Digital Commons Network^™

The Relationship Between Relational Dynamics And Social Justice Identity Among Collegiate Student Athletes, Keon Stewart

Electronic Theses and Dissertations

Student athletes are positioned to utilize relationships with teammates, coaches, and communities to advocate for social change. According to the literature, their connections to these individuals and environments contribute to their expressed social justice related behaviors and even further enhance their social justice identity development. The current study was developed in an effort to identify the extent of relationships between student athletes and their social justice identity and other demographic factors that might impact their overall expression of social justice identity and behaviors. The study consisted of 133 (42 females, 91 males) current student athletes participating in competitive sports across …

The Effects Of High Intensity Isometric Contractions And Low Intensity Isometric Contractions With And Without Blood Flow Restriction On Blood Pressure And Discomfort, Robert William Spitz

Electronic Theses and Dissertations

Purpose: To investigate the effects of high intensity exercise and low intensity exercise with and without blood flow restriction on changes in blood pressure and discomfort.

Methods: 179 participants (18-35 years) were randomly assigned to one of four groups. The control group (CON, n=44) only completed the two testing sessions. The training groups completed only one of the following conditions: 1) 4 sets of a two-minute contractions at 30% maximal voluntary contraction (LI, n=47); 2) 4 sets of a two-minute contractions at 30% maximal voluntary contraction with a 12cm cuff inflated to 50% of arterial occlusion pressure (LI + BFR, …

The Efficacy Of Mental Health Stigma And Discrimination Reduction Initiatives Among Bipoc: A Meta-Analysis Of Outcome Studies, Janita M. Springfield

Electronic Theses and Dissertations

Objective: An under-utilization of mental health care services among BIPOC exists, and one of the leading drivers of this barrier is stigma. Given a plethora of research on reducing the stigma associated with mental health issues, the present meta-analysis aimed to investigate the effectiveness, or lack thereof, of SDR interventions among BIPOC. Method: The present meta-analysis was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to establish complete and accurate reporting of information. A systematic review yielded a total of seven articles meeting the predetermined inclusion criteria. Effect sizes were computed for all studies …

Medication Use And Adherence In Rheumatoid Arthritis, Jennifer Marie Toth Harris

Electronic Theses and Dissertations

Background/Objectives

Adherence can impact the effectiveness of tumor necrosis factor inhibitors (TNFis) in treating rheumatoid arthritis. If rheumatoid arthritis reaches the end-stage, joint replacement may be needed. Unplanned readmissions after joint replacement is a Medicare quality measure. The first objective of this study was to determine the optimal adherence threshold for TNFis in rheumatoid arthritis. Using that threshold and the traditional 0.8 threshold, the second objective was to find the relationship between adherence to TNFis and opioid use in rheumatoid arthritis. Finally, prediction of unplanned readmissions in patients who had a knee or hip arthroplasty was the final objective.

Methods …

Navigating To The Top: Career Success Experiences Of Black Women Senior Leaders In Higher Education, Gladys R. Peters

Electronic Theses and Dissertations

The career advancement for Black women in higher education is not the same as their counterparts. Gender equity practices fail to challenge homogenous professional communities limiting how race and gender influence leadership advancement for Black women career trajectories. Black women who occupy positions of institutional influence and authority as senior leaders have largely been overlooked in in higher education research. Using a qualitative exploratory approach, this multiple case study explored the lived experiences of 10 Black women presently working in senior leadership roles in four-year public institutions of higher learning. This study sought to contribute to a deeper understanding of …

The Presence And Prevalence Of Underqualified High School Science Teachers In Mississippi, Shelby Ann Watson

Electronic Theses and Dissertations

With growth in STEM postsecondary programs and careers positioned as a national priority, ensuring that K-12 science classrooms are staffed with highly qualified teachers is an important step towards building student interest in STEM and preparing students for STEM careers. However, previous studies of out-of-field teaching have indicated that schools and districts across the country are hiring large numbers of underqualified teachers to fill high-needs positions, such as secondary science and mathematics. Complicating the issue is the fact that data regarding teacher shortages, vacancies, and underqualified teaching are often incomplete or inaccessible. Prior studies have found that underqualified teaching is …

Development Of Metformin Hydrochloride Oral Taste-Masked Sprinkle Formulation For Pediatric Use, Hawra Alhusaini

Electronic Theses and Dissertations

The objective of this study was to develop a child-centered metformin hydrochloride (HCL) oral formulation by successfully masking its bitter taste and facilitating ease of administration. Hot-Melt Extrusion (HME) technology was used to extrude filaments containing metformin HCL with varying ratios of Eudragit® Polymers. Eudragit® E PO was used as a main excipient for its pH-dependency. Since it is only soluble in acidic pH up to pH 5.0, it would not release the drug in the saliva environment, which has a pH of approximately 6.8. Eudragit® RL PO and RS PO were added later on in order to further control …

Mechanisms And Consequences Of Competition Between Microstegium Vimineum And Native Plants And Their Relevance To Invasion Theory And Oak Woodland Restoration, Griffin L. Williams

Electronic Theses and Dissertations

Previous work has shown that ecological communities with high species diversity are resistant to invasion, but evidence is lacking in woodland restoration conditions with native groundcover and oak species for the competitively superior invader: Microstegium vimineum. I addressed the following questions: (1) Does diversity-mediated competitive resistance resist invasion by M. vimineum, and what is the competitive effect of M. vimineum on resident plant diversity? (2) How do aboveground and soil-mediated competitive effects of M. vimineum influence survival of two perennial forbs at two sites of different M. vimineum productivity? (3) Are there species differences in acorn supply and seed removal, …

Closing The Gap: Culturally Competent Consultations In Schools, Kimmely Mechelle Williams

PCOM Psychology Dissertations

Poor academic achievement among minority students has historically been identified as one of the most pressing challenges of public education (Dorvil, 2011). However, even before the Elementary and Secondary Education Act (ESEA) adoption, there has been a focus on what should be done to improve the academic achievement of the nation’s children. With each of its subsequent incarnations and legislative renaming, policymakers, educators, and researchers alike have sought to ensure that all children are afforded the opportunity to receive a high-quality education delivered by competent educators enabling them to reach predetermined but vaguely defined levels of proficiency. Despite best efforts, …

A New Acquisition Model For The Next Disaster: Overcoming Disaster Federalism Issues Through Effective Utilization Of The Strategic National Stockpile, Robert B. Handfield, Andrea S. Potrucco, Zhaohui Wu, Christopher R. Yukins, Tanner Slaughter

GW Law Faculty Publications & Other Works

Using primary data collected from interviews with federal and state government officials and secondary data related to PPE distribution and state healthcare statistics, we discovered evidence that the use of the Strategic National Stockpile (SNS) to distribute personal protective equipment to state and local agencies in need during the height of COVID-19 was indeed poorly designed to cope with the COVID-19 emergency, leaving many states with shortages of badly needed medical supplies. As a result, many states struggled to organize an uncoordinated procurement response – which we suggest is due to federalism issues. To overcome federalism challenges and increase future …

The Ncaa's Punts On Transgender Student-Athlete Participation, Josh Lens

Missouri Law Review

The National Collegiate Athletic Association (“NCAA”), which serves as college athletics’s national governing body, states that its basic purposes include supporting and promoting healthy and safe college athletics. It accomplishes this through its stated principles, which include conducting athletics designed to protect, support, and enhance student-athletes’ physical and mental health and its commitment to diversity, equity, and inclusion. These are tall tasks, as half a million student-athletes compete in NCAA-sponsored sports. The NCAA also enjoys a history of taking strong stances on perceived discrimination. More specifically, the NCAA has used its economic influence to effect changes to state legislation or …

The Carceral Home, Kate Weisburd

GW Law Faculty Publications & Other Works

In virtually all areas of law, the home is the ultimate constitutionally protected area, at least in theory. In practice, a range of modern institutions that target private life—from public housing to child welfare—have turned the home into a routinely surveilled space. Indeed, for the 4.5 million people on criminal court supervision, their home is their prison, or what I call a “carceral home.” Often in the name of decarceration, prison walls are replaced with restrictive rules that govern every aspect of private life and invasive surveillance technology that continuously records intimate information. While prisons have always been treated in …

Implementing A Mobile Saliva Rinse Screening For P16 Markers For Hpv (Human Papillomavirus) Positive Head And Neck Cancers In Central Kentucky, Madeline Brown

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Rates of HPV-related head and neck cancers are increasing across the nation and more specifically, there has been a significant increase in the state of Kentucky. This study focuses on the implementation of a mobile clinic saliva-rinse screening program. This program will be set up at UK Athletics Men's basketball and football games in hopes of recruiting middle aged men ages 45-60, who are the target audience of the study. This is the population with highest prevalence for HPV positive head and neck cancers and also the population least likely to visit their health providers regularly. A quick saliva rinse …

Changes In Severity Of Diabetes At Diagnosis Following The Onset Of The Sars-Cov-2 Pandemic, Annelise King

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

During the SARS-CoV-2 pandemic it was seen that diabetes was a risk factor for severe COVID-19. The objective of this study is to assess the severity of diabetes at diagnosis during the COVID-19 pandemic compared to pre-pandemic to see how the pandemic and SARS-CoV-2 infection impacted the severity of diabetes. This study used University of Kentucky electronic health records of 13,794 patients who developed diabetes. The majority of patients were female, white non-Hispanic, 65+, and living in an urban area. There were differences seen between the COVID-19 positive and negative cohorts in the DKA and HbA₁c variables, with …

Effect Of Medicaid Expansion On Inflammatory Bowel Disease And Healthcare Utilization, Brittany Levy

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Inflammatory bowel disease (IBD) affects over 3 million adults in America, relaying a

need for chronic disease management. Along with 24 other states, Kentucky expanded the

Medicaid program January 1, 2014. We hypothesize, Medicaid expansion adoption results in

reduced emergency healthcare services, and increased elective healthcare services with a

reduction in overall healthcare utilization by individuals in the adult IBD population.

The Hospital Inpatient Discharge and Outpatient Services Database identify encounters

related to ulcerative colitis or Crohn’s disease from 2009-2020, in Kentucky. Patient

demographics, admission type, discharge, length of stay, and hospital charges were compared.

3386 pre-expansion and 24255 post …

Retrospective Analysis Of Non-Ketotic Hyperglycinemia Patients In Central And Eastern Kentucky, Shane Reeves

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Aim: To obtain a better understanding of the non-ketotic hyperglycinemia (NKH) patient population in regards to clinical features, mortality, geographic clustering, genetics, and incidence rate within the University of Kentucky (UK) catchment area of Central and Eastern Kentucky.

Methods: Patients with ICD codes corresponding to NKH who were treated at UK between January 1, 2008, and July 1, 2022, and who had clinical documentation available for review were identified through UK’s medical records (N=15). Demographic and clinical data were obtained through review of these patient’s charts in the electronic medical record. Differences in features among patients was assessed utilizing Fisher …

Blue Oval Sk Battery Park Environmental Impact And Community Guide, Warren Rummage

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

This Capstone Project Paper will discuss the potential effects of the BlueOval SK Battery Park being constructed in Glendale, Kentucky based on knowledge attained from open records requests and available publicly online. Based on the process of attaining said information, a Community Guide has been generated and is available to distribute to concerned community members. It is the hope that this work will enable those in Hardin County, and possibly beyond, to ensure their environment and community health are prioritized during the construction phase and eventual operation of the EV-battery manufacturing faciliities on this massive 1,500 acre plot of land.

Community Pharmacy Provision Of Extended-Release Injectable Naltrexone In Kentucky: Perspective Of People Who Use Opioids, Anye Wamucho

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Aim: To identify demographic, socio-economic, and other factors associated with likelihood of obtaining extended-release injectable naltrexone (EIN) if provided in a private space at a local pharmacy among people who use opioids (PWUO) in rural Appalachian Kentucky.

Methods: People who used opioids in the past 6 months in rural Appalachian Kentucky (n=170) completed interviewer-administered questionnaires eliciting demographic, socio-economic, and other characteristics. Participants were also asked about whether they will be more likely to obtain EIN if provided in a private space at a local pharmacy. Factors associated with increased likelihood to obtain pharmacy-provided EIN were assessed using unadjusted univariate and …

Enhanced Human Periodontal Ligament Stem Cell Viability And Osteogenic Differentiation On Two Implant Materials: An Experimental In Vitro Study, Engy Adel Ahmed Farag, Sara Fikry Dr, Shereen N. Raafat

Dentistry

Background: Surface roughness of dental implants impacts the survival of adult periodontal stem cells and rate of differentiation. This research was conducted to test how human periodontal ligament stem cells behaved on yttria stabilized tetragonal zirconia polycrystals and polyetheretherketone (PEEK) discs with different surface topographies.

Methods: Discs roughening was prepared by sandblasting. Stem cells were cultivated on zirconia discs with a polished surface, polyetheretherketone (PEEK) discs with a polished surface, sandblasted zirconia discs and sandblasted polyetheretherketone (PEEK) discs. Cells viability was assessed after 24, 48, 72 hours. Scanning electron microscopy was used to examine the adherence and attachment of cells. …

Comorbidity Of Hypertension And Chronic Renal Failure And Their Impact On Oral Complications: A Cross-Sectional Study., Dalia Ghalwash, Sara Abdelwahed, Asmaa Abobakr

Dentistry

The present study aimed to investigate the influence of both end-stage renal diseases (ESRD) and hypertension (HTN) on the various oral manifestations and periodontal condition, to evaluate and compare the oral manifestations and periodontal health status in hypertensive patients with ESRD versus control, and to explore any possible correlation of the oral findings with systemic disease status. This was a cross-sectional study which included two equal groups of patients, Group I were hypertensive patients with ESRD and Group II were hypertensive patients only. All patients were hypertensive and were on antihypertensive medications. Regarding the incidence of oral lesions in both …

Effect Of Overlay Material Type And Design On Fracture Resistance Of Mod Cavities In Molars. (In-Vitro Study), Sara Adel Botros, Mohamed Fouad Haridy, Shaimaa Gad

Dentistry

Objective: To evaluate the influence of restoration material type (CAD/CAM lithium disilicate blocks and reinforced composite blocks) and restoration design on fracture resistance of molars with MOD cavities. Methods and Materials: A total of 54 sound human molars were divided into 2 groups (n=9) according to: 1) material type: lithium disilicate CAD/CAM blocks and reinforced composite CAD/CAM blocks; 2) restoration design: overlay with intra-coronal extension or without intra-coronal extension. Additional 18 samples were assigned to positive control group (sound molars, n=9) and negative control group (unrestored MOD cavities, n=9). Standardized MOD cavities were prepared with occlusal width 3 mm, cavity …

Effect Of Overlay Material Type And Design On Fracture Resistance Of Mod Cavities In Molars.(In-Vitro Study), Mohamed Fouad Haridy, Shimaa Adel Gad, Sarah Adel Botros

Dentistry

No abstract provided.

Gambling On Growth: An Analysis Of The Early Impact Of Historical Horse Racing On Kentucky’S Thoroughbred Industry, Barrett W. Kerr

Theses and Dissertations--Agricultural Economics

With a continuous decline in on-track wagering on Thoroughbred racing, racetrack operators are exploring alternative revenue sources to fund purses and create better quality racing. Historical Horse Racing (HHR), which represents one of the most recent advancements in parimutuel wagering, has become a popular system used by many states to offset the live wagering decline. Proponents of HHR suggest that this alternative wagering option will benefit the live racing industry. Using data from Kentucky racetracks from 2002 – 2021, this study examines the relationship between HHR wagering and key industry metrics, such as purses, on-track wagering, sales prices, and foal …

Evaluation Of The Effect Of Platelet-Rich Plasma Versus Platelet-Rich Fibrin On The Rate Of Tooth Movement Duringa Lignment Of Mandibular Anterior Crowding, Noha Ibrahim Abdelrahman Professor

Dentistry

Aim: To evaluate the efficiency of Platelet Rich Plasma vs. Platelet Rich Fibrin on overall leveling and alignment time of mandibular anterior crowding. Subjects and methods: Thirty-six females (18-25 years) with mandibular anterior crowding were randomly allocated into PRP, PRF, or control groups. The first molars on the right and left sides of the mandible were banded or bonded with Roth prescription tube. Mandibular teeth Second premolar to the second premolar were bonded using 0.022-inch pre-adjusted edgewise mini diamond brackets with Roth prescription. Immediately after bonding of the brackets, the initial wire used, the wire sequence was 0.014 Cu-Ni followed …

Effect Of Proximal Caries-Driven Access On The Biomechanical Behavior Of Endodontically Treated Maxillary Premolars, Engy M. Kataia

Dentistry

Introduction: This study investigated the effects from the carious cavity and access from it on the fracture resistance of endodontically treated maxillary premolars using finite element analysis (FEA). Methods: A maxillary premolar was used to compare three types of access cavity related to having a proximal carious defect: Caries-driven access (CDA), Conservative access that has a mesial component (MCA) as well as traditional access with the same mesial component (MTA). Cyclic loading was simulated on the occlusal surface and number of cycles till failure (NCF) was compared to the intact tooth model (IT). Mathematical analysis was done to evaluate the …

Optimum Shaping Parameters Of The Middle Mesial Canal In Mandibular First Molars: A Finite Element Analysis Study, Nawar Nawar, Mostafa M.A. Elkholy, William Nguyen Ha, Henry Cheol Kim, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

No abstract provided.

The Impact Of Gender Minority Stress On Eating Pathology And Body Checking Behaviors In Transgender And Non-Binary Adults, Klaudia Bialy

PCOM Psychology Dissertations

Transgender and gender non-binary (TNB) individuals commonly report diminished mental health when compared to cisgender individuals. TNB individuals experience unique stressors due to their gender identity such as gender-based discrimination and victimization, internalized transphobia, and non-affirmation of their gender. Due to these unique stressors, TNB individuals experience elevated rates of psychological distress such as anxiety, depression, and suicidality. Additionally, TNB individuals report body image issues and disordered eating. This study examined if gender minority stress predicts the relationship between body checking behaviors and eating pathology amongst TNB individuals. Simple linear regression models were used to assess the possible impact gender …

Role-Reversibility, Ai, And Equitable Justice — Or: Why Mercy Cannot Be Automated, Kiel Brennan-Marquez

Faculty Articles and Papers

A few years ago, we developed the concept of "role-reversibility" in Al governance: the idea that it matters whether a party exercising judgment is reciprocally vulnerable to the effects of judgment. This idea, we argued, supplies a deontic reason to maintain certain spheres of human judgment even if (or when) truly intelligent machines become demonstrably superior in every utilitarian sense. While computer science remains far from that holy grail, generative AI is raging through systems as diverse as healthcare, finance, advertising, law, and academe, making it imperative to further shore up our claim. We do so by situating role-reversibility within …

In Loco Reipublicae, Anne C. Dailey

Faculty Articles and Papers

. The Supreme Court has long held that children enjoy a range of constitutional rights and has emphasized the critical importance of many of these rights to children's development as democratic citizens. At the same time, the Court has been resolute in its protection of parents' near-absolute authority to control the upbringing of children. Indeed, the Supreme Court's steadfast commitment to broad parental rights under the Due Process Clause effectively diminishes, if not outright nullifies, the Court's stated protections for children as rights-bearing citizens. The stakes for children have only heightened as parents increasingly seek to exercise their authority to …

Biomass And Productivity Of Thalassia Testudinum In Estuaries Of The Florida Panhandle, Laura A. Yarbro, Paul R. Carlson, Ken L. Heck, Dorothy Byron, Sandra Brooke, Linda Fitzhugh, Sheila Scolaro, Barbara Albrecht, Rachel Presley, Jane M. Caffrey

Gulf and Caribbean Research

Thalassia testudinum often dominates seagrass meadows of the Florida panhandle but few measurements of productivity, biomass, density, turnover or leaf area index in this region have been made. We targeted 5 estuaries located at similar latitudes, 30⁰ ± 0.3⁰N: Big Lagoon, Santa Rosa Sound, St. Andrew Bay, St. Joseph Bay, and St. George Sound. This study was one component of a collaborative partnership of state and local researchers examining factors preventing recovery in panhandle estuarine areas that had historically contained seagrass in the 1940s and 1950s. Measurements were made twice in 2016, once in June and then again in summer …