Digital Commons Network^™

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy J. Weber

The Qualitative Report

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …

No. 14: The Impact Of Proximity To Wet Markets And Supermarkets On Household Dietary Diversity In Nanjing City, China, Taiyang Zhong, Zhenzhong Si, Jonathan Crush, Zhiying Zu, Xianjin Huang, Steffanie Scott, Shuangshuang Tang, Xiang Zhang

Hungry Cities Partnership

Existing studies suggest that despite the proliferation of supermarkets, traditional wet markets have persisted in many countries and have been playing an important role in people’s daily food access. Yet, studies investigating the issue of food access and its influences on food security have mainly focused on food deserts and the proximity to supermarkets, with limited focus on wet markets and other food outlets. This study investigates the influence of the proximity to wet markets and supermarkets on urban household dietary diversity in Nanjing. Based on the data collected through a citywide survey in 2015 and the map data of …

Pipeline To Failure: Social Inequality And The False Promises Of American Public Schooling, Adia Wilson

Dissertations, Theses, and Capstone Projects

My experience as a New York City public school student was absolutely electrifying, though filled with many trials. While my mother would have preferred to put me in private school, having access to some of the world’s greatest institutions and resources offered unique opportunities and exposures. The performing arts provided me with an outlet to express myself and build skills and confidence. In particular, dance education kept me occupied and disciplined in a large city full of danger. Every so often, I witnessed hostile, or even violent exchanges between students, or students and staff. While some of my schoolmates became …

Latent ;Toxoplasma Gondii; Infection Moderates The Association Between The C677t Mthfr Polymorphism And Cognitive Function In U.S. Adults, Andrew Nathan Berrett

Theses and Dissertations

Sufficient blood concentrations of folate and the products from its metabolism arenecessary for several cellular functions. The C677T MTHFR polymorphism, present in over halfof the U.S. population, reduces the efficiency of folate metabolism and has been linked to theonset of multiple psychiatric disorders and cognitive decline. The intracellular parasiteToxoplasma gondii can infect the human brain and is associated with increased prevalence ofpsychiatric disorders and cognitive decline. In vitro studies have found that Toxoplasma gondiimay salvage unmetabolized folate from host cells. Since the C677T MTHFR polymorphism andinfection by Toxoplasma gondii both affect folate metabolism or availability, I used data fromthe third …

Latent Toxoplasma Gondii Infection Moderates The Association Between The C677t Mthfr Polymorphism And Cognitive Function In U.S. Adults, Andrew Nathan Berrett

Theses and Dissertations

Sufficient blood concentrations of folate and the products from its metabolism are necessary for several cellular functions. The C677T MTHFR polymorphism, present in over half of the U.S. population, reduces the efficiency of folate metabolism and has been linked to the onset of multiple psychiatric disorders and cognitive decline. The intracellular parasite Toxoplasma gondii can infect the human brain and is associated with increased prevalence of psychiatric disorders and cognitive decline. In vitro studies have found that Toxoplasma gondii may salvage unmetabolized folate from host cells. Since the C677T MTHFR polymorphism and infection by Toxoplasma gondii both affect folate metabolism …

Positive Outcomes: Strategies For Assessing The Progress Of Youth Involved In The Justice System, Jeffrey A. Butts, Emily K. Pelletier, Lila Kazemian

Publications and Research

This report examines the shift in U.S. youth justice systems toward using adolescent development science to improve interventions and measure youth success. It emphasizes the adoption of Positive Youth Development (PYD) principles, which focus on fostering positive relationships and skills rather than just preventing recidivism. The report highlights various frameworks—such as the Developmental Assets model and Positive Youth Justice model—that align with PYD principles and research on desistance from crime. These frameworks offer a path for transforming youth justice systems into strengths-based approaches that promote long-term positive outcomes.

Proper Nutrition And Its Potential As Alternative Treatment Of Depression, Delaney Passmore

Honors Theses – Charlotte Campus

Within the last two decades, a lot of research has been conducted to determine the factors that cause and prevent depression. This is important because the diagnostic count for mental diseases is rapidly increasing due to the stresses and unhealthy habits of many people. So far, researchers have come up with causes such as life-altering events, genetics, chemical imbalances in the brain, and lack of nutritional requirements. Many argue that all of these factors have something to do with why a person starts experiencing depressive symptoms. During tragic or uncontrollable events, such as a death in the family, it is …

What Are The Characteristics Of Vitamin D Metabolism In Opioid Dependence? An Exploratory Longitudinal Study In Australian Primary Care, Albert Stuart Reece, Gary Hulse

Research outputs 2014 to 2021

OBJECTIVE: Compare vitamin D levels in opioid dependence and control population and adjust for relevant confounding effects. Nuclear hormone receptors (including the vitamin D receptor) have been shown to be key transducers and regulators of intracellular metabolism and comprise an important site of pathophysiological immune and metabolic dysregulation potentially contributing towards pro-ageing changes observed in opioid-dependent patients (ODPs).

DESIGN: Longitudinal prospective comparing ODPs with general medical controls (GMCs).

SETTING: Primary care.

PARTICIPANTS: Prospective review comparing 1168 ODP (72.5% men) and 415 GMC (51.6% men, p

INTERVENTIONS: Nil. Observational study only.

PRIMARY AND SECONDARY OUTCOMES: Serum vitamin D levels and relevant …

Social Stratosphere: Hot Topics And Happenings In Social Innovation, Tamara Prabhakar, Trang Delos Luu

Social Space

Ever heard of a kind of handmade paper that lasts up to 800 years? The extremely durable Dó paper—made from the bark of the Rhamnoneuron balansae and traditionally produced in Vietnam—is renowned for its durability and resilience, and famous for being the canvas for Vietnamese folk art paintings. However, the meticulous manufacturing process of Dó paper, involving up to 100 steps, is fast becoming obsolete due to the rise in mass-produced goods. Wishing to revitalise this industry, Tran Hong Nhung founded the social enterprise Zo Project, which aims to support the livelihoods of artisans and promote the papermaking trade. Not …

The Influence Of Religious Homogeneity Upon Life Expectancy: A Cross-National Comparative Analysis, Donald J. Ebel

Sociology Department Publications

Research upon health and life expectancy has focused primarily upon individual and community level analyses, with extrapolations to national level data. In this study, the unit of analysis is shifted from individual health statistics to the national level. Life expectancy data for every nation and in the world (total n=191, restricted n=138) is explored, controlling for a variety of socio-economic factors. Two hypotheses are tested which offer the explanation homogeneity in both religion (H1) and ethnicity (H2), determines differences in life expectancy between nations. The first hypothesis, that religious homogeneity supports positive health outcomes is supported. The second hypothesis, that …

“My Tummy Tells Me” Cognitions, Barriers And Supports Of Parents And School-Age Children For Appropriate Portion Sizes, Kaitlyn M. Eck, Colleen L. Delaney, Mirian P. Leary, Oluremi A. Famodou, Melissa D. Olfert, Karla P. Shelnutt, Carol Bryd-Bredbenner

Faculty & Staff Scholarship

Larger portion sizes have increased in tandem with the rise in obesity. Elucidation of the cognitions of children and parents related to portion size is needed to inform the development of effective obesity prevention programs. This study examined cognitions of parents (n = 36) and their school-age children (6 to 11 years; n = 35) related to portion sizes via focus group discussions. Parents and children believed controlling portion sizes promoted health and weight control. Some parents felt controlling portions was unnecessary, particularly if kids were a healthy weight because kids can self-regulate intake. Barriers to serving appropriate portions identified …

Washington County Assessment: How Viable Are Food Distribution Centers?, Kevin M. Fitzpatrick, Matthew Spialek, Diana Cascante

Food Insecurity

Having previously implemented and executed two comprehensive surveys examining food insecurity, nutrition, and health among Fayetteville intermediate students attending Owl Creek (Fitzpatrick et al. 2009), and Springdale high school students (Fitzpatrick et al. 2015), the current work examined food insecurity at several levels of aggregation in Washington County. The first part of the project entailed cataloging the 32 census tracts in Washington County based on their risk for being food insecure. A food insecurity risk scale was created using 16 social, economic, demographic, and housing variables that all have been associated with food insecurity, poverty, and social risk at the …

Social Conflict On The Seas: Links Between Overfishing-Induced Marine Fish Stock Declines And Forced Labor Slavery, Jessica L. Sparks

Electronic Theses and Dissertations

Despite media attention detailing labor abuses in fisheries, social-ecological systems research has largely failed to consider whether fish stock declines could be contributing to increases in forced labor slavery. Empirical fisheries data suggests, though not a ubiquitous response to declining stocks, many vessels will fish longer, farther from shore, and deeper in waters to maintain yields. This effort intensification increases production costs, and Brashares et al. (2014), consistent with slavery theory, posited cheap and/or unpaid labor as an approach to offset increasing costs and continue harvesting fish species at a rate otherwise cost-prohibitive.

Using fuzzy cognitive mapping - a participatory, …

State Of Nebraska 2017 Youth Risk Behavior Survey Results, Bureau Of Sociological Research

Nebraska Student Health and Risk Prevention Surveillance System (SHARP)

No abstract provided.

Student Perceptions Of Engagement In A Mandatory Programatic Service Learning, Gina Fe Causin, Chay Runnels

Faculty Publications

In the hospitality industry, service-learning opportunities are particularly important for students seeking work in the meeting and event planning industry. Faculty of a hospitality program at a regional university in East Texas decided to investigate the benefits in embedding service learning activities to their hospitality courses. The study investigated student perceptions of their participation in compulsory service learning assignments were created and implemented. Service learning assignment benefited the respondents personally; it benefited the sponsoring organization; it benefited the respondents’ career goals and their own individual awareness of community issues.

No. 09: The State Of Household Food Security In Nanjing, China, Zhenzhong Si, Taiyang Zhong

Hungry Cities Partnership

This report on the state of food security in Nanjing, China, is based on a 2015 city-wide survey conducted by Nanjing University and the Hungry Cities Partnership. The research found that most of the city’s residents are food secure, with access to desirable foods and high dietary diversity throughout the year. Nanjing has a high level of economic development, low unemployment, and spatially dense food supply networks. However, a high average level of food security obscures the finding that about one household in five is food insecure according to the Household Food Insecurity Access Prevalence indicator. Female-centred households, households that …

No. 10: The State Of Household Food Security In Maputo, Mozambique, Inês Raimundo, Cameron Mccordic, Abel Chikanda

Hungry Cities Partnership

The Hungry Cities Partnership aims to promote inclusive growth in urban food systems in Maputo and other cities of the Global South. The production of new empirical knowledge about the levels of household food security and the various facets of the urban food system is a core component of this effort. This report presents and analyses findings from a city-wide survey of 2,071 households that found that most Maputo households are food insecure and that more than a third can be categorized as severely food insecure. Dietary diversity in the city is extremely low and almost half of households had …

No. 13: The State Of Household Food Security In Mexico City, Mexico, Guénola Capron, Salomón Gonzalez Arellano, Jeremy Wagner, Cameron Mccordic

Hungry Cities Partnership

This report presents and analyzes the findings of a household food security survey conducted by Universidad Autónoma Metropolitana as part of the Hungry Cities Partnership in Mexico City from January 10-19, 2016. It is a supplement to HCP Report No. 7: The Urban Food System of Mexico City, Mexico (Capron et al 2017). HCP Report No. 7 discusses the history, demography and economy of Mexico City, and contains an overview of the existing literature on its changing food system. This report provides a foundation for future research of Mexico City’s food system, its food security and informal sector. It also …

No. 12: The State Of Household Food Security In Cape Town, South Africa, Jonathan Crush, Mary Caesar, Gareth Haysom

Hungry Cities Partnership

This research report presents and analyzes the findings of a household food secu-rity survey conducted in the City of Cape Town, South Africa, by the Hun-gry Cities Partnership (HCP) and the African Food Security Urban Network (AFSUN) in 2013 and 2014. It is a supplement to, and should be read in con-junction with, AFSUN Urban Food Series No. 11: The State of Urban Food Insecurity in Cape Town (Battersby 2011) and HCP Report No. 3: The Urban Food System of Cape Town, South Africa (Crush et al 2017).

The AFSUN report examines the results of a food security survey conducted …

No. 15: The Food Security Implications Of Gendered Access To Education And Employment In Maputo, Cameron Mccordic, Liam Riley, Inês Raimundo

Hungry Cities Partnership

The multiple linkages between gender and household food security in cities have been observed in diverse settings, at multiple scales, and through a variety of disciplinary lenses. The Hungry Cities Partnership is rooted in the importance of inclusive growth of cities, which includes a fundamental concern with genderbased injustices that reduce inclusivity, sustainability and food security by underpinning structural poverty. This discussion paper is motivated by the gap in policy-ready quantitative data needed to identify the ways in which gender inequality, food insecurity, and public policy are interconnected. Analysis of the 2014 survey of household food security in Maputo identified …

Academic Libraries As Active Contributors To Student Wellness, Elizabeth Ramsey, Mary C. Aagard

Library Faculty Publications and Presentations

Colleges and universities have come to realize that student wellness is a factor in student retention and success. While academic libraries have not generally been included in wellness initiatives they are strategically placed on college campuses to play an essential role. By parlaying their reputations as trusted information providers and community centers, academic libraries can partner with more traditional campus health providers to be active and effective participants in this essential form of outreach.

From Contextual Frustrations To Classroom Transformations: Female Empowerment Through Science Education In Rural South Africa., Franci Schabort, Astrid Sinnes, William Kyle

Educator Preparation & Leadership Faculty Works

The objective of this transformative action research project was to explore and develop sustainable methods to promote female empowerment through science education in rural, disadvantaged sectors of South Africa. In an attempt to achieve this we collaborated with local community members to develop and implement a contextualized science curriculum at a school in the aforementioned setting. As soon as the project was launched it became increasingly clear that although the ideology of ‘empowerment through science education’ seemed a promising venture, it could also be an extremely complex and often frustrating undertaking. This was especially true when working within an unfamiliar …

Project Spraoi: The Effectiveness Of A Nutrition And Physical Activity Intervention On The Dietry Intake, Dietary Patterns, Nutritional Knowledge And Markers Of Health Of Irish Primary School Children, Alison Merrotsy

PhDs

Aim: To implement and evaluate the effectiveness of a nutrition and physical activity (PA) intervention (Project Spraoi) on dietary intake (DI), dietary patterns (DP), nutritional knowledge (NK), cardiorespiratory fitness (CRF), blood pressure (BP) and markers of health of Irish children in one primary school in Cork. The relationship between DP and NK, CRF, BP and anthropometric data will also be examined.

Design: Cross-sectional and longitudinal study. Food diary, NK questionnaire and 550m walk/run test were used to assess DI, DP, NK and CRF, respectively. BP, body mass index (BMI) and waist to height ratio (WHtR) were also calculated.

Setting: Two …

No. 22: Predictors Of Household Food Insecurity In Maputo And Matola, Mozambique, Cameron Mccordic, Ezequiel Abrahamo

Hungry Cities Partnership

The rapid growth of Maputo and Matola (neighbouring cities in Southern Mozambique) has dramatically changed each city’s demographic and food insecurity profile. Previous research in Maputo indicates that household access to infrastructure plays an important role in determining vulnerability to food insecurity. This paper investigates (a) whether this relationship is also true of Matola and (b) whether the demographic composition of households plays a role in defining vulnerability to food insecurity in either city. Using household survey data collected by HCP in 2014 in Maputo and Matola, the paper demonstrates that inconsistent access to water, electricity, medical care, cooking fuel …

No. 11: The State Of Household Food Security In Nairobi, Kenya, Samuel Owuor

Hungry Cities Partnership

This report presents the results of a city-wide household food security survey of 1,434 Nairobi households, conducted by the Hungry Cities Partnership and the University of Nairobi. Among the key findings was that 70% of households in Kenya’s capital experience food insecurity, with one-quarter severely food insecure. As the first city-wide survey of household food security in Nairobi, this report provides researchers and policy-makers with detailed data and information about the overall food security picture, as well as important insights into the operation of the city’s food system. In particular, the report demonstrates the vital importance of Nairobi’s food markets …

No. 08: The Urban Food System Of Windhoek, Namibia, Ndeyapo Nickanor, Lawrence Kazembe, Jonathan Crush, Jeremy Wagner

Hungry Cities Partnership

The surprisingly high rate of supermarket patronage in low-income areas of Windhoek, Namibia’s capital and largest city, is at odds with conventional wisdom that supermarkets in African cities are primarily patronized by middle and high-income residents and therefore target their neighbourhoods. What is happening in Namibia and other Southern African countries that make supermarkets so much more accessible to the urban poor? What are they buying at supermarkets and how frequently do they shop there? Further, what is the impact of supermarket expansion on informal food vendors? This report, which presents the findings of the South African Supermarkets in Growing …

Nebraska Risk And Protective Factor Student Survey Results For 2018. Profile Report: State Of Nebraska, Bureau Of Sociological Research

Nebraska Student Health and Risk Prevention Surveillance System (SHARP)

This report summarizes the findings from the 2014 Nebraska Risk and Protective Factor Student Survey (NRPFSS). The 2014 survey represents the sixth implementation of the NRPFSS and the third implementation of the survey under the Nebraska Student Health and Risk Prevention (SHARP) Surveillance System.

The NRPFSS targets Nebraska students in grades 8, 10, and 12 with a goal of providing schools and communities with local-level data. As a result, the NRPFSS is implemented as a census survey, meaning that every public and non-public school with an eligible grade can choose to participate. Therefore data presented in this report are not …

Cacao Together: A Model For True Sustainability In The Chocolate Industry, Kerstin Roos

Capstone Collection

This Course Linked Capstone provides a critical analysis of the concept of sustainable development and then uses this analysis to create a social venture plan for a non-profit called Cacao Together. This capstone project will identify challenges in the sustainable use of cacao by first critiquing the mainstream sustainable development initiatives of certification schemes and corporate sustainability programs. It then offers an alternate framework through the 5 Capital Livelihood assessment tool which when applied, shows the gaps in cacao sustainability initiatives generally. I then propose a social venture that will addresses the needs of many parts of the chocolate supply …

Benchmark Assessment Of Orphaned And Vulnerable Children In Areas Of The Zambia Family (Zamfam) Project—Brief, Michael Mbizvo, Paul C. Hewett

HIV and AIDS

The US Agency for International Development and US President’s Emergency Plan for AIDS Relief (PEPFAR) are supporting the Zambia Family (ZAMFAM) project to strengthen comprehensive, integrated service delivery and support to children living with, affected by, or vulnerable to HIV/AIDS (OVC) in the Lusaka, Copperbelt, Southern, and Central Provinces of Zambia. To inform that effort, Project SOAR conducted a benchmark survey among beneficiaries in the four provinces of the ZAMFAM program. The benchmark survey measured the status and conditions of OVC and their families. This brief provides a summary of the findings outlined in the final report on the needs …

Benchmark Assessment Of Orphaned And Vulnerable Children In Areas Of The Zambia Family (Zamfam) Project, Michael Mbizvo, Paul C. Hewett, Nkomba Kayeyi, Lyson Phiri, Saziso N. Mulenga, Bwalya Mushiki, Mwelwa Chibuye

HIV and AIDS

The US Agency for International Development and US President’s Emergency Plan for AIDS Relief (PEPFAR) are supporting the Zambia Family (ZAMFAM) project to strengthen comprehensive, integrated service delivery and support to children living with, affected by, or vulnerable to HIV/AIDS (OVC) in the Lusaka, Copperbelt, Southern, and Central Provinces of Zambia. To inform that effort, Project SOAR conducted a benchmark survey among beneficiaries in the four provinces of the ZAMFAM program. The benchmark survey measured the status and conditions of OVC and their families. The findings provide a deeper understanding of the needs of OVC families and the gaps in …