Digital Commons Network^™

Exploring The Role Of Occupational Therapy In A Pediatric Specialty Care Office, Sierra Leigh Hays

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The role of OT in primary and specialty care clinics is a rising area of interest in the field. There are also many multidisciplinary clinics that OTs can be or are apart of. This study aims to evaluate the consulting role of OT in primary and specialty care clinics, as well as to evaluate data collected by an OT in a pediatric brachial plexus and peripheral nerve clinic. Methods: The first objective was focused on analyzing functional outcomes, using the Active Movement Scale (AMS), of children following neurosurgery or onabotulinum toxin A injections. This was a retrospective study with …

Data-Driven Methodologies For Mapping Cultural Heritage: The Case Of The National Coal Heritage Area, West Virginia, Usa, Hossain Mohammad Nahyan

Graduate Theses, Dissertations, and Problem Reports (ETD)

The objective of this dissertation was to develop a comprehensive, data-driven spatial framework for characterizing the complex cultural landscape of the National Coal Heritage Area (NCHA) in West Virginia. By transitioning away from traditional, heuristic spatial mapping, this research integrates advanced spatial statistics, machine learning, and GIS-based methodologies to objectively quantify the physical, visual, and cultural dimensions of the post-mining environment. The research is structured around three interconnected empirical studies, each addressing a specific scale of the Landscape Character Assessment (LCA) framework to support heritage conservation and sustainable spatial planning. The first paper focused on landform classification, developing an automated …

South Asians And Renal Disease: Traditional Food Lists For Management Of Chronic Kidney Disease, Ashwini Wagle

Open Educational Resources

The renal food list is a culturally tailored nutrition education tool designed to address the specific dietary needs of the South Asian population. It is an original intellectual work created by Ashwini Wagle, Ed.D., MS, RD, FAND, Chair and Professor, Department of Nutrition, Food Science, and Packaging at San José State University (SJSU).

An earlier version of this tool was published in 2011 with the assistance of graduate student Kalpana Balasubramanian. The development of this renal food list was strengthened by the encouragement and support of the registered dietitian community, whose contributions included verifying the accuracy of the nutritional information …

Ma 250 – Evaluating & Creating With Genai, Mohamed Ben Zid

Open Educational Resources

In this assignment, students use Excel and ChatGPT to design, analyze, and interpret a regression model. They create visualizations, calculate the regression equation manually, and make predictions before consulting AI-generated feedback on their model’s strengths and limitations. Students then compare their own interpretation with ChatGPT’s insights, summarize their findings, and critically assess the model’s accuracy and real-world usefulness. The exercise develops quantitative reasoning, practical AI application, and reflective evaluation skills.

Ecce Leadership Development: Supports, Barriers, And Identity Formation, Andrea Weidele

Open Access Dissertations

Early childhood care and education (ECCE) leadership development is not given the attention it deserves. Despite the proven link between high-quality ECCE programs and positive societal outcomes, leadership development within the sector is significantly under-resourced. Because program quality is inherently tied to leadership efficacy, there is an urgent need to investigate the supports and structures that foster effective ECCE leadership. This study addressed that gap by using a qualitative multiple case study to explore how six ECCE program leaders of licensed ECCE programs from a New England state describe their leadership development, including supports and barriers they encountered and how …

Assistant Principals’ Perspectives And Experiences Concerning Their Influence As Instructional Leaders On Student Achievement In Title I Schools, Courtney J. Charles

Electronic Theses and Dissertations

Abstract

This qualitative descriptive study explored the perspectives and experiences of assistant principals in Title I schools in the context of their instructional leadership responsibilities. The study examined the relationship between assistant principals as instructional leaders in Title I schools and student achievement by addressing research questions related to curriculum implementation, data-driven decisions, school culture, instructional support, and professional development. Moreover, this study used purposeful sampling to select 13 assistant principals from Title I schools, and data were collected through semistructured interviews and analyzed using thematic analysis. Marzano’s focused school leader evaluation model served as the framework for interview questions. …

North Korean Archaeology And Archaeological Interpretation In The Twentieth Century, Gabrielle E. Stoddard

Nebraska Anthropologist

This paper examines how political unrest in North Korea during the twentieth century affected Korean Archaeology. During the occupation of the Korean peninsula by the Empire of Japan during 1910–1945, Japanese scholars embarked on the study of archaeology in Korea. Japanese archaeologists used Korean archaeological data and materials to push a colonial viewpoint that Korea was a weak state that could not advance without oversight from a conquering nation. After Korea was liberated by the Soviet Union and the United States in 1945, it was divided into the Democratic People’s Republic of Korea (North) and the Republic of Korea (South). …

Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Racial discrimination is recognized as a race-based traumatic stressor that has been associated with posttraumatic stress symptoms (PTSS) and suicide ideation (SI). However, there remains a paucity of research investigating the impact of racial and other forms of discrimination on understudied populations, including Black Americans residing in Appalachian regions. The current study used an online self-report survey to examine PTSS as a mediator in the association between perceived discrimination and SI and to examine the moderating effect of the number of identity factors with which one experienced discrimination (i.e., race, gender, region) on the relationship between perceived discrimination and PTSS. …

Cross-Cue Reactivity Of Nicotine And Cannabis Vaping Products, Madeline Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

SIGNIFICANCE. The rewarding properties of nicotine increase when administration is paired with external stimuli, or “cues”, including those related to vaping products. Given the visual similarity between nicotine vaping products (NVPs) and THC vaping products (TVPs), exposure to one product may elicit reactivity (e.g., craving, urge to use) to the other. The present study aimed to develop a set of cues capable of differentiating NVPs from TVPs to inform investigations of cross-cue reactivity. METHODS. Images (n=61 NVPs; n=64 TVPs; 7=unspecified) were obtained via an online search using both generic (“vape”, “vape pen”) and product-specific (e.g., “nicotine vape”, “dab pen”) keywords …

Leveraging Funds Of Knowledge And Funds Of Identity: Exploring Equitable Strategies For Diverse Classroom Settings, Evana Nusrat Dooty

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study explores how elementary teachers in the U.S. perceive and incorporate students’ Funds of Knowledge (FoK) and Funds of Identity (FoI) to promote equity in diverse classroom settings. A review of literature highlights the significance of culturally responsive pedagogy, FoK & FoI frameworks, and equity-oriented teaching practices. Semi-structured interviews were conducted to collect participants’ perspectives on leveraging students’ home and community knowledge in instructional planning and classroom interactions. Lesson plans were collected from all participants to get idea about how they could utilize  FoK and FoI approach in their classroom instruction. The findings highlight the need for teacher preparation …

A Guide To The Style Of Domenico Scarlatti With An Analysis Of Six Sonatas, Joseph Mcdermott

Graduate Theses, Dissertations, and Problem Reports (ETD)

This document aims to inform pianists preparing to perform keyboard sonatas by Domenico Scarlatti (1685-1757). Readers will learn about Scarlatti's professional life and his compositional characteristics. Analyses of six sonatas, the influence of Spanish traditional music, and details on performance practices are used to illustrate his style. The six sonatas included in this study are Sonata in G Major, K. 63; Sonata in C minor, K. 22; Sonata in F minor, K. 238; Sonata in F minor, K. 239; Sonata in D Major, K. 490; and Sonata in D Major, K. 491. The influence of Spanish traditional music is discussed …

An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.

Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and …

Increasing Documentation Of Endotracheal Tube Cuff Pressures: A Quality Improvement Initiative For Flight Crew Providers, Matthew D. Noss

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Background: There was a lack of documentation of endotracheal tube (ETT) cuff pressures (CPs) by flight crew providers at Base 1 of HealthNet Aeromedical Services. A three-month pre-intervention data collection showed 1.8% of patients had initial CPs documented. Inadequate documentation and monitoring of ETT CPs can lead to patient complications such as tracheal injury and aspiration making this an important area for quality improvement.

Purpose: To increase documentation of ETT CPs through education and evidence-based interventions.

Intervention: This project implemented an educational in-service on ETT cuff syringe manometry for flight crew providers. The educational intervention consisted of …

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …

Feasibility Of Parent-Child Interaction Therapy-Toddler In Community Clinics In The United States And Japan, Sharon T. Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

The toddler age (12-36 months) is characterized by a toddler’s increasing desire for autonomy, which can result in caregiver-child conflict and toddler externalizing problems (Kohlhoff & Morgan, 2014). Clinical levels of disruptive behavior in toddlerhood can be predictive of a host of negative outcomes, including problems with academic achievement and delinquency (Copeland et al., 2007; Milledge et al., 2019). High levels of toddler behavior problems also are associated with poor caregiver-child relationships and poor toddler emotion regulation skills (Beijers et al., 2013; Umemura et al., 2022). Thus, interventions targeting toddler behavior problems need to focus on strengthening the caregiver-child relationship …

An Evidence-Based Practice Initiative To Expedite Pediatric Recovery And Discharge Following Myringotomy Tube Placement, Nicole Marie Rillera

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The use of multiple sedatives, anxiolytics, and analgesics to prevent emergence agitation (EA)in pediatric patients undergoing myringotomy (MT) placement at West Virginia University Medicine Children's is leading to prolonged lengths of stay in the post-anesthesia care unit (PACU). These extended stays are causing delays in subsequent procedures and raising concerns for staff, patients, and their families.

Evidence Review: The combination of intranasal dexmedetomidine given preoperatively and intramuscular ketorolac given intraoperatively for pediatric patients reduces the incidence of EA more effectively than oral midazolam and acetaminophen.

Purpose: This evidence-based practice project aims to establish a standardized, evidence-based anesthesia plan to …

Do Cohort Restatements Generate Contagion? A Re-Examination, Melissa F. Lewis-Western, Timothy Seidel, Michael S. Wilkins

Faculty Publications

Gleason, Jenkins, and Johnson (2008) provide evidence that restatements lead to stock price declines among non-restating industry peer firms, suggesting that investors perceive contemporaneous manipulation within the industry. In contrast, Kedia, Koh, and Rajgopal (2015) find that restatements—especially less severe ones—encourage peer firms to initiate earnings manipulation. These divergent findings, together with the rising prevalence of less severe restatements and advances in monitoring technologies, motivate a re-examination of manipulation contagion. Although we are able to replicate the results of both seminal studies, we find that the results in Kedia, Koh, and Rajgopal (2015) are sensitive to design choices that affect …

A Mixed Methods Study Of The Transition To Adult Health Care For Sexual Minority Young Adults With Chronic Pain: Understanding The Impact Of Stigma, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minorities with chronic pain are likely to experience stigma stemming from their sexual identity and chronic pain. Pain stigma and sexual minority stigma are associated with increased health disparities and differences in health care utilization, particularly for adults. The transition to the adult health care system appears to be a critical point to understand the impact of stigma on health care utilization to then improve outcomes. With a sample of 48 sexual minority young adults with chronic pain, the current study investigated transition experiences using an explanatory, sequential mixed-methods design that was both observational and cross-sectional. Participants completed quantitative …

Implementation Of A Ventilator-Associated Pneumonia Bundle To Reduce The Incidence Of Ventilator-Associated-Pneumonia And Improve Patient Care, Taylor Ryan Rice

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Ventilator-associated pneumonia (VAP) is a concerning complication that can

develop from complications when a patient is placed on a mechanical ventilator. Endotracheal

intubation puts patients at risk for micro aspiration, which can lead to VAP.

Evidence Review: Nine articles were selected for review; after critical appraisal, seven were

kept for further review. Evidence in these articles shows that using evidence-based methods in a

VAP bundle can decrease the length of stay, mechanical ventilator days, and the incidence of

VAP.

Purpose: The purpose of this project was to improve oral care for intubated patients and keep

the incidence of VAP …

‘She Dared Not’: Authority In The Monasteries Of The Diocese Of Lincoln, 1400-1540, Morgan Mcminn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Within monastic life, the Benedictine Rule prioritized the role of the abbot, and much of the everyday running of the house was left to his discretion. He was the elected father of the community, the pastor of the flock, the educator who instructed by word and example. He should discipline firmly but be loved and not feared, and he should play no favorite but rather adapt to the situation at hand. His brethren should obey him without question as the representative of Christ in the monastery, their self-will and earthly possessions submitted to him. These elements are also present in …

Examining Drivers Of Brook Trout (Salvelinus Fontinalis) Fecundity And Recruitment In Central Appalachian Headwater Streams, Emilee Esther Briggs

Graduate Theses, Dissertations, and Problem Reports (ETD)

The persistence of fish populations depends on the repeated production and survival of new year classes, also referred to as recruitment. Recruitment is broadly defined as the number of individuals in a fish population or stock that survive to a specific stage. However, the broader recruitment process reflects the cumulative outcome of many earlier life stages, including egg survival, fry emergence, and survival through the recruitment period. As a result, recruitment can vary substantially among years and populations, producing strong or weak year classes that influence population abundance and persistence. Understanding why recruitment varies is therefore central to fisheries ecology …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

Romantic Narrative In Three Early Piano Cycles By Robert Schumann: Papillons, Op. 2; Fantasiestücke, Op. 12; And Kinderszenen, Op. 15, Lingqing Huang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research project compares Romantic instrumental narrative in Robert Schumann’s Papillons, Op. 2; Fantasiestücke, Op. 12; and Kinderszenen, Op. 15, with particular attention to how pianists communicate cyclic continuity in performance. In this study, narrative continuity refers to relationships formed across ordered short pieces through contrast, interruption, return, literary association, fantasy, memory, tonal and motivic recall, and the shaping of sound and time. Comparative score analysis shows that Schumann creates a distinct form of continuity in each cycle. In Papillons, he creates a public, ballroom-based form through masquerade, waltz-like dance, abrupt entrances, interruption, and the gradual dissolution of the social …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Psychological Distance And Auditor Assessment Of The Severity Of An Internal Control Deficiency, Scott C. Jackson, John D. Keyser, Douglas F. Prawitt

Faculty Publications

Auditors often underestimate the severity of internal control deficiencies, particularly when associated misstatements are immaterial. We find that auditors are more likely to correctly classify a material weakness when no misstatement information is provided than when misstatement information is available, and that this finding may unconsciously arise from auditors’ construal level in judging control deficiency severity. Through a series of experiments, we manipulate misstatement information related to an internal control deficiency designed to represent a material weakness. We hold the size of potential misstatement constant and find that auditors and graduate auditing students are less likely to correctly assess the …

Women In Music: Experiences Of Women Oboists In Us Symphony Orchestras, Brianna Corgel

Graduate Theses, Dissertations, and Problem Reports (ETD)

The evolution of women in American music has been a gradual and ongoing process. Historically, women were largely excluded from public musical life and did not achieve widespread acceptance as professional musicians until the 20^th century, largely due to prevailing cultural and societal expectations. In the 19^th century, women typically performed in domestic settings for small gatherings of family and friends. Female instrumentalists were generally limited to the piano and a few string instruments, while wind instruments—such as the oboe—were discouraged because they were considered unladylike or visually unappealing when played. The 20^th century saw the emergence …

Self-Leadership And Perceptions Of Artificial Intelligence: A Single-Case Study, Patrik Garren

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this single-case qualitative project is to uncover how self-leadership’s behavioral and cognitive strategies influence perceptions of Artificial Intelligence (AI) and AI adoption. While existing literature acknowledges that there is an association between self-leadership, technology’s perceived usefulness and ease of use, as well as comfort with AI preparedness and its professional impact, there is limited research on how self-leadership shapes perceptions of AI and AI adoption in real-life contexts. To fill this gap in contemporary literature, this project analyzes qualitative semi-structured interviews with 25 healthcare professionals involved in the implementation of ‘AI Model 1’ at their mid-sized United …

Psychometric Assessment Of The Ambivalent Ageism Scale: Investigating Measurement Invariance And Stability Across Groups And Time, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The goal of the current study was to examine the psychometric properties of the Ambivalent Ageism Scale (Cary et al., 2017) and to provide an understanding of how ageist attitudes might change or remain the same in response to a cultural and societal event. Measurement invariance is the assessment of the psychometric equivalence of a construct (e.g., ageism) across groups or waves of measurement (Putnick & Bornstein, 2016). The first step in measurement invariance analyses is configural measurement invariance, which is the evaluation of the factor structure, with the goal of producing the same number of factors and the same …