2025 Fall - Commencement Program, Office Of The Registrar, East Tennessee State University

ETSU Commencement Ceremonies and Programs

No abstract provided.

A Mixed Methods Exploration Of Autistic Adults' Leisure Experiences, Sevia Raelson, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Across ages and populations, leisure participation is essential to humans and associated with improved well-being, and both mental and physical health (Bishop-Fitzpatrick et al., 2017; Coster & Khetani, 2008; Lapa, 2013). The American Occupational Therapy Association [AOTA] formally defines leisure as intrinsically motivating, non-obligatory, self-chosen, and enjoyable activities done in one’s free time (AOTA, 2020). Leisure participation trends for autistic populations are better understood in pediatric populations than adults, but studies rely on neurotypically defined leisure activities. Given the differences between neurotypical and neurodivergent brains, it is likely that leisure activities are experienced differently by autistic adults; thus, …

Assistive Technology Transitions From School To Adult Life For Students With Intellectual Disability: A Cross-Sectional Survey, Madeleine Clements, Ms, Otr/L, Atp

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction
In the United States, the Individuals with Disabilities Education Act mandates that schools consider assistive technology (AT) during transition planning for students with intellectual disability (ID) as they move from school to adult life (Individuals with Disabilities Education Act, 2004). AT can improve outcomes for adults with ID across multiple areas, including vocational, daily living, and communication (Johnson et al., 2023; Morash-Macneil et al., 2018). However, AT is often underutilized by adults with ID (Boot et al., 2017; Alshamrani et al., 2025). The Quality Indicators Assistive Technology (QIAT)-Transition framework provides best practice guidelines, in the form of six quality …

Stress During Adolescence: A Characterization Of Anxiety-Like Behavior, And The Mrna Expression Of Neuroimmune Factors, Clock And Stress Genes In Corticolimbic Areas., Annette Fernandez Oropeza, Annette K. Fernandez Oropeza

Biomedical Sciences ETDs

Adolescence represents a critical window of frontal cortex (FC) maturation and corticolimbic circuit refinement that supports stress and emotion regulation. Disruption of these processes by early-life insults such as prenatal alcohol exposure (PAE) or adolescent stress increases vulnerability to anxiety and mood disorders, in part through circadian–immune dysregulation. The circadian transcription factor Bmal1 and the proinflammatory cytokine tumor necrosis factor-alpha (TNFα) have emerged as key regulators of neuroimmune signaling and synaptic communication, yet their interactions across developmental risk contexts remain poorly understood. This dissertation examined the effects of mild adolescent isolation stress, with and without PAE, on anxiety-like behaviors and …

Grappling With Parenthood In 2025, Elisa Muyl

Capstones

In 2024, I became a parent for the first time. Within the first year of my child's life, president Trump was elected for a second term and came into office on the back of a right-wing project to “restore” the American family as the central unit of American life. I knew instinctively that the values and policies this project espoused would not work for my family or many others. At the same time, I was grappling with a profound sense of social alienation and the lack of structural support for new parents, exacerbated by the way that community is sustained …

“Comenzando De Nuevo”: Los Niños Migrantes Enfrentan Inestabilidad En Las Escuelas De Nyc, Adelina Romero

Capstones

This article documents how housing instability and frequent shelter relocations are disrupting the education of migrant children in New York City public schools. Through in-depth reporting centered on a Venezuelan family living in a Midtown shelter, as well as interviews with teachers, librarians, and advocates, the project demonstrates how frequent moves lead to reduced enrollment, academic delays, and emotional strain among English Language Learners. The reporting presents individual experiences within broader citywide trends, such as declining school enrollment and gaps in mandated services for multilingual students. As schools struggle to provide adequate instruction, public libraries have emerged as one of …

Inside Tv’S Reckoning With Writing About Race, Anushka Dakshit

Capstones

In the face of rollbacks in DEI initiatives across the entertainment industry, television writers, producers, and critics discuss how racial representation behind the scenes can impact nuanced storytelling in front of the camera. In the early 2010s Lena Dunham's "Girls" received criticism for in the early 2010s for its lack of racial representation. In 2025, "Southern Fried Rice," produced by Keke Palmer, received controversy for its lack of sensitivity towards the representation of Black women. Critics, writers, and cultural strategists weigh in on what authentic representation looks like throughout all of the stages of the television development process. Link to …

Pediatric Obstructive Sleep Apnea And The Role Dental Hygienists Play In Achieving Optimal Health And Quality Of Life: A Pilot Study, Kari S. Roth

Dental Hygiene ETDs

ABSTRACT

The purpose of this study was to evaluate the current practice, confidence, barriers, and experience of dental hygienists who screen or identify signs, symptoms, and risk factors of those who struggle with pediatric obstructive sleep apnea. This study was designed to provide a brief perspective to identify gaps or needs for improvement in dental hygiene practice. Members of the American Dental Hygienists’ Association participated in an electronic survey. While 231 participants responded, most reported some familiarity with obstructive sleep apnea in children, but many are unaware of guidelines from other professional organizations for screening protocols. Results depict a lack …

Travels In West Africa: A Critical Edition, Erere Iwhi

Student Works

First published in 1897, Mary Henrietta Kingsley’s Travels in West Africa became one of the most influential travel narratives of the Victorian era, changing the way British audiences encountered accounts of West Africa and its peoples. This critical edition examines the book not only as a travel narrative but also as a material artifact shaped by the historical, publishing, and cultural networks that guided its production, circulation, and reception. Extending its analysis beyond Kingsley's experiences of exploration, this edition investigates the forces behind the book’s creation, including Kingsley’s intellectual development, her identity as an independent female traveler and writer, and …

December 13, 2025, Seattle University School Of Law

Commencement Programs

No abstract provided.

Irregularities In The Dynamics Of Large Networks: Cases On Social Networks And The Internet, Dheeman Saha, Abdullah Mueen, Shuang Luan, Afsah Anwar, Yangsun Hong

Computer Science ETDs

Dynamic networks capture evolving relationships among entities, and irregularities in their behavior often signal significant events. This dissertation investigates such irregularities across social and infrastructural networks. First, we analyze Twitter (prior to its rebranding to X) to characterize influencers, introducing a follower-overlap similarity measure that identifies micro-influencers beyond content-based methods.

We then examine election-related irregularities by comparing suspended and non-suspended accounts during the 2020 U.S. presidential election, revealing behavioral patterns linked to misinformation and coordinated manipulation.

Next, we develop an algorithm to infer post-specific diffusion networks, reconstructing who-saw-from-whom pathways for tweets at scale. This method uncovers structural differences in diffusion …

Rogue Artificial Intelligence, Science Fiction, And The Law, Kerry L. Macintosh

Faculty Publications

No abstract provided.

The Role Of Multimodal Analgesia In Spine Surgery: A Scoping Review Of Its Impact On Opioid Consumption And Surgical Outcomes, Madison Milam, Kristie Mullins, Tatum Trent

Doctoral Projects

The ongoing opioid epidemic emphasizes the need for alternative perioperative pain management strategies, particularly in high-risk surgical populations such as spine surgery patients. This project proposes a scoping review to examine the role of multimodal analgesia (MMA) in reducing opioid consumption and improving surgical outcomes in adult neurosurgical patients. MMA analgesia involves the use of multiple pharmacologic and nonpharmacologic approaches that target different pain pathways in the human body, aiming to enhance patient comfort while minimizing reliance on opioids.

This review synthesizes current literature on MMA strategies used in spinal surgeries, evaluates reported outcomes such as pain control, postoperative complications, …

Testing Tocqueville’S Troops: American Democracy At War In Mexico, Corbin V. Cali

History Theses

This thesis explores Alexis de Tocqueville's theory of democratic armies through the lens of the Mexican-American War (1846-1848), testing his predictions about how democratic social conditions influence military institutions and performance. Tocqueville argued that armies in democratic societies would face tensions between egalitarian ideals and military discipline, with citizen-soldiers resisting hierarchy while professional officers, often isolated from civil society, grew dangerously ambitious for war. He predicted that democratic armies would show energetic initiative but struggle with weak formal discipline, and that equality would fundamentally change the relationship between the military and the broader society. The Mexican-American War serves as an …

Arcsine Ratio Sine Generalized Distributions With Applications To Biomedical And Engineering Data, Kizito E. Anyiam, Mohamed A. F. Elbarkawy, Ehab M. Almetwally, Okechukwu J. Obulezi, Mohammed Elgarhy

Mesopotamian Journal of CyberSecurity

gonometric distributions offer a powerful approach to solving complex problems in probability and statistical modeling. In this study, we introduce a novel class of distributions: the Arcsine Ratio Sine Generalized (ARS-G) family. We provide a complete set of explicit formulas for the family’s statistical properties. Our key illustration is the ARS-Weibull (ARS-W) distribution, which uses the Weibull model as its foundation. This particular model demonstrates remarkable flexibility, with its hazard function capable of assuming diverse shapes, including bump, bathtub, reversed bathtub, J-shaped, and L-shaped profiles. We thoroughly examine the ARS W distribution’s statistical properties and employ various established estimation methods …

Treating Atrial Fibrillation: Cryoballoon Vs. Radiofrequency Ablation, Nile A. Latowsky, Jordan E. Andre

Physician Assistant Capstones, 2020-current

Objective: Assess the effectiveness of pulmonary vein isolation (PVI) by cryoballoon ablation (CBA) compared to the current gold standard of care, radiofrequency ablation (RFA), for the treatment of paroxysmal and persistent atrial fibrillation in a symptomatic population. Design: Literature review. Methods: Searches were done in PubMed and Cochrane Library, utilizing the terms atrial fibrillation, cryoballoon ablation, and radiofrequency. In PubMed, the following limits and terms were used: published in the last 10 years, humans, randomized controlled trial, and English. Results: Search results revealed four studies meeting the inclusion/exclusion criteria. Conclusion: Cryoballoon ablation (CBA) is as efficacious in treating atrial fibrillation …

Fecal Showdown - Fit Vs. Colonoscopy: Which Is Better In Colorectal Cancer Detection?, Vanessa A. Arenas, Virn Warndahl

Physician Assistant Capstones, 2020-current

Abstract

Objectives

Colorectal cancer (CRC) is a leading cause of cancer-related deaths in the United States, with most cases occurring in individuals aged 50 years and older. Effective screening is essential for early detection and improved patient outcomes. This paper compares two widely used CRC screening methods—fecal immunochemical testing (FIT) and colonoscopy—primarily in terms of colorectal cancer detection, but also considers adherence and diagnostic yield.

Methods

A search was conducted using PubMed and CINAHL to identify relevant studies comparing FIT and colonoscopy. Articles were included if they were randomized controlled trials (RCTs) or clinical trials published after 2020, involved subjects …

Does Ekg Better Predict Scd Than Traditional Preparticipation Evaluation?, Melanie Hux, Collin Hensien

Physician Assistant Capstones, 2020-current

Introduction: Pre-participation evaluations (PPE) in athletics attempt to reduce the incidence of preventable disease such as sudden cardiac death (SCD) during sports by identifying individuals who may be more susceptible. The purpose of this study was to evaluate the question: does electrocardiogram (EKG) obtained during preparticipation evaluation better identify predictors of sudden cardiac death than history and physical exam in adolescent athletes?

Methods: PubMed was used for this literature search with MESH terms to narrow down an initial search of 143 results to 3 articles that satisfied research criteria. MESH search terms included sudden cardiac death, electrocardiography, physical examination, and …

The Effect Of Platelet Rich Plasma Injection Vs. Steroid Injection On Plantar Fasciitis, Brian Nangle, Lasya Ampaty

Physician Assistant Capstones, 2020-current

Objective: Assess the ability of platelet-rich plasma (PRP) injections to perform better than steroid injections in a population refractory to conservative treatment. Design: Systematic literature review. Methods: Searches were done in PubMed and Scopus, utilizing the terms platelet-rich plasma, steroid injection, and plantar fasciitis. The following limits and terms were used: published in the last 5 years, randomized control trial, used both VAS scale and AOFAS scale. Results: All 3 studies demonstrated that PRP injections allowed more pain reduction and improved stability when compared to steroid injections. Conclusion: PRP injections offer a well-tolerated, minimally invasive procedure for patients refractory to …

From Plaque To Tumour: Follicular Neoplasm Arising In Congenital Nevus Sebaceous, Tasneem Hamed Al Salmani, Suad Al Jahdhami, Nawaf Al Muqaimi, Ayida Al Khalili

Sultan Qaboos University Medical Journal

No abstract provided.

Lycopene, Race And Periodontitis: Disparities In Older Adults, Katherine Kwong, You Lu, Zhuo Huan Li, Susu Luo, Zhaoyu Huang, Zhong Chen, Na Zhao, Tung Sung Tseng

School of Public Health Faculty Publications

Background Periodontitis is a severe gum disease that can be an indicator of other health conditions such as cardiovascular disease and diabetes. Lycopene has been suggested as an adjunct therapy for periodontitis. This study aims to investigate the association between insufficient lycopene intake and the risk of Periodontitis among non-Hispanic White (NHW) and non-Hispanic Black (NHB) older adults. Methods The study included 1,227 adults aged 65–79 years from the National Health and Nutritional Examination Survey (2009–2014). Total lycopene intake from daily diet was studied with age, race, marital status, smoking status, BMI, diabetes, sex, and education as independent variables in …

Using Vaginal Cytology To Confirm Estrus In Swine - Pilot Study, Carly J. Johnson

Honors College Theses

This study aims to determine whether there is a correlation between cellular changes observed in vaginal cytology and the physical signs of estrus in swine. Vaginal cytology is a technique commonly used in dogs, cats, and rodents, and if proven effective in swine, it could serve as a practical tool for producers to confirm estrus status and improve reproductive management.

Assessment Of Fish Community Dynamics, Movement, And Morphology In Relation To Stream Barriers In The Upper Illinois Bayou Watershed, Risa Mccollough

ATU Theses and Dissertations 2021 - Present

Intermittent streams are increasingly recognized as vital components of river networks by supporting dynamic fish communities shaped by variable hydrology and habitat connectivity. They are becoming increasingly vulnerable to fragmentation by anthropogenic activities, namely road crossings, dams, and climate shifts that intensify seasonal drying. In response, I conducted two studies in the Illinois Bayou watershed in Arkansas to assess the effects of fragmentation on fish community dynamics and morphology in intermittent streams.

In the first study, I examined temporal fish community dynamics across two barriers: a natural waterfall in Dare Creek and a low-water crossing in Dry Creek. Simultaneously, I …

Sue Gunter And The Battle For Equity In Women’S Athletics At Sfa, Derek S. Allen

Electronic Theses and Dissertations

From the 1950’s through the 2000’s, women’s college basketball would move from a category of inappropriate activity to selling out large arenas and being broadcast to millions of viewers on national TV. Such a result came largely from federally mandated stipulation contained within Title IX, accelerated a fight for equity and acceptance, and advanced the cause for women’s athletics more than any other initiative. However, that alone would have failed to grow the popularity of a sport such as women’s basketball if it did not produce a quality product for fans. Beyond the need for resources comparable to men’s athletics, …

“Sin Tener Que Gastar”: Un Restaurante Gourmet En Nueva York Donde Pagas Lo Que Puedas, Oscar Alberto Flores

Capstones

Community Kitchen es un restaurante piloto gourmet en el Lower East Side de Nueva York que funciona bajo un modelo de “paga lo que puedas”, creado por el reconocido periodista gastronómico Mark Bittman. Ubicado en un vecindario marcado por una profunda desigualdad económica y altos niveles de inseguridad alimentaria, el proyecto busca demostrar que la comida de alta calidad puede ser accesible para personas de todos los ingresos. A través de un menú sostenible, precios flexibles, apoyo a agricultores locales —en su mayoría BIPOC— y salarios justos para jóvenes cocineros, Community Kitchen combina gastronomía, justicia social y comunidad. En …

Curious Contradictions: A Critical Edition Of 'The Great War In England In 1897,' By William Le Queux, Jacob D. Liljenquist

Student Works

Written by William Le Queux in 1894, The Great War in England in 1897 is a work of invasion literature, and a book full of curious contradictions. Once popular and now forgotten, its material construction belies its status as sensational literature. This critical edition of the 4th edition copy of the novel housed in the L. Tom Perry Special Collections evaluates the book's conception, creation, and reception, and provides a material bibliography of the HBLL's unique copy, all with the aim to reveal and explain the contradictions in the book as a product of imperial culture.

Praise With Pipes And Strings: An Exploration Of American Protestant Hymnody Through New Arrangements For Flute And Piano, Dominic J. Baldoni

Dissertations, 2020-current

This project presents five hymn tunes from the American Protestant (A.P.) tradition arranged for flute and piano, accompanied by a scholarly analysis of the historical, liturgical, and practical aspects of A.P. hymnody and congregational song. The accompanying document explores the development of A.P. hymnody, the background of each selected tune, the role of instruments, primarily the flute, in worship, and the challenges faced by church musicians in the twenty-first century. By examining both vocal and instrumental iterations of these melodies throughout history, the analysis aims to inform performers and program planners about stylistic and contextual considerations for contemporary services and …

Corporeality In Choral Sound: Elements Of Consonant Diction Shaping Pre-Expressive Presence, Perceived Clarity, And Expression In English-Language Choral Music, Addison Walton

Dissertations, 2020-current

The genesis of this project stems from a lived experience performing with a professional choir, whose sung physical shaping of the English language—its crystalline clarity, profound expressivity, and the pre-expressive elements inherent in the delivery—was deeply and viscerally compelling. This overwhelming reaction was in response to their bodies; specifically, the sound their bodies produced that evoked a sense of corporeality, or tangible bodily presence. There was beauty to be found in the way their mouths physically formed the language, both within and removed from the semantic context.

This study sought to acknowledge those fleeting, pre-expressive moments in choral music and …

Log Cabins, Hard Ciders, And The Misunderstood Campaign Of 1840: Looking At How The Whigs Really Created The First Modern Presidential Campaign Through Effective Storytelling, Eric V. Schesventer

Masters Theses, 2020-current

The Whig party crafted the first ever modern campaign seen in American History during the campaign and subsequent presidential election of 1840. They did this not merely through the use of flashy campaign slogans and festive events as previous historians have discussed. The Whigs created the first ever modern campaign by telling both realistic and symbolic stories through the use of media narratives and physical objects crafted for the campaign. By doing this, this helped mold then candidate and future President William Henry Harrison into a candidate for all Americans, even if he was not in practice.

Diplomacy Derailed: Discrimination’S Detour On Route 40, Gage A. Kivlen

Masters Theses, 2020-current

The 1961 Route 40 campaign in Maryland became a critical battleground where three competing approaches to addressing racial segregation revealed deep contradictions in Cold War America. Route 40, a major highway between Washington D.C. and New York, became an international embarrassment when African diplomats from newly independent nations were repeatedly refused service at restaurants and hotels. This crisis prompted responses from three distinct actors: the Congress of Racial Equality (CORE), which employed grassroots organizing and direct action; the State Department's Special Protocol Service Section (SPSS), which pursued top-down diplomatic solutions; and the Federal Bureau of Investigation (FBI), which conducted extensive …