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Evaluation Of The Effectivenss Of Rotc Army Cadet Exercise Training For The Army Combat Fitness Test, Jake Mintz Jan 2020

Evaluation Of The Effectivenss Of Rotc Army Cadet Exercise Training For The Army Combat Fitness Test, Jake Mintz

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The purpose of the study is to evaluate the effectiveness of ROTC Army cadet exercise training for the Army Combat Fitness Test (ACFT). A secondary purpose was to evaluate the effectiveness and perception of a remote training program. The cadets performed an 8-week training program that consisted of similar movements to the movements seen on the ACFT. Following 8 weeks, the cadets retested the ACFT. Performance measures were in-creased in the scores and scoring variable of the 3-repetition deadlift and 2-mile run (p < .005). The overall testing score also improved significantly. These results imply that an 8-week training program focusing on movements similar to those tested by the ACFT could improve ACFT score.

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Immunopathogenesis In Fungal Asthma, Matthew Stephen Godwin Jan 2020

Immunopathogenesis In Fungal Asthma, Matthew Stephen Godwin

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Asthma patients are increasingly presenting with asthma that is more difficult to control and treat than in years past. A subset of these patients who are sensitive to fungal species are described as having severe asthma with fungal sensitization (SAFS). Given the severity of disease, there is ever increasing interest in identifying the immune processes underlying SAFS disease pathology and the development of novel therapeutics to improve management. While sensitivity to multiple fungal species has been described in SAFS, none is more common than Aspergillus fumigatus. Here, we describe two previously unrecognized contributors to the amelioration of disease pathology in …

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Adolescent Fast Food Consumption: Underlying Factors And Related Health Outcomes, Lindsay Marie Stager Jan 2020

Adolescent Fast Food Consumption: Underlying Factors And Related Health Outcomes, Lindsay Marie Stager

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Obesity represents one of our nation’s leading public health issues. In 2017, over 30% of U.S. high school students presented with either overweight (15.6%) or obesity (14.8%). These trends are alarming as early childhood and adolescence are critical developmental periods for establishing healthy eating and exercise behaviors. Though past research has uncovered many factors related to adolescent eating behaviors, few studies have examined the longitudinal impacts of parenting and family variables on diet across the transition from adolescence to adulthood. Further, there is a lack of longitudinal research regarding health outcomes of fast food consumption during this same developmental period. …

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Novel Methods For Establishing The Capacity For Nociception And Cognition In The Zebrafish Danio Rerio, Chris Taylor Jan 2020

Novel Methods For Establishing The Capacity For Nociception And Cognition In The Zebrafish Danio Rerio, Chris Taylor

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Here we demonstrate the utility of a zebrafish-based model of nociception to serve as a novel screening tool for analgesic drugs. Zebrafish swimming behavior was measured following administration of various algogens used in rodent research. All compounds reduce distance traveled, thought to be an expression of nociception. Furthermore, we undertook to investigate the contribution of sex and feeding history on the acetic acid-evoked nociceptive response in zebrafish. Data suggest that male fish were more sensitive to pain than females, and that females recovered from pain faster than males. Dietary restriction increased pain sensitivity in zebrafish. We then tested the viability …

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The Relationship Between Accreditation And Performance Among Federally Qualified Health Centers, Henry Thompson Jan 2020

The Relationship Between Accreditation And Performance Among Federally Qualified Health Centers, Henry Thompson

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While past studies have examined the relationship between accreditation and hospital performance, no previous studies have evaluated the relationship between Joint Commission accreditation and Federal Qualified Health Center (FQHC) performance. Multiple regression analyses were used to evaluate the relationship between Joint Commission accreditation and variables of interest. Joint Commission accreditation was utilized as the dependent variable in the evaluation of organizational and environmental market factors, and utilized as the independent variable in the evaluation of clinical and non-clinical performance outcomes. This study applies a novel approach to determine the relationship between Joint Commission accreditation and adoption among FQHCs, and organizational …

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Exploring Diet Quality In Early Care And Education Centers: Measures, Policies, And Center Characteristics, Elizabeth Kroeger Jan 2020

Exploring Diet Quality In Early Care And Education Centers: Measures, Policies, And Center Characteristics, Elizabeth Kroeger

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Over 65% of children ages 2-5 years attend Early Care and Education (ECE) centers where they consume most of their daily caloric intake; however, children at these centers are not meeting the Dietary Guidelines for Americans (DGA). This could suggest poor diet quality, which is a risk factor for diet-related diseases. Currently, diet quality in ECE centers is measured through the assessment of either the food/beverages listed on the lunch menu (menu), served to the children during lunch (served), or consumed by the children during lunch (consumed). However, the lunch meal may be better viewed as a process, rather than …

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Analyzing Spinach Growth Using Vertical Garden Techniques And Local Water Sources For Urban Gardens, Julia Ashlyn Manzella Jan 2020

Analyzing Spinach Growth Using Vertical Garden Techniques And Local Water Sources For Urban Gardens, Julia Ashlyn Manzella

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The University of Alabama at Birmingham undergraduate and graduate programs’ continued involvement in the Birmingham-Jefferson County community have identified food insecure areas, known as food deserts, and associated health issues negatively impacting the community due to poor diets and lack of access to healthy foods. Farm stands and community gardens around the Birmingham-metropolitan area have increased healthy food availability during the past several years to encourage healthier eating habits. To combat food insecurity, sustainable alternative growing techniques for urban agriculture need to be implemented and incorporated into local community gardens. Alternative gardening techniques such as vertical gardens maximize yield in …

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Translating Public Health Strategies To Examine Hypertensive Disorders Of Pregnancy In Alabama, Matthew Dean Moore Jan 2020

Translating Public Health Strategies To Examine Hypertensive Disorders Of Pregnancy In Alabama, Matthew Dean Moore

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Hypertensive disorders of pregnancy (HDP) are on the rise in the United States and contribute significantly to maternal and infant morbidity and mortality. The impact of such disorders is especially burdensome for women insured by Medicaid, for those who live in the South, and for those representing racial and ethnic minorities. It is evident across the aims of this dissertation that HDP remains an important public health concern to stakeholders in Alabama, its diagnosis is influenced by various maternal characteristics, and it can result in disparate severe outcomes for some populations. The first aim examines systems level decision-making in the …

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Single Cell Proteins Affect Growth Performance And Body Composition Of Pacific White Shrimp Litopenaeus Vannamei, Yuan Yuan Jan 2020

Single Cell Proteins Affect Growth Performance And Body Composition Of Pacific White Shrimp Litopenaeus Vannamei, Yuan Yuan

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The globally growing human population has increased the needs for protein based food. Single cell proteins (SCPs) as unconventional protein source, when coupled to aq-uaculture production, offer a means to ensure future protein needs can be met. To demon-strate a given type of SCP has potential as a protein source for use in aquaculture feed; a number of investigations are needed including demonstrating that the SCP is attractable and accepted by the animals, leads to equivalent survival, growth and nutritional compo-sition. This dissertation represents a series of investigations designed to evaluate the fea-sibility of using a bacterial based (MRD-Pro) and …

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Copper Dependent Inhibitors Subvert Common Resistance Mechanisms In Staphylococcus Aureus And Inhibit Crucial Metabolic Pathways, Cameron Crawford Jan 2020

Copper Dependent Inhibitors Subvert Common Resistance Mechanisms In Staphylococcus Aureus And Inhibit Crucial Metabolic Pathways, Cameron Crawford

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The effective antibiotic pool is shrinking with antibiotic resistance a constant problem that threatens to make our current therapies obsolete. To combat this, new drug screening methodologies are required since the traditional drug screens are offering limited results or only improvements upon current treatments. This work expands upon the idea that transition metal toxicity can be preferentially targeted towards bacteria. Specifically, the focus is on copper dependent inhibitors that quickly work to eliminate Staphylococcus aureus. S. aureus is a particularly threatening bacteria with high strain variability, a litany of survival and virulence factors, and multiple drug resistance mechanisms that are …

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Religious/Spiritual And Secular Coping Among Individuals With Cystic Fibrosis And Their Caregivers, Christina Marie D'Angelo Jan 2020

Religious/Spiritual And Secular Coping Among Individuals With Cystic Fibrosis And Their Caregivers, Christina Marie D'Angelo

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Cystic fibrosis (CF) – a genetic, progressive disease affecting approximately 30,000 individuals in the United States – has been linked with psychological maladjustment and clinical difficulties among both affected individuals and their caregivers, specifically as the disease progresses and becomes more difficult to treat. Religious/spiritual and secular coping strategies, however, can offset many of the detrimental effects. Yet despite the salient effects that coping can have, aspects of coping among individuals with CF and their caregivers are still largely understudied and poorly understood. In general, less is known about religious/spiritual coping specifically including how it changes across the lifespan, how …

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Rna Polymerase I Elongation Kinetics: A Biochemical And Global Study Of A Cancer Therapeutic Target, Catherine Elizabeth Scull Jan 2020

Rna Polymerase I Elongation Kinetics: A Biochemical And Global Study Of A Cancer Therapeutic Target, Catherine Elizabeth Scull

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My graduate research has focused on understanding the elongation kinetics of RNA polymerase I (Pol I), the enzyme responsible for synthesizing ribosomal RNA (rRNA), and defining how inhibition of ribosome biogenesis may be used as a cancer therapeutic strategy. Here, I have defined key biophysical features of Pol I and I have expanded the field’s understanding of Pol I elongation by: 1) characterizing the enzymatic properties of Pol I by mutational analysis of the polymerase itself, and by 2) elucidating the role of DNA sequence on Pol I arrest and nucleolytic cleavage activity. In recent years, Pol I has become …

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Dental Dimensions In Non-Syndromic Patients With Unilateral Cleft Palate, Blake Boleware Jan 2019

Dental Dimensions In Non-Syndromic Patients With Unilateral Cleft Palate, Blake Boleware

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Objective: The main objective of this study is to determine if any difference in tooth size exists between the maxillary quadrants in non-syndromic patients with unilateral cleft palate using cone beam computed tomography. By understanding the effects of cleft palate on tooth morphology, the multidisciplinary team of specialists involved with the care and treatment of a patient with cleft lip/palate can better understand the intricacies of necessary therapy. This understanding can, in turn, be used for proper planning of desired treatments which can increase the chance of successful achievement of desired outcomes. Materials and Methods: CBCT volumes for 18 patients …

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Assessing Diabetes Risk Among Hispanic Populations: Development And Validation Of A Risk Score Using Readily Available Information, Lucia Juarez Jan 2019

Assessing Diabetes Risk Among Hispanic Populations: Development And Validation Of A Risk Score Using Readily Available Information, Lucia Juarez

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Background: Diabetes prevalence is increasing worldwide affecting vulnerable popula-tions, in particular Hispanics living in the United States (U.S.). The burden of diabetes and its complications can be reduced by identifying those at high risk and routing them to treatment and intensive behavioral interventions. Aim: The aim of this study is to develop and validate a simple score to identify undiag-nosed diabetes among Hispanics living in the U.S. Methods: A representative sample of Hispanics living in the U.S. was used to develop and validate the score. Logistic regression was used to identify significant risk factors and model coefficients were used to …

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Biopsychosocial Correlates Of Pain In Youth With Eosinophilic Esophagitis: A Comparison To Other Pediatric Patients, Mary Kenna Lynch Jan 2019

Biopsychosocial Correlates Of Pain In Youth With Eosinophilic Esophagitis: A Comparison To Other Pediatric Patients, Mary Kenna Lynch

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EoE is a chronic, clinico-pathological, esophageal disease with symptoms that include dysphagia, reflux, vomiting, feeding aversion, and epigastric pain. Diagnosis requires clinical symptom presentation and histologic findings of eosinophil-predominant inflammation of the esophagus. While the pediatric patient’s epigastric pain is predictive of their quality of life, little is known about their pain experience. Through two studies, the pain experience, sleep quality, and internalizing symptoms of youth with Eosinophilic Esophagitis (EoE) have been examined. Through individually evaluating each of these factors as well as testing their relations with each other, the model proposed by Lynch and colleagues (2015) to understand the …

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Occupational Therapy Students’ Perceptions Of Individuals With Mental Illness Before And After A Service-Learning Experience, Valley Mccurry Jan 2019

Occupational Therapy Students’ Perceptions Of Individuals With Mental Illness Before And After A Service-Learning Experience, Valley Mccurry

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Service-learning is a pedagogical approach that allows occupational therapy students to engage in experiential learning with individuals who have mental illness. Perceptions of individuals with mental illness are influenced by factors such as societal stigma. Stigma is present among allied health professionals and students, including occupational therapy students, which may influence provision of care. In order to assess occupational therapy students’ level of comfort with the mental health population, this study used a convergent mixed methods approach to evaluate how students’ personal beliefs and self-efficacy changed after a service-learning experience at a homeless shelter. The study explored occupational therapy students’ …

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The Role Of The Built Environment In Transforming Underserved Neighborhoods Into Smart And Connected Communities, Mary Claire Nabors Jan 2019

The Role Of The Built Environment In Transforming Underserved Neighborhoods Into Smart And Connected Communities, Mary Claire Nabors

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The goal of this report is to create a model for transforming underserved neighborhoods into smart, connected, healthy, and sustainable communities by focusing on the built environment. To do this, there must be a thorough neighborhood analysis of the existing conditions with recommendations for what needs to be done, both short term and long term. The built environment impacts many aspects of a neighborhood and the quality of life for residents. Sidewalks, streets, lighting, landscaping, and accessibility are all components of the built environment and research has continuously shown how the deterioration of the built environment affects the health and …

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Effects Of A Ketogenic Diet On Body Composition, Metabolic Health, And Quality Of Life In Ovarian And Endometrial Cancer Patients, Caroline Whitney Cohen Jan 2019

Effects Of A Ketogenic Diet On Body Composition, Metabolic Health, And Quality Of Life In Ovarian And Endometrial Cancer Patients, Caroline Whitney Cohen

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Ketogenic diets (KDs) have garnered considerable research attention in recent years, having been investigated as a therapy for neurologic, metabolic, and even dermatologic diseases. Recent research has also focused on KDs as a potential intervention for cancer, with preclinical studies demonstrating profound effects such as inhibiting tumor growth, enhancing the effects of radiation and chemotherapy, and prolonging survival. However, to date few studies have been conducted in cancer patients. In order to determine if KDs might augment existing cancer treatment protocols, additional research is needed. Accordingly, the objective of this project was to conduct the first randomized, controlled trial examining …

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Examining The Role Of The Unfolded Protein Response In Depression, Matthew Timberlake Jan 2019

Examining The Role Of The Unfolded Protein Response In Depression, Matthew Timberlake

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Depression is the leading cause of disability worldwide and impacts nearly 350 million people with a disproportionate representation in women with a 1:1.7 ratio of occurrence compared to men. This disorder is characterized by shifts in mood to include feelings of hopelessness, sadness, and lethargy as well as changes in diet, motivation, and sleep patterns. Further, over 50% of patients who struggle with depression also have suicidal ideation and as many as 10% of those commit suicide. At present, treatment plans include behavioral therapy (often) in conjunction with antidepressant medications which act on monoamines and their circuits in the central …

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Discovering The Genetic Architecture Underlying Exercise Response Using Drosophila Melanogaster, Louis P. Watanabe Jan 2019

Discovering The Genetic Architecture Underlying Exercise Response Using Drosophila Melanogaster, Louis P. Watanabe

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The growth of modern jobs, technology, and transportation has coincided with increased sedentary behavior in many developed nations. In the United States, this increase has contributed partially to rising rates of obesity, leading to more than 78 million obese individuals. The annual medical costs associated with obesity are thought to range from 147 to 210 billion dollars. The initial treatment recommendations for individuals with obesity are increased exercise and changes in diet. Despite the strong narrative pushing exercise as a health benefit, individual responses can vary widely, and little is known regarding the genetic networks modulating exercise response. In order …

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Examining Web-Based Lifestyle Interventions For Cancer Survivors, Victoria Williams Jan 2019

Examining Web-Based Lifestyle Interventions For Cancer Survivors, Victoria Williams

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Diet, physical activity, and body weight status are important modifiable risk factors for many health outcomes among cancer survivors, including cancer recurrence. Face-to-face, print, and mailed lifestyle interventions have been used to promote behavior change in cancer survivors successfully. However, such approaches are costly and have limited reach. Web-based lifestyle interventions represent a promising solution to this public health concern. Therefore, this project involved first reviewing and identifying gaps in the existing literature in this area and then developing and pilot testing a web-based lifestyle intervention for cancer survivors. For this three-part dissertation, study 1 was a narrative review of …

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Genetic And Epigenetic Underpinnings Of End-Stage Human Heart Failure, Mark Emile Pepin Jan 2019

Genetic And Epigenetic Underpinnings Of End-Stage Human Heart Failure, Mark Emile Pepin

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Heart failure (HF) is the clinical endpoint of numerous diseases that negatively impact the heart’s capacity to pump and/or fill with blood. A variety of genetic and environmental factors have been identified as critical determinants of HF susceptibility; however, these factors cannot independently explain the phenotypic diversity of human HF. Instead, a complex interplay has been theorized to exist between genetics and the environment, although the molecular underpinnings of this synergy remain poorly understood. Of the possible mechanisms, epigenetic influences are uniquely capable of explaining how acute stressors of the cardiac microenvironment trigger the stable – yet reversible – reprogramming …

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Designing And Implementing Inclusive Community-Based Health Promotion Intiatives, Cassandra Herman Jan 2019

Designing And Implementing Inclusive Community-Based Health Promotion Intiatives, Cassandra Herman

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Background: People with disabilities (PWDs) have poorer health outcomes, yet are they are underserved by public health initiatives. PWDs face numerous barriers to participation in community-based health programs despite mounting evidence about these barriers along with recommendations and guidelines to become more inclusive of disability. Policy, system, and environmental (PSE) changes that are inclusive of PWDs can help create access to health promotion programs for PWDs. Systematically implementing inclusive PSE changes using implementation science principles can support effective and sustainable changes are implemented for each unique community context. The purpose of this dissertation is to explore the experiences of public …

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Effectiveness Of Cardiopulmonary Rehabilitation On The Functional Capacity Of Cardiac Patients One-Year Post Rehab, Danish Gulamani Jan 2019

Effectiveness Of Cardiopulmonary Rehabilitation On The Functional Capacity Of Cardiac Patients One-Year Post Rehab, Danish Gulamani

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ABSTRACT Cardiac rehabilitation (CR) programs are designed to improve functional capacity, quality of life, reduce cardiovascular risk factors, and improve psychosocial well-being through lifestyle management strategies. While CR programs effectively reduce cardiovascular disease (CVD) risk factors and improve functional capacity at discharge, little is known regarding long-term lifestyle behavior changes and changes in functional capacity that occur following discharge. PURPOSE: Examine changes in 6-minute walk distance (6MWD) 11-15 months following discharge from CR to evaluate long-term changes in functional capacity. METHODS: Patients who completed 24-36 sessions and 6-minute walk tests [6MWT, intake, discharge, and post-discharge (11-15 months following discharge)] between …

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The Weight Of Social Relationships: Social Network Analysis In An Adult Weight Loss Program, Alena Borgatti Jan 2019

The Weight Of Social Relationships: Social Network Analysis In An Adult Weight Loss Program, Alena Borgatti

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Adult behavioral obesity interventions often show improved attendance and weight loss when delivered in a group, as opposed to individual, therapy format. However, research on the exact mechanisms through which group therapy confers additional weight loss is lacking. Pediatric obesity interventions have recently begun to utilize social network analysis (SNA) to identify structural ties that may improve adherence and weight loss; however, this research is limited and has yet to be replicated in an adult weight loss program. The current study is the first to evaluate social networks in an adult behavioral weight loss intervention. Four weight loss groups were …

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Social Support And Self-Care Efficacy As Mediators Of Racial Disparities In Diabetes Health In Older Adults, Wesley Browning Jan 2019

Social Support And Self-Care Efficacy As Mediators Of Racial Disparities In Diabetes Health In Older Adults, Wesley Browning

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Diabetes is a health problem that affects millions of Americans annually, and Black Americans have a higher prevalence with more complications than White Americans. A disparity exists between Black and White older adults living with diabetes in distress related to symptoms, treatment, and complications associated with the disease. Additionally, there are differences in levels of performing diabetes self-care behaviors between Blacks and Whites. One series of factors that may predict better diabetes self-care and diabetes distress in older adults are self-care efficacy and components of social support. This study used linear regression models to predict racial differences between Blacks and …

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Associations Between Dietary Fat Intake And Waist Circumference, Phonchit Teng Soukhamneut Jan 2019

Associations Between Dietary Fat Intake And Waist Circumference, Phonchit Teng Soukhamneut

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The objective of this study was to assess: 1) trends in dietary fat intake from 2003-2016 2) the association between type of dietary fat intake and waist circumference (WC), 3) the association between type of dietary fat intake and body shape, and 4) whether these associations vary by sex and race/ethnicity. This secondary data analysis included 27,057 adults aged 19 to 65 from the National Health and Examination Survey (NHANES) 2003-2016. For WC, participants were categorized into high-risk (men: WC ≥ 40 in; women: WC ≥ 35 in) and low-risk (men: WC < 40 in; women: WC < 35 in). Total fat intake was categorized as high (TOTFAT ≥ 35%) and low (TOTFAT< 35%). Saturated fat intake was categorized into high (SATFAT ≥ 10%) and low (SATFAT < 10%). Unsaturated fat intake was categorized into high (UNSATFAT ≥ 25%) and low (UNSATFAT < 25%). Logistic regression was performed to assess the associations between DFI and WC and DFI and body shape, controlling for age, BMI, and total caloric intake. NHW men with high TOTFAT were found to have 1.41 (OR: 1.41, 1.19 – 1.68) times the odds of having a high-risk WC compared to men with a diet low in TOTFAT, controlling for age, BMI, and total caloric intake. NHW men with a diet high in SATFAT were at increased odds of having a high-risk WC compared to men with a diet low in SATFAT, after controlling for covariates (OR: 1.49, 1.21 -1.84). NHW men with a diet high in UNSATFAT were at increased odds of having a high-risk WC compared to men with a diet low in UNSATFAT after controlling for covariates (OR: 1.375, 1.09 – 1.74). There were no significant associations found among NWB and MA men for any type of dietary fat intake. For women, no associations were found between type of dietary fat and WC by race/ethnicity. There were no associations between DFI and body shape by race/ethnicity groups and sex. Future studies are needed to further investigate the body shape cut-off points for increased risk associated with chronic disease.

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Methods For The Establishment Of A Dss-Induced Ibd Model In Adult Zebrafish, Ningxiang Zeng Jan 2019

Methods For The Establishment Of A Dss-Induced Ibd Model In Adult Zebrafish, Ningxiang Zeng

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Inflammatory Bowel Disease (IBD) is a group of idiopathic chronic inflammatory intestinal conditions. To reveal its pathogenesis, several different animal models have been established. Although no single model captures the complexity of human IBD, each model provides valuable insights into one or another major aspect of disease, and together they have led to the establishment of a generally accepted understanding for human IBD pathogenesis. Recently, zebrafish have become an important platform for IBD research, and several murine IBD outcomes have been adapted to the zebrafish. Dextran Sulfate Sodium (DSS) -induced colitis, the most widely used murine IBD model, has never …

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Exploring The Link Between Dietary Fiber, The Gut Microbiota And Estrogen Metabolism Among Women With Breast Cancer, Ayse G. Zengul Jan 2019

Exploring The Link Between Dietary Fiber, The Gut Microbiota And Estrogen Metabolism Among Women With Breast Cancer, Ayse G. Zengul

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Breast cancer continues to be a very prevalent disease and impacts over 260,000 new patients per year in the United States. The gut microbiota composition may affect breast cancer risk by modulating various hormonal metabolites including endogenous estrogens. Dietary factors impact gut microbial ecology and influence the regulation of estrogen metabolism. Current evidence supports the potential role of dietary fiber in breast cancer prevention and its possible modulating influence on serum estrogen levels through the gut microbiota associated with β-glucuronidase activity. However, this mechanism is not clearly understood. In this study, we aimed to explore the associations between dietary fiber, …

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The Mechanism Of Glucose-Induced Trib3 Expression In Myoblasts And Myotubes, Xiaobing Liu Jan 2019

The Mechanism Of Glucose-Induced Trib3 Expression In Myoblasts And Myotubes, Xiaobing Liu

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Our previous data indicates that glucose-toxicity is dependent upon upregulation of TRIB3 expression in muscle. TRIB3 is a glucose-responsive gene and, as a pseudokinase, it blocks phosphorylation of AKT resulting in insulin resistance. The purpose of the current study was to identify the role of the differentiation process and the minimal functional sequence of TRIB3 promoter region in modulating glucose-induced TRIB3 gene expression in C2C12 myocytes. First, C2C12 myocytes were collected every 48 hours during the whole differentiation, totally 4 intervals. Before collection, cells were treated with either 5mmol glucose or 25mmol glucose for 24 hours. Under 5mmol glucose, the …

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