Digital Commons Network^™

The Undergraduate Research Experience At Ur, Eve Snyder

Osmosis Magazine

toAnyone who has attended the University of Richmond (UR)can attest to the unparalleled experience that is conducting research. Here, the focus is on nurturing well-versed scientists that are capable of critical thinking, deductive reasoning, and problem solving.

Daily Living Curriculum For Adults With Disabilities, Paige E. Meyers

OTD Capstone Projects

This doctoral capstone project was completed in partnership with BrightStone, with the shared objective of increasing independence for adults with intellectual and developmental disabilities (IDD). In alignment with BrightStone’s values to empower the quality of life for adults with IDD where their choices and their voices matter, this project addressed the growing need to support their adults at all stages of life. Key outcomes included a daily living curriculum, adaptations to involve students in meal preparation and cleanup, staff training on fall prevention and recovery, and a functional skills progress tracker for residential home use.

Quality Of Perinatal Care: Experiences Of Clients And Providers In Three District Hospitals Of Western Uganda– A Mixed Methods Study, Mercy Muwema, Joaniter Nankabirwa, Dan K. Kaye, Gorrette Nalwadda, Joanita Nangendo, Gloria Odei Obeng-Amoako, Jean Claude Nkurunziza, Wilson Mwanja, Elizabeth N. Ekong, Joan N. Kalyango, Grace Edwards, Emmanuel Otieno, Robert Basaza

School of Nursing & Midwifery, East Africa

Background: It is anticipated that closing the quality gap through provision of effective antenatal, intrapartum and postnatal care for mothers and newborns in facilities will reduce morbidity and mortality. Mothers’ and health care providers’ experiences play a vital role in achieving quality care during the perinatal periods.

Purpose: To assess the health care providers’ (HCPs) and clients’ experiences on quality of perinatal care at three district hospitals in Bunyoro region, Western Uganda.

Methods: A convergent parallel mixed methods study design was utilized to explore experiences of 1) mothers as they sought antenatal, intrapartum, and postnatal care; and 2) …

Risk Factors Of Self-Reported Prediabetes Status In New York State, Kari Ann Hunter Thompson

Walden Dissertations and Doctoral Studies

Prediabetes affects over 4 million people in New York State and increases the risk of Type 2 diabetes. Prior research identified risk factors such as poor diet, inactivity, obesity, hypertension, and smoking; but no studies examined these collectively or assessed their interactions. This quantitative, cross-sectional study analyzed a sample of 289 non-institutionalized adults aged 18 or older with landline or cellular phone, from the Behavioral Risk Factor Surveillance System. The study examined relationships between prediabetes and 16 factors in five categories: demographic (age, race, sex, education), socioeconomic (income, employment), behavioral (fruit intake, vegetable intake, physical activity, smoking), physiological (hypertension, BMI), …

Evidence-Based Alternative Pain Management Techniques For Chronic Pain, Alise Williams Condie, Ashley Yaugher, Kira Swensen, Maren Wright Voss

All Current Publications

Chronic pain and opioid use have become topics of importance as opioid overdose deaths have risen to epidemic proportions throughout the nation. Chronic pain lasts for long periods of time and can be caused by a past injury or have no known cause. Opioids have been utilized to treat pain in the past, but it has been discovered that opioids are better used to treat acute pain and not chronic pain. Opioids can have negative consequences including changes to the brain, depression, increased pain, constipation, sedation, and even death. This fact sheet reviews and explains some of the most successful …

Liposomes As Imaging Agents Of Inflammation And Oxidative Stress In Bone Implants, Delia Danila, Patricia S Pardo, R Devesh Kumar Misra, Aladin M Boriek

Faculty, Staff and Students Publications

Liposomes are tiny, spherical vesicles made from cholesterol and natural phospholipids that are promising imaging agents for detecting medical complications. They can carry fluorescent markers or other imaging agents, making them effective for medical imaging. Furthermore, liposomes can target specific cells involved in inflammation, such as macrophages, and accumulate at inflammation sites when injected. Additionally, liposomes can be designed to respond to oxidative stress, which is often associated with bone implant complications. By detecting areas of stress, liposomes provide valuable information about implant health. However, challenges such as rapid clearance from the body, precise targeting, immune reactions, and high production …

Moderate Exercise And Tirzepatide Versus Tirzepatide Alone For Long-Term Weight Loss Maintenance, Edward Amoah Acheampong

Nursing Capstones

Background: Glucagon-like peptide-1 (GLP-1) receptor agonist (RA) drugs have been transformative when managing obesity in the clinical setting. Though these medications are effective for weight loss, questions regarding their efficacy for long-term weight loss or maintenance remain unanswered.

Purpose: The purpose of this scoping review was to answer the following clinical question: Can overweight or obese patients (P) who use tirzepatide without exercise (I) as compared to those incorporating 150 minutes a week of moderate aerobic exercise (C) sustain a ≥5% weight loss (O) one-year post-treatment (T)?

Methods: Five electronic article databases were searched to locate articles …

Nature's Relief: Efficacy Of Plant-Based Therapies Vs. Placebo In Easing Vasomotor Menopausal Symptoms, Megan N. Schneider

Nursing Capstones

Background: Vasomotor symptoms (VMS) impact the lives of menopausal women. Plant-based therapies are frequently used as alternatives to hormonal therapy, warranting evaluation of their effectiveness.

Purpose: This literature review evaluates the efficacy of plant-based therapies in alleviating VMS during menopause and compares their effectiveness to placebo treatment.

Methods: A literature review was conducted utilizing PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL).

Results: The review includes a synthesis of 16 primary studies, highlighting five therapies: black cohosh, soy, red clover, evening primrose, and combination therapy in managing VMS. Soy consistently reduces VMS. Black cohosh, red clover, evening …

The Impact Of Marijuana Edibles On Fetal Development In Pregnant Adolescents And Young Mothers, Rachel Doyle

Honors Theses

With the growing prevalence of marijuana use for both recreational and medicinal purposes, this study explores the impact of edible cannabis consumption on fetal development in pregnant adolescents and young mothers. While most existing research focuses on smoked cannabis in adult populations, this review highlights a significant gap regarding the unique risks of edibles among younger, vulnerable users who may perceive them as safer. Through a comprehensive literature review, the study examines the physiological effects of THC in edible form, as well as the social, economic, and healthcare factors influencing its use. Key areas of focus include maternal health, placental …

Quantifying The Functional Impact Of Chronic Patellofemoral Pain And Its Relationship To Perceived Duty-Related Medical Readiness Among Active Duty Service Members, Emma H. Beisheim-Ryan, Sara R. Gorczynski, Ryan W. Smith, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Introduction

Chronic patellofemoral pain (PFP) is a heterogeneous pain condition that may significantly burden active duty service members, whose rigorous physical training demands include activities such as running and heavy load carriage. While chronic PFP is often defined by its pathoanatomical characteristics, evidence from other pain conditions (e.g., chronic low back pain) suggests classifying pain by its functional impact on work, social, and self-care activities may better inform personalized treatment approaches. As this approach has not been previously undertaken in chronic PFP or younger populations with chronic pain, this study aimed to characterize the global impact of PFP on day-to-day …

Phytochemistry, Antioxidant And Cytotoxic Activities Of Hibiscus (Hibiscus Rosa-Sinensis) Extract On Mcf-7 Breast Cancer Cells, Ade Arsianti, Isma Zahira Suhaima, Steven Gill, Ajeng Megawati Fajrin, Lince Dameria Nadapdap, Norma Nur Azizah, Hiroki Tanimoto, Shun Hirota

Indonesian Journal of Medical Chemistry and Bioinformatics

Background: Breast cancer is the most common type of cancer in women with a very high mortality rate. This cancer is caused by uncontrolled growth of breast cells. Treatments for this malignancy are surgery, chemotherapy, and radiotherapy, however those methods can cause adverse effects and quite expensive. Complementary and alternative medicines (CAMs) are also used to support those main treatments, one of them is herbal medicine. Hibiscus rosa-sinensis is known to have various phytochemical components with antioxidant, antibacterial, anticancer, and analgesic activities. This study is aimed to determine the phytochemical composition, antioxidant activity and cytotoxicity of Hibiscus rosa-sinensis extract towards …

The Combined Effect Of High-Intensity Interval Training And Time-Restricted Feeding On The Akt-Igf-1-Mtor Signaling Pathway In The Muscle Tissue Of Type 2 Diabetic Rats, Motahareh Mohebinejad, Fatemeh Kazeminasab, Mahtab Ghanbari Rad, Reza Bagheri, Mazdak Razi, Darryn Willoughby, Fred Dutheil

Faculty, Staff and Students Publications

Background/Objectives: High-intensity interval training (HIIT) and time-restricted feeding (TRF) have shown potential in enhancing glucose metabolism, increasing insulin sensitivity, and promoting muscle health. This study investigates the combined effects of HIIT and TRF on the AKT-IGF-1-mTOR signaling pathway in the muscle tissue of type 2 diabetic (T2D) rats.

Methods: 42 male Wistar rats (4-5 weeks of age) were included in the study. The animals were randomly divided into two groups: 1. Standard diet (SD) non-diabetic (n = 7) and 2. High-fat diet (HFD n = 35) for 4 weeks. T2D was induced by intraperitoneal injection (IP) of streptozotocin (STZ) …

Training And Thickening Skills Among Food Service Professionals In Early Intervention Day Treatment Facilities, Keelin G. Fullen

Student Theses and Dissertations

Dysphagia, defined as impaired swallowing, affects children and is often treated by modifying food textures and thickening liquids before consumption. Early intervention day treatment (EIDT) facilities serve children with developmental delays and medical conditions that may require food modification such as thickened liquids. Inaccuracies in thickened liquid consistency have been documented in multiple professions, leading to potential negative health implications for the consumer. This study aimed to evaluate food service providers in EIDT facilities and the implementation of thickened liquids plans, training factors, and the accuracy of liquid thickening. Using interviews with five administrators (n=5) and observation of thickened liquid …

Nourishing Movement: Nutrition For Parkinson's Wellness, Alexa E. Shever

OTD Capstone Projects

This doctoral capstone project was conducted in collaboration with Bridges for Parkinson's, an organization designed to connect people living with Parkinson's Disease to a community that engages them in a specialized fitness program that helps them rediscover hope and joy and connect them to other resources to improve overall quality of life. The primary objective was to understand the lived experience of individuals with PD and develop PD specific nutrition education and programming for PD fighters and their care partners to use in fighting back against PD. The specific nutrition topics in the education and programming include Whole Foods, Hydration, …

Culturally Competent Diabetes Management Guide For African Immigrants, Bryce Hunderman

Doctoral Dissertations & Projects

Abstract

Background: Culturally competent care is a cornerstone in medicine to address health disparities and improve outcomes for vulnerable populations. Suboptimal diabetes management was noted within a federally qualified health center in the Midwest along with a lack of culturally competent diabetes education available for African immigrants. The research question for this project is: Will a culturally appropriate diabetes management guide that addresses barriers to diabetes management improve African immigrant’s understanding and abilities to manage diabetes within a federally qualified health center in the Midwest?

Methods: A culturally competent diabetes management guide for African immigrants was created. We …

Utilization Of Zinc As A Supplemental Treatment To Prostate Cancer, Cony Cs Chow, Vishal Ahuja, Luis Mangiafico

Department of Nutrition Student Projects

Prostate cancer remains as a significant contributor to mortality among men worldwide, and despite advancements in treatment, there is still a need for adjunct therapies that could assist in mitigating the progression of this disease. Zinc is an essential trace element which plays a crucial role in the function of the prostate and has shown signs of influencing the development of prostate cancer. This prospective study will aim to evaluate the effects of zinc supplementation on the progression of prostate cancer through a controlled experimental design. Participants will include patients who are diagnosed with prostate cancer (stages 1-3) and will …

Facilitating Better Literacy Outcomes In First And Second-Grade At-Risk Readers At An After-School Program, Brooke Goldhammer

Student Theses and Dissertations

This study aimed to examine the efficacy of literacy intervention in first and second-grade at-risk readers at an after-school program, CityYouth Ministries, in Jonesboro, AR. It was hypothesized that if children at risk for literacy difficulties receive literacy intervention at an after-school program, they would have better reading outcomes, narrowing the gap in academic achievement. If successful, it may resolve the need for long-term literacy support at school, which has been frequently observed with this population. The study utilized a quasi-experimental, within-group pretest-posttest design. Reading fluency and sight word knowledge were measured using DIBELS-8 Oral Reading Fluency passages and Dolch …

Milk Is Medicine: Early Exposure To Mother's Milk With Oral Immune Therapy, Kristina N. Tucker

Doctor of Nursing Practice Final Project Abstract

PURPOSE The purpose of this project was to improve early Oral Immune Therapy (OIT) initiation by implementing a nursing intervention bundle for infants weighing less than 1500 grams at birth.

BACKGROUND Premature infants face nutritional challenges due to immature digestive systems and delayed oral feeding. Drops of maternal breast milk in the buccal mucosa as OIT expose infants to immune factors, positively impacting their microbiome, supports immune function and enhances health outcomes for very low birth weight (VLBW) infants.

METHODOLOGY Using the Institute for Healthcare Improvement (IHI) Model for Improvement with a multi-disciplinary team, interventions included provision of a colostrum …

The Impact Of Sensory Sensitivity On Nutritional Outcomes In Children With Neurodevelopmental Disorders, Rachel M. Qualley

Theses and Dissertations

Background/Objective: Children with neurodevelopmental disorders (NDDs) are at increased risk of malnutrition due to restrictive dietary patterns and behavioral difficulties at mealtimes. Research suggests that heightened sensory sensitivity, a characteristic accompanying several of these disorders, may be a contributing factor. However, the effects of sensory sensitivity on nutritional outcomes across distinct NDDs have not been fully explored. This review aims to examine the relationship between sensory sensitivity and nutritional status, food preferences, and eating behaviors in children with NDDs, specifically investigating how atypical sensory processing might influence dietary intake.

Methods: A literature search was conducted using Google Scholar, PubMed, …

Sex Differences In Exercise And Sleep Among University Faculty And Staff Members, Jorge O. Vazquez, David A. Tobar, Faith Yingling, K Todd Keylock

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 4, 2025. There has been minimal research examining the exercise and sleeping patterns of university faculty and staff members and what role these factors play in overall health. The information gathered in this study was used to analyze how faculty and staff can adapt their behaviors to improve health and well-being. To explore sex differences in exercise and sleep in faculty and staff at a university in the Midwest, the study performed secondary analyses on data collected from the 2022 American College Health Association’s National Faculty and Staff Health …

Air Temperature And Gastroenteritis Among Rohingya Populations In Bangladesh Refugee Camps, Takuya Takata, Xerxes Seposo, Nasif Hossain, Kayo Ueda

Ateneo School of Medicine and Public Health Publications

Importance

The Rohingya displaced population in Bangladesh is the largest stateless population in the world. Infectious diseases, such as gastroenteritis, respiratory infections, and fever, are among the major health problems the Rohingya population has faced. Although associations between gastroenteritis and air temperature have been reported in various regions, no study has yet been carried out among the displaced populations.

Objectives

To evaluate the association between air temperature and risk of gastroenteritis among the forcibly displaced Rohingya population in refugee camps in Bangladesh.

Design, Setting, and Participants

In this cross-sectional study, daily time series data derived from facility-based case reports were …

The Renal Social Workers' Perspective: Attitude, Behaviors, And Barriers To Sexual Health Inclusion, Sapphira L. Blount Murray

Doctoral Dissertations and Projects

Sexual health, an important factor of perceived wellness and quality of life, is adversely impacted by renal disease and treatment. The social worker is uniquely positioned on the renal clinical care team to address sexual health. There is a dearth of literature on renal care and sexual health, and no national study on whether or how sexual health is being addressed in renal care planning by the social worker. This qualitative case study was aimed at exploring the attitudes, behaviors, and perceived barriers based on the lived experiences of renal social workers in incorporating sexual health assessments into routine renal …

Exploring How The Affordable Housing Market In Charleston County, South Carolina Impacts The Retention And Recruitment Of Healthcare Workers, Roger Aaron Williams

MUSC Theses and Dissertations

This dissertation explores the impact of the affordable housing market in Charleston County, South Carolina, on the retention and recruitment of healthcare workers. The study addresses the critical shortage of affordable housing and its implications for healthcare institutions, focusing on support staff such as medical assistants, certified nursing assistants, and other essential roles. Through a comprehensive survey of healthcare workers, the research identifies the extent of housing challenges, including financial strain, long commutes, and job dissatisfaction. The findings highlight the significant correlation between housing affordability and workforce stability, emphasizing the urgent need for targeted housing solutions. The dissertation reviews current …

Enriched Pathways In Gut Microbiome Predict Response To Immune Checkpoint Inhibitor Treatment Across Demographic Regions And Various Cancer Types, Xunhui Cai, Jennifer Y Cho, Lijun Chen, Yufeng Liu, Fenghu Ji, Katia Salgado, Siyi Ge, Dehua Yang, Hui Yu, Jianbo Shao, P Andrew Futreal, Boris Sepesi, Don Gibbons, Yaobing Chen, Guoping Wang, Chao Cheng, Meng Wu, Jianjun Zhang, Ansel Hsiao, Tian Xia

Faculty, Staff and Student Publications

Understanding the effect of gut microbiota function on immune checkpoint inhibitor (ICI) responses is urgently needed. Here, we integrated 821 fecal metagenomes from 12 datasets to identify differentially abundant genes and construct random forest models to predict ICI response. Gene markers demonstrated excellent predictive performance, with an average area under the curve (AUC) of 0.810. Pathway analyses revealed that quorum sensing (QS), ABC transporters, flagellar assembly, and amino acid biosynthesis pathways were enriched between responders (R) and non-responders (NRs) across 12 datasets. Furthermore,

Investigating The Spatial Distribution Of Food Insecurity And Its Associated Factors Across Mississippi Counties, Elizabeth C. Swindell, Riley Morgan, Dylan Barker, Ruaa Al Juboori

Journal of Public Health in the Deep South

Background: Mississippi has one of the highest rates of food insecurity in the United States, with many counties experiencing significant disparities in access to healthy food. Therefore, understanding the spatial distribution of these disparities is essential for developing targeted interventions.

Purpose: This study aims to investigate the spatial distribution of food insecurity and its associated social and health factors across Mississippi counties to identify areas in need of intervention.

Methods: Cross sectional study was conducted using publicly available datasets to examine food insecurity and its associated factors at the county level. Pearson correlations and bivariate Moran’s I were used to …

The Role Of Almonds In Exercise Recovery And Athletic Performance, Kathryn M. Trochman

Theses and Dissertations

Objectives: During exercise, many trained athletes and physically active adults experience symptoms of exercise-induced muscle damage (EIMD). The effects of EIMD can cause limitations in athletic performance and increased duration of exercise recovery. Nutritional interventions have shown results in improving the duration of recovery. However, there are few studies completed on common food items. This review aims to examine the role of almonds in exercise recovery and athletic performance. Methods: A literature search was conducted utilizing Google Scholar, PubMed, CINAHL Ultimate, and reference hand searching. The search parameters included the dietary intervention of almonds for trained athletes and physically active …

Evaluation Of Clinical Features And Treatment Modality Of Pediatric Patients With Steven Johnson Syndrome/Toxic Epidermal Necrolysis: A Single-Center Experience, Funda Ayteki̇n Güveni̇r, Vi̇ldan Seli̇n Çayhan, Selman Kürşat Balci, Ragip Dere, Hati̇ce Irmak Çeli̇k, Serhat Emeksi̇z, Ahmet Selmanoğlu, Zeynep Şengül Emeksi̇z, Emrah Şenel, Emi̇ne Di̇bek Misirlioğlu

Turkish Journal of Medical Sciences

Background/aim: Steven Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are rare but life-threatening severe cutaneous drug hypersensitivity reactions. The aim of our study was to evaluate the clinical features of pediatric patients diagnosed with SJS, TEN or SJS/TEN overlap and to examine treatment modalities.

Materials and methods: Patients aged 0–18 years who were followed up with SJS, TEN or SJS/TEN overlap at Ankara Bilkent City Hospital between August 2019 and January 2024 were retrospectively analyzed.

Results: Twelve patients who met the inclusion criteria were included in the study. Five of the patients had SJS, four had SJS/TEN overlap, and …

The Impact Of Diet On Preeclampsia: An Observational Study Of Nutritional Influence, Trinity G. Moye, Alyssa Cunningham

Department of Nutrition Student Projects

Preeclampsia is a pregnancy-specific condition typically diagnosed after 20 weeks of gestation in women with no prior history of hypertension. Characterized by high blood pressure, proteinuria, thrombocytopenia, increased liver enzymes, and affecting the arteries carrying blood to the placenta, preeclampsia affects the health of both the mother and the fetus. Preeclampsia is disproportionately prevalent in certain populations, specifically among Black women, with various factors contributing to the higher susceptibility including socioeconomic status, education, and health distrust. These factors have been historically structured against Black women in American society. This study aims to reveal how dietary habits can play a role …

The Impact Of The Mediterranean Diet And Low-Glycemic Diet On Fertility In Women Of Childbearing Age With Pcos, Samantha Cicardo, Kayla Le, Carly Traynor

Department of Nutrition Student Projects

Endocrine disorder Polycystic Ovarian Syndrome (PCOS) is an imbalance of reproductive hormones in women, primarily treated with medications such as hormonal birth control and metformin. However, long-term use of medications can have adverse effects as it masks the symptoms of PCOS rather than treat it. Women of childbearing age who are diagnosed with PCOS often are diagnosed with infertility. This proposed research study aims to look at the holistic approach to evaluate how the Low-Glycemic Index (GI) diet and the Mediterranean diet (MD) can impact individuals with PCOS. The primary objective of this study is to assess the impact of …

The Impact Of An Iron-Rich Diet On Fatigue In Menstruating Women With Non-Anemic Iron Deficiency, Meagan Seraydar, Lauren Latimer, Sam Miragliatto

Department of Nutrition Student Projects

Fatigue without diagnosed anemia is prevalent in menstruating women, with iron deficiency being a potential contributor. While iron supplementation is a standard intervention, dietary sources of iron may offer a sustainable alternative. This study aims to assess the impact of an iron-rich diet on fatigue levels in menstruating women. A 12-week randomized controlled trial (RCT) will be conducted, assigning participants to either an iron-rich diet group or a control group following their usual diet without specific iron recommendations. Fatigue will be measured using the Fatigue Severity Scale (FSS) at baseline, six weeks, and twelve weeks, alongside iron status biomarkers, including …