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Articles 86401 - 86430 of 1826714
Full-Text Articles in Entire DC Network
Defining, Defending, & Delusion: White Social Studies Teachers Grappling With Whiteness, Meghan E. Moore-Hubbard
Defining, Defending, & Delusion: White Social Studies Teachers Grappling With Whiteness, Meghan E. Moore-Hubbard
All Dissertations
This study explores rural white social studies teachers’ understandings of their whiteness and racial identity. In this multiple-case study, four participants engaged with a reader designed to elicit discussion and reflection on whiteness. Over the course of one week, teachers read works by George Lipsitz, Reverend Thandeka, Charles W. Mills, and James Baldwin. Grounded in the work of these scholars and the theory of Critical Whiteness Studies, this study asked participants to reflect on, discuss, and design lesson plans to be implemented in their classrooms based on their understanding of whiteness. Data was gathered in the form of interviews, reader …
Understanding Dimensional Stability Of Polymer Surgical Mesh, Simeon J. Mckelvey
Understanding Dimensional Stability Of Polymer Surgical Mesh, Simeon J. Mckelvey
All Dissertations
Polymer surgical mesh is a biomedical implant that has revolutionized the repair of the abdominal wall and pelvic floor. Each year, over 1.6 million Americans undergo surgical procedures using polymer surgical mesh to treat conditions where internal organs protrude through weakened tissues. This material is used in approximately 90% of hernia repairs, 80% of stress urinary incontinence procedures, and 30% of pelvic organ prolapse surgeries.
Despite this widespread use of polymer surgical mesh, post-implantation complications have prompted regulatory investigation and scrutiny. These complications stem from the mesh's behavior within the human body, including wrinkling, contraction, and loss of fixation, which …
Serious Leisure, Passion, And Burnout, Carson Matsick
Serious Leisure, Passion, And Burnout, Carson Matsick
All Dissertations
This study examined the relationships between aspects of serious leisure, dualistic passion, and burnout in the MBI-GS and BM. Serious leisure has been shown to improve leisure and general life outcomes, but little research considers how harmonious or obsessive leisure engagement affects these outcomes or has extended serious leisure benefits to the workplace. Overall, the study hypothesized that leisure seriousness, harmonious passion, and satisfaction with time spent in serious leisure will negatively correlate with burnout, and obsessive passion will degrade the benefits derived from serious leisure. 240 participants completed Gould's Serious Leisure Inventory, the Passion Scale, the Maslach Burnout Inventory …
Am I Woke Enough To Serve In Healthcare: A Secondary Analysis Of Pre-Health Students’ Personal And Professional Growth By Engaging In Cultural Competency Assessments, Harolynn Williams
Am I Woke Enough To Serve In Healthcare: A Secondary Analysis Of Pre-Health Students’ Personal And Professional Growth By Engaging In Cultural Competency Assessments, Harolynn Williams
All Dissertations
Healthcare providers must be equipped to serve an increasingly diverse population, yet cultural competence remains underemphasized in undergraduate pre-health education. This study explored how embedded cultural competency training influences undergraduate pre-health students’ perceptions of personal and professional growth. Using a qualitative descriptive design, the research incorporated intercultural assessments, the Intercultural Development Inventory (IDI), and the Global Competence Certificate (GCC), along with qualitative reflections from students enrolled in three versions of a cultural competence course: a year-long course, a semester-long course, and a short-term study abroad immersion six-week course. Findings revealed that students demonstrated measurable growth in cultural awareness, knowledge, communication, …
An Analysis Of Principal Influence On Teacher Retention In A Rural School District: An Exploratory Qualitative Study, Stephanie Davis
An Analysis Of Principal Influence On Teacher Retention In A Rural School District: An Exploratory Qualitative Study, Stephanie Davis
All Dissertations
Research shows that nearly one-third of novice teachers leave the profession before their third year, and almost half leave by their fifth year, with turnover rates remaining steady. Teacher job satisfaction and dissatisfaction are influenced by various factors, with administrative support playing a key role. This exploratory qualitative study examined how principals' leadership behaviors affect teacher retention. Through surveys and interviews with principals and teacher representatives from nine schools, the study found that positive principal leadership significantly influences teachers' decisions to stay in their schools. Principals actively engage in behaviors, both direct and indirect, that help retain teachers. The study …
Ceramic Membrane Evaluation Via Automated Filtration Systems For Water Treatment And Resource Recovery, Weiming Qi
Ceramic Membrane Evaluation Via Automated Filtration Systems For Water Treatment And Resource Recovery, Weiming Qi
All Dissertations
Membranes are an advanced and mature water and wastewater treatment technology. Membrane fouling is a key difficulty for all membrane filtration processes, leading to significant attention in the literature over the years. A common problem in laboratory-scale membrane research is that the testing methods in the laboratory are often quite different than industrial applications due to the limitations of manual experimental setups. An automated membrane filtration apparatus was built in the lab to solve this problem by allowing long-term filtration, frequent backwash and CIP, and high-accuracy operation. The filtration system achieves different cleaning strategies for both theoretical research and practical …
The Effect Of Nuclear Isomers On S-Process Nucleosynthesis, Jaad Tannous
The Effect Of Nuclear Isomers On S-Process Nucleosynthesis, Jaad Tannous
All Dissertations
s-Process nucleosynthesis is a process in which stars produce elements of mass range A = 57 to 210. Since the days of B2FH, immense work has gone into quantifying and computing s-process yields and pathways. We expand upon said work along two fronts. The first front sets up the framework for proper treatment of nuclear isomers in network calculations. We apply the framework to study 85Kr, which is a pivotal isotope in the s-process chain that affects the abundance yields of Strontium and Rubidium isotopes. In particular, we are interested in the ratio of 88Sr/86Sr and 87Rb which are important …
Synthesis Of Nanoparticles In Silicate Matrix And Stimuli Responsive Nanocomposite Polymer Films, Dimuthu Edirisinghe
Synthesis Of Nanoparticles In Silicate Matrix And Stimuli Responsive Nanocomposite Polymer Films, Dimuthu Edirisinghe
All Dissertations
Interactions between aqueous metal ions and soluble silicates lead to the formation of insoluble metal silicate complexes that form nanoparticles via condensation polymerization. Metal silicates function as nanoreactors, effectively condensing metal ions into nano-sized particles that can undergo further chemical transformations. Core-shell nanostructures present an intriguing strategy for integrating materials with different properties. The silicate shell around the silver nanoparticles can be successfully infused with other metal ions, enabling subsequent reactions to tailor their properties. Silver nanoparticles exhibit strong interactions with light, surpassing other chromophores, including noble metal nanoparticles, due to their highly efficient surface plasmonic resonance. The unique optical …
Essays On Credit Default Swaps, Zhao Liu
Essays On Credit Default Swaps, Zhao Liu
All Dissertations
This dissertation focuses on the investigation of the credit derivative market. It consists of an analysis of credit default swaps (CDS) based on corporate bonds and a study of the indexed CDS—the ABX.HE index, which references subprime residential mortgage-backed securities as the underlying reference entities.
The first chapter examines the CDS pricing model and explores the key determinants of the price error measured by the absolute value of the CDS-bond basis. Specifically, I assess the efficiency of different risk-free rate proxies--Treasury Yields, EFFR/OIS rates and SOFR/OIS rates--in the CDS pricing model. The result indicates that Treasury yields overperform the other …
Identification And Characterization Of Intermediate Phenotypes To Decipher Genetic Architecture Of Stalk Lodging Resistance In Maize (Zea Mays L.), Bharath Kunduru
Identification And Characterization Of Intermediate Phenotypes To Decipher Genetic Architecture Of Stalk Lodging Resistance In Maize (Zea Mays L.), Bharath Kunduru
All Dissertations
Maize is a key contributor to global food security and incurs severe yield losses due to stalk lodging, the permanent displacement of plants from an upright growth habit due to mechanical damage to the stem (stalk). Stalk lodging resistance, an indicator of the stalk ability to resist lodging, is a complex trait and determined by several structural, geometric, and material properties of stalks, collectively referred to as intermediate phenotypes, whose identity and genetic framework are poorly understood. Therefore, progress in resolving the genetic architecture of stalk lodging resistance was impeded by a lack of standardized phenotyping methodologies and a poor …
Decomposition And Coordination For Multiobjective Optimization: A Framework And Methodology, Philip J. De Castro
Decomposition And Coordination For Multiobjective Optimization: A Framework And Methodology, Philip J. De Castro
All Dissertations
In this work, we consider finding Pareto efficient solutions for complex multiobjective optimization problems (MOPs). Complex MOPs are unique in the literature because they have many more objective functions than is typically considered. In fact, such complex MOPs will have 30+ objective functions. This large problem size presents computational and coginitive difficulties. Computationally, standard techniques for solving MOPs are often ineffective and cognitively it is difficult for a decision maker (DM) to handle all of the information provided in such a large problem. To address these challenges, we develop a decomposition and coordination framework. This framework will allow us to …
Charge And Spin Transport In Nanowires With Spin-Orbit Coupling, Ryan Perrin
Charge And Spin Transport In Nanowires With Spin-Orbit Coupling, Ryan Perrin
All Dissertations
Nanowires exhibiting Fermi-level pinning have strong radial electron confinement and thus can be modeled as a two-dimensional electron gas wrapped around the core. In III-V semiconductor structures, two forms of spin-orbit coupling are generated by breaking inversion symmetries in the crystal (Dresselhaus) and the overall structure of the nanowires (Rashba). The first goal of this thesis is to understand the single-particle energy spectrum in nanowires with variable cross sections and the quantum oscillations that can be driven in them by the application of a magnetic field parallel to the axis of the wire. To this end, the eigenfunctions and eigenvalues …
Leadership Matters: The Impact Of Transformational Leadership And Mattering On Job Attitudes And Perceived Performance, Chelsea E. Robbins
Leadership Matters: The Impact Of Transformational Leadership And Mattering On Job Attitudes And Perceived Performance, Chelsea E. Robbins
All Dissertations
Mattering refers to the sense that one is significant and valued by others, which has been linked by a small but growing body of research to key work-related outcomes, including job satisfaction, organizational commitment, and job performance. This study examines mattering among Basic Science Medical Educators (BSME), a group potentially vulnerable to low workplace mattering due to limited leadership support and isolation from communities of practice. Consideration for follower well-being is important across many leadership theories, and transformational leadership behaviors overlap highly with behaviors thought to increase mattering. Survey responses from BSME and a general workforce sample were analyzed to …
Borders And Burdens: Three Essays On Inter-Jurisdictional Tax Policy In America, Benjamin Jaros
Borders And Burdens: Three Essays On Inter-Jurisdictional Tax Policy In America, Benjamin Jaros
All Dissertations
Individuals, firms, and governments make decisions about the tradeoffs of different tax policies at jurisdictional borders, such as those between states, nations, or local governments; those choices shape the burden of taxation. This dissertation examines the effects of three distinct changes in tax policy: for state corporate income tax apportionment, colonial tobacco tariffs, and tax abatements for data centers. Chapter 1 examines how changes to the corporate income tax base formula affect state tax revenues. Chapter 2 analyzes how colonial era export and import tariffs on tobacco impacted trade volumes, raised revenue, and the distribution of the tax burden between …
Strengthening The Bonds Between Us: An Empirical Investigation Of Morale In Human-Ai Teams And The Socially Supportive Ai Teammates Who Empower It, Rohit Mallick
All Dissertations
This dissertation investigates how artificial intelligence (AI) can be designed to improve the collective emotion within a team. A team's collective emotion, or morale, describes how motivated, optimistic, and enthusiastic the group is in accomplishing its goals. We conducted four studies that compared different social support strategies that AI teammates can provide to the team. Study 1A found that AI teammates who communicate with emotions can better motivate human team members and promote awareness of team dynamics and environmental changes. Study 1B found that human teammates become more motivated and happier when their AI teammates express joy and are close …
Integrating Artificial Intelligence For Transportation Cyber-Physical Systems: From Detection To Cyber Resilience, Reek Majumder
Integrating Artificial Intelligence For Transportation Cyber-Physical Systems: From Detection To Cyber Resilience, Reek Majumder
All Dissertations
This dissertation investigates different methods for methane detection using unmanned aerial vehicles (UAVs). The author addresses the fundamental problem of methane emissions, a potent greenhouse gas responsible for global warming. The first part of the dissertation aims to create a cost-effective system for real-time methane detection and intensity prediction using ensemble learning models trained on meteorological parameters. The ensemble learning-based classification models show a high accuracy for methane detection.
The second part of the dissertation investigates cyberattack detection for UAVs using a graph-based intrusion detection system (IDS) for controller area networks (CAN). This lightweight, protocol-independent IDS uses graph-based machine learning …
Amyloid Aggregation And Mitigation, Zhenzhen Zhang
Amyloid Aggregation And Mitigation, Zhenzhen Zhang
All Dissertations
The buildup of protein in tissues and organs plays a major role in unfunctional several serious diseases, including Alzheimer’s disease, Parkinson’s disease, and Type 2 diabetes, each tied to specific proteins that form harmful amyloid deposits. Amyloid aggregation typically follows a sigmoidal kinetic curve, beginning with a slow lag phase, followed by rapid fibril growth, and eventually reaching a plateau where mature, stable fibrils are formed. However, the early stage of aggregation remains particularly difficult to capture experimentally due to the highly dynamic nature and low abundance of small oligomeric species. In this dissertation, we employed discrete molecular dynamics (DMD) …
An Investigation Of Design Processes And Their Effects On Accessibility In Narrative Themed Environments, Arielle Spencer
An Investigation Of Design Processes And Their Effects On Accessibility In Narrative Themed Environments, Arielle Spencer
All Dissertations
Accessibility matters, and not merely in meeting minimum codes or limited to basic necessities. Access and inclusion matter still more in places of recreation and leisure which have too often been overlooked or considered low priority, however it is precisely these places that merit special attention. Narrative Themed Environments occupy a unique position relative to the general built environment, often acting as utopic ‘other-spaces’ for enjoyment, freedom, and escape. However, for guests with disabilities, current themed experiences can often lack true inclusivity and instead create inequality, segregation, diminished experiences, and feelings of isolation and exclusion. The peculiar idiosyncratic design process …
User Acceptance Of Shared Autonomous Vehicles, Haotian Su
User Acceptance Of Shared Autonomous Vehicles, Haotian Su
All Dissertations
A dissertation is proposed to explore user acceptance of shared autonomous vehicles (SAVs). SAVs are facing limited user acceptance. To systematically tackle the user acceptance barriers of SAVs, the main problem can be disintegrated into two sub-problems of user acceptance of autonomous vehicles (AVs) and ridesharing. The comfort of the ride experience in AVs is a determinant of user acceptance. Understanding the influential factors and developing methodologies to quantify human comfort in AVs are essential to facilitating future research to improve human comfort in AVs. The current pooled rideshare (PR) service closely resembles the anticipated future of SAVs. Understanding why …
The Role Of The Neutral Wind In Observations Of High-Latitude Ionospheric Energy Transfer, Andrew M. Pepper
The Role Of The Neutral Wind In Observations Of High-Latitude Ionospheric Energy Transfer, Andrew M. Pepper
All Dissertations
Joule heating results from the collisional interaction between ions and neutrals and serves as a crucial mechanism for energy transfer between Earth's magnetosphere and ionosphere-thermosphere system, particularly at high latitudes. This dissertation investigates the modulation of Joule heating by altitude-resolved neutral winds, electric fields, and conductivity variations through multi-instrument observational analysis and modeling that incorporates both in-situ and ground-based sources to measure the main drivers of ion-neutral coupling. The observations presented consistently demonstrate a dual regulatory effect of the neutral wind on energy deposition that varies systematically with both geomagnetic activity level and proximity to auroral boundaries. In regions characterized …
Social Anxiety Moderates The Association Between Adolescent Irritability And Bully Perpetration, Michael T Perino, Jennifer C Harper-Lednicky, Alecia C Vogel, Chad M Sylvester, Deanna M Barch, Joan L Luby
Social Anxiety Moderates The Association Between Adolescent Irritability And Bully Perpetration, Michael T Perino, Jennifer C Harper-Lednicky, Alecia C Vogel, Chad M Sylvester, Deanna M Barch, Joan L Luby
2020-Current year OA Pubs
BACKGROUND: Preliminary work suggests anxiety moderates the relationship between irritability and bullying. As anxiety increases, the link between irritability and perpetration decreases. We hypothesize that any moderation effect of anxiety is driven by social anxiety symptoms. We sought to explicate the moderating effect of anxiety, while clarifying relations to other aggressive behaviors.
METHODS: A sample of adolescents (
RESULTS: Irritability was significantly related to bullying (
CONCLUSIONS: Understanding how psychopathology interacts with social behaviors is of great importance. Higher social anxiety is linked to reduced relations between irritability and bullying; however, the link between irritability and other aggression remains positive. …
Combining Exercise Training And Testosterone Therapy In Older Women After Hip Fracture: The Step-Hi Randomized Clinical Trial, Ellen F Binder, Peter M Doré, Camelia Guild, Kelly M Monroe, Dominic Reeds, Kenneth B Schechtman, Et Al.
Combining Exercise Training And Testosterone Therapy In Older Women After Hip Fracture: The Step-Hi Randomized Clinical Trial, Ellen F Binder, Peter M Doré, Camelia Guild, Kelly M Monroe, Dominic Reeds, Kenneth B Schechtman, Et Al.
2020-Current year OA Pubs
IMPORTANCE: Despite receiving postacute rehabilitation services, many older women with a recent hip fracture repair are unable to return to their prefracture level of function. Whether testosterone therapy can enhance recovery after hip fracture in older women with persistent mobility impairments has not been fully examined.
OBJECTIVE: To evaluate the effects of a supervised exercise program combined with topical testosterone therapy on functional outcomes in older women with a recent hip fracture.
DESIGN, SETTING, AND PARTICIPANTS: This phase 3 double-blind, placebo-controlled randomized clinical trial, Starting a Testosterone and Exercise Program After Hip Injury (STEP-HI), was conducted at 8 US sites …
Innovative Methods For The Design And Analysis Of Phase Ii Clinical Trials, Feng Tian
Innovative Methods For The Design And Analysis Of Phase Ii Clinical Trials, Feng Tian
Dissertations and Theses (Open Access)
Drug development has become increasingly time-consuming, costly, and risky in recent years. There is significant potential for improving clinical trial designs, particularly for phase II trials, which play a critical role in the drug development process. Innovative methods are especially necessary for addressing key challenges in phase II trials in terms of dose-ranging study, patient population selection, and decentralized clinical trials (DCTs). This dissertation presents a comprehensive set of methodologies that address these critical issues with three projects. The first project introduces a Bayesian adaptive dose-ranging design that integrates both efficacy and toxicity data to evaluate each dose comprehensively. The …
Leveraging Innate Immune Sensors To Generate Durable Anti-Glioma Adaptive Immune Responses, Spencer Lea
Leveraging Innate Immune Sensors To Generate Durable Anti-Glioma Adaptive Immune Responses, Spencer Lea
Dissertations and Theses (Open Access)
Glioblastoma is an aggressive primary brain malignancy harboring a tumor microenvironment that is mostly devoid of T cell effector infiltration but is dominated by immune suppressive microglia, macrophages, and myeloid-derived suppresser cells. These innate immune cells display impaired phagocytosis and antigen presentation and are inadequate for triggering the subsequent immune activating signals needed for anti-tumor adaptive effector responses. Glioblastoma tumors can further restrict phagocytosis and subsequent tumor antigen presentation by the upregulation of the antiphagocytic “don’t eat me” ligand CD47. Here we tested whether activation of multiple conserved innate immune pathways could initiate proinflammatory conversion of suppressive myeloid populations, activation …
Dual-Criterion Dose Finding Designs For Phase I Clinical Trials, Yunlong Yang
Dual-Criterion Dose Finding Designs For Phase I Clinical Trials, Yunlong Yang
Dissertations and Theses (Open Access)
The primary objective of Phase I oncology trials is to assess the safety and tolerability of novel therapeutics. Conventional dose escalation methods identify the maximum tolerated dose (MTD) based on dose-limiting toxicity (DLT). However, as cancer therapies have evolved from chemotherapy to targeted therapies, these traditional methods have become problematic. Many targeted therapies rarely produce DLT and are administered over multiple cycles, potentially resulting in the accumulation of lower-grade toxicities, which can lead to intolerance, such as dose reduction or interruption. To address this issue, we proposed dual-criterion designs that find the MTD based on both DLT and non-DLT-caused intolerance. …
Impact Of Tumor Cell Expressed Cd38 On Metastasis And Immune Evasion In Breast Cancer, Tanvi Visal
Impact Of Tumor Cell Expressed Cd38 On Metastasis And Immune Evasion In Breast Cancer, Tanvi Visal
Dissertations and Theses (Open Access)
Triple-negative breast cancer (TNBC) is a highly metastatic breast cancer subtype. The epithelial-to-mesenchymal transition (EMT) of cancer cells is a key feature of the metastatic cascade and is not a binary process but often generates malignant cells with both epithelial (E) and mesenchymal (M) traits known as hybrid EM cells. Recent studies highlight the enhanced metastatic potential of the hybrid EM cells. However, molecular insights and targetable vulnerabilities within hybrid EM remain elusive. We discovered that hybrid EM murine tumors are enriched in CD38, an immunesuppressive molecule associated with worse clinical outcomes in liquid malignancies but relatively understudied in solid …
Automated Radiotherapy Treatment Planning For Breast Cancer: A Robust To Ol For Global Deployment, Hana Baroudi
Automated Radiotherapy Treatment Planning For Breast Cancer: A Robust To Ol For Global Deployment, Hana Baroudi
Dissertations and Theses (Open Access)
Breast cancer incidence continues to rise worldwide, particularly in low- and middle-income countries, where limitations in resources already constrain access to timely care. Radiotherapy is a cornerstone of breast cancer management, proven to significantly lower both recurrence and mortality. However, a growing shortage of radiation staff worldwide threatens the prompt delivery of these treatments.This thesis proposes an automated solution to address the limited accessibility of radiotherapy planning in breast cancer management by developing an end-to-end automated treatment planning model and evaluating its performance and limitations across diverse patient populations.
An automated contouring model was trained using data from 104 whole-breast …
Development Of Lineal Energy Spectrum-Based Biological Effects Models For Protons, Joseph M. Decunha, Fada Guan, David Grosshans, Zhongxing Liao, Dragan Mirkovic, Oleg Vassiliev, Radhe Mohan
Development Of Lineal Energy Spectrum-Based Biological Effects Models For Protons, Joseph M. Decunha, Fada Guan, David Grosshans, Zhongxing Liao, Dragan Mirkovic, Oleg Vassiliev, Radhe Mohan
Dissertations and Theses (Open Access)
In this dissertation, methods are developed and described to allow for the rapid calculation of microdosimetric spectra (specifically, lineal energy) for protons. SuperTrack, a GPU-accelerated tool for calculation of microdosimetric spectra was developed and is capable of computing lineal energy spectra up to 5000x faster than using Geant4 directly. Proton lineal energy spectra generated by SuperTrack are indistinguishable from those generated by Geant4. With SuperTrack, large libraries of lineal energy spectra for monoenergetic protons spanning 0-300 MeV have been developed. The proton lineal energy spectra calculated by SuperTrack have been compared to experimental measurements made by a tissue equivalent proportional …
Novel Statistical Methods For Mediation Analysis With High-Dimensional Omics Mediators, Zhichao Xu
Novel Statistical Methods For Mediation Analysis With High-Dimensional Omics Mediators, Zhichao Xu
Dissertations and Theses (Open Access)
Mediation analysis is a widely used statistical method for examining how molecular traits, such as gene or protein expression, act as intermediaries linking an exposure to a health outcome. For example, it can help explain how smoking affects disease risk through molecular changes. The rapid progress in high-throughput omics profiling technologies and large-scale epidemiology consortia, such as the Trans-Omics for Precision Medicine (TOPMed) program from the National Heart, Lung and Blood Institute (NHLBI) and UK Biobank, now has resulted in an extensive accumulation of genomic data for biomedical research and analysis. At the same time, it poses significant methodological challenges, …
The Influence Of Scientific, Genetic, And Health Literacy On Carrier Screening Decision-Making, Brenna D. Albracht
The Influence Of Scientific, Genetic, And Health Literacy On Carrier Screening Decision-Making, Brenna D. Albracht
Dissertations and Theses (Open Access)
For those wishing to assess their reproductive risks and make informed decisions in their reproductive planning, carrier screening for autosomal recessive and X-linked conditions, as well as cell-free DNA (cfDNA) screening for aneuploidy, are recommended during pregnancy. Despite similarities in purpose, sample requirements, insurance coverage, and safety, a lower percentage of individuals elect carrier screening than cfDNA screening, suggesting there may be a disconnect in what patients perceive as valuable information for their pregnancy. Previous studies have attempted to explain the factors associated with carrier screening uptake or decline; however, no models have yet accounted for a patient’s literacy level …