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Tips For Health Care Practitioners: A Guide For Adolescent Obesity, Regina Santana May 2026

Tips For Health Care Practitioners: A Guide For Adolescent Obesity, Regina Santana

Electronic Theses, Projects, and Dissertations

Adolescent obesity continues to be a significant public health concern that is associated with long term physical consequences. The purpose of this project was to develop an evidence based, user friendly guidebook that supports healthcare professionals in the education of adolescents with obesity and their families. A structured literature review development process was used to inform the current development of the guidebook. The guidebook includes components of obesity management such as nutrition and physical activity recommendations. The validity of the content was established through the evaluation of five healthcare professionals that include registered dietitians and licensed therapists. The guidebook was …


Platelet Gαz Regulates Ovarian Tumor Growth And Mediates The Effects Of Chronic Stress, María G. Torres Carrizalez May 2026

Platelet Gαz Regulates Ovarian Tumor Growth And Mediates The Effects Of Chronic Stress, María G. Torres Carrizalez

Dissertations and Theses (Open Access)

Ovarian cancer is the most aggressive gynecologic cancer, with 12,450 estimated deaths in 2026. Elevated platelet counts are commonly observed in patients with ovarian cancer and are associated with enhanced tumor growth and poor prognosis. Patients with ovarian cancer are frequently exposed to elevated levels of stress, which has been correlated with accelerated disease progression and increased mortality. Interestingly, the platelet Gαz protein is activated by epinephrine through the α2A-adrenergic receptor, suggesting a potential mechanistic link between stress signaling and platelet-driven tumor progression. To investigate this, I evaluated the role of platelet Gαz in ovarian cancer using control (Gzfl/fl …


Neurobiological Mechanisms Of Attention In Adolescents, Virginia Clark May 2026

Neurobiological Mechanisms Of Attention In Adolescents, Virginia Clark

All Dissertations

Adolescence is a transformative developmental period characterized by profound biological, neurological, and behavioral changes. This dissertation investigates the neurobiological underpinnings of attention in adolescents, emphasizing how internal mechanisms influence and individually shape cognitive development through the endosystem. Rooted in the intersection of human development, learning sciences, and cognitive neuroscience, this work argues for a more integrated understanding of attention as a fundamental cognitive function for learning, one that is behaviorally seen but also biologically and neurologically driven. While developmental science has often emphasized external influences such as family, culture, and environment, this work centers on the adolescent’s internal biological systems …


Application Of Path Analysis To Determine The Impact Of Age And Sex On The Neural Circuits That Promote Nicotine Withdrawal Severity, Veronika Espinoza May 2026

Application Of Path Analysis To Determine The Impact Of Age And Sex On The Neural Circuits That Promote Nicotine Withdrawal Severity, Veronika Espinoza

Open Access Theses & Dissertations

The rising prevalence of electronic cigarette (e-cigarette) use presents a major public health concern, particularly in adolescent females who are most susceptible to nicotine use and its long-term negative health consequences. The goal of this dissertation was to utilize preclinical rodent models to understand how group differences in age and sex influence neural activation patterns in brain circuits believed to promote nicotine withdrawal. Prior pre-clinical work, conducted largely in male rodents, has established that there are two major brain pathways that modulate the behavioral effects of nicotine withdrawal. These include the mesolimbic and medial habenula-interpeduncular nucleus (MHb-IPN) pathways. To assess …


Salience Network Circuit Dynamics In Distress Tolerance And Drug-Seeking Vulnerability, Marina Alicia Smoak May 2026

Salience Network Circuit Dynamics In Distress Tolerance And Drug-Seeking Vulnerability, Marina Alicia Smoak

Open Access Theses & Dissertations

The psychological distress experienced during drug withdrawal can lead individuals with substance use disorder to abandon their goal of abstinence. Numerous human studies demonstrate that an inability to persist in challenging, goal-directed behavior while experiencing psychological distress is associated with multiple stages of substance use, including relapse. This behavioral construct is referred to as low distress tolerance (DT). Rodent models of DT similarly show that low DT predicts elevated cocaine relapse, particularly when DT is assessed following extended abstinence. This abstinence period corresponds with the incubation of craving, a phenomenon characterized by progressively increased cocaine-seeking over time. Importantly, relapse vulnerability …


Applying Motivational Interviewing-Based Health Coaching Within An Existing Exercise Referral Program: A Cost, Implementation, And Effectiveness Analysis, Zachary Joseph Friedman May 2026

Applying Motivational Interviewing-Based Health Coaching Within An Existing Exercise Referral Program: A Cost, Implementation, And Effectiveness Analysis, Zachary Joseph Friedman

Graduate Theses and Dissertations

Higher levels of physical activity (PA) are known to be associated with lower rates of chronic disease and better quality of living. However, population-wide deficits in PA continue to demand strategies for supporting PA-related behavior change. Health coaching represents a promising intervention strategy for behavior change, but its effectiveness in generally healthy, non-clinical populations is not clear. The purpose of this project was to evaluate the feasibility, cost, and effectiveness of integrating student-delivered, motivational interviewing (MI)-based health coaching into an existing university-based exercise referral program (ERP). Additionally, this study aimed to use students as health coaches, and to document training …


Creatures Of Habit? Impact Of Chick Feeder Tray Location On Feed Consumption At 0-7 Days Of Age, Emily Kate Green May 2026

Creatures Of Habit? Impact Of Chick Feeder Tray Location On Feed Consumption At 0-7 Days Of Age, Emily Kate Green

Graduate Theses and Dissertations

Early chick nutrition is critical for establishing target growth performance characteristics in broiler chickens. This study evaluated factors within commercial broiler houses that potentially influence feed consumption during the first 7 days. Three trials were conducted in a 12.2 x 122 m commercial broiler house to assess the effects of house sectioning, spatial barriers, and feedline location. In Trial 1, a one-way experimental design was used in which the house was divided into four equal sections using migration fencing every 30.5 m. House sections served as a fixed factor. Feed was provided using chick trays placed beneath the feed line …


Exploring The Spectrum Of Anxiety During Concussion Recovery: A Comprehensive Examination Of Symptom-Based Anxiety Disorders, Kori J. Durfee May 2026

Exploring The Spectrum Of Anxiety During Concussion Recovery: A Comprehensive Examination Of Symptom-Based Anxiety Disorders, Kori J. Durfee

Graduate Theses and Dissertations

Background: Anxiety is common following a concussion, arising from both psychosocial and physiological changes, and can manifest in diverse ways. Despite its complexity and association with worse outcomes, post-concussion anxiety is often assessed as a single construct. Characterizing anxiety presentations following injury may improve the identification of clinically meaningful symptoms and help inform future targeted interventions that can improve concussion outcomes. Purpose: The primary purpose was to determine if symptom-based anxiety disorders occur in adults with concussion and identify pre- and post-injury predictors associated with these disorders. Additionally, the clinical utility and predictive abilities of symptom-based anxiety disorders and variability …


Domain-Specific Concussion Knowledge And Reporting In United States Major League Rugby Players, Julie Stamm, Katherine Hunzinger, Owen Sheehy, Christine Baugh May 2026

Domain-Specific Concussion Knowledge And Reporting In United States Major League Rugby Players, Julie Stamm, Katherine Hunzinger, Owen Sheehy, Christine Baugh

Department of Exercise Science Faculty Papers

Previous research indicates high concussion knowledge is not associated with better concussion reporting, with research examining the relationship between reporting and global concussion knowledge. Concussion knowledge has not yet been investigated in United States Major League Rugby (MLR) players. This study evaluated domain-specific concussion knowledge, concussion history, and reporting behaviors among active MLR players. In a cross-sectional design, 207 MLR athletes (age 26.6 ± 3.4 years) completed a survey assessing concussion history, knowledge, and nondisclosure reasons. While in the MLR, 24% reported an undisclosed concussion, with nondisclosure reasons related to a lack of concussion knowledge, a desire to continue playing, …


Forest Overstory Mortality & Recruitment Patterns Eight Years Following Wildfire In The Southern Appalachians, Ruth Cumberland May 2026

Forest Overstory Mortality & Recruitment Patterns Eight Years Following Wildfire In The Southern Appalachians, Ruth Cumberland

All Theses

In this study, we investigated patterns of forest overstory mortality and recruitment eight years after wildfire in a large wildfire site the Southern Appalachians, a topic that has not been thoroughly investigated to date. With evidence that pre-fire drought promotes post-fire mortality through impaired physiological function and increased fuel consumption, unknown patterns following wildfire are important to study under shifting climate and land-use conditions. In Chapter 1, three areas of interest were investigated: (a) functional group mortality response to wildfire effects, (b) temporal differences in early (1-3 years) and late (5-8 years) periods of delayed forest overstory mortality patterns following …


Biology, Ecology And Control Of Eye Gnats In An Open Pine Ecosystem, Leela Hospach May 2026

Biology, Ecology And Control Of Eye Gnats In An Open Pine Ecosystem, Leela Hospach

All Theses

Eye gnats of the genus Liohippelates are bothersome flies of the family Chloropidae. They breed in moist, disturbed, sandy soils that contain organic matter, and have been implicated as vectors of conjunctivitis, bovine mastitis, and yaws. We conducted research into some basic biological and ecological characteristics. Using wild-caught gnats in a temperature-controlled incubator, we found that their activity peaks between 27°C and 41°C. Trapping at different heights above the forest floor in an open-pine savannah, we captured most gnats at 7.5 m off the ground. This may have to do with the attractiveness of the rotten egg lures we used, …


From Invisible Injury To Measurable Impact: Exploring Associations Between Peripheral Biomarkers Of Neuroinflammation And Mental Health Outcomes After Mtbi, Lauren Leggett Smith May 2026

From Invisible Injury To Measurable Impact: Exploring Associations Between Peripheral Biomarkers Of Neuroinflammation And Mental Health Outcomes After Mtbi, Lauren Leggett Smith

Psychology Theses & Dissertations

Mild traumatic brain injury (mTBI), often referred to as a “silent epidemic,” accounts for the majority of traumatic brain injuries worldwide and is increasingly linked to persistent psychiatric outcomes. Despite its prevalence, mTBI remains understudied due to diagnostic challenges, underreporting, and misperceptions of its clinical significance. The present study examined whether peripheral biomarkers of neuroinflammation and astroglial injury—tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and glial fibrillary acidic protein (GFAP)— mediate associations between mTBI history and psychiatric symptom severity, including depression, anxiety, and posttraumatic stress disorder (PTSD). Participants were 138 traumaexposed adults recruited from an urban university and surrounding community, with …


Odor Vs. Direction Prioritization In Shelter Navigation By The Whip Spider Phrynus Marginemaculatus, Aiden Barno, Daniel D. Wiegmann, Verner Peter Bingman, Sidney Tyler Ley May 2026

Odor Vs. Direction Prioritization In Shelter Navigation By The Whip Spider Phrynus Marginemaculatus, Aiden Barno, Daniel D. Wiegmann, Verner Peter Bingman, Sidney Tyler Ley

Honors Projects

Arthropod navigation is known to rely on a variety of multisensory strategies, yet the prioritization of these cues in whip spiders remains poorly understood. This study examined whether Phrynus marginemaculatus prioritizes olfactory cues or idioethic directional cues when the two cues directly conflict with one another. Twelve subjects were trained to associate a shelter with both a specific odor (geraniol or 1‑hexanol) and a consistent directional movement (left or right) from the release site. In a subsequent test trial, odor and direction were dissociated, and subjects’ time spent in front of each shelter was used to determine an association index …


At The Intersection Of Science And Sustainability: A Qualitative Study Of Food Scientists' Personal And Professional Perspectives, Srushti Parikh May 2026

At The Intersection Of Science And Sustainability: A Qualitative Study Of Food Scientists' Personal And Professional Perspectives, Srushti Parikh

Theses, Dissertations and Culminating Projects

Sustainable food systems require not only technological innovation but a more profound understanding of the professionals involved in the field. Even though the topic of sustainability is currently gaining importance throughout the food industry, the real expertise of food scientists is under-researched. PURPOSE: The purpose of this study is to explore food scientists' perspectives on sustainability, how these perceptions influence the way they pursue their careers, and how they view their impact in the larger sustainability agenda of the food industry. METHODS AND MATERIALS: This study captured detailed insights of 22 food scientists’ perspectives through qualitative methods. Food scientists in …


Lumbopelvic Kinematics And Muscular Co-Contractions In Walking Prior To And Immediately Following A Bout Of Prolonged Standing., Stephanie Cotariu May 2026

Lumbopelvic Kinematics And Muscular Co-Contractions In Walking Prior To And Immediately Following A Bout Of Prolonged Standing., Stephanie Cotariu

Graduate Theses and Dissertations

Background: Prolonged standing is a common daily activity in a wide array of occupations, and approximately 44% of sample populations develop low back pain (LBP) during prolonged standing. Prolonged standing-induced LBP developers (“Pain Developers”) are three times more likely to develop clinical LBP and can therefore be considered a pre-clinical LBP population. Changes in typical gait have been observed in LBP patients, and walking has been hypothesized as being protective or preventive against LBP development. However, it is unknown whether Pain Developers exhibit similar kinematic adaptations to chronic LBP patients during common daily activities, such as walking. The exact muscular …


2nd Place Research Paper: Shaping The Ape: Storytelling, Cultural Reflection, And Boundary Negotiation In Human-Ape Zoo Encounters, Abigail Bond Halling May 2026

2nd Place Research Paper: Shaping The Ape: Storytelling, Cultural Reflection, And Boundary Negotiation In Human-Ape Zoo Encounters, Abigail Bond Halling

Kevin and Tam Ross Undergraduate Research Prize

The typical Western zoo functions as a unique environment in which animals are frequently positioned as subjects of education and entertainment through the medium of storytelling. In this sense, the zoological institution can also be read as an extension of popular Western constructions surrounding nonhuman animals, particularly those who are symbolically charged characters in our collective imaginary– the great apes. Given the morphological, behavioral, and psychological similarities between humans and other great apes (chimpanzees, gorillas, and orangutans), nonhuman great ape enclosures at the Western zoo become spaces where humans are most radically confronted with navigating the boundaries of the “human-animal …


Replacing Exams With Project-Based Assignments, Patrick Hiesl Apr 2026

Replacing Exams With Project-Based Assignments, Patrick Hiesl

Land-Grant Press — Teaching Section

This brief provides an example of project-based learning that was applied to the FOR 3410 – Wood Procurement Practices in the Forest Industry undergraduate course. After teaching this course for 4 years, it was determined that project-based learning aligned well with the learning outcomes and activities the students would encounter in their professional careers, resulting in better student engagement in the course and higher retention of the concepts.


The Delivery Dilemma: Unintended Consequences Of Cesarean Sections, Cecilia Odegard, Ellie Rose Piette Apr 2026

The Delivery Dilemma: Unintended Consequences Of Cesarean Sections, Cecilia Odegard, Ellie Rose Piette

Celebrating Scholarship and Creativity Day (2018-)

Cesarean sections (C-sections) are a major surgical procedure intended to minimize the rate of maternal and infant mortality due to complications during birth. While they were originally intended to only be performed when medically necessary, rates of non-medically indicated C-sections have increased significantly. This poster examines the unintended consequences (UICs) that are associated with C-section delivery, focusing on both short-term and long-term effects. A major focus is how C-sections disrupt early microbial exposure during birth, which plays an important role in the development of the infant gut microbiome and immune system. Research has shown that infants born via C- section …


Psychedelic Research In The Modern Day: Good Or Bad?, Shane Miller Apr 2026

Psychedelic Research In The Modern Day: Good Or Bad?, Shane Miller

Mechanical Engineering Student Research

This work is about the usage/safety of psychedelic substances, and I explain whether they are good or bad in terms of other drugs, such as alcohol.


The Impact Of Hybrid Insulin Peptides On The Two-Phase Decline Of C-Peptide In Type 1 Diabetes, Ashley Mehl Apr 2026

The Impact Of Hybrid Insulin Peptides On The Two-Phase Decline Of C-Peptide In Type 1 Diabetes, Ashley Mehl

Celebrating Scholarship and Creativity Day (2018-)

This research aims to determine how the formation of hybrid insulin peptides (HIPs) contributes to the two-phase decline of C-peptide production in type 1 diabetes (T1D). C-peptide is used to determine the level of insulin production within human pancreatic beta-cells because it is secreted in equimolar amounts with mature insulin peptide. The two-phase decline is characterized by an initial rapid and exponential loss of beta-cell function, followed by a prolonged plateau phase of residual insulin secretion. During this plateau phase, residual beta-cells continue to generate HIPs through both enzymatic transpeptidation and spontaneous formation via anhydride intermediates. These processes are problematic …


The Relationship Between Consumption Frequency And Energy Intake Of Ultra-Processed Food And Obesity Based On Body Fat Percentage Among Fph Ui Students In 2025, Sarah Keisya Budiargo, Triyanti Triyanti, Asih Setiarini, Dieta Nurrika Apr 2026

The Relationship Between Consumption Frequency And Energy Intake Of Ultra-Processed Food And Obesity Based On Body Fat Percentage Among Fph Ui Students In 2025, Sarah Keisya Budiargo, Triyanti Triyanti, Asih Setiarini, Dieta Nurrika

Indonesian Journal of Public Health Nutrition (IJPHN)

Obesity is the accumulation of excessive body fat and increases the risk of various non-communicable diseases. Obesity prevalence among FPH UI students based on health examination data in 2022-2024 has reached 13.6%, exceeding the public health concern threshold and requiring more accurate measurement than Body Mass Index. This study aimed to determine the relationship between ultra-processed food (UPF) consumption frequency and energy intake with obesity incidence based on body fat percentage among 147 FPH UI students in 2025. This cross-sectional study utilized the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) based on NOVA classification to assess UPF intake. Body fat percentage was …


The Relationship Between Obesity Among Children And Adolescents With Dietary Intake And Physical Activity: A Scoping Review, Devi Dwi Yolani, Tania Okta Wardhani, Rani Aqilah Ni’Matul Maula, Almira Sitasari, Tri Siswati Apr 2026

The Relationship Between Obesity Among Children And Adolescents With Dietary Intake And Physical Activity: A Scoping Review, Devi Dwi Yolani, Tania Okta Wardhani, Rani Aqilah Ni’Matul Maula, Almira Sitasari, Tri Siswati

Indonesian Journal of Public Health Nutrition (IJPHN)

Childhood and adolescent obesity remain a significant public health issue worldwide. This review summarizes research on the relationship among obesity, physical activity, and diet. This study aims to investigate the relationship between children's and adolescents' obesity, their physical activity levels, and diet. A scoping review was conducted by assessing 81 research journal articles from 2014 to 2023 from electronic databases such as Google Scholar and PubMed. The search strategy used Boolean operators as follows: (“child*” OR “adolescent”) AND (“obesity”) AND (“diet” OR “food intake”) AND (“physical activity”), selected based on the inclusion criteria of children and adolescents aged 1-18 years …


Comparative Analysis Of The Quality Of Life Of Schizophrenic Patients On Antipsychotic Treatment Between Aripiprazole Monotherapy And Combination Of Risperidone-Clozapine At Mental Hospital In West Java, Taufiqurahman Taufiqurahman, Sani Asmi Ramdani Lestari, Ardilla Kemala Dewi Apr 2026

Comparative Analysis Of The Quality Of Life Of Schizophrenic Patients On Antipsychotic Treatment Between Aripiprazole Monotherapy And Combination Of Risperidone-Clozapine At Mental Hospital In West Java, Taufiqurahman Taufiqurahman, Sani Asmi Ramdani Lestari, Ardilla Kemala Dewi

Pharmacology and Clinical Pharmacy Research

Quality of life (QoL) is a critical outcome measure in schizophrenia management, yet antipsychotic side effects may negatively impact patients' well-being. Objective: This study aimed to compare the QoL of schizophrenia patients receiving aripiprazole monotherapy versus a risperidone-clozapine combination at West Java Mental Hospital. An analytical observational study with a cross-sectional design was conducted at the outpatient clinic of West Java Mental Hospital from March to May 2025. The Indonesian version of the WHOQOL-BREF questionnaire was used to assess QoL. A total of 58 outpatients with schizophrenia who met the inclusion criteria were enrolled, comprising 28 patients in the aripiprazole …


Volume 12 Full Text, Bjur Staff Apr 2026

Volume 12 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.


Exploring Gender As An Analytical Framework In The 2018-2019 Revolution And Ongoing Civil War: The Role Of Gendered Violence And Sudanese Women's Resistance, Ami John Apr 2026

Exploring Gender As An Analytical Framework In The 2018-2019 Revolution And Ongoing Civil War: The Role Of Gendered Violence And Sudanese Women's Resistance, Ami John

Butler Journal of Undergraduate Research

This paper will interrogate the intersection of gender, war, and political upheaval within Sudan while focusing on the role of women in both the 2019 resistance and the ongoing conflict and revolution. By the end of 2018, mass protests had called for the ousting of Omar al-Bashir, the long-standing Sudanese president. This event set off a chain reaction which led to events that fueled the long-standing rivalry between the two militant groups that were active in Sudan, the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF). The tension caused by this rivalry created unforeseen circumstances for the local …


Front Matter And Table Of Contents, Bjur Staff Apr 2026

Front Matter And Table Of Contents, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.


Mapping The Void In Electric Vehicle (Ev) Adoption Research: Uncovering Lack Of Socio-Economic Study In The Global South, Satvik Pandey, Rahul Tiwari, Rajat Soni Apr 2026

Mapping The Void In Electric Vehicle (Ev) Adoption Research: Uncovering Lack Of Socio-Economic Study In The Global South, Satvik Pandey, Rahul Tiwari, Rajat Soni

Mansoura Engineering Journal

Electric Vehicles (EVs) are considered an effective contemporary alternative to Internal Combustion Engine (ICE) vehicles. Research in the domain of EV is being conducted globally across a variety of fields; among them, our study explored research on consumer adoption. Going through the bibliometric analysis of the data taken from the Scopus database, what came to our attention is the minimal amount of work that is done on understanding consumers of EVs. From the literature, we found that consumer preferences are shaped through the influence of several parameters related to EVs, and this influence varies according to the consumer’s socio-economic and …


Evaluating Inner-Tainment With A Ghetto Perspective For Positive Thought Adjustment In Ghetto Communities, Shontae L. Graham Apr 2026

Evaluating Inner-Tainment With A Ghetto Perspective For Positive Thought Adjustment In Ghetto Communities, Shontae L. Graham

Doctoral Dissertations and Projects

Environmental challenges and disadvantages impact cognitive scripts and develop persistent frustration. Frustration is both mental and physical and can be negative or positive. It evokes emotion, which is prompted by memory and its associated level of importance. The integration of emotion, memory, and imagination can set the stage and create an act to transition negative frustration and align past experiences with new perspectives. This study used a qualitative Interpretive Phenomenological Analysis approach to investigate the use of self-scripted enactment as a self-help technique for positive thought adjustment. The technique is called Inner-tainment and was used to determine if there were …


Health Behaviors Of First-Generation College Students Affected By Acculturation, Angel Camacho Castro Apr 2026

Health Behaviors Of First-Generation College Students Affected By Acculturation, Angel Camacho Castro

Doctoral Dissertations and Projects

The purpose of this qualitative narrative ethnographic study was to understand how acculturation affects health behaviors and wellness of first-generation college students at a state university on the West Coast of the United States. The theory guiding this study was social constructivism theory, proposed by Lev Vygotsky, who claimed behaviors are constructed by social interactions around social settings. This research focused on how students navigated the changes in inherited cultural values of health behaviors and wellness practices affected by mainstream and college cultures. The dissertation investigated challenges first-generation college students faced in an environment that often conflicted with family values …


Neurological Phenotypes Of Myotonic Dystrophy Type 1 In Drosophila Melanogaster, Carleigh M. Wood Apr 2026

Neurological Phenotypes Of Myotonic Dystrophy Type 1 In Drosophila Melanogaster, Carleigh M. Wood

Departmental Honors & Graduate Capstone Projects

This research investigated Drosophila melanogaster’s ability to serve as a model organism for the neurological phenotypes of Myotonic Dystrophy Type I (DM1). DM1 is caused by a CTG repeat expansion in the DMPK gene. DM1 leads to symptoms of muscle weakness and wasting, as well as decreased cerebral volume. This study aimed to determine whether DM1-affected Drosophila exhibit neurological changes, as has been observed in humans. Healthy control (CUG20) and DM1-affected Drosophila (CUG250) were generated using classical genetics. Both groups were aged three weeks prior to dissection and imaged through fluorescent microscopy. It was predicted that Drosophila melanogaster affected by …