Digital Commons Network^™

Implementing Adult Waist Circumference Measurements In Primary Care, Terryl Lynn Johnson

Nursing

Overweight and obesity negatively affect multiple acute and chronic disease conditions (USDHHS & ODPHP, n.d.). Two of the most valid and reliable measurements of overweight and obesity are body mass index (BMI) and waist circumference (WC) (NHLBI, n.d.). Despite evidence that waist circumference measurement (WCM) can aid in stratifying risk, the predominant measurement of obesity is BMI alone (Ross et al., 2020). The purpose of the practice improvement project involved creating a workflow to measure adult WC at wellness visits, increase the frequency of adult WCM, and documentation of WCM in the electronic health record (EHR). The project included increasing …

Influenza Vaccination Rates In Primary Care, Kara Kreft

Nursing

Influenza is a common and highly contagious upper respiratory illness that affects an average of 8% of Americans each season. The flu was associated with 18 million medical visits, 400,000 hospitalizations, and 22,000 deaths during the 2019-2020 flu season in the United States (US). The best protection from the flu is to receive an annual vaccination. However, only 56.5% of North Dakotans received a flu vaccine for the 2019-2020 season, well below the Healthy People 2030 goal of 70%. Suboptimal vaccination rates, along with increasing vaccine hesitancy and misinformation associated with the COVID-19 pandemic, make efforts in improving vaccine uptake …

Advance Care Planning And Advance Directives: Implementing Online Education For Healthcare Providers, Hannah Murphy

Nursing

Advance directives (ADs) summarize goals or preferences for future care regarding life-sustaining treatment and designates a surrogate decision-maker in the event a patient is unable to make healthcare decisions. These legal documents are especially important for providing patient autonomy and allowing people to communicate their medical care preferences to family, friends, and healthcare professionals. Two thirds of Americans have not completed an advance directive and 70% of Americans (more than 1.7 million) die of chronic diseases. Benefits of ADs include: autonomy during end-of-life, honored preferences, enhanced quality of medical decisions, less emotional distress, and even a decrease in healthcare costs. …

A Self-Help Intervention For Caregivers Of People Diagnosed With An Eating Disorder, Steven Lin Condon

Nursing

The purpose of this evidence-based practice project was to support caregivers of patients with eating disorders by delivering an evidence-based intervention designed to decrease caregiving burden and illness maintaining behaviors at a regional eating disorder and weight management center (EDWMC). Based on the Cognitive Interpersonal Maintenance Model, the intervention developed by Treasure and colleagues (2006) was shown to improve caregivers’ sense of self-efficacy, interaction with their loved ones, and their loved ones’ outcomes. After receiving the training materials, caregivers of previous studies reported decreases in caregiving burden and illness maintaining behaviors. Furthermore, patients with caregivers who received the intervention also …

Machine Learning Approaches To Improve Prediction In Health Care, Sadaf Kabir

Graduate Theses, Dissertations, and Problem Reports (ETD)

The availability of data and advanced data analysis tools in the health care domain provide great opportunities for the discovery of unknown or hidden patterns in clinical data. However, medical data is often incomplete and has poor quality, e.g., it contains missing values or too many unnecessary features. Majority of these issues are induced by uncertainty in clinical trials and examinations, such as human error, patients’ withdrawal during studies, malfunctioning of data collection equipment, and are generally inevitable. Properly addressing these issues can lead to the development of precise predictive models and consequently more reliable clinical decision making. Accurate predictive …

Three Essays On Information Asymmetry Across Heterogenous Agents, Shenru Li

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis models and explores agents’ decisions in reaction to events that serves to increse the heterogeneity among agents. The analysis is conducted on three aspects of financial economics. In chapter 2, we empirically examine how trading by peers on a new platform influences others’ adoption decision. We model the adoption process and find the relationship to be U-shaped, with first movers greatly discouraging their peers from adoption, while late movers slightly discouraging or encouraging their peers.

In chapter 3, we investigate how managerial incentives influence corporate social responsibility (CSR). We examine the staggered adoption of corporate opportunity waiver laws …

Modeling, Simulation, And Hardware-In-The-Loop Implementation Of Distributed Voltage Control In Power Systems With Renewable Energy Sources, Ali Dehghan Banadaki

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation develops and analyzes distributed controllers for power systems with renewable energy sources. A comprehensive state space modeling of voltage source inverters (VSIs) is developed specifically to address the secondary voltage control. This model can be used for simulation and control design. Unlike frequency, voltage is a local phenomenon, meaning that it cannot be controlled from a far distance. Therefore, a voltage zoning matrix that relates the sensitivity of the loads to the sources is proposed. The secondary voltage control is designed by applying the eigenvalue decomposition of the voltage zoning matrix to obtain the reference generators voltages. The …

Bitter Sweet, Hanna M. Kesty

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written document is the accompanying thesis for my Master of Fine Arts Exhibition, Bitter Sweet. The exhibition featured traditional framed prints with sculptural accents that reveal brutally honest negative personal experiences, interactions, and emotions, paired with delicately cute aesthetics. My work embodies the necessity of personal artistic expression to process years of emotional repression. The prints and sculptures in the exhibition focus around a collection of insults and harsh comments coupled with feelings of loneliness and isolation. I allow personal vulnerability to show, to reinforce that these moments have molded and shaped who I am and will continue to …

Vacant To Vibrant: Transforming Vacant Lots In North Philadelphia, Olivia Anne Sinclair

Graduate Theses, Dissertations, and Problem Reports (ETD)

The City of Philadelphia has addressed the need to utilize vacant lots in the city’s comprehensive planning document, Philadelphia2035 (PCPC, 2010). The document encourages designers to use sustainable practices to reincorporate these abandoned lots back into the fabric of the city. Through partnerships with local organizations in Philadelphia, guidelines and suggestions were created to guide Philadelphians while they revive abandoned lot spaces. In the neighborhood of Nicetown-Tioga, Philadelphia, there is a large amount of vacant lots leaving the area blighted and without resilience. This study accepts Philadelphia’s invitation to use design strategies to be applied to vacant lots within the …

Do Different Learning Environments Influence Graduate Students’ Professional Communication?, Lacey M. Beam

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: The purpose of this study was to investigate the impact of two educational environments (jigsaw learning activity and standardized patient encounters) on speech-language pathology students’ professional communication when assessing and treating a voice disorder case study. Jigsaw activities are cooperative learning experiences that provide students opportunities to learn from one another. Studies have shown that students have improvements in learning new material, self-confidence, and communication skills (Wong & Driscoll, 2008; Asif et al., 2021). A standardized patient encounter provides a real-life clinical experience for students. There has been a mixed response to students improving their communication skills through …

Knowledge And Training In Language Sample Analysis Of Us Speech-Language Pathology Graduate Students, Allegra Cornaglia

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: Speech-language pathologists (SLPs) play an integral role in identification and treatment of developmental language disorders (DLD). Best practices include the use of language sample analysis (LSA) as part of a comprehensive evaluation. However, LSA requires a specific set of foundational morphological and syntactic knowledge. Previous studies have shown a knowledge gap for both SLPs and SLP graduate students for other areas of morphosyntax and phonology. This study examined the language analysis skills of current SLP graduate students on a test of Mean Length of Utterance (MLU) analysis and Clausal Density (CD) and whether there were possible factors associated with …

Needs Assessment Of Diabetes Self-Management Education And Support Within West Virginia From Provider Viewpoints, Kasey M. Yost

Graduate Theses, Dissertations, and Problem Reports (ETD)

Diabetes is a chronic health condition that affects millions of Americans. It can have significant, lasting effects on an individual’s mental and physical wellbeing, especially when it goes unmanaged or untreated. Diabetes has been a growing problem in West Virginia (WV), which has the highest adult rate of diabetes at 15.7% in the US. Furthermore, WV has the highest mortality rate associated with diabetes at 36.2%. An effective method of management is through diabetes self-management education and support (DSMES). DSMES is a critical component of care for all individuals with diabetes. It is defined as the ongoing process of facilitating …

Care To Walk In My Shoes? Repairing Trust After Violations Of Benevolence, Luke Aaron Langlinais

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examines how perceived perspective taking relates to trust repair, specifically in the context of a benevolence-based violation. I draw on perspective taking theory, attribution theory, and the integrative model of organizational trust to explore a model of interpersonal trust repair. The extant literature on trust repair primarily focuses on violations of ability and integrity, leaving the third dimension of trustworthiness, benevolence, largely unexplored. Yet, research suggests as many as 96% of workplace employees have been victims of benevolence-based offenses, such as disrespect, condescension, or degradation. The present research expands the theoretical bounds of the extant trust repair literature …

The Effects Of Script Therapy In A Patient With Old Chronic Aphasia, Busra Ensar

Graduate Theses, Dissertations, and Problem Reports (ETD)

There are some gaps in the literature regarding the efficacy of script therapy in patients with chronic aphasia, particularly chronic aphasia that lasts for several years post-onset, in terms of treatments to improve functional communication during daily activities. This study investigates the relationship between script therapy and communication effectiveness and communicative efficiency. In this context, communication effectiveness was measured by the percent script correct, and communicative efficiency was measured by the total duration to produce the script and the mean duration of pauses at the beginning of sentences.

The efficacy of intensive script training on discourse effectiveness and efficiency was …

Efficacy Of Reported Issue Times As A Means For Effort Estimation, Paul Phillip Maclean

Graduate Theses, Dissertations, and Problem Reports (ETD)

Software effort is a measure of manpower dedicated to developing and maintaining and software. Effort estimation can help project managers monitor their software, teams, and timelines. Conversely, improper effort estimation can result in budget overruns, delays, lost contracts, and accumulated Technical Debt (TD). Issue Tracking Systems (ITS) have become mainstream project management tools, with over 65,000 companies using Jira alone. ITS are an untapped resource for issue resolution effort research. Related work investigates issue effort for specific issue types, usually Bugs or similar. They model their developer-documented issue resolution times using features from the issues themselves. This thesis explores a …

Inferential Statistics And Information Theoretical Measures: An Approach To Interference Detection In Radio Astronomy, Morgan R. Dameron

Graduate Theses, Dissertations, and Problem Reports (ETD)

In a time when technology is rapidly growing, radio observatories are now able to expand their computational power to achieve higher receiver sensitivity power and a more flexible realtime computing approach to probe the universe for its composition and study new astronomical phenomena. This allows searches to go deeper into the universe, and results in the recording of massive quantities of observed data. At the same time, this increases the amount of radio frequency interference (RFI) found in the obtained observatory data. The high power of RFI easily masks the low power of extraterrestrial signals, making them hard to detect …

Development Of Computational Methods For Electronic Structural Characterization Of Strongly Correlated Materials: From Different Ab-Initio Perspectives, Uthpala K. Herath

Graduate Theses, Dissertations, and Problem Reports (ETD)

The electronic correlations in materials drive a variety of fascinating phenomena from magnetism to metal-to-insulator transitions (MIT), which are due to the coupling between electron spin, charge, ionic displacements, and orbital ordering. Although Density Functional Theory (DFT) successfully describes the electronic structure of weakly interacting material systems, being a static mean-field approach, it fails to predict the properties of Strongly Correlated Materials (SCM) that include transition and rare earth metals where there is a prominent electron localization as in the case of d and f orbitals due to the nature of their spatial confinement.

Dynamical Mean Field Theory (DMFT) is …

Screen Media Use Among Children And Adolescents – Applications Of Supervised And Unsupervised Machine Learning And Sentiment Analysis, Yifan Zhang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Screen media has become increasingly pervasive in our everyday lives and has profoundly changed the way people communicate and interact with each other. However, we are still unclear about the long-term influence of screen media use on our physical health, mental health, and social wellbeing. Children and adolescents are in an important stage of brain development and are susceptible to the environmental influence that screen media possess. This dissertation pursued three aims to address research gaps related to screen media use among children and adolescents: 1) identify topics and knowledge gaps in screen media use research among children and adolescents …

Quantifying Water Security In West Virginia And The Potomac River Basin, Eric Carl Edvard Sinius Sjostedt

Graduate Theses, Dissertations, and Problem Reports (ETD)

All healthy ecosystems, communities, and economies are founded on access to clean, adequate water sources to support ecosystem services, provide clean drinking water, and allow the production of water-intensive goods and services. The state of available water resources must be analyzed through the lens of water security, defined as the capability to safeguard sustainable access to adequate quantities of acceptable quality water for people, the economy, and ecosystems. Mountain regions are sources of freshwater resources for downstream regions, which produce disproportionately higher runoff than downstream regions. As a result, mountain regions are often referred to as natural water towers …

In Darkness There Is Light: Designing For The Insect Play, Seret Teresa Cole

Graduate Theses, Dissertations, and Problem Reports (ETD)

This serves as documentation of my scenic design process for the School of Theatre & Dance at West Virginia University’s production of The Insect Play by Karel Čapek. This thesis includes a plot summary, text analysis, and historical context. It also contains conversations with the director and design team, as well as a description of my design process befitting the needs of the play. The design aspects will be presented through research photos, models, drafting plates, and execution photos. It will conclude with a self-reflection of the overall production process.

Examining The Efficacy Of A Self-Paced Online Training For Goal Writing, Allison Rosborough

Graduate Theses, Dissertations, and Problem Reports (ETD)

Educational goals can control critical aspects of intervention and progress monitoring for students with disabilities and as such are a central feature of Individualized Education Programs (IEPs). Despite its importance, school staff frequently report not receiving enough training or support on IEP documentation. Rosborough and Brandel (2020) investigated the quality of IEP goals written in the state of West Virginia. Findings indicated that professional development activities needed to be designed and analyzed related to immediate and long-term efficacy. The purpose of this study was to evaluate the efficacy of a self-paced, online training for goal writing. Participants were recruited by …

Exploring Cyberterrorism, Topic Models And Social Networks Of Jihadists Dark Web Forums: A Computational Social Science Approach, Vivian Fiona Guetler

Graduate Theses, Dissertations, and Problem Reports (ETD)

This three-article dissertation focuses on cyber-related topics on terrorist groups, specifically Jihadists’ use of technology, the application of natural language processing, and social networks in analyzing text data derived from terrorists' Dark Web forums. The first article explores cybercrime and cyberterrorism. As technology progresses, it facilitates new forms of behavior, including tech-related crimes known as cybercrime and cyberterrorism. In this article, I provide an analysis of the problems of cybercrime and cyberterrorism within the field of criminology by reviewing existing literature focusing on (a) the issues in defining terrorism, cybercrime, and cyberterrorism, (b) ways that cybercriminals commit a crime in …

Effects Of Depression And Stress On Oral Self-Care Among Perinatal Women In Appalachia: A Longitudinal Study, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Oral health during the perinatal period has an impact on the health of women and their offspring. Oral self-care behaviors are preventive methods that can be employed to maintain or improve oral health but may be compromised during the perinatal period. Identifying factors affecting oral self-care behaviors might provide direction on how to intervene in oral health during and after pregnancy. The purpose of this study was to investigate independent and interactive effects of depression and stress on oral self-care behaviors of perinatal women in Appalachia, given the burden of oral disease in this region. A total of 1,172 women …

“The Illusion Of Collaboration”: An Integrated Examination Of The Antecedents, Processes, And Consequences Of Online Group Work, Jill Cathleen Woods

Graduate Theses, Dissertations, and Problem Reports (ETD)

Computer-supported collaborative learning (CSCL) presents postsecondary educators with a conundrum: how to design and support small-group activities without stifling deep and meaningful learning. The literature indicates that students are not consistently practicing higher-order cognitive activities, educators are not reliably designing or facilitating them, and/or researchers are not locating or identifying them where they are occurring. The aim of this dissertation is to explore these deficits by identifying the antecedent conditions that most affect collaboration. Specifically, I answer the question, how do learner’s prior knowledge, characteristics, and experiences manifest in their collaborative processes. Addressing a gap in the literature, this study …

Characterization Of Two Krab-Containing Zinc Finger Transcription Factors In Bovine Preimplantation Embryonic Development, Mingxiang Zhang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Oocyte developmental competence or oocyte intrinsic quality describes the capability of oocytes to resume meiosis, cleave and develop to blastocyst stage after fertilization, implant and develop to term in a good health. A growing number of evidences indicate that the majority of embryonic mortality occurs during early embryonic development in different species, including human, horse and cattle primarily due to poor oocyte quality. Maternal effect genes are key aspects of oocyte quality, which are transcribed during the process of oogenesis and folliculogenesis. The maternal factors are accumulated in oocytes, orchestrating various early developmental events including fertilization, epigenetic reprogramming and zygotic …

Application Of Artificial Intelligence For Co2 Storage In Saline Aquifer (Smart Proxy For Snap-Shot In Time), Marwan Mohammed Alnuaimi

Graduate Theses, Dissertations, and Problem Reports (ETD)

In recent years, artificial intelligence (AI) and machine learning (ML) technology have grown in popularity. Smart Proxy Models (SPM) are AI/ML based data-driven models which have proven to be quite crucial in petroleum engineering domain with abundant data, or operations in which large surface/ subsurface volume of data is generated. Climate change mitigation is one application of such technology to simulate and monitor CO2 injection into underground formations.

The goal of the SPM developed in this study is to replicate the results (in terms of pressure and saturation outputs) of the numerical reservoir simulation model (CMG) for CO2 injection into …

Characterization And Coherent Spin Selective Manipulation Of Quantum Dot Energy Levels, Tristan Anthony Wilkinson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Semiconductor quantum dots (QDs) are promising candidates to fulfill a wide range of applications in real-world quantum computing, communication, and networks. Their excellent optical properties such as high brightness, single-photon purity, and narrow linewidths show potential utility in many areas. In order to realize long term goals of integration into complex and scalable quantum information systems, many current challenges must be overcome. One of these challenges is accomplishment of all necessary computing operations within a QD, which might be enabled by coherent manipulation of single QD energy level structures. In the realm of scalability for quantum devices, a way to …

Understanding Perceptions Of Vulnerable Roadway Users On Autonomous Vehicles, Md Tawhidur Rahman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Public perceptions have been playing an important role in the development of autonomous vehicle (AV) technology. Besides AV and non-AV users, the perceptions of vulnerable roadway users are critical, as AVs will become a part of multimodal transportation system. Pedestrians and bicyclists are among the vulnerable groups of roadway users, as they are relatively unprotected compared to the occupants of AVs or non-AVs. Although AV’s capability to monitor other vehicles has been documented in many studies, there are concerns about AV’s capability in monitoring pedestrians and bicyclists. The overarching goal of this dissertation is to investigate the perceptions of pedestrians …

Appalachian Broadcast News Coverage Of The Coronavirus: A Content Analysis Of Media Framing In The Midst Of A Health Crisis, Jensen M. Mills

Graduate Theses, Dissertations, and Problem Reports (ETD)

Media framing of broadcast news is more than identifying an issue, but rather interpreting and explaining the issue for others to better understand. Previous framing scholarship in broadcast news, as well as COVID-19 specifically, has focused mostly on national or international news, so this research explores broadcast coverage from a local perspective in a rural location. During the health crisis of COVID-19, the specific use of media frames can impact how people made sense of the pandemic. Through a content analysis of 165 newscast scripts from five different local news stations in Appalachia, this study contributes to the understanding of …

The Bigger Picture: Wrongful Conviction Documentary Thematic Vs Episodic Framing, Alecsandra N. Vac

Graduate Theses, Dissertations, and Problem Reports (ETD)

True crime documentaries have gained popularity in the past decade, but those focusing on wrongful conviction cases have been on the rise (Doughty, 2018). Advocates against wrongful conviction, such as the Innocence Project, have been utilizing entertainment media to increase awareness on the issues present in the criminal justice system. However, the framing of wrongful conviction causes and cases (ex: focusing on extreme accusations of police misconduct and intentional forensic evidence tampering) could lead to a bias in how the viewers understand how miscarriages of justice occur. The primary research question being investigated here is, how are these advocacy-recommended documentaries …