Digital Commons Network^™

Improving Hospital Discharge Readiness Among Caregivers Of Children With Complex Medical Needs, Megan M. Bruce

Graduate Theses, Dissertations, and Problem Reports (ETD)

Advancements in medicine and technologies have led to an increase in the population of children living with complex and chronic health conditions. Children with medical complexities (CMCs) and their caregivers frequently have challenges navigating home life after transitioning from hospital to home-based care. A 14-week doctoral capstone project was conducted at Dayton Children’s Hospital to improve caregiver readiness for hospital discharge. Project participants included caregivers of CMCs (n = 6) admitted to the hospital and pediatric acute care occupational therapists (n = 4). The Pediatric Readiness for Hospital Discharge Scale – Long Form (Peds-RHDS) was used as a pre-and post-intervention …

Microbiological Examination Of Yellow Mealworm (Tenebrio Molitor) Larvae Under Various Processing And Storage Conditions As Potential For Human Consumption, Rachel Midkiff

Graduate Theses, Dissertations, and Problem Reports (ETD)

Yellow mealworm (Tenebrio molitor) larvae have gained attention as a sustainable and nutritionally balanced food source, yet their high natural bacterial load raises food safety concerns. This study investigates the impact of pre-processing, processing, and storage conditions on microbial load and diversity in mealworms, comparing thermal (hot) and non-thermal (cold) treatments. These treatments include freeze-drying, wet heat treatments, dry heat treatments, and the combination of wet and dry heat treatments against untreated controls. Microbial loads were quantified by plate counts after day 0, day 10, and day 28 of vacuum-sealed refrigerated (4°C) storage. Water activity (Aw), pH, and moisture content …

Facilitating Independence: Developing A Hands-On Life Skills Program For Youth In Residential Treatment, Shayna Rexrode

Graduate Theses, Dissertations, and Problem Reports (ETD)

Life skills competency in adolescence can be an important predictor of success in adulthood. Educational and training programs focused on life skills can help youth develop the skills that they need to live independently. Though occupational therapy literature surrounding these types of programs is limited, occupational therapy practitioners are qualified to provide intervention in life skills based on the profession’s scope of practice.

This capstone project focused on the development and evaluation of a new life skills program, the Life Skills Practice Program, at a residential treatment facility for youth with substance use and behavioral diagnoses. Stakeholders at the facility …

Three Essays On Education And Health Economics, Kalvin Mudrow

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter explores the impact of online education on student outcomes by comparing students pre-2020 school closures to students post-2020 school closures. Using student-level panel data from a large U.S. school district spanning 2017-2023 and two outcome variables, reading tests and end-of-level exams, I estimate the effects on different demographic groups, the dynamics of these effects over time, and how these effects differ across students ages. I find a significant decline in student performance after the move to online learning, with additional adverse effects on students who are classified as low-income, female, special education, or ELL. Mechanisms contributing to …

Feasibility Of A Motor Skill Intervention For Adults With Intellectual Disabilities, Candace Brink

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract Feasibility of a Motor Skill Intervention for Adults with Intellectual Disabilities Candace Brink Adults with intellectual disabilities experience significantly lower levels of physical activity and a higher prevalence of obesity-related health conditions compared to neurotypical adults. Furthermore, motor competency has been identified as a barrier to physical activity participation amongst this population. Purpose: The purpose of this feasibility study was to evaluate the viability of implementing an adapted version of an evidence-based physical activity program originally developed for senior citizens, Silver Sneakers. This adapted program, Kicking Off Purple Sneakers, was designed to enhance motor competency and promote engagement in …

A Multiscale Ai Framework For Forest And Agriculture Health Monitoring: Drone-Based Object Recognition And Segmentation For Automated Ecological Assessment, Sruthi Keerthi Valicharla

Graduate Theses, Dissertations, and Problem Reports (ETD)

Forest and agricultural ecosystems are increasingly at risk due to invasive species, pests, and diseases, necessitating scalable, automated, and intelligent monitoring solutions. Traditional field based forest and agriculture health assessments are limited by cost, time, and spatial coverage. This dissertation presents a multiscale deep learning framework that automates forest and agriculture health monitoring using drone imagery and computer vision techniques. The system operates across three spatial levels: forest level, tree level, and leaf level, combining object detection, segmentation, and classification models to support large scale ecological assessment.

At the forest level, high-altitude drone imagery is processed using object detection and …

Impact Of Whey And Soy Protein Supplementation On Resistance Training In Young Adults: A Systematic Literature Review And Meta-Analysis, Brandon Eric Davis

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Whey protein is a popular supplement in sports nutrition. Soy protein is an alternative to whey protein, often marketed to individuals following a plant-based diet. Evaluating whey and soy protein supplementation's role in resistance exercise is essential for providing evidence-based nutrition guidance.

Objective: The study aim was to conduct a systematic literature review and meta-analysis on randomized control trials (RCTs) on the effectiveness of whey and soy protein supplementation on outcomes of lean body mass (LBM), squat, bench press, and plasma essential plasma amino acid (EAA) levels in young adult men and women.

Methods: The databases …

Comparison Of Compositional Characteristics Of Protein Extracted From Spent Hemp Seed Cakes By One-Step Defatting With Organic Solvents Followed By Isoelectric Solubilization Precipitation Using Strong And Weak Acids, Miah Nicole Gathman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Hemp seed cakes (HSC) are the byproduct of pressing hemp seeds for oil and are a significant agricultural waste product, with hundreds of tons produced annually. These nutrient-rich cakes have potential for sustainable applications in animal feed and food products. However, they could offer even greater value to the food industry through further extraction of the lipids and separation of the proteins they contain. Protein is a key nutritional component and companies are seeking cost-effective, time-efficient processes to concentrate protein from underutilized resources like HSC. Hexane (HEX) is a common solvent used in one-step defatting processes but may cause issue …

Do Demographics And Social Determinants Of Health Relate To Current And Anticipated Caregiving Roles?, Sarah Alison Bolling

Graduate Theses, Dissertations, and Problem Reports (ETD)

In 2021-22, approximately 37.1 million Americans provided care to family or friends who had an illness or disability (U.S. Bureau of Labor, 2024). These informal caregivers experience poorer mental health (Dahlrup et al., 2015) and physical health (Pinquart & Sorensen, 2003) influencing their overall well-being. Experiences in caregiving may differ across age, gender, race (Young et al., 2019). Given the effects of Social Determinants of Health (SDOH), such as financial stability, health care, and food resources (Duran & Perez-Stable, 2019), some adults may experience additional threats to health and quality of life before entering into the caregiver role. Little is …

The Characterization Of Il-27 Production And Its Impact On T Cell Antigen-Specificity And Diversity In A Neonatal Bcg Vaccination Model, Ashley M. Divens

Graduate Theses, Dissertations, and Problem Reports (ETD)

Tuberculosis (TB) is caused by Mycobacterium tuberculosis (Mtb), and it has plagued humans for most of recorded history. Despite strong efforts to prevent and treat TB, it remains the leading cause of death due to a pathogen and is most prevalent in certain regions of Asia and Africa. Currently, the only approved vaccine to prevent TB is the live-attenuated Bacillus Calmette-Guérin (BCG) vaccine. Most countries have a universal BCG vaccination policy, but the vaccine ultimately fails to be protective. The BCG vaccine is most effective in children and protects against disseminated TB, but protection wanes 10-15 years after vaccination causing …

Manualized Interventions For Individuals Experiencing Or At-Risk For Adverse Life Experiences, Sierra P. Mcnicol

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Occupational practitioners have a role in providing holistic and client-centered care to promote occupational performance, engagement, and satisfaction through occupations. Many individuals are impacted in the engagement of occupations secondary to adverse life experiences that have caused mental distress, difficulties in cognitive processing, limited social support, and disruptions in social determinants that have made accessing services complicated. Purpose: Due to the increased likelihood of individuals who have experienced adverse life experiences experiencing occupational distress and performance limitations, the capstone student aimed to develop an understanding of adverse life experiences, provide insight into the needs of the population, and develop …

Effectiveness Of A Cumulative Pediatric-Based Practical Examination At Increasing Student Perceived Competence And Confidence In Working With Pediatric Populations, Nicholas J. Passarelli

Graduate Theses, Dissertations, and Problem Reports (ETD)

Current literature highlights the importance of utilizing practical examinations and actual patients and covering vast pediatric content within occupational therapy curricula. The needs assessment conducted within The West Virginia University Division of Occupational Therapy revealed that the division currently employs all three of these factors within their curriculum, however a gap presented in the combination of these three factors together. This project aimed to diminish this gap through the development, implementation, and execution of a pediatric practical examination, utilizing actual pediatric patients, to determine whether the examination is effective in increasing student perceived competence and confidence in working with pediatric …

Providing Health Providers Best Practice Strategies When Working With The Deaf And Hard Of Hearing Population: A Continuing Education, Noah L. Epperson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Healthcare training has improved over the years. However, many healthcare providers are having a difficult time understanding the culture and the needs of the Deaf and Hard of Hearing (HOH) community. Continuing Education (CE) programs can be designed to improve cultural awareness to help close the gap by educating healthcare providers on the community’s culture, effective communication strategies, use of assistive technology, American Sign Language (ASL), and accommodations such as interpreters.

Purpose: The project aimed to develop a CE program that helped healthcare providers learn effective communication strategies, assistive devices, and accommodations for the Deaf and HOH community. Additionally, …

Creative Energies: Unearthing The Role Of Romantic Ecocriticism, Nicole Marie Chambers-Stahl

Graduate Theses, Dissertations, and Problem Reports (ETD)

The literary field of ecocriticism has transcended the boundaries of Academia: excited to connect to their physical environments, many of these scholars are focusing on genres like place-based writing, rhetoric of energy policy, and representations of the Earth in film and media. Interdisciplinary by nature, ecocriticism has demonstrated clear potential in its ability to intersect with concentrations like the history of science, animal studies, and environmental justice.

However, as the language around global crises is heating up —“Today it is scientists, not prophets,” writes Tobias Menely in “‘The Present Obfuscation,’” “who speak the language of apocalypse” (478)—ecocritical scholarship is at …

Five-Year Analysis Of Kiko Buck Growth Rate, Carcass Muscling And Parasite Resistance In A Feedlot Setting, Garrett Thomas Vaughan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Five-year analysis of Kiko buck growth rate, carcass muscling and parasite resistance in a feedlot environment

Garrett T. Vaughan

From 2018 to 2023, Kiko bucks born from January 1^st to March 15^th were performance tested at West Virginia University to evaluate growth rate, ultrasound carcass characteristics and parasite resistance under an artificial infection. Kiko bucks were submitted by producers from 17 different states and over 5 performance tests, 830 Kiko bucks were evaluated. Bucks were group housed and fed ad libitum with a 16% CP pellet containing soyhulls, serving as the dietary fiber component. Upon arrival, bucks were …

Biomechanics Of Teeth Alignment Using Clear Aligners With Various Attachment Shapes And Orientations, Egon Mamboleo

Graduate Theses, Dissertations, and Problem Reports (ETD)

Clear aligners have emerged as the most popular and preferred method of treatment for patients with orthodontic malocclusions. This is greatly due to the comfort and aesthetically appealing factors when compared to fixed appliances . Clear aligners are either thermoformed or 3D direct-printed plastics that apply biomechanical forces to the surface of teeth to trigger tooth movement and bone remodeling process. Common Class I malocclusions with mild or moderate crowding can be treated with clear aligners alone. However, treatment of Class II and Class III malocclusions that require extraction of permanent teeth or correction of severe rotations, and teeth extrusions …

A Comparative Study On The Accuracy And Reliability Of Artificial Intelligent Lateral Cephalogram Tracing Programs, Stuart Mills

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: To compare the accuracy and reliability of two commercially available Artificial Intelligent (AI) cephalogram tracing software programs to doctor traced cephalograms.

Materials and Methods: A sample of 100 pretreatment cephalograms were analyzed with AI based software programs, Angel Aligner iCeph and WebCeph, then compared to images traced by an orthodontist using Dolphin Imaging. Of the 100 samples, 50 were skeletally Class I and 50 were skeletally Class II. For each cephalogram produced, the American Board of Orthodontics 11 measurements were acquired from each of the three tracing programs. One way analysis of variance (ANOVA) followed by Tukey’s HSD test …

Microwave-Assisted Reduction Of Critical Metal Oxides From E-Waste Mixture, Kurundu Shavinka Jayasekera

Graduate Theses, Dissertations, and Problem Reports (ETD)

The efficient recovery of critical metals such as tantalum (Ta), manganese (Mn), gallium (Ga), and indium (In) from electronic waste (e-waste) is essential for resource sustainability and environmental protection. This research uses microwave-assisted treatment to investigate the carbothermal reduction of these four specific metals from their oxides in a simulated e-waste mixture, with carbon black serving as both a microwave coupling and reduction agent. Microwave processing is used specifically because it offers a rapid and energy-efficient alternative to conventional thermal methods, with the benefits of intrinsic heating and selective heating of materials. The first experiments centered on understanding the effects …

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 …