Digital Commons Network^™

Influence Of Restorative Justice Practices On Student Behavior, Shawn N. Clemons

Electronic Theses and Dissertations

The purpose of this qualitative exploratory case study was to explore how teachers in culturally diverse suburban U.S. elementary schools perceive the implementation of restorative justice practices as an influence on student behavior. The researcher collected data through questionnaires and semistructured interviews of 14 elementary teachers currently employed in a suburban elementary school who actively use restorative justice with students. Findings from the study indicated the restorative justice practices contribute positively to school culture by prioritizing relationship building, structured conflict resolution, and inclusive practices. The findings from this study can be used with teachers, administrators, district support, and school board …

African American Male Dual Enrollment Graduates Perceptions Of The Transition To The 4-Year University, Kendra L. Harrison

Electronic Theses and Dissertations

The purpose of this qualitative exploratory case study was to explore how African American men who earned an associate degree from dual enrollment programs in Texas perceive the transition to a 4-year university to pursue a bachelor’s degree. The 4S model of Schlossberg’s transition theory was the conceptual framework that undergirded the study. Purposive sampling was used to recruit 20 participants. The researcher collected and triangulated data using a questionnaire and semistructured interviews and analyzed it using six-step thematic analysis. Results revealed competence and confidence from dual enrollment program resulted in a smooth transition to college, participants’ African American male …

How Can Learning Management Systems Positively Impact Student Engagement In Online Courses?, Jerald P. Wilson

Electronic Theses and Dissertations

The topic of this dissertation is learning management systems, specifically Canvas. Research has proven that student engagement is a strong factor in student achievement in both online and inperson courses. The COVID-19 pandemic highlighted a deficit in instructors’ ability to acquire and maintain student engagement in online courses. This study details why this problem exists and how instructors have successfully addressed it in higher-level online courses. The primary purpose of this qualitative descriptive study was to examine how learning management systems, specifically Canvas, can increase student engagement in online courses in higher education. Qualitative research was the chosen paradigm for …

A Patient-Centric Chatbot For Improving Clinical Trial Accessibility, Yumeng Yang

Dissertations and Theses (Open Access)

Clinical trial enrollment remains a major challenge, and low accrual continues to delay study completion, increase research costs, and slow the development of new therapies. A barrier is the scale of the trial-matching problem: patients and clinicians must search through a large and growing number of studies, while each trial contains complex eligibility criteria that may overlap only partially with other trials. Although public registries such as ClinicalTrials.gov make trial information available, they do not adequately help patients identify which studies are most relevant to their clinical profile. This dissertation addresses that information problem by developing and evaluating a patient-centric …

Graph And Language Models For Biomedical Inference Across Networks And Text, Evan Yu

Dissertations and Theses (Open Access)

Biomedical research increasingly relies on large and heterogeneous data sources to support scientific inference. However, relevant evidence is often distributed across environments that differ substantially in structure, reliability, and scale. Biomedical evidence may be represented in relational networks that encode interactions among entities and in large-scale text corpora that contain unstructured knowledge and discourse. Developing computational approaches capable of extracting reliable and interpretable signals from these diverse data environments remains a central challenge. This dissertation investigates how graph and language models can support robust biomedical inference across three evidence environments: relational epidemiologic networks, large-scale social media discourse, and biomedical scientific …

The International Pediatric Headache Didactic Series: A Novel Curriculum Innovation, Sara Pavitt, Sruthi Ilangovan, Zoë Allen, Samantha L Irwin, Irene Patniyot

Faculty, Staff and Students Publications

Objectives: The International Pediatric Headache Didactic Series (IPHDS) was developed to provide free, comprehensive pediatric headache education to healthcare professionals worldwide. The objective of this study was to describe the design, implementation, and impact of this prospective educational intervention.

Background: Headache is the most common neurological symptom within the pediatric population. Yet, only nine fellowships are offered in pediatric headache medicine. Limitations in access to education and training are often cited as reasons for diagnostic and management barriers. To address this gap, the IPHDS was established in July 2022.

Methods: IPHDS is a recurring series consisting of 23 biweekly lectures. …

Aht Diagnoses: The Influences Of Clinical Presentation And Evidence Of Impact, Ruairi Smith-Dewey, Angela Bachim, Colleen Bressler, Kristine Campbell, Lori Frasier, Christopher Greeley, Danielle Horton, Nicole Johnson, Jan Leonard, Megan M Letson, Caitlin Mcnamara, Ashley Sherman, Shalon Nienow, Stuart Sommers, Joanne N Wood, James Anderst

Faculty, Staff and Students Publications

Background: The frequency of abusive head trauma (AHT) diagnoses by child abuse pediatricians (CAPs), especially regarding external evidence of head impact, has been questioned.

Objectives: To compare CAP diagnoses in subjects with subdural hemorrhage (SDH) across clinical presentations, including subgroups with and without external evidence of head impact. Additionally, we aimed to describe subjects with SDH and concomitant suspicious injuries (CSI) without evidence of head impact.

Participants and setting: Multicenter retrospective study including subjects < 24 months old with SDH.

Methods: Subjects were divided into groups based on clinical presentations: Ill SDH only, Non-ill SDH only, and SDH + CSI. Groups were subcategorized based on presence/absence …

Fronto-Cerebellar Features Associate With Cognitive Dysfunction In Childhood-Onset Systemic Lupus Erythematosus, Hanne Van Der Heijden, Gabrielle Alonzi, Amanda Cao, Raquel Van Gool, Merve Koç Yekedüz, Lise Vrolix, Itamar Ronen, Vanessa Rameh, Kyle Mcbrearty, Aditi Deokar, Robert P Sundel, Eyal Muscal, Joseph Gonzalez-Heydrich, Andrea Knight, Joyce C Chang, Jaymin Upadhyay

Faculty, Staff and Students Publications

Objective: Cognitive dysfunction (CD) is a prevalent symptom in childhood-onset systemic lupus erythematosus (cSLE). This study aimed to investigate the neurobehavioral basis of CD in cSLE.

Methods: Patients with cSLE (N=20) and age- and sex-matched healthy controls (HCs, N=20) completed questionnaires and multiple neurocognitive tests. The Systemic Lupus Erythematosus Disease Activity Index 2000 and laboratory markers were used to monitor patients' clinical status. Neuroimaging assessments included functional near-infrared spectroscopy (fNIRS), functional magnetic resonance imaging (fMRI), and structural MRI.

Results: cSLE patients demonstrated moderate disease activity with high inflammation and immune dysregulation, alongside low medication adherence. Relative to HCs, cSLE patients …

Black Equality In Ocd Neurogenomics (Belong): Study Protocol, Iasha J Williams, Dalia Y Marquez, Kara E Lopez-Lengowski, Malini Bommiasamy, Ogechi Cynthia Onyeka, Slayton J Underwood, Juliana E Avery, Jacob Gluckman, Thariana Pichardo, Rhea Chandler, Yulu Brown, Katie Mangen, Emma Grace Choplin, Black Equality In Ocd Neurogenomics (Belong) Study Team, Sonyia C Richardson, Joseph D Buxbaum, Eric A Storch, James J Crowley, Sidney H Hankerson, Dorothy E Grice

Faculty, Staff and Students Publications

Obsessive-compulsive disorder (OCD) is a chronic, serious psychiatric disorder that affects 2%-3% of the population and is associated with high personal and societal costs. Genetic factors are estimated to explain roughly half the risk of developing OCD, and genomic studies are just beginning to identify common and rare genetic variants mediating this risk. A major goal of genomic studies is to yield insights into the etiology of OCD and identify molecular targets for the development of novel therapeutics. However, the overwhelming majority of subjects in existing genetic studies are of European ancestry, limiting the generalizability of these findings. To address …

Data Tracking And Analytics Within Inventory Management: Coffee Shop And Retail Store Optimization, Mateo J. Moyon

Senior Theses

This thesis examines the application of inventory management theory in the small and medium-sized business context, with a specific focus on the food and beverage industry. Drawing on the foundational academic literature spanning from Harris’s EOQ formula in 1913 through stochastic inventory theory, ABC analysis, and just-in-time strategy, this paper establishes the mathematical and operational bases for modern inventory management practice. Although there are proven value to these frameworks, research demonstrates that small to medium sized businesses adopt inventory management systems at lower rates citing cost and implementation as barriers. This thesis argues that the emergence of low-cost inventory and …

The Relationship Between Stress And Postpartum Depression-Related Behavior In Females And Its Potential Contribution To The Maternal Mortality Rate In The U.S., Sarah Chugh

Senior Theses

Stress, especially social stress, has been a leading cause of disruptive emotional behavior in humans, with pregnant and postpartum women being the most vulnerable to these effects. Our study aimed to investigate the effects of gestational social stress on postpartum behavioral outcomes. To accomplish this, we examined the following four key behaviors in female rats after being exposed to chronic witness stress (WS) during pregnancy: burying, freezing, rearing, and grooming. Burying behavior is used to assess a defensive response to threatening situations. Freezing responses are evaluated to show heightened fear or hypervigilance that follows stress. Rearing is measured as an …

Identifying Factors Influencing Occupational Therapy Decision-Making Regarding Telehealth, In-Person, And Hybrid Care Within A Veterans Affairs Healthcare Setting In South Carolina, Christina R. Smith

Senior Theses

Telehealth has become an increasing part of healthcare service delivery, expanding client access to services across disciplines, including occupational therapy. Existing research suggests that telehealth occupational therapy can produce similar outcomes to in-person care in certain populations; however, variability in patient characteristics, technological readiness, intervention demands, and environmental contexts influences its suitability, and limited research examines how practitioners determine the appropriate service delivery model. The purpose of this qualitative study is to explore the factors that influence occupational therapy practitioners within a Veterans Affairs healthcare setting in South Carolina when determining the appropriateness of telehealth, in-person, or hybrid service delivery …

The Role Of Community Health Workers In Rural South Carolina, Sarah W. Haselden

Senior Theses

This paper aims to explore the role of Community Health Workers (CHWs) in rural South Carolina through a literature review as well as the data supplied from the Community Health Alignment Initiative (CHAI) and Community Health Workers Changing Outcomes in SC (CCOSC). Through reviewing the collection of materials and data, the effectiveness of CHWs can be studied. Community Health Workers (CHWs) provide a unique aspect to primary care within communities through their aid in prevention of health conditions. CCOSC and CHAI collected data throughout South Carolina to determine the needs of communities and how CHWs can work to address those …

The Effects Of Climate Change On Competition And Recovery From Disturbance In An Iconic Marine Community, Lauren Tibbits

Senior Theses

This paper explores how the recovery of populations of Semibalanus balanoides is affected by climate variation. In intertidal marine ecosystems, larval recruitment is important in shaping all ecological processes. S. balanoides is a cold-water barnacle species that is competitively dominant over Chthamalus montagui and C. stellatus, two warm-water species. This competitive interaction is well studied, though it is not understood how that competition influences the recovery of S. balanoides after a disturbance nor how this process varies over a temperature gradient. 19 sites were studied across the United Kingdom, spanning from northern Scotland to southwestern England. At each site, a …

Evaluating The Impact Of Social Determinants Of Health On Outcomes Of Type Ii Diabetes In South Carolina, Alexander G. Downs

Senior Theses

Type II diabetes mellitus (T2DM) represents a significant public health burden in South Carolina, where 13.5% of adults are affected, surpassing the national rate of 12%. This integrative literature review examines the social determinants of health most strongly associated with T2DM morbidity and mortality in South Carolina, including race and ethnicity, socioeconomic status, rural or urban residence, educational attainment, healthcare access, and food insecurity. Evidence drawn from peer-reviewed studies, epidemiological reports, and state health data reveals that African American, rural, and low-income populations bear a disproportionate share of the diabetes burden in the state. These disparities arise through multilevel mechanisms …

America’S First Comic Role, “The Negro”: An Analysis Of Historical Caricatures And Their Influence On African American Characters And Archetypes, Skyla A. Praylow

Senior Theses

A stereotype is defined as “a set of ideas that people have about what someone or something is like, especially an idea that is wrong.”1 Even though stereotypes are understood to be harmful, “contributing to prejudice and discrimination,” they are still believed to have some “kernel of truth,” and are viewed as “overgeneralized beliefs about social groups in society.” These stereotypes are then used as propaganda to reinforce oppressive systems in the US.2 Stereotypes create the basis of opinions that are used to create caricatures. A caricature is “a picture, description, or imitation of a person in which certain striking …

The Shame Of Mass Torts, Anthony J. Sebok

Articles

No abstract provided.

The Case For The Retrospective Phd By Publication In Dental Academia, James Puryer

Peninsula Dental School

For many mid-career clinicians, the traditional PhD is impractical. We assess how a retrospective PhD by publication provides a flexible, credible model aligned with academic and professional realities.

Not Forgetting The Fathers: A Qualitative Narrative Review Exploring The Involvement And Psychological Well-Being Of Fathers In The Neonatal Intensive Care Unit., Kayleigh Gahagan, Kevin Hambridge, Matt Carey

School of Nursing and Midwifery

BackgroundDespite policy commitments to family-centred care, neonatal services often remain implicitly structured around maternal presence. Fathers, although increasingly acknowledged as vital to early child development, frequently experience feelings of exclusion throughout the neonatal journey, from antenatal care through to the neonatal intensive care unit.AimThis review explores how fathers experience involvement and psychological wellbeing during their infant’s admission to a neonatal intensive care unit.MethodsA narrative review of qualitative studies was conducted using the SPIDER framework to guide the search strategy. The nine included studies, which met the inclusion criteria were identified via searching the databases CINAHL, PubMed, and PsycINFO. Studies were …

Second Place Award: Cultivating Community While Reducing Food Insecurity For College Students In Clemson, Meg Davy, Keven Estrella, Gage Mcclatchey

Undergraduate Research Award

No abstract provided.

Third Place Award: Physical Activity Promotion For Older Adults With Hypertension In Rural Settings (Pacers), Blythe Bacon, Zach Skipper

Undergraduate Research Award

No abstract provided.

Introducing The Ppco Framework, Children's Health

PPCO Resources & Education

Haven't heard of the PPCO Framework yet? It is a framework developed by nurses for nurses that fits nursing questions when searching for literature to support EBP. 

To learn just a little more, we've created a short cheat sheet, with tips, and some examples, and most importantly - links to the original works.

Making Value Visible: A Translational Informatics Study Of Independent Primary Care, Julia Pulliam

Translational Projects (Open Access)

The transition to Value-Based Care (VBC) challenges independent rural primary care practices due to heavy administrative burdens, interoperability barriers, and a reliance on claims data that often undervalues care. This project aimed to improve clinical data reporting to Medicare Advantage Quality Incentive Programs (QIPs) at Oregon City Family Practice (OCFP). By focusing on colon cancer screening metrics, the project sought to demonstrate how automating semantic interoperability can accurately reflect care quality, reduce manual waste, and increase revenue. Guided by the Johns Hopkins Evidence-Based Practice (JHEBP) framework, Plan-Do Study-Act (PDSA) cycles were used to design a transition from manual reporting to …

Ex Post Transparency: Shattering The One-Way Mirror, Ruifeng Song

University of Richmond Law Review

The digital world is becoming a one-way mirror: tech companies gain unprecedented knowledge of individuals who remain ignorant of how companies handle their data. Tech giants have been able to discreetly train their artificial intelligence models on vast troves of personal data, raising privacy concerns. This shows that we have yet to fully learn the lessons of the Cambridge Analytica scandal, where the infamous company misused the personal data of millions of people until the misdeeds were revealed by whistleblowers. A largely overlooked aspect of the scandal is that the law failed to enable timely detection of anomalies because data …

Effects Of Face-To-Face Communication On Network Recall, Gage Austin Pierce

Theses and Dissertations

Research in the field of social cognition found that humans use schema for the storage and processing of network information. Schema use differs by gender and power, in theory because individuals differ in the schemas that apply to the network structures they are involved with. I analyzed a survey dataset collected during the COVID-19 pandemic that asked respondents about how often they interacted with people, and organizations, as well as what forms of communication they used. In addition, a network recall survey experiment was conducted to measure their network recall accuracy. If schema are learned cognitive rules the brain uses …

Destruction, Possession, And Power: The Treaty Of Hartford As A Prototype For United States Indian Policy, Madyson Anne Buchalski

Theses and Dissertations

Amidst a growing interest in the field of Native American legal history, this article aims to bridge a gap in the scholarship between the colonial period and the United States’ nineteenth- and twentieth-century federal Indian Policy. By examining the terms presented in the lesser-known Treaty of Hartford, signed in 1638 following the Pequot War, it is demonstrated that many foundational legal precedents which reappeared in later centuries emerged much earlier than typically assumed. By highlighting this overlooked agreement and comparing it against later proceedings, this article takes a fresh approach to Native American legal history by drawing a throughline from …

Comparing Stress Levels And Experiences Between Mothers And Fathers Of Children With Angelman Syndrome, Katherine Helen Fix

Theses and Dissertations

Angelman syndrome (AS) is a neurogenetic disorder characterized by significant developmental and cognitive impairments, disruptive behaviors, and a hallmark happy demeanor. Past studies have shown that certain features of AS contribute to increased parental stress. Other studies report that in general the stress of parents of children with disabilities is influenced by stereotypical gender roles surrounding factors including daily care taking tasks, financial responsibility, and medical care involvement. This study aimed to compare perspectives among mothers and fathers of individuals with AS to identify discrepancies and themes relating to stress, specific hardships, and caregiving roles. Parents of children with AS …

Gta Anxiety: Teacher-Development For Graduate Students In English, Gracie Rose Warda

Theses and Dissertations

As composition studies turns its attention toward graduate pedagogy, scholars like Macauley and Jankens suggest that teacher-development programs, that is teacher- support courses for graduate students just beginning as university instructors, might be one place to start. Many GTA instructors enrolled in the teacher-development course demonstrate an ironic ambivalence that mirrors that of their First-Year Composition (FYC) students. The following case study style research draws upon the lived experiences of four scholars in English departments across the United States, as well as my own experience from the researcher positionality of a current GTA. Synthesizing these lived experiences is an attempt …

Student Insights On The Most Valuable Aspects Of Genetic Counseling Programs’ Online Presence During The Application Process, Anna Cathryn Girten

Theses and Dissertations

When applying to genetic counseling graduate programs (GCGPs), past research has demonstrated that students prefer websites that are updated and easy to navigate. Program websites contribute to students’ first impressions of the program and serve as an important source of information, but there is limited research on the role of social media and other online content during the application process. This study aimed to identify the importance of online platforms and helpfulness of specific content for students applying to GCGPs. An electronic survey was distributed to current students and recent graduates of accredited genetic counseling programs, and 148 responses were …

Understanding Contemporary Declines In Psychological Well-Being Among Youth: A Self-Determination Theory Approach, Shawn Stewart Mcnally

Theses and Dissertations

This dissertation examines contemporary declines in psychological well-being among older adolescents and emerging adults through the lens of Self-Determination Theory (SDT). Across three interrelated papers, it explores how changing social conditions may shape experiences of autonomy, competence, and relatedness, SDT’s basic psychological needs, and how these processes may be especially consequential during adjustment to and navigation of college. The first paper is conceptual in nature and argues that contemporary societal pressures, parenting practices, and technology-related contexts may operate together to undermine basic psychological needs. The second paper is qualitative in nature and uses interviews with undergraduate students to examine how …