Digital Commons Network^™

Prognostic Predictors Of Developmental And Functional Outcomes In Children With Global Developmental Delay: A Retrospecive Chart Review, Rachel Lynne Kuechle, Sadie Elizabeth Olson, Eliana Hazel Parks, Hailee Lynn Schauer, Mara Marie Vannyhuis, Audrey Elizabeth Whitman

Physical Therapy Scholarly Projects

Background and Purpose: Global developmental delay (GDD) is a broad, global disorder in which children do not reach the appropriate gross and fine motor milestones as expected for their age. GDD’s impact can extend beyond motor skills to include speech and language development, cognitive abilities, social and personal skills, and ADL’s. This study aims to investigate the prognostic predictors of developmental and functional improvement of children with GDD. Our study also examines how the prognosis of children diagnosed with GDD will be affected based on therapeutic intervention in order to offer evidence-based recommendations to support children with GDD and their …

Pedagogical Strategies In Medical Laboratory Science Student Learning Outcomes: A Comparative Study Of Learner-Centered And Lecture-Based Instruction, Kasey Kuker

Medical Laboratory Science Independent Study Projects

Learner centered teaching (LCT) has gained prominence across the health sciences, yet its specific impact on Medical Laboratory Science (MLS) education remains underexamined. This comparative literature review synthesizes findings from various empirical studies to evaluate how active, learner centered pedagogies - such as flipped classrooms, blended learning, team based learning, simulation, gamification, and structured feedback - perform relative to traditional lecture based instruction. Across diverse MLS and allied health contexts, LCT consistently improved cognitive outcomes including examination performance, laboratory skill proficiency, and long term retention. Equally significant were gains in affective outcomes: heightened self efficacy, motivation, engagement, teamwork, and professional …

Smart-Charge: Stable Matching Algorithm For Electric Vehicle Charging In Subscription-Based Models, Arindam Khanda, Anurag Satpathy, Sajal K. Das

Computer Science Faculty Research & Creative Works

The transition from internal combustion engine (ICE) to electric vehicles (EVs) introduces several challenges, including limited charging infrastructure, unpredictable charging wait times, and inefficient selection of charging points (CPs). To address these issues, we propose SMART-CHARGE, a framework that efficiently assigns EVs to CPs through an edge-level coordination mechanism within each service region, enforced by roadside units (RSUs). Operating under a novel subscription-based charging model, SMART-CHARGE enforces predefined charging time limits via service-level agreements (SLAs). The EV-CP assignment problem is formulated as a one-to-many matching game that captures EV user preferences. To construct bounded yet efficient EV coalitions at each …

Clinical Pathway For Rhogam Administration In The Emergency Department, Lauren Kyzar, Amy Bigham

Appalachian Student Healthcare Research Review

Background: Clinical pathways in emergency departments (ED) are designed to standardize patient care and reduce variability in clinical practice. In a rural hospital setting, the ED management of RhoGAM administration in pregnant patients with vaginal bleeding varied by provider with no standard of care achieved. This approach raised concerns about potential patient safety issues.

Methods: In response, the local emergency department medical director, in conjunction with local perinatal providers developed a clinical pathway to standardize care and optimize RhoGAM administration. The clinical pathway was implemented to the local ED providers over a three-month period. Retrospective chart review for Type and …

The Oncoming Light: An Experiential Approach To Psychological Exposition Through Dialogue-Driven Narrative, Benjamin G. Dewitt

Honors Theses

Narrative is a lens through which we understand ourselves, our histories, our futures, and our ties to those around us. Narrative form has undergone vast transformations over time, and in the case of “postmodern” literature, pushes the boundaries of form into the experimental, questioning the truth of knowledge itself. While these experimental works can give rise to uniquely powerful emotional experiences, some components of narrative, when abandoned, may only hinder the immersion of the reader. This thesis evaluates several experimental, dialogue-driven narrative works against these components: linguistic, literal, emotional, and intellectual significance, in a hierarchy of importance as proposed by …

Synthesis Of Novel 1,2,3-Triarylnaphthalenes Via Intermolecular Dehydro-Diels-Alder Reaction, Ethan C. Dailey

Honors Theses

The photo-dehydro-Diels–Alder (PDDA) reaction is a useful method for the construction of substituted naphthalene derivatives from acyclic precursors. While intramolecular variants of this transformation are well established, intermolecular PDDA reactions remain rare due to challenges associated with controlling reactivity under photochemical conditions. Previous studies suggest that electron-withdrawing substituents can promote intermolecular cycloaddition by increasing alkyne polarization and stabilizing reactive intermediates. In this work, the effect of enhanced electron-withdrawing character on intermolecular PDDA reactivity was investigated through the incorporation of a 2,3,5,6-tetrafluoropyridinyl substituent. Corresponding alkyne substrates were synthesized and subjected to photochemical conditions, resulting in the formation of 1,2,3-triarylnaphthalene products. The …

Podcasting As A Marketing And Communication Modality: Exploring Its Impact On Potential New Members’ Satisfaction, Attitudes, And Decision-Making In Utc Sorority Recruitment, Britain Meyers

Honors Theses

This study explores podcasting as a marketing and communication modality within the context of sorority recruitment, specifically examining its impact on Potential New Members’ (PNMs) preparedness, satisfaction, attitudes, and decision-making. Centered around Scrappy’s Sorority Scoop, a four-episode podcast created by the University of Tennessee at Chattanooga 2025-2026 Panhellenic Council, this research investigates how podcast engagement influences the recruitment experience. Using qualitative interviews with eight participants who both joined a Panhellenic chapter and listened to the full podcast series prior to recruitment, the study identifies key themes related to the podcast’s effectiveness. Findings indicate that podcasting enhances PNMs’ understanding of the …

Calibrating Human Trust In The Age Of Generative Ai: An Examination Of Ethical And Social Challenges, Abigail M. Mondido

Honors Theses

Generative AI (GenAI), a set of AI technologies with the ability to generate original, human-like outputs, is beginning to transform the way that information is distributed, composed, published, obtained, analyzed, and consumed. GenAI has seen massive adoption by internet users, businesses, and organizations in recent years despite the persistence of major ethical concerns and social implications. In particular, existing research has identified multiple critical trust-related issues associated with AI in general, including widespread mistrust and distrust, overreliance on AI, and a lack of trustworthiness of AI. There remains a need for a broader understanding of these issues as they relate …

The Effect Of Chronic Aerobic Exercise On Working Memory: A Study On Young Adults, Alexandria J. Morris

Honors Theses

Physical activity is essential for optimal health. Cognitive function is a major part of that, and can be evaluated through working memory (WM). This thesis examines the impact of physical activity on WM in young adult college students. It reviews existing research on exercise and WM, highlights gaps in the literature focused on this demographic, and explores the importance of chronic and moderate to high-intensity exercise to WM. There is existing research that examines the correlation of WM and physical activity for both acute and chronic exercise, as well as for children, adults, and older adults. Acute aerobic exercise shows …

A Narrative Of The Plague Doctor And How Its Historical Context Translates To The Modern View Of The Plague Doctor, Callie P. Johnston

Honors Theses

The Plague Doctor was once a historical figure who practiced medicine primarily on those infected with the bubonic plague. The plague doctor, as a historical figure and physician, has been transformed in modern culture and media. Originally perceived as a harbinger of both hope and death, the Plague Doctor has undergone a historical transformation from a masked physician to a more stylized character that appears in modern media, digital art, toys, costumes, video games, and popular culture. This thesis examines the evolution of the Plague Doctor from its historical role as a plague physician to its current iconography as a …

Evaluating The Effects Of Urbanization On Meiofauna Biodiversity In Chattanooga’S Lentic Ecosystems Through Gis Applications, Keyle M. Bryant

Honors Theses

Urbanization is a leading driver of biodiversity loss in freshwater ecosystems, yet its effects on meiofauna—microscopic invertebrates that serve as key bioindicators of ecosystem health—remain poorly understood in lentic environments. This study evaluated the effects of urbanization on meiofaunal biodiversity in ten lentic waterbodies across Hamilton County, Chattanooga, Tennessee, by integrating environmental DNA (eDNA) metabarcoding, in-situ abiotic measurements, and Geographic Information Systems (GIS)-based land use analysis. Water samples were collected between January and April 2023 and processed using 18S rRNA amplicon sequencing to assess biodiversity as richness (amplicon sequence variants or ASVs, phylogenetic diversity or PD, and community composition). Land …

Dissociation, Anxiety, And The Vestibular System: Understanding The Impacts Of Anxiety, Panic, And Dissociation On The Vestibular System, Julian Achata

Honors Theses

Previous research indicates that vestibular dysfunction is associated with symptoms of anxiety, panic, and dissociation. The present study will investigate anxiety, panic, and dissociation symptoms and identify the connections between reported symptom severity and vestibular functionality. This study will focus on three different hypotheses: 1) higher levels of dissociation will correlate with increased vestibular disruption; 2) higher levels of anxiety will correlate with increased vestibular disruption; 3) higher levels of panic will correlate with increased vestibular disruption. Six virtually administered self-report measurements were used to identify the variables: Beck Anxiety Inventory (BAI), Depersonalization Derealization Inventory (DDI), Dissociation Experiences Scale-II (DES-II), …

Red, White, And Broke: A Call For Accountability In Government, Mary A. Scott

Honors Theses

This study examines the scale of waste, fraud, and abuse in U.S. federal spending. The purpose of this research is to clarify how fiscal management in the federal government is intended to operate versus how it actually functions. Using a combination of conceptual analysis, existing literature, case-based evidence, and data analysis, findings suggest that the persistence of oversight failures arises from weak implementation, limited enforcement authority of oversight bodies, and an emphasis on recovery rather than prevention practices. This study contributes to the broader discussion of public finance by providing an accessible framework to understand why the foundational federal principle …

Environmental Awareness And Community Sentiments In A Superfund Site: A Study Of South Chattanooga, Mia Dial

Honors Theses

The concept of environmental injustice refers to the disproportionate exposure of marginalized communities to environmental hazards, often resulting from the placement of industrial sites, waste facilities, or other environmentally harmful infrastructure in areas with limited political and economic power. Alton Park, a historically underserved neighborhood in Chattanooga, Tennessee, faces elevated environmental risks due to its proximity to the South Chattanooga Lead Superfund Site and legacy industrial contamination. This study used semi-structured individual interviews to assess community awareness, perceptions, and behaviors related to environmental hazards in Alton Park. Residents generally reported some awareness of the Superfund site, though knowledge was often …

Resilience By Living With The Land And Community: A Case Study Of A Local Food Forest, Olivia Beck

Honors Theses

Imagine a public space where food, leisure, outdoor activity, and community engagement occur in one place, all in an urban forest ecosystem. For many, this is a hopeful vision of the future, and that is exactly what the idea of an urban food forest provides. In agroecology, a food forest or forest garden consists of planting diverse edible plants and mimicking the patterns of natural ecosystems. The intricate planning and design ensure the forest is self-sustaining, much like a natural forest, making it very resilient once established. However, they face many challenges and take time to grow and develop to …

Emotional Detachment In A Second Language: Exploring Emotional Expression In Bilingual Adults, Daniela Salas Lopez

Honors Theses

This qualitative study explored how bilingual and multilingual adults experience emotional detachment when using a second language and how language shapes emotional expression. This study aimed to examine how bilingual individuals personally experience these emotional differences in everyday life. Semi-structured interviews were conducted with six bilingual or multilingual adults from diverse linguistic and cultural backgrounds. Data were analyzed using thematic analysis. Findings revealed five major themes: emotional detachment in a second language, reduced emotional intensity and meaning, increased cognitive effort and emotional fatigue, authenticity and emotional comfort in the first language, and identity and personality shifts across languages. Participants consistently …

Preliminary Vascular Plant Checklist Of The City Of Chattanooga, Matthew J. Scott

Honors Theses

The City of Chattanooga, Tennessee was designated as a National Park City in April 2025 by the National Park City Foundation. Yet, there has not been a comprehensive vascular flora compiled for the city, though there have been extensive collections and observations made of the plant biodiversity in the area from the late 1800s onward. The goal of this project was to examine both the existing herbarium collections and public observation records from iNaturalist to compile a preliminary vascular plant checklist for Chattanooga, and to include conservation and ecological data for the species currently documented to provide a holistic review …

Growing Change: A Gis Spatial Analysis To Plan Urban Gardens In Chattanooga, Carson A. Chalk

Honors Theses

Food insecurity and limited access to fresh nutritious food in Chattanooga is a prevalent issue, primarily among lower socioeconomic households, and can put strain on overall well-being. This study aimed to identify suitable vacant parcels in Chattanooga where urban gardens could be developed using a GIS-based spatial analysis. Spatial data involving vacant parcels, slope, zoning, and proximity to grocery stores was cross referenced with socioeconomic data focused on poverty rates, vehicle ownership, and mean household income to identify the most suitable sites in areas of greatest need. Sites identified as suitable through GIS were then visited to verify their suitability. …

Unraveling The Modernist Grid: An Exploration Of Femininity And Containment In Design History, Riley Hayes

Honors Theses

This paper examines the Swiss grid as both a foundational tool of modernist graphic design and a cultural system embedded with ideological assumptions about order, neutrality, and authority. While the Swiss design tradition is widely celebrated for its clarity, rationality, and universality, this study argues that such principles are not neutral but historically situated, shaping how postwar Western visual culture organizes information, bodies, and value systems. Focusing on the circulation of Swiss design principles through editorial and advertising media, the paper situates the grid as a structuring logic that extends beyond layout into the framing of identity and gender. This …

A Meta-Analysis Of Endometrial Cancer Metabolites As Potential Non-Invasive Biomarkers, Makenna K. Johnson

Honors Theses

Endometrial Cancer (EC) is the most prevalent gynecological cancer in the United States and causes tens of thousands of deaths. Despite its massive negative impact in developed countries, there currently is no reliable screening tool used to diagnose women. Due to this urgent need for minimally invasive and precise techniques to diagnose this malignancy, the metabolomics field has been at the forefront of current research. An untargeted mass-spectrometry approach is used by many researchers to form an initial hypothesis as to which metabolites are key in identifying EC cases. However, there are sometimes inconsistencies between studies. A meta-analysis approach examines …

Exploring The Alignment Between Medical School Outcomes With Residency Competencies: A Modified Delphi Study, Sally A. Santen, Luan Lawson, Jose A. Negrete Manriquez, Marjorie Westerveld, Laurah Turner, Anita Wilson, Phd, Yoon Soo Park, Eric S. Holmboe, Michael S. Ryan, Medical School Outcomes Milestone Study Group

JeffMD Academic Affairs

PURPOSE: Facilitation of competency-based medical education adoption would benefit from alignment between medical school (undergraduate medical education [UME]) and residency (graduate medical education [GME]) assessments. This study explores the strength of an a priori alignment of medical school assessments with residency competency domains to guide programmatic assessment and research.

METHOD: In fall 2023, the authors (US faculty with UME and GME expertise) used a 2-phase Delphi consensus approach (9 participants in phase 1 and 16 in phase 2) to independently map medical school assessments to the Accreditation Council for Graduate Medical Education competency domains (0, no association; 1, some or …

Contrasting Roles Of Downed Wood And Leaf Litter In Structuring Aphaenogaster Ants And Other Forest-Floor Arthropod Communities, Danielle E. Dolan

Great Lakes Center Masters Theses

Forest floors are dynamic and spatially heterogenous landscapes characterized by differing amounts of light, temperature, and moisture. Bounded substrates, like downed wood and leaf litter, add further complexity to this landscape. Specifically, downed wood is noted for its ability to retain a higher moisture level than the surrounding environment, and as such can serve as an ideal microhabitat for desiccation intolerant organisms (e.g., salamanders and eusocial insects). Here, I attempt to disentangle the relationship between forest floor arthropods and microhabitat selection (i.e., downed wood vs leaf litter) on a northeastern forest floor. The ant, Aphaenogaster picea, was chosen as my …

A Creative Climate Framework For Developing Leaders Who Can Navigate Complexity, Uncertainty, And Change Now And Over Time, Christa M. Heydt-Hernandez

Creativity and Change Leadership Graduate Student Master's Projects

As organizational environments grow increasingly volatile and complex, leaders face a widening gap in the skills hardest to cultivate in adults: creative thinking, systems thinking, and human-centered design thinking. Yet leadership development has prioritized culture over climate, overlooking a more direct lever for change. This project argues the gap is fundamentally developmental: the skills most demanded of today's leaders are best introduced across childhood, adolescence, and early adulthood—long before the workplace—through what the author terms the Long Game of Leadership Development. In response, this project introduces the Creativity Steward™ framework, a longitudinal model grounded in developmental psychology, creative climate research, …

The 5i’S Framework Of Creative Self-Leadership, Maggie Cubbler

Creativity and Change Leadership Graduate Student Master's Projects

The purpose of this Master of Science in Creativity and Change Leadership project is to establish a framework for Creative Self-Leadership (CSL) development. Viewed through a gendered lens, the framework addresses how women's intrapersonal processes—the 5I's of introspection, interoception, intuition, imagination, and intrinsic motivation—are often compromised by sustained environmental and systemic pressure, and proposes practices designed to restore and strengthen these internal guides.

By recalibrating these intrapersonal processes toward accurate self-knowledge, CSL employs the science of creativity to lead women in their own quest for change, agency, and resilience while remaining cognizant of the dynamic between her and her environment.

Techno-Imagination: Elevating Creativity Through Xr And Ai, Christopher Spitzer

Creativity and Change Leadership Graduate Student Master's Projects

Techno-Imagination: Elevating Creativity Through XR and AI explores the history of creativity and computing technology, supported by research and academic literature, and looks at the possibilities of a convergence between the two. In parallel, a brief biographical story of the author shares how a passion for creativity emerged, along with a growing interest in science and technology—specifically extended reality—which ultimately came together in the creation of this master’s project. The project also highlights how the Creative Problem Solving (CPS) process was used alongside AI bots and twenty research-based creative thinking skills in developing the business model canvas. Finally, the outcome …

Designing The Future Of School Leadership: Cultivating Creative Capacity In Leadership Preparation Programs, Nicole Wagner

Creativity and Change Leadership Graduate Student Master's Projects

Education systems are increasingly expected to prepare students with skills such as creativity, adaptability, collaboration, and problem solving to meet the demands of a rapidly changing world.  However, educational leadership preparation programs often provide limited explicit instruction in creativity and creative leadership.  This project examines how creativity is currently incorporated within educational leadership programs and explores ways creative problem solving and creative leadership competencies can be more intentionally integrated into leadership preparation.

Drawing upon scholarship in creativity, Creative Problem Solving (CPS), leadership, and educational change, this project includes three outcomes: (a) a comparative analysis of educational leadership preparation programs; (b) …

Systemic Barriers To Educational And Employment Attainment Among Individuals With Substance Use Disorders, Mollie B. Mccann Poblocki

Creativity and Change Leadership Graduate Student Master's Projects

Substance use disorders (SUDs) and opioid use disorder (OUD) represent one of the most pressing yet poorly understood public health crises in the United States. Despite decades of clinical intervention, recovery outcomes remain deeply unequal, not because individuals lack motivation, but because the structural systems surrounding them are fundamentally broken. This project explored that reality through a comprehensive literature review examining how systemic barriers across educational systems, labor markets, poverty dynamics, and healthcare infrastructure shape vulnerability, treatment access, and recovery outcomes for individuals with SUDs. Major findings revealed a consistent socioeconomic gradient of harm: individuals with lower educational attainment, unstable …

An Investigation Of The Roles Aging, Gender And Age-Related Hearing Loss Play In Emotional Prosody Recognition, Giavanna Yowell

Undergraduate Honors Thesis Collection

Emotional prosody recognition is crucial for social interactions but is influenced by aging, gender, and age-related hearing loss (Lambrecht et al., 2012; Oerlemans et al., 2014; Palermo et al., 2013). No past studies have looked at all of these factors collectively. To address this shortcoming, the current study explored the relationships between aging, hearing loss and gender differences in emotional prosody recognition. The ability to recognize emotions through facial expressions was also included as a comparative measure. One hundred fifteen individuals (42 men and 73 women), ages 50 and older (M = 60.39, SD = 8.12), completed a hearing handicap …

Acute Effects Of Tempering On Biomechanical Tissue Characteristics In The Lower Back, Danielle Rae Marie Alley

Undergraduate Honors Thesis Collection

Body tempering (BT) is a novel, myofascial release technique that is growing in popularity among sports medicine and performance practitioners. No studies have explored its effects on biomechanical tissue characteristics or its influence on perceived disablement within the thoracolumbar spine region. The aim of this study was to examine the acute effects of BT on soft-tissue characteristics and perceived disablement in the thoracolumbar spine region. A randomized controlled trial was used to study 22 young adults (10 males, 12 females, age=21.1±0.68 years, height=170.6±11.8 cm, mass=65.2±14.2 kg). Treatment group participants received a 1-minute BT treatment to the soft tissues of their …

Bridging The Gap: Can Targeted Intervention With Future Educators Strengthen Instructional Practices Related To Academic Achievement And Motivation?, Natalie Marissa Virgil

Undergraduate Honors Thesis Collection

Although Indiana’s graduation rates have improved, many students continue to experience challenges related to academic achievement and motivation post-pandemic. Research suggests that students’ motivation and persistence are shaped in part by how educators frame success, failure, and effort (Weiner, 2010). Teachers also play a central role in fostering students’ psychological needs for competence, autonomy, and relatedness, as well as shaping task value beliefs and perceived ability. Despite this, future educators often receive limited explicit training on how to apply these motivation and achievement-based theories within everyday classroom practice. The current study examined whether a targeted, theory-based intervention can strengthen teacher …