manner and can be measured using 3D body scanners at various stages of pregnancy. The changes are diverse, and impact pregnant women's garment fit differently as the pregnancy progresses through each trimester. Pregnant women have experience in dressing their pre-pregnant bodies in stylish garments and would similarly want to dress fashionably when pregnant. This has led to the need for garments that can accommodate body changes comfortably and fashionably without losing the …

The 2023 Model Core Content Of Disaster Medicine, Bryan J Wexler, Carl Schultz, Paul D Biddinger, Gregory Ciottone, Angela Cornelius, Robert Fuller, Roxanna Lefort, Andrew Milsten, James Phillips, Ira Nemeth

Faculty, Staff and Students Publications

Introduction: Disaster Medicine (DM) is the clinical specialty whose expertise includes the care and management of patients and populations outside conventional care protocols. While traditional standards of care assume the availability of adequate resources, DM practitioners operate in situations where resources are not adequate, necessitating a modification in practice. While prior academic efforts have succeeded in developing a list of core disaster competencies for emergency medicine residency programs, international fellowships, and affiliated health care providers, no official standardized curriculum or consensus has yet been published to date for DM fellowship programs based in the United States.

Study objective: The objective …

Unveiling Identity: Exploring Afrofuturism In Ekow Nimako’S Contemporary African Diasporic Sculptural Art, Kandra James

Theses

Identity expressed within African diasporic arts has historically been connected to traditional genres such as portraiture. Over time, contemporary artists have explored identity through genres beyond portraiture and through the use of non-traditional materials. The sculptural practice of Ghanaian Canadian artist Ekow Nimako, a fine arts sculptor based in Toronto, Canada, employs the unconventional material of LEGO® to offer a multi-generational perspective into deep diasporic memory. Examining Nimako’s sculptures through the perspective of colonialism and de-colonialism, materiality, and Afrofuturism, this thesis investigates the artist’s exploration of Black historical pasts to shape identities and construct narratives of Black futures. The monumental …

Enhancing A Brand With The Introduction Of Merchandise And A Social Media Content Schedule, Rachel Imming

Theses

This project focuses on how to enhance a brand by incorporating merchandise for the brand and utilizing a social media content schedule to push out content consistently and uniformly. The primary beneficiary of this project is J.E.D.I. Brew Co, a small craft brewery out of Southern Illinois. The aim of the project is to study the important aspects of marketing and brand awareness, in order to help a brand better promote themselves. Ultimately, the project studies consumer engagement, advertising, experiential marketing, storytelling, and consumer behavior to help brands understand how these things affect and aid their business.

Using Retrieval Practice, Variability, And Spacing To Facilitate Understanding Of Complex Information, Rachel Peirce

Arts & Sciences Graduate Student Theses and Dissertations

Combining the learning strategies of retrieval practice and variability has been shown to be effective in student learning (Butler et al., 2017; Pan & Rickard, 2018), but the temporal structuring of these learning strategies (i.e., massing versus spacing of practice) may benefit or hinder learning. Study 1 investigated whether the benefits of variable retrieval practice relative to repeated retrieval practice that occurs with massed practice extends to spaced practice. Participants watched geology videos that contained a total of 12 concepts, and then either answered three questions or read three study points about each concept. Each of the three questions and …

Illinois State University, One Hundred And Sixty-Fourth Annual Commencement, December 2023, Illinois State University

Commencement Programs

Illinois State University
One Hundred and Sixty-Fourth Annual Commencement
December 2023

Genome-Wide Significant Risk Loci For Mood Disorders In The Old Order Amish Founder Population, Elizabeth M Humphries, Kwangmi Ahn, Rachel L Kember, Fabiana L Lopes, Evelina Mocci, Juan M Peralta, John Blangero, David C Glahn, Fernando S Goes, Peter P Zandi, Peter Kochunov, Cristopher Van Hout, Alan R Shuldiner, Toni I Pollin, Braxton D Mitchell, Maja Bucan, L Elliot Hong, Francis J Mcmahon, Seth A Ament

Faculty, Staff and Student Publications

Genome-wide association studies (GWAS) of mood disorders in large case-control cohorts have identified numerous risk loci, yet pathophysiological mechanisms remain elusive, primarily due to the very small effects of common variants. We sought to discover risk variants with larger effects by conducting a genome-wide association study of mood disorders in a founder population, the Old Order Amish (OOA, n = 1,672). Our analysis revealed four genome-wide significant risk loci, all of which were associated with >2-fold relative risk. Quantitative behavioral and neurocognitive assessments (n = 314) revealed effects of risk variants on sub-clinical depressive symptoms and information processing speed. Network …

Cortical Thickness Is Related To Variability In Heritage Bilingual Language Proficiency, My V H Nguyen, Kelly A Vaughn, Hannah Claussenius-Kalman, Pilar Archila-Suerte, Arturo E Hernandez

Faculty, Staff and Student Publications

Research suggests that bilingual experience is associated with gray matter changes, such that initial language gains are associated with expansion and language expertise is associated with renormalization. Previous studies on language proficiency development primarily focused on between-subjects, quasiexperimental comparisons of monolinguals and bilinguals. This study proposes a new paradigm to examine language expertise and cortical thickness within heritage bilinguals (