Digital Commons Network^™

No Sweeter Sound: Musicking, Transformative Pedagogy, And Collaborative Social Justice In Choral Settings, Natalie N. Shaffer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Choral music and its conductors occupy a tenuous space in the 21st century. In a new cultural atmosphere influenced by Gen Z’s expectation of welcomed diversity and intolerance for injustice, TikTok’s rapid global dissemination of information and entertainment, and society’s desire for authentic connection following the Covid-19 pandemic, the dichotomies present in choral music are no longer being glossed over. Difficult conversations about race, gender, ableism, social location, and other intersectional identifiers are at the forefront of academic writing and conference presentations. Evidence of transformative pedagogy and culturally responsive practices are beginning to appear in classroom syllabi and rehearsal techniques …

A Vegan Diet Compared To A Mediterranean Diet On Plasma/Serum Cholesterol Concentrations In Hypercholesterolemic Adults, Karina Bharat Patel

Graduate Theses, Dissertations, and Problem Reports (ETD)

Hypercholesterolemia, or atherosclerotic cholesterol, is characterized as elevated concentrations of total cholesterol (TC), low-density lipoprotein-cholesterol (LDL-C), and non-high-density lipoprotein-cholesterol (non-HDL-C). According to the Academy of Nutrition and Dietetics (AND), vegan diets have proven to be the most effective diets for improvement of heart disease risk factors. On the other hand, the American Heart Association (AHA) recommends the Mediterranean-style diet as a diet pattern for the prevention of heart disease, stroke, and reduction of risk factors, such as obesity, diabetes, hypercholesterolemia, and hypertension. Therefore, the current literature review uses a systematic approach to examine the effects of a vegan diet compared …

Consumer Experiences In The Secondhand Market: Finances, Frugality, Fashion, & Fun, Melissa Chasko Turner

Graduate Theses, Dissertations, and Problem Reports (ETD)

Secondhand apparel refers to clothing and accessories that have been previously owned, handed down, donated, or resold to others. They are a sustainable product because they are reused instead of being discarded into landfills. Consumer experience refers to the emotional and psychological responses individuals have during their interactions with products and services across all touchpoints. In the secondhand apparel market, consumer experience plays a significant role in product purchasing, and the unique aspects of retail entertainment serve as key motivators. Consumer-perceived risk refers to the uncertainty of adverse outcomes associated with purchasing a product. Purchasing secondhand apparel poses similar yet …

Xanthine Oxidoreductase, Uric Acid, And Iron Homeostasis: Discovering A Therapeutic Vulnerability In Breast Cancer, Matthew G. Chapa

Graduate Theses, Dissertations, and Problem Reports (ETD)

Breast cancer remains the most frequently diagnosed malignancy and the leading cause of cancer related deaths in women. This is primarily due to distant metastases, which highlight the necessity to understand factors that contribute to breast cancer progression. Emerging evidence associates decreased tumor xanthine oxidoreductase (XOR) expression with a poorer prognosis, increased recurrence, and a more aggressive phenotype. While healthy liver, intestines, kidneys, and breast tissue have robust XOR expression and activity, there is a tendency for this to be ablated in carcinogenesis. This dissertation investigates XOR's role in breast cancer and identifies its product, uric acid (UA), as possessing …

Implementation Of The Novel Nurse Intuition Patient Deterioration Scale To Assess For A Correlation Among Nurse Intuition And Patients Returning To The Intensive Care Unit, Janie L. Walsh

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: Adult hospitalized medical and surgical patients at an academic medical center are being transferred out of the Intensive Care Unit (ICU) to the step-down floor and having rapid response calls in less than 48 hours after the transfer. Nurse intuition is not a consideration in the decision to transfer a patient. Physiological variables such as Modified Early Warning Scores (MEWS) and vital signs are relied on heavily as indicators for escalation or de-escalation of care. There is evidence supporting the use of acknowledging nurse intuition to better predict a patient’s readiness for transitions of care.

Purpose: To evaluate the …

An Investigation Into Energy Consumption And V2g Potential Of An Electric School Bus Fleet, Rupesh Dahal

Graduate Theses, Dissertations, and Problem Reports (ETD)

The transition towards sustainable public transportation demands detailed evaluation of alternative fuel technologies. This thesis presents a comprehensive energy assessment and comparative analysis of diesel and electric school buses (ESBs) operating within the Monongalia County school district, its Vehicle-to-Grid (V2G) potential, and efficiency analysis of charging system. Utilizing real-world operational data collected from buses running identical routes, the study quantifies and compares their mileage specific energy consumption. The analysis reveals an average fuel economy of approximately 6.17 miles per gallon (MPG) for the conventional diesel school bus, contrasted with an average energy consumption rate of 0.46 miles per kilowatt-hour (miles/kWh) …

Three Chapters In International Macroeconomics: Navigating Risk, Development, And Policy With Emphasis On Low-Income Economies, Samantha Alexandre Borkhoche

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation explores how structural vulnerabilities and external shocks interact with economic policy tools in shaping development outcome. Each chapter addresses a distinct dimension of risk—environmental, macroeconomic, and political—and evaluates mechanisms through which these challenges can be mitigated or amplified. The focus on low-income economies ensures their unique vulnerabilities are integrated into the research question, addressing critical gaps in economic literature.

Chapter 1 addresses how the Sub-Saharan African regions can balance sustainability and development. It uses a time-series methodology to estimate the impact of trade in “green goods” on environmental outcomes. It finds that increases in the trade of environmentally-friendly …

Adolescent Attachment And Anxiety: Examining Implicit Emotion Beliefs And Emotion Regulation As Mediators, Jeanette Pool

Graduate Theses, Dissertations, and Problem Reports (ETD)

Anxiety is a growing issue in adolescents, with teens reporting worse and more severe symptoms in recent years (Kajastus et al., 2023; Solmi et al., 2022). There are several risk factors for developing anxiety symptoms, including cognitive, behavioral, and social factors. Effective emotion regulation (ER) has been shown to be helpful in decreasing anxiety symptom levels (Arbulu et al., 2023; Cho et al., 2019). A better understanding of precursors of ER could aid in prevention of anxiety. ER may stem from our personal beliefs about emotions (Ford et al., 2018; Schroder et al., 2015; Tamir et al., 2007) and to …

Identifying Factors Associated With Time To Diagnosis For Symptomatic Intestinal Malrotation In Pediatric Patients, Katie E. Corcoran

Graduate Theses, Dissertations, and Problem Reports (ETD)

Intestinal malrotation is a rare condition in which the intestines rotate improperly during embryonic development. Intestinal malrotation is typically diagnosed in pediatric patients with an upper gastrointestinal imaging (UGI) series. Longer time to diagnosis of intestinal malrotation increases the risk of mortality and severe morbidity. While the need for timely diagnosis is well-established in the literature, the correlates of time to diagnosis are largely unknown. The classic medical presentation for intestinal malrotation is an infant presenting with green bilious emesis. I hypothesize that time to diagnosis of intestinal malrotation will be longer in symptomatic pediatric patients when they present differently …

Exploring Relationships Among Higher Education Accreditation Outcomes, Credit Ratings, And Subsequent Institutional Responses: A Quantitative Study, Joshua Allen Hertlein

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examines the financial pressures facing colleges and universities, focusing on the impact of accreditation outcomes and bond credit ratings. Utilizing a quantitative approach, the study posits that adverse accreditation outcomes and credit rating downgrades can be anticipated by observable, measurable attributes at higher education institutions. Additionally, it explores institutional responses following these adverse events.

Data was collected from IPEDS, FSA, DAPIP, BLS, and Moody’s Investors Service, covering the period from 2012 to 2022. Logistic regression models estimated the odds of negative accreditation outcomes and credit rating downgrades based on predictor variables such as enrollment levels, expenses, revenue, financial …

Comparative Analysis Of Safety, Accuracy, Comprehensiveness, And Organization In Endodontic Patient Education Material: American Association Of Endodontics (Aae) Vs. Ai-Generated Content., Fabiola M. Salgado Reyes

Graduate Theses, Dissertations, and Problem Reports (ETD)

Comparative Analysis of Safety, Accuracy, Comprehensiveness, and Organization in Endodontic Patient Education Material: American Association of Endodontics (AAE) vs. AI-Generated Content. Fabiola Salgado Reyes, DMD Introduction: With patients increasingly using AI chatbots like ChatGPT4o and Copilot, it is essential to assess whether these tools can effectively support patient understanding of complex endodontic procedures. AI-generated responses may occasionally provide inaccurate, unsafe, disorganized, or content that is not comprehended. The purpose of this study is to examine if dental experts and patients can determine if patient education materials (PEMS) were 1) generated by AI; 2) medically safe; 3) accurate; 4) can be …

Improving Neuromuscular Blockade Surveillance In Anesthesia Care With Quantitative Train Of Four Monitoring, Carley S. Blair

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem Statement: Despite the availability of quantitative train of four (TOF) monitoring, anesthesia providers more frequently rely on tactile (qualitative) TOF monitoring, which is associated with underestimation of recovery from muscle relaxation. Inadequate recovery from muscle relaxants results in residual weakness and its associated complications in the postoperative period, including compromised respiratory function (Thilen et al., 2023).

Background: Neuromuscular blockade (NMB) drugs are required to facilitate endotracheal intubation and allow for surgical manipulation. When these drugs are used, train of four (TOF) stimulations are used to monitor and assess the depth and recovery from NMB. TwitchView monitors (quantitative monitoring) is …

An Initiative To Improve Sevoflurane Gas Flows Among Anesthesia Providers In An Academic Medical Center, Amy Dinicola

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

An Initiative to Improve Sevoflurane Gas Flows Among Anesthesia Providers in an

Academic Medical Center

Amy DiNicola

Background: While global warming has been introduced as the most significant public health threat of the 21st century, 10% of carbon emissions in the United States come from healthcare (Shoham et al., 2022). Sevoflurane is a volatile anesthetic gas that requires a carrier gas mixture of oxygen with air or nitrous oxide to reach a patient during anesthesia. The extra gas flow often exceeds physiologic needs, and the excess gets wasted into the atmosphere. Reducing the additional flow of carrier gas can …

Implementation Of An Evidenced Based Enteral Nutrition Protocol For Mechanically Ventilated Patients: A Quality Improvement Initiative, Hannah R. Nuzum

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Implementation of an Evidenced Based Enteral Nutrition Protocol for Mechanically Ventilated Patients: A Quality Improvement Initiative.

Hannah Nuzum

Background: Mechanically ventilated patients require supplemental nutrition as an important factor for their overall recovery. Malnutrition in hospitalized patients is reported as high as 35% (Ikram et al., 2022).

Purpose: Lack of an enteral nutrition (EN) protocol has contributed to variability in initiation of EN for post-intubated mechanically ventilated patients.

Intervention: The project interventions are threefold: the development of an EN protocol, EN initiated within 24 to 28 hours for post-intubation patients, and staff understands that EN should be initiated within …

Effects Of Physical Activity And Purpose In Life In Cognitive Aging, Farima Sadeghi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cognitive decline has become a growing public health concern with the increase in aging populations throughout the world. As Physical Activity has shown to be one of the key factors in maintaining and enhancing cognitive health in older adults, this study explores the psychological mechanisms that might underlie this relationship. Using data from the Midlife in the United States (MIDUS) study, the analyses examine whether Purpose in Life mediates the relationship between Physical Activity and both cognitive abilities—Episodic Memory and Executive Functioning, whether age strengthens this effect, and whether Physical Activity itself could act as a mediator. The results showed …

Do Dung Beetles Sink Or Swim: Exploring Dung Beetle Response To Precipitation, Lauren T. Cheshire

Graduate Theses, Dissertations, and Problem Reports (ETD)

Global climate change constitutes a major threat to biodiversity and ecosystem services of many taxa. The Mid-Atlantic region of the US is expecting to see an increase in extreme precipitation events and flooding. Dung beetles (Scarabaeinae) can tunnel below the soil surface allowing for water to dissipate into the soil rather than sit on the surface and add to flooding conditions. They also can decrease methane emission by burying dung and reduce outbreaks of pests that prefer the moist environment of dung. They contribute roughly $380 million in ecosystem services annually in the United States, yet their services may be …

Role Of Interpretation Bias Related To Pain In A Dental Setting, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Studies of interpretation bias related to pain have consistently shown that patients with pain are more likely to interpret ambiguous stimuli as related to pain than healthy control participants. This phenomenon is associated with pain and related outcomes, including depression, anxiety, and avoidance behaviors, suggesting a potential target in pain management. This study aimed to examine whether the association between interpretation bias, pain, and emotional status can be replicated in a dental care population. The relation of interpretation bias to pain experience was tested in a naturalistic anxiety and pain-provoking setting (i.e., root canal treatment, RCT). A total of 82 …

What Does It All Mean? Differences In Self-Defining Memories Between Community And Adjudicated Youth, Hannah Elias

Graduate Theses, Dissertations, and Problem Reports (ETD)

Identity development is driven in large part by self-defining memories, or memories though which we base our definition of who we are (Habermas & Bluck, 2000). In adolescence, cognitive skills are gained that allow us to make meaning, or learn lessons and gain insight, from self-defining memories (Bluck & Habermas, 2001; McLean & Thorne, 2003). To determine whether there are differences in their ability to make meaning from their self-defining memories, this study compares narratives of self-defining memories between community youth and adjudicated youth. Additionally, the ability to be specific in self-defining memory recollection may differ between these groups, which …

A Comparison Of Endodontic Root-End Filling Techniques: A Micro-Computed Tomography (Micro-Ct) Analysis Part Ii, Andrew M. Marra

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

A COMPARISON OF ENDODONTIC ROOT-END FILLING TECHNIQUES: A MICRO-COMPUTED TOMOGRAPHY ANALYSIS

Andrew Marra, D.D.S.

Introduction: Researchers have compared many endodontic root-end filling techniques for porosity, though few have used a micro-computed tomography analysis for comparisons. The purpose of this study was to evaluate total porosity volume of three different bio-ceramics filling materials with two techniques--hand compaction versus hand/ultrasonic compaction at an ultrasonic setting of 5% using Micro-CT Analysis.

Methods: Seventy-two human single canaled extracted teeth were selected for the study. All were subjected to orthograde endodontic treatment followed by root tip resection at 3-mm from the apex …

Increasing Preparedness For Malignant Hyperthermia Crises: An Evidence Based Quality Improvement Project, Elise Jozwiak

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: MH is a low frequency, but high risk potentially fatal genetic mutation if left untreated. A rural Pennsylvania Hospital was found to have an incidence rate of 12/4,033 MH related occurrences within the last 6 months. Delayed treatment of MH can result in increased mortality rates and poor patient outcomes.

Purpose: Given the rarity and high mortality rate without prompt treatment, implementation of a standardized cognitive aid to be kept on the Malignant Hyperthermia (MH) cart, coupled with operating room staff education on early recognition and treatment of malignant hyperthermia can assist in proper perioperative MH management steps for …

Does Education On Aseptic Non-Touch Technique Affect Nurse Knowledge On Aseptic Technique When Placing Ultrasound Guided Peripheral Intravenous Lines? A Quality Improvement Initiative, Hannah G. Keyser

Graduate Theses, Dissertations, and Problem Reports (ETD)

This Doctor of Nursing Practice (DNP) project attempted to increase nurse’s knowledge of aseptic technique when placing USG-PIVs in hospitalized adult patients after educational training on the Aseptic Non-Touch Technique Clinical Practice Framework (ANTT CPF). Implementation of the ANTT CPF in the cardiovascular intensive care unit (CVICU) at Ruby Memorial Hospital, as a didactic educational session for nurses already trained to place ultrasound-guided peripheral intravenous lines, was utilized for this DNP project. Pre- and post-surveys were employed to determine changes in knowledge scores as well as feelings of comfort and knowledge related to the CPF. Results remained stable for survey …

Nephrocheck Implementation And Its Impact On The Incidence Of Acute Kidney Injury After Coronary Artery Bypass Graft Surgery, Michael Maccourtney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

NephroCheck Implementation and its Impact on the Incidence of Acute Kidney Injury After Coronary Artery Bypass Graft Surgery

Michael C. MacCourtney

Problem Statement: Acute kidney injury occurs in up to 50% of patients after cardiac surgery (Meersche et al., 2017). This contributes to significant morbidity, mortality, and costs (Helgadottir et al., 2016). At the time of the project implementation, the standard of care involved measuring renal function utilizing serum creatinine (SCr) and urine output (UOP) without NephroCheck. These renal function labs do not represent a timely and accurate assessment of the patient’s current renal status because they do not …

No Man’S A Stone: A Qualitative Approach To Characterizing Masculinity In Older Adulthood, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

Suicide rates are exceedingly high in U.S. older men (aged 65 years and older). In 2020, older men were about 6.5 times more likely to die by suicide than older women and 1.14 times more likely than men aged 18 to 64 years. Masculine norms (e.g., emotional suppression, self-reliance, anger, physical toughness risk-taking behaviors, alcohol misuse) are believed to influence the presentation of mental disorders, such as depression, which has led to the conceptualization of masculine depression. Research on masculinity often focuses on the experiences of younger men, ignoring how gender identities may change as one progresses through adulthood. Meanwhile, …

Engineering Nanomaterials From Phase-Change Biological Materials Reacting With Carbon Dioxide, Qingyang Li

Graduate Theses, Dissertations, and Problem Reports (ETD)

The current global situation concerning CO2 emissions is increasingly alarming, with rising concentrations of CO2 significantly worsening climate change and global warming. Atmospheric CO2 levels are now at their highest in millions of years, driving a host of catastrophic effects, including but not limited to extreme weather events, rising sea levels, ocean acidification, disrupted ecosystems, deteriorating air quality, respiratory health issues, heat-related illnesses, threats to food and water security, and escalating social and geopolitical tensions. To keep global warming to no more than 1.5°C higher than that of pre-industry – as called for in the Paris Agreement – emissions need …

Development Of High-Performance Coaches And Burnout, Amy Cashin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Coach education is imperative, especially as coaching moves towards professionalization (Lara-Bercial, 2022). The literature has shown that high-performance coaches are closest to fitting the criteria of a profession (Lara-Bercial et al., 2022) while also being at risk of experiencing burnout due to the high level of stress faced within their job (Bentzen et al., 2014; Olusoga & Kenttä, 2016). The purpose of this study was twofold. First to have a more comprehensive understanding of Australian Athletics high-performance coaches’ wants and needs regarding coaching education as it pertains to coach wellbeing and burnout; and second, to have an in-depth exploration of …

Soft Epilogue, Chloe C. Firth

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written document is the accompanying thesis for my Master of Fine Arts Exhibition, Soft Epilogue. The work in the exhibition serves as a visual record of my eating disorder recovery process. Each piece in the exhibition addresses a selected writing prompt from the book 8 Keys to Recovery from an Eating Disorder, published in 2011 and written by therapists and former eating disorder patients Carolyn Costin and Gwen Schubert Grabb. The book provides information and journal assignments regarding the development of eating disorders, how to maintain the motivation to recover, and how to navigate the complicated emotions …

Numerical Investigation Of Pressurized Oxy-Combustion, Lei Li

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pressurized oxy-combustion (POC) is emerging as a promising and transformative technology for carbon capture, utilization, and storage, offering advantages of low cost, low emissions, and high efficiency. POC operates by burning pulverized coal at elevated pressures in a recycled flue gas environment, typically rich in O₂ and CO₂. This study presents a comprehensive numerical investigation into the fundamental behaviors of lab-scale POC reactors, using both two-dimensional (2D) Reynolds-Averaged Navier-Stokes (RANS) simulations and three-dimensional (3D) Large-Eddy Simulations (LES) with the commercial computational fluidized dynamics (CFD) software package ANSYS Fluent.

The primary focus of this work is to understand flame stabilization and …

A Limb-Speed-Driven Locomotor Control System And Its Ability To Adapt, Emily Marie Herrick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite how simple walking may seem, the locomotor control system is structurally and functionally complex. Its hierarchical organization of supraspinal and spinal networks with forward and feedback pathways has many interactions at multiple levels that are dependent on the dynamics of a high-dimensional musculoskeletal system. Having a comprehensive understanding of sensorimotor integration within a healthy locomotor control system is crucial for understanding changes to the system due to age or neurologic disease and developing effective technologies to recover mobility in those populations. In this dissertation, we address persistent gaps in knowledge pertaining to how the nervous system controls locomotion.

In …

The People Of The North: Influencer Histories And Miniaturization In Eleventh-Century Italy, Evan Anthony Simonetti

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Norman invasion of Italy in the eleventh century was a process that required political support and legitimacy for its leaders, the Hauteville dynasty. The members of this dynasty either commissioned or financed three individuals as they wrote three respective histories of the Norman conquest in order to accomplish this legitimation. In these sources, each author took inspiration from the classic works of history and poetry of the Greek and Roman world and applied symbolism and direction from their understanding of medieval Christian theology. In addition, these works catalogued examples of events, people, places, animals, and behavior as exotic objects …

Forensic Characterization And Comparison Of Modern Nail Polish Products By Their Physical Features And Chemical Composition, Madison Meredith Lindung

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nail polish can serve as valuable evidence in forensic investigations as it is often found on the hands and feet of individuals. Nail polish can break off and transfer easily during self-defense actions or forceful contact, such as in cases of kidnapping, sexual assault, or homicide. These residues can provide clues about who was at the scene, as well as where, when, and how the event evolved. However, compared to other types of paints commonly analyzed in forensic laboratories, limited forensic research has been conducted on the chemical composition and discrimination capabilities of popular nail products. The lack of information …