Digital Commons Network^™

Functional Family Therapy: A Multi-Year Statewide Program Evaluation, Natalie Finn

Theses and Dissertations

Functional Family Therapy (FFT) is a family-based treatment program for youth with externalizing behavior problems, often involved in juvenile justice and child welfare systems. FFT is an evidence-based program and has been implemented across many states, including the state of Virginia. Objective. The present study performed a program evaluation and observational study of the implementation and sustainment of FFT in Virginia, during the first five years of implementation. Method. Participants included all youth who participated in FFT in Virginia between October 2017 and June 2022. Secondary data analysis was conducted using data entered by therapists and supervisors into the FFT …

Benchmarking And Enhancing Generalization In Multilingual Speech Emotion Recognition, Mohamed Osman Ismael

Theses and Dissertations

Speech Emotion Recognition (SER) is pivotal in advancing human-computer interaction by enabling machines to understand and respond to human emotions. Despite significant progress with self-supervised learning models, SER systems often struggle with generalization across diverse languages and unseen data distributions, limiting their real-world applicability. This thesis addresses these challenges by first introducing a large-scale benchmark to evaluate the robustness and adaptability of state-of-the-art SER models in both in-domain and out-of-domain settings. The benchmark includes a diverse set of multilingual datasets, emphasizing cross-lingual and out-of-domain evaluations to assess model generalization. Surprisingly, we find that the Whisper model, originally designed for automatic …

Transforming Accounting: Robotic Process Automation In The Accounting Environment, Leah Hall

Theses and Dissertations

Over the years, I have worked with many companies that run legacy accounting and operation systems that do not integrate. With the introduction of RPA, it provides these companies with the ability to integrate without the need for customization. This dissertation is my personal pursuit of understanding the risks associated with implementing RPA and identifying specific areas where organizations may face challenges. I accomplish this objective through three papers: a literature review, a survey, and an experiment. The literature review synthesizes RPA literature, organizing it by implementation state. The survey paper provides an analysis of how internal auditors rate particular …

“You Are Not Obligated To Complete The Work, But Neither Are You Free To Desist From It.” Richmond Jews In Social Activism Post Civil Rights, Tracy S. Herman

Theses and Dissertations

For centuries, the Jewish people have faced expulsions, pogroms, massacres, and Propaganda. that runs so deep it would be like staring into an abyss. This oppression has motivated Jewish activists worldwide to fight back not only on behalf of the Jewish community but for many areas of perceived need. Jewish involvement in social activism in the U.S. has been particularly recognized by scholars of the labor and Civil Rights movements. This thesis is based on eighteen oral history interviews focused on social activism in Richmond, Virginia since the Civil Rights era. The author conducted these interviews in 2021, 2023, and …

The Effect Of Local Anesthesia When Used In Dental Restorative Cases Under General Anesthesia On Control Of Postoperative Comfort, Elizabeth S. Kleefisch Dds

Theses and Dissertations

Purpose:

To determine the effect of local anesthesia on postoperative comfort in patients undergoing dental care under general anesthesia.

Methods:

This study was modeled as a double-blinded randomized control trial. Patients included healthy children under the age of 6 years scheduled for restorative dental treatment under general anesthesia (GA). Patient behavior was evaluated preoperatively and postoperatively using the Faces, Legs, Activity, Cry and Consolability (FLACC) or other pain score and postoperatively using the Parent’s Postoperative Pain Measure (PPPM). Intraoperatively, participants followed a standardized general anesthesia protocol and were given either local anesthetic (LA) infiltration using 2% Lidocaine 1:100,000 Epinephrine by …

Developing And Testing A Model Of Discrimination, Internalized Oppression, Mental Health, And Suicidality In Disabled Transgender And Gender Non-Binary (Tgnb) Individuals, Stephanie L. Cull

Theses and Dissertations

Transgender and gender nonbinary (TGNB) individuals experience high rates of discrimination and microaggressions that can lead to internalized cisgenderism and adverse mental health outcomes such as depression, anxiety, and suicidality. Individuals with disabilities similarly experience high rates of discrimination and microaggressions that can lead to internalized ableism and increased adverse mental health outcomes. Although both of these populations have been researched separately, very little extant research has explored the intersections of disabled and TGNB identities. The purpose of this study was to explore a hypothesized pathway leading from microaggressions through internalized oppression and mental health to suicidal ideation within a …

An Examination Of Hiring Practices And Employee Retention Today Compared With Pre-Pandemic Characteristics In Orthodontics, Logan Passey

Theses and Dissertations

Purpose: Evaluate current hiring practices and employee retention characteristics in orthodontic private practices.

Methods: Orthodontists (n=1000) were surveyed regarding their hiring methods and outcomes. Responses were summarized with descriptive statistics. Chi-square tests were used to compare hiring practices and perceptions. Nonparametric Kruskal-Wallis tests were utilized in analysis of retention thresholds.

Results: Survey response rate was 7.2% (72 responses). When comparing thresholds previous to, and after the COVID-19 pandemic, there was an increase in open clinical positions compared with non-clinical and managerial positions (p=.0008). 68% of orthodontists reported a decrease in qualified applications for clinical positions compared with non-clinical and managerial …

A Retrospective Chart Review Of Avulsion Injuries Treated At Virginia Commonwealth University., Ryan Hediger

Theses and Dissertations

A RETROSPECTIVE CHART REVIEW OF AVULSION INJURIES TREATED AT VIRGINIA COMMONWEALTH UNIVERSITY. By: Ryan Hediger, DMD

Objective: Outcomes related to healing following an avulsion injury are multifactorial. However, contemporary literature suggests that tooth survival can be enhanced after such injuries by promptly replanting the tooth and adhering to proper management guidelines. Despite the abundance of resources available, the actions taken immediately after the avulsion injury play a pivotal role in determining the fate of an avulsed tooth. The primary objective of the current investigation is to unveil prognostic factors associated with the survival of avulsed teeth.

Methods: A chart review …

Housing For Transgender And Gender Expansive People In The U.S. South, Aaron M. Kemmerer

Theses and Dissertations

Housing is a prominent issue for transgender and gender expansive (TGE) people around the world. There is a dearth of research about TGE people experiencing homelessness (TGE PEH) in the U.S. South. This dissertation aims to amplify the voices of TGE Southerners around the social concerns of housing and homelessness – this work also disrupts gendered and racialized narratives about housing injustice, exposing the salience of intersectional discrimination and cisgenderism in housing outcomes for TGE people. Using narrative and visual methods, this dissertation re-presents stories and recommendations from in-depth interview data collected from a small qualitative sample of Southern TGE …

A Critical Perspective On Supporting Parents In Facilitating Informal Steam Learning On Children's Early Literacy Development, Suzanne G. Alexandre

Theses and Dissertations

Considering that parents/caregivers and home environment play an influential role in a child’s school readiness and future academic success, this study sought to support parents in using facilitation strategies to engage their child in informal learning at home. In order to examine if access to support for parents of preschoolers influenced parents’ confidence in their ability to facilitate informal learning at home, the project used informal STEAM learning, for context. The study also examines the potential impact of informal STEAM learning on children's school readiness and early literacy skills and the intersections of parent involvement, STEAM, and school readiness through …

Exploring Drivers Of Sex-Based Disparities In Relapsing Multiple Sclerosis, Stephanie K. Buxhoeveden

Theses and Dissertations

Females are three times more susceptible to relapsing multiple sclerosis (MS) and males typically have more severe disease, but the molecular underpinnings of these sex-based disease disparities are unknown and represent a critical knowledge gap.Subject Population: Blood samples from a demographically homogenous group of treatment naïve males and females with relapsing-MS and healthy controls. Research Design: Cross-sectional combinatorial omics pilot study. Instruments: Whole transcriptomic analysis with messenger RNA (mRNA) expression profiling using next generation sequencing (RNA-seq) and micro-RNA (miRNA) expression using NanoString technology. Aim 1) Identify and compare the actively expressed mRNAs in the transcriptome of males and …

Investigating The Regulation Of Epithelial-Mesenchymal Transition Through Fibronectin-Mediated Tgf-Β1 Mechanotransduction Using In Vitro Models Of Triple-Negative Breast Cancer, Michael M. Sofroniou

Theses and Dissertations

TGF-β1 is a potent regulator of epithelial-mesenchymal transtion (EMT), a cellular
transdifferentation process that promotes cellular motility and matrix remodeling, critical to tumorigenesis and metastasis. TGF-β1-induced EMT promotes the assembly of FN, which synergistically binds latent TGF-β1 to aid in its activation. The purpose of of this work is to further probe the effects of autocrine TGF-β1 signaling during EMT progression by utilizing CRISPR-Cas9 deletion of the TGFB1 gene in in vitro models of triple-negative breast cancer. The studies outlined in this work demonstrate that autocrine TGF-β1 maintains a baseline level of mesenchymal marker expression. It also functions to desensitize …

Notes On A Centrifugal Chiller: Listening And Breathing The Boundaries Of Circulatory Architecture, Chrystine Rayburn

Theses and Dissertations

"Notes on a Chiller" unfolds as a series of site responsive and performative exercises that activate, modulate, and translate the immense voice of Virginia Commonwealth University’s Siegel Center water-cooled chiller, a climate control system that regulates the atmosphere of the university’s sports arena. Using individual and collective listening and sound-making practices to harness the building’s noisy system, the piece culminates in a multi-channel, audio-visual installation and performance that explores the multi-sensory exchange and entanglement of listening, breathing, and moving with a building’s circulatory system.

Biophilia: Developing A Taste For Care, Che'leah Shannon

Theses and Dissertations

People in materially developed cultures spend over 90% of their lives in buildings (Evans & McCoy, 1998). Commencing with the industrial revolution these materially developed cultures see most of their populus moving from the countryside to the city in search of work and better lives. The city, an urban and modern development of densely packed peoples, buildings, and infrastructure, has developed as an efficient solution to meet the needs of a cosmopolis.

The city has developed widely without a necessity or place for nature. The ground outside is paved with concrete, efficient and comfortable for travel, buildings are built high …

Learning Curve: Designing An Inclusive Early Childhood Learning Center, Sarah Alrumayh

Theses and Dissertations

This research centers on the improvement of early childhood education environments in hopes to reduce the disparities in outcomes among children aged 2-6, widely known as "the achievement gap." It sheds light on designing an inclusive, child-centered school for students with specific learning disabilities (SLD) and speech or language impairments (SLI). Drawing on the IDEA (Individuals with Disabilities Education Act), it underscores the benefits of integrating students with special education needs into mainstream education, thereby fostering inclusive learning environments. (IDEA, 1975).

The research question probes how to create a nurturing and adaptable school environment tailored to the diverse needs of …

Exploring The Experiences Of Faculty Learning To Teach Online: A Case Study, Peyton P. Burgess Jr

Theses and Dissertations

Through an examination of literature, interviews and focus groups with participants of a faculty development program on online teaching and learning at a large Public Mid-Atlantic Urban University (PMUU), this research aimed to uncover the elements of a faculty development course or other impacts that contributed to the success or hindrance of faculty in their online course delivery. This qualitative study aimed to foster collaborative relationships with participants and resulted in data that might inform the development of faculty and their online courses in similarly situated contexts.

Elucidation Of The Optical Properties Of Si And Si-Ge Alloy Nanostructures With Visible To Near-Ir Photoluminescence, Griffin Spence

Theses and Dissertations

Silicon and silicon-germanium alloy nanostructures have garnered increasing attention in the past 25 years due to their favorable optical properties, visible to near-IR luminescence, and inherently low toxicity. While many synthetic routes have been discussed in the literature, the high-temperature, solid-state disproportionation of hydrogen silsesquioxane (HSQ) has become the most popular way to produce highly crystalline, size-tunable Si and Si-based nanostructures (NCs). It has been shown in this work that maximum annealing temperature from 450°-1100°C and the addition of GeI₂or SnCl₄ precursors can be used to achieve different morphologies, alloying efficiency, and sizes. Directly annealing HSQ from …

Nano-Patterned Si Structures For Optical Filters And Electro-Mechanical Relays: Fabrication, Characterization, Prospects, And Limitations, Md Ataul Mamun

Theses and Dissertations

Nanofabrication technology, especially nanopatterning, is a rapidly advancing field that has already resulted in creating novel devices and holds promise for producing even more with unmatched performance. These techniques also allow us to gain insight into physical phenomena at the micro- and nanoscale. The ultimate performance of nanofabricated devices and their compatibility with existing Si-based CMOS technology hinge upon the careful selection of materials and precise design, coordinated with meticulous pattern transfer. In this work, we applied nanopatterning techniques on silicon to create optical filters for the shortwave infrared (SWIR) region and nanoelectromechanical system (NEMS) relay-based logic gates. Additionally, these …

Threads Unbound, Yuan Xin

Theses and Dissertations

Threads Unbound investigated the formation of biased cognitive patterns within information ecosystems, examining the blend of reality and fiction in human perception. This project turns the 3 dimension space into an experimental field that prompts reflection on the mechanism of constructing narratives based on the subtle yet powerful forces of reading processes.

Modeling And Mitigating Power Grid Vulnerabilities: A Comprehensive Analysis Of Renewable Energy Integration, Cascading Failures, And Microgrid Resilience, Saikat Das

Theses and Dissertations

In modern power systems, rapid integration of renewable energy and the emergence of microgrid technology emphasize the necessity for a comprehensive understanding of vulnerabilities and robust defense mechanisms. The research begins with an exploration of power grid vulnerabilities to cascading failure amidst the increasing integration of renewable energy sources. A novel power balance technique is employed for cascading failure analysis and power grid vulnerability measurement. Simulation results indicate that the growing penetration of renewable energy has a proportionally higher impact on grid vulnerability to cascading failures. After a certain level of renewable energy penetration, some systems may deteriorate rapidly, necessitating …

Adaptable And Trustworthy Machine Learning For Human Activity Recognition From Bioelectric Signals, Morgan S. Stuart

Theses and Dissertations

Enabling machines to learn measures of human activity from bioelectric signals has many applications in human-machine interaction and healthcare. However, labeled activity recognition datasets are costly to collect and highly varied, which challenges machine learning techniques that rely on large datasets. Furthermore, activity recognition in practice needs to account for user trust - models are motivated to enable interpretability, usability, and information privacy. The objective of this dissertation is to improve adaptability and trustworthiness of machine learning models for human activity recognition from bioelectric signals. We improve adaptability by developing pretraining techniques that initialize models for later specialization to unseen …

Moonshine Babies, Arghavan Heydareslam

Theses and Dissertations

Moonshine Babies is a two-screen film made of collage/cut-out stop-motion and live-action. It is a visual poem based on my journals from when I recently started living in the US as an outsider. The experience left me feeling divided between the empty present and memories of the past. suggesting that there are collective memories among a group of interconnected individuals that unite them within a single narrative.

There was a moment when I asked, "If you are your memories, what does it mean to be somewhere you have no memories of and no one has memories of you there?"

Memories …

Unfolding Remembrance: Folding Islamic Principles Into Pondering Machines, Hind Al Saad Al-Kuwari

Theses and Dissertations

Principles of early Islamic art can be surveyed as a precursor to Western computational art. Though produced in different historical and cultural contexts, Islamic art and computational art are connected by underlying structures—arithmetic, harmony, and the concept of the Infinite.

Islamic developments in knowledge, like algebra, contributed to mathematics and mechanics—the building blocks of contemporary technology. Returning to Islam’s traditional harmony between religion and science, my creative practice constructs machines as an act of worship (ʿibadah), folding Islamic principles into the medium of computation.

Selected verses from the Quran are used as the core of each automaton (self-operating machine). Their …

Large Language Models, Prompting, And Synthetic Data Generation For Continual Named Entity Recognition, Charles I. Cutler

Theses and Dissertations

With the ever-growing amount of textual data, the task of Named Entity Recognition (NER) is vital to Natural Language Processing (NLP), a field which focuses on enabling computers to understand and manipulate human language. NER enables the extraction of information from unstructured text. Accurate information extraction is crucial for applications ranging from information retrieval to systems for question-answering. To ensure that NER models are robust to changes in data distributions and capable of recognizing new entity types, one may consider expanding the capabilities of an existing model. Continual learning is a paradigm within machine learning. It studies the objective of …

Intersectionality, Racial Discrimination And Oral Healthcare Utilization Among Black Adults In Baltimore City, Maryland, Briona M. Phillips

Theses and Dissertations

INTRODUCTION: Oral health is essential for overall well-being, yet disparities persist, particularly among marginalized populations including Black adults. Limited access to and underutilization of oral healthcare services exacerbate these disparities. Discrimination, both individual and systemic, acts as a significant barrier to accessing care, contributing to disparities in oral health outcomes. Individuals facing discrimination experience mistrust and fear within oral healthcare settings, leading to delayed or avoided care. Therefore, investigating and addressing discrimination among Black adults is essential for promoting equitable access to oral healthcare, improving overall oral health outcomes, and lessening existing disparities.

PURPOSE: The purpose of this dissertation was …

Examining The Relationship Between Racism-Related Stress And Coping Among Black Adolescents: A Linked Lives Perspective, Kenna Yadeta

Theses and Dissertations

As Murry and colleagues (2018) note, racism serves as a family-level stressor, impacting both Black adolescents and their parents. As Black teens continue to experience frequent and varied racism experiences (English et al., 2020), their Black parents are facing a double challenge: bearing the weight of their own experiences with racism, while also parenting a Black adolescent through the same. Recent frameworks (e.g., Gilligan et al., 2018) highlight the linked experiences of Black families, in dealing with their stress and coping. As such, the current study aimed to explore the ways that both adolescent and parental experiences with racism related …

Cross-Sectional Analysis Of Primary Care Clinics' Policies, Practices, And Availability Of Patient Support Services During The Covid-19 Pandemic, Kendra Ratnapradipa, Runqiu Wang, Josiane Kabayundo, Walter Marquez Lavenant, Eleanore Nelson, Muskan Ahuja, Ying Zhang, Hongmei Wang

Journal Articles: Epidemiology

BACKGROUND: Healthcare accessibility and utilization are important social determinants of health. Lack of access to healthcare, including missed or no-show appointments, can have negative health effects and be costly to patients and providers. Various office-based approaches and community partnerships can address patient access barriers.

OBJECTIVES: (1) To understand provider perceptions of patient barriers; (2) to describe the policies and practices used to address late or missed appointments, and (3) to evaluate access to patient support services, both in-clinic and with community partners.

METHODS: Mailed cross-sectional survey with online response option, sent to all Nebraska primary care clinics (n = 577) …

Evaluating The Performance Of Flukecatcher At Detecting Urogenital Schistosomiasis, Louis Fok, Berhanu Erko, David Brett-Major, Abebe Animut, M. Jana Broadhurst, Daisy Dai, John Linville, Bruno Levecke, Yohannes Negash, Abraham Degarege

Journal Articles: Epidemiology

Urine filtration microscopy (UFM) lacks sensitivity in detecting low-intensity Schistosoma haematobium infections. In pursuit of a superior alternative, this study evaluated the performance of FlukeCatcher microscopy (FCM) at detecting S. haematobium eggs in human urine samples. Urine samples were collected from 572 school-age children in Afar, Ethiopia in July 2023 and examined using UFM and FCM approaches. Using the combined UFM and FCM results as a reference, the sensitivity, negative predictive value, and agreement levels for the two testing methods in detecting S. haematobium eggs in urine samples were calculated. The sensitivity and negative predictive value of detecting S. haematobium …

Effective Programming And Instruction For Students With Social And Behavioral Needs, Anna S. Cook

All Electronic Theses and Dissertations

Providing special education services to students with Emotional Behavioral Disorders (EBD) can be especially complex. EBD students often display academic deficits which are compounded by difficult behaviors and result in many students lagging 1-2 grade levels behind their peers. If not addressed adequately, the combined skill and behavioral challenges continue into adulthood and lead to troubling outcomes such as higher rates of unemployment, dysfunctional relationships, and negative encounters with the legal system. Early and consistent effective intervention is critical to benefit EBD students across academic and social-emotional domains to facilitate as much appropriate inclusion as possible. This review examines: the …

More Than Just A Location: Redefining Inclusion In Special Education, Karen Rowan

All Electronic Theses and Dissertations

Inclusive education is widely acknowledged as a beneficial opportunity for students with disabilities. However, the location of the instruction is only one factor in creating inclusive opportunities for all students. For education to be truly inclusive, appropriate support to foster participation and learning within the chosen setting must also be provided. Despite international acceptance of this ideal, implementation of inclusive education is challenging. Through a review of current research, I will examine how current inclusion practices in special education impact the social-emotional development and academic achievement of students with diverse learning needs. Advantages of inclusive education include increased access to …