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Pediatric Caregiver Perspectives On Immigration Status In The Healthcare Setting, Anik Patel, Alison L. Fowler, Juan S. Farias, Ana Contreras, Claudia Zepeda, Estefania Bazan, John Cowden, Frances Turcotte Benedict, Jennifer Watts, Kimberly Randell May 2024

Pediatric Caregiver Perspectives On Immigration Status In The Healthcare Setting, Anik Patel, Alison L. Fowler, Juan S. Farias, Ana Contreras, Claudia Zepeda, Estefania Bazan, John Cowden, Frances Turcotte Benedict, Jennifer Watts, Kimberly Randell

Research at Children's Mercy Month 2024

BACKGROUND:

Although the full impact of family immigration status on children’s health in the US is poorly understood, there are known barriers to healthcare access for the country’s approximately 11.4 million undocumented immigrants. Understanding parent/caregiver knowledge, attitudes, perceptions, and beliefs about how their own and their children’s immigration status affects their children’s ability to live a healthy life with adequate healthcare supports may help identify opportunities to improving immigrant children’s well-being.

OBJECTIVES:

This study aims to 1) explore pediatric caregiver knowledge, attitudes, and beliefs regarding impacts of immigrant status on healthcare and 2) describe health and social needs of families …


Psychological Mediation Of Minority Stress And Health: Exploration Of Risk Factors In Lgbq College Students, Kyndal Grammer May 2024

Psychological Mediation Of Minority Stress And Health: Exploration Of Risk Factors In Lgbq College Students, Kyndal Grammer

Electronic Theses and Dissertations

Decades of research have documented pervasive physical and mental health disparities among individuals holding a marginalized identity, including those who identify as lesbian, gay, bisexual, or queer (LGBQ). Heterosexism in the forms of harassment, rejection, and discrimination likely increases minority stress, which is theorized to contribute to documented health disparities. One group that may be particularly vulnerable to effects of heterosexist discrimination, harassment, and rejection is LGBQ college students, especially those who identify as first-generation and were raised in rural environments. The current study aimed to evaluate relationships between LGBQ discrimination, depression, and physical health outcomes at the bivariate level, …


Heavy Is The Arm That Wears The Cgm: An Investigation Of A Social Support Group Of Emerging Adults At A Type 1 Diabetes Camp, Mackenzie Dawes May 2024

Heavy Is The Arm That Wears The Cgm: An Investigation Of A Social Support Group Of Emerging Adults At A Type 1 Diabetes Camp, Mackenzie Dawes

All Theses

Type 1 Diabetes (T1D) is a chronic illness that can be profoundly isolating. T1D often fosters a sense of 'otherness' that is difficult for those without T1D to understand, due to the persistent necessity to monitor blood sugar levels, administer insulin injections, and navigate the ever-present risk of severe health complications if the T1D is mismanaged. For many young adults with T1D, the sense of isolation is magnified amidst the numerous life transitions characteristic of emerging adulthood. Establishing a community of peers with T1D can help mitigate the negative mental and physical consequences. Through semi-structured interviews, this study examines these …


The Machine In The Rice Field: A Spatial Analysis Of Mechanized Rice Processing Infrastructure Along The Cooper River, 1780 - 1830, Jacob Hockenberry May 2024

The Machine In The Rice Field: A Spatial Analysis Of Mechanized Rice Processing Infrastructure Along The Cooper River, 1780 - 1830, Jacob Hockenberry

All Theses

This thesis examines the spatial and physical characteristics of mechanized rice processing infrastructure along the Cooper River in South Carolina’s Lowcountry between 1780 and 1830. Historic rice plantation plats and modern geospatial data provided new information regarding the location of rice processing machines in relation to other plantation landscape features. This research analyzed seven rice plantations that contained these machines. Each plantation plat was georeferenced using ArcGIS Pro to support a detailed spatial analysis of these processing sites. While literature has extensively detailed the social, economic, environmental and enslaved aspects of rice culture in the Lowcountry, little research has specifically …


Broadening The Application Range Of Cell-Free Protein Expression Systems, Matthew Becker May 2024

Broadening The Application Range Of Cell-Free Protein Expression Systems, Matthew Becker

All Theses

Centralized protein manufacturing platforms make the delivery of needed therapies to places with limited infrastructure almost impossible. Cell-free protein expression systems, systems that utilize protein production machinery extracted from cells, offer these communities a viable protein expression platform that is robust and easily deliverable to the place of need. Much work in cell-free system engineering looks to increase the hardiness of cell-free system (CFS) components, like the extract and reaction buffer, needed to carry transcription and translation of gene therapeutic targets forward. Freeze- and air-drying of extract, reaction buffer, or both with certain additives, like sugar molecules, has been proposed …


An Evaluation Of Potential Biocontrol Agents For Anoplophora Glabripennis (Coleoptera: Cerambycidae) In South Carolina, U.S.A., Marina Lupu May 2024

An Evaluation Of Potential Biocontrol Agents For Anoplophora Glabripennis (Coleoptera: Cerambycidae) In South Carolina, U.S.A., Marina Lupu

All Theses

The Asian longhorned beetle (Anoplophora glabripennis Motschulsky, hereafter ALB) was named one of the world’s top 100 worst invasive species by the Global Invasive Species Database, as it threatens several species of hardwood trees in North America. In May of 2020, the southernmost infestation of ALB in North America was discovered near Hollywood, South Carolina, U.S.A. Current eradication efforts focus on tree removal; however, in ecosystems with rugged or flooded terrain, or otherwise inaccessible and vulnerable natural areas, tree removal is a costly and potentially environmentally damaging endeavor that may not be feasible as a management tactic. In these …


Historically Char-Ming, Deryn Candelaria May 2024

Historically Char-Ming, Deryn Candelaria

All Theses

Within the field of Historic Preservation, wood is an essential building material to understand and develop effective treatments to preserve given its wide spread use in history in particular the United States and North America. One of wood's fatal properties is its combustibility. Fire is a constant threat to all historic structures, and materials which requires considered interventions. Over time, advancements in building technology, methods and materials have emerged to combat wood’s propensity for combustion. Intumescent paint, a fire protective coating, which can be used as passive fire protection, has been adopted in the Historic Preservation field in decades since …


Fragile: Handle With Care A Conversation On Trauma, Flashbacks, And Seeing A Therapist When You Need One, Gloria Aragon May 2024

Fragile: Handle With Care A Conversation On Trauma, Flashbacks, And Seeing A Therapist When You Need One, Gloria Aragon

All Theses

The primary content of this creative thesis is a complete manuscript titled Fragile. This is a work of realistic fiction with a central theme of childhood trauma. Additionally, this thesis contains a critical essay entitled, “Moving On: A Discussion on Flashbacks and Childhood Trauma in Fiction”.


The Effect Of Workload On Trust Repair: Testing A New Model Of Trust Repair, Jada Lester May 2024

The Effect Of Workload On Trust Repair: Testing A New Model Of Trust Repair, Jada Lester

All Theses

Given the importance of trust in human-automation interaction, there has been intense activity in understanding trust repair (Esterwood & Robert, 2021). However, despite the numerous trust repair studies, there is no coherent understanding of when and why trust repair works. A recently proposed theoretical model identified two unique categories of trust repair (central and peripheral) and the factors that might affect their success (Pak & Rovira, 2023). The current study tested a specific hypothesis arising from the theoretical model: variations in workload will affect central trust repair efficacy, but peripheral trust repair will be unaffected by workload. Participants engaged in …


Biotinylated Protein Capture And Tween-20 Assisted Exosome Isolations Via Capillary Chanelled Polymer Fiber, Md Khalid Bin Islam May 2024

Biotinylated Protein Capture And Tween-20 Assisted Exosome Isolations Via Capillary Chanelled Polymer Fiber, Md Khalid Bin Islam

All Theses

In the past two decades, Marcus and colleagues have led the advancement of capillary-channeled polymer (C-CP) fiber stationary phases for biomacromolecule separations, including proteins and nanovesicles. These stationary phases offer notable advantages, including low cost ($5/column), straightforward column fabrication, and the capacity for on-column surface modification, enabling high chemical selectivity. This study examines a C-CP fiber modification strategy for capturing target proteins and develops a Tween-20-assisted C-CP-based hydrophobic interaction chromatography (HIC) method for the isolation and quantification of exosomes from human urine.

The quest for higher-throughput and cost-effective protein isolation techniques remains a key focus in a variety of end …


Laboratory Evaluation Of Remediation Alternatives For Groundwater At The Lane Street Superfund Site, Alyssa Costello May 2024

Laboratory Evaluation Of Remediation Alternatives For Groundwater At The Lane Street Superfund Site, Alyssa Costello

All Theses

At the Lane Street Groundwater Contamination Superfund site in Elkhart, Indiana, which includes industrial, commercial, and residential properties, a plume of contaminated groundwater was identified that requires remediation. The plume is chiefly composed of trichloroethylene (TCE) and has impacted residents’ drinking water. A microcosm study was performed to evaluate the potential of various treatment methods to remediate the Lane Street Superfund Site groundwater. The objectives of this microcosm study are to evaluate the potential for biostimulation, bioaugmentation, and abiotic degradation for implementation at this Site and to evaluate toxicity factors that have precluded natural degradation of the site contaminants. The …


Unveiling Packaging Truths: Consumer Perception Vs. Environmental Reality In The Meal And Snack Bar Industry, Rachel Hall May 2024

Unveiling Packaging Truths: Consumer Perception Vs. Environmental Reality In The Meal And Snack Bar Industry, Rachel Hall

All Theses

The meal and snack bar sector is growing in popularity with consumers demanding convenient nourishment options. Currently, brands are developing sustainable packaging alternatives in the flexible industry to package goods like meal and snack bars. These innovations include compostable and recyclable wrappers which have not yet been seen in this space until recent years. The objective of this research is to investigate the misalignments between environmental impact realities and consumer perceptions of packaging seen in the meal and snack bar industry. This work began with a retail audit. Material analysis was then performed on these structures using Fourier Transform Infrared …


Deep Reinforcement Learning Of Variable Impedance Control For Object-Picking Tasks, Akshit Lunia May 2024

Deep Reinforcement Learning Of Variable Impedance Control For Object-Picking Tasks, Akshit Lunia

All Theses

The increasing deployment of robots in industries with varying tasks has accelerated the development of various control frameworks, enabling robots to replace humans in repetitive, exhaustive, and hazardous jobs. One critical aspect is the robots' interaction with their environment, particularly in unknown object-picking tasks, which involve intricate object weight estimations and calculations when lifting objects. In this study, a unique control framework is proposed to modulate the force exerted by a manipulator for lifting an unknown object, eliminating the need for feedback from a force/torque sensor. The framework utilizes a variable impedance controller to generate the required force, and an …


Analysis Of The Right Sizing Approach To Healthcare Space Planning, Johnathan Anspach May 2024

Analysis Of The Right Sizing Approach To Healthcare Space Planning, Johnathan Anspach

All Theses

Achieving optimal spatial design in healthcare facilities is crucial for efficient operations and high-quality patient care. This study investigates the application of the right-sizing approach to healthcare conceptual design, with a specific focus on the Medical-Surgical Unit (MSU) and Intensive Care Unit (ICU) departments within inpatient wards. Utilizing a robust methodology, foundational parameters and constraints were established to align with the functional requirements of a 100-bed hospital case study. Through a systematic process, industry practitioners contributed valuable insights via surveys, facilitating the quantification of parameter rankings essential for spatial decision-making.

Analysis of the data revealed significant correlations between parameters, emphasizing …


Service Use Among Maltreated Children With Behavior Problems And Emotional Disturbance Before And During Covid-19, Darja Beinenson May 2024

Service Use Among Maltreated Children With Behavior Problems And Emotional Disturbance Before And During Covid-19, Darja Beinenson

All Theses

This study utilizes two datasets obtained from the National Child Abuse and Neglect

Data System, a federally-sponsored initiative to monitor annual rates and characteristics of child maltreatment in the United States. Using a set of multinomial and negative binomial regressions, the paper seeks to examine service use among maltreated children with and without behavioral problems and emotional disturbance. The study also explores whether the service utilization gap widened among children with those conditions in 2021, during the pandemic, compared to 2018, pre-pandemic. Results demonstrated significant differences in the utilization of services among children with behavioral problems and emotional disturbance compared …


Evaluation And Development Of Tourniquet Test Methods, Catherine Pitts May 2024

Evaluation And Development Of Tourniquet Test Methods, Catherine Pitts

All Theses

Since the beginning of the 21st century the general perspective on tourniquets has changed to a more positive outlook on their life saving abilities. The US has seen a greater number of mass casualty events, and conflicts across the globe have led to an increased use of tourniquets. The increased demand has also led to faulty counterfeit tourniquets and improvised tourniquets that don not properly occlude blood flow or cause significant nerve damage to the injured limb.

ASTM started designing a tourniquet testing standard with experts in the tourniquet community to cut down on the dangers of tourniquet use. …


Tracking The "Soiled Doves": A Cultural Landscape Of Sex Work In Charleston, South Carolina From 1880-1939, Rachel Fore May 2024

Tracking The "Soiled Doves": A Cultural Landscape Of Sex Work In Charleston, South Carolina From 1880-1939, Rachel Fore

All Theses

Sex work in the United States has become a more widely studied subject in the last twenty years. Most of these studies focus on the historical or archaeological evidence left behind by sex workers. Many of these studies focus most heavily on sex work in the western United States. Studies have looked through a variety of different lenses including gender, race, and economic impact. Despite these varied lenses, little attention has been paid to sex work in Southern cities such as Charleston, South Carolina. The purpose of this thesis is to add to the basic understanding of the prevalence, placement, …


The Spatial And Behavioral Ecology Of The Eastern Box Turtle In A Suburban Landscape, Emma Rogers May 2024

The Spatial And Behavioral Ecology Of The Eastern Box Turtle In A Suburban Landscape, Emma Rogers

All Theses

Urbanization poses a significant threat to wildlife through fragmentation, degradation, and loss of habitats. Species response to urban development is variable, from species that thrive in urban areas to those that avoid them. Eastern box turtles (Terrapene carolina carolina) can live and reproduce in urban areas; however, reports of population decline throughout the species’ range have raised concerns. The objective of this study was to compare home range size and composition, as well as the microhabitat selection of the Eastern box turtle across a developmental gradient in Clemson, SC. We tracked 14 individuals in habitats along a developmental …


Effects Of Different Types Of Starches On Heat Penetration, Color And Viscosity In Alfredo Sauce, Paulina Simoneth Jimenez May 2024

Effects Of Different Types Of Starches On Heat Penetration, Color And Viscosity In Alfredo Sauce, Paulina Simoneth Jimenez

All Theses

The purpose of this study was to examine how retort processing affects the heat penetration and rheological characteristics of starches, such, as corn, tapioca, potato and native rice starches in Alfredo sauce. Modified corn starch is commonly used in sauces. The aim was to explore alternatives and compare how different starches behave in terms of viscosity changes, color variations and processing times. The study also looked at the time needed to achieve a Fo=6 for Clostridium botulinum. The results showed that modified corn starch had an increase in viscosity from 3,328 cP to 13,296 cP, with a relatively short …


An Analysis Of The Demolition Of Seismically Damaged Historic Structures After The 1989 Loma Prieta Earthquake, California, Claire Ann Cox May 2024

An Analysis Of The Demolition Of Seismically Damaged Historic Structures After The 1989 Loma Prieta Earthquake, California, Claire Ann Cox

All Theses

The Loma Prieta Earthquake of 1989 was an event that greatly impacted the lives of those living in the greater San Francisco Bay Area. The 6.9Mw earthquake severely damaged buildings and infrastructure, inevitably leading to the demolition of some of these structures. Older buildings constructed before modern seismic codes were most vulnerable to damage. Yet, age is the same reason many of these buildings were considered historic and valuable in their communities. In the wake of Loma Prieta, an alarming trend of the demolition of historic buildings arose.

This thesis analyzes the demolition of historic structures due to damage …


Layered Structure Protonic Ceramic Conductors Of The Form Ba5in2+Xal2zr1-Xo13-Δ, Nathan Cretegny May 2024

Layered Structure Protonic Ceramic Conductors Of The Form Ba5in2+Xal2zr1-Xo13-Δ, Nathan Cretegny

All Theses

In this work, the hexagonal perovskite of targeted composition Ba5In2+xAl2Zr1-xO13 (x=0, 0.1, 0.2) was synthesized via a solid-state synthesis route to study the impact of oxygen vacancy concentration in layered hexagonal perovskites. Precursor oxides were mixed in stoichiometric proportions, calcined between 800-1200℃ and sintered at 1475℃. The sintered pellets were crushed into fine powders to investigate the chemistry and structure through X-ray diffraction, neutron diffraction, inductively coupled plasma mass spectrometry, and nuclear magnetic resonance. Dense pellets were used to study conductivity properties using electrochemical impedance spectroscopy.

The synthesis approach produced 100% …


Depths Of Perception, Connor Matthews May 2024

Depths Of Perception, Connor Matthews

All Theses

This thesis contains the first four chapters of a novel named Depths of Perception (working title), as well as a short critical essay detailing the process of creating the chapters as well as other literary influences that impacted the construction of the work. The focus of this thesis is on the use of shifting point of view to tell a story from a multitude of character’s perspectives. While this is not a new concept, I aim to derive a deeper understanding of the importance of being able to access the perspectives of a large cast of characters. Allowing the reader …


Hand Movement Analysis For Surgical Suturing Skill Assessment, Amir Mehdi Shayan May 2024

Hand Movement Analysis For Surgical Suturing Skill Assessment, Amir Mehdi Shayan

All Theses

To enhance patient safety, surgical education is increasingly incorporating simulation for formative skills assessment and training. However, many standardized assessment tools rely on human raters for performance assessment, which is resource-intensive and subjective. Simulators that provide automated and objective metrics from sensor data can address this limitation. This thesis presents an instrumented bench suturing simulator, patterned after the Clock Face (CF) radial suturing model from the Fundamentals of Vascular Surgery (FVS), for automated and objective assessment of open suturing skills by particularly focusing on biomechanical analysis of hand movements. For this research, 97 participants (35 attending surgeons and fellows, 32 …


The Impacts Of Wind On Coastal Trees, Julian Halil May 2024

The Impacts Of Wind On Coastal Trees, Julian Halil

All Theses

Trees in hurricane-prone areas are exposed to severe winds and flooding. We studied the physiological and structural responses of forested wetland trees in relation to wind stress. We evaluated the windfirmness of two forested wetland tree species. Baldcypress was chosen because of high survival in post-hurricane studies. In contrast, laurel oak co-occurs with baldcypress yet resists hurricane-force winds poorly. In a static winching study, we quantified the critical turning moment (Mcrit) required to topple both species. Mcrit increased with trunk diameter at breast height (DBH) and crown size. Baldcypress and laurel oak demonstrated similar Mcrit, but regression models indicate baldcypress …


A Transdisicplinary, Survivor-Centered Approach For Creating A System Dynamics Model Of Closed-Buyer Sex Trafficking Networks, Kemonte Yow May 2024

A Transdisicplinary, Survivor-Centered Approach For Creating A System Dynamics Model Of Closed-Buyer Sex Trafficking Networks, Kemonte Yow

All Theses

One of the largest drivers of sex trafficking operations is the demand for commercial sex. To date, research from a quantitative side typically focuses on understanding how to best identify and remove victims from their trafficking situation and then support their healing and recovery. This may be because this is where data exists (in limited forms) to support quantitative modeling. This thesis broadens that scope to understand how demand for commercial sex impacts trafficking operations. In particular, this research implemented a transdisciplinary, survivor-centered approach to build a system dynamics model of a closed-buyer sex trafficking network, which is a network …


Children Of The Grave: The Rise, Fall, And Experience Of Heavy Metal Music During The Latter Cold War From 1969-1991, Shelby Sibert May 2024

Children Of The Grave: The Rise, Fall, And Experience Of Heavy Metal Music During The Latter Cold War From 1969-1991, Shelby Sibert

All Theses

The Cold War era saw the emergence of many different pop culture phenomena. Some were political, such as the Punk Rock and Hippie movements. Others were fashionable trends like Disco. However, Heavy Metal music is unique due to its opaque origins, skyrocketing popularity, and final disappearance after the end of the Cold War. Heavy Metal had a direct relationship with reflecting the fears and anxieties of the late Cold War period. It was a direct response to the Hippie activist counterculture rock n' roll of the 1960s, and it charters a new path of rock n' roll in the process. …


Mechanical And Thermal Measurement Techniques For Crystalline-Core/Crystalline-Clad Optical Fibers, Evan Watkins May 2024

Mechanical And Thermal Measurement Techniques For Crystalline-Core/Crystalline-Clad Optical Fibers, Evan Watkins

All Theses

Optical fiber laser systems offer advantages such as high optical gain, efficient cooling, and the production of high-quality optical beams. Fiber lasers are characterized by their unique core-cladding structure, providing optical benefits and mechanical properties that impact their performance. Interests in materials such as yttrium aluminum garnets (YAG) and lutetium oxide (Lu2O3 also lutetia) as laser mediums are due to their high average power capabilities, but thermal management remains a challenge. This thesis discusses the choice of ytterbium (Yb3+) as a dopant in YAG and lutetia, exploring its electronic structure and relevance to thermal properties. The thesis focuses on the …


Photobiomodulation Of Bovine Oocytes During Maturation Increases Atp Content And Enhances Subsequent Embryonic Development, Kendall Richey May 2024

Photobiomodulation Of Bovine Oocytes During Maturation Increases Atp Content And Enhances Subsequent Embryonic Development, Kendall Richey

All Theses

Bovine in-vitro production(IVP) of embryos is a growing field for producing offspring with desirable genetics in the cattle industries. While IVP is effective, oocyte cytoplasmic maturation is compromised, and bovine oocytes matured in-vitro have reduced metabolic activity than those matured in-vivo. Mitochondria are the central unit of oocyte metabolism, producing ATP through OXPHOS. Photobiomodulation is a light treatment reported to improve metabolic activity. In five experiments, we measured the effects of photobiomodulation treatment with red LED at 16-(L-16) and 20 h(L-20) of bovine oocyte in-vitro maturation on subsequent embryonic development, mitochondrial activity and nuclear progression. Bovine COCs were aspirated …


Domination In Graphs And The Removal Of A Matching, Geoffrey Boyer May 2024

Domination In Graphs And The Removal Of A Matching, Geoffrey Boyer

All Theses

We consider how the domination number of an undirected graph changes on the removal of a maximal matching. It is straightforward that there are graphs where no matching removal increases the domination number, and where some matching removal doubles the domination number. We show that in a nontrivial tree there is always a matching removal that increases the domination number; and if a graph has domination number at least $2$ there is always a maximal matching removal that does not double the domination number. We show that these results are sharp and discuss related questions.


Evaluating Company Culture Of Roofing Contracting Companies To Attract And Retain Women In The Industry, Gopika Viswanathan May 2024

Evaluating Company Culture Of Roofing Contracting Companies To Attract And Retain Women In The Industry, Gopika Viswanathan

All Theses

The US construction industry, similar to many other industries, has a low representation of women. This difference is even more pronounced in construction trades, such as the roofing industry. The admission of more women into the industry is important to address workforce shortage issues that the industry is facing. Company culture has been cited as one of the primary reasons why women choose not to enter the industry or face barriers during their careers. The main objective of this study was to evaluate the company culture of roofing companies through factors identified by literature and by women and companies in …