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College Of Health Sciences Newsletter, December 2017, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

December 2017 issue of Old Dominion University's College of Health Sciences Newsletter.

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Avs Corner, December 2017, Farzana Ferdous (Advisor), Caitlin Mathews, Emily Alexander, Brooke Redmond, Meghan Courey, Erika Jones, Wendy Guzman, Peyton Voirin, Morgan Forte

AVS Corner

No abstract provided.

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Urinformed December 2017, Urinformed

URInformed: The URI Employees' Newsletter

No abstract provided.

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No. 12: Compounding Vulnerability: A Model Of Urban Household Food Security, Cameron Mccordic

Hungry Cities Partnership

The efficiency of the infrastructure systems in cities will define the extent to which dystopic visions of urban futures become a reality. At the level of the individual household, vulnerability to hazards in cities is defined, in part, by the ability to access essential resources and services. This discussion paper proposes a model to help explain the relationship between access to urban infrastructure systems and household vulnerability to food insecurity. Food access in cities is primarily achieved through food purchases, where households convert assets into food at retail locations. When a household falls into food insecurity through trading household assets …

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Shear-Induced Aggregation And Ordering Of Amylopectin Dispersion Affected By Hydrocolloids, Fang Fang

Open Access Dissertations

Amylopectin is a naturally highly-branched biomacromolecule. Amylopectin molecules with re-ordered structure have high viscosity and viscoelastic properties that may have potentially good nutritional functions such as providing long-lasting energy to the human body and delaying stomach empty among other properties. However, the amylopectin molecular re-ordering process under static conditions normally takes much longer time than amylose to achieve a desired and relatively stable structure. A simple but novel approach consisting in applying a constant shear rate of 20 s-1 at a temperature of 5oC for 24 hours was proposed in this study to accelerate the re-ordering process of gelatinized waxy …

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Nutritional Supplement Practices Of Professional Ugandan Athletes: A Cross-Sectional Study, Haruna Muwonge, Haruna Muwonge, Robert Zavuga, Peninnah Kabenge, Timothy Makubuya

Educator Preparation & Leadership Faculty Works

BackgroundThe use of nutritional supplements (NS) places athletes at great risk for inadvertent doping. Due to the paucity of data on supplement use, this study aimed to determine the proportion of Ugandan athletes using nutritional supplements and to investigate the athletes’ motivation to use these supplements.MethodsA cross-sectional study was conducted in which an interviewer-administered questionnaire was used to collect data from 359 professional athletes participating in individual (boxing, cycling, athletics) and team (basketball, rugby, football, netball, and volleyball) sports. The data were categorized, and a Chi-square test was used for statistical analysis.ResultsOf the 359 athletes, 48 (13.4%) used nutritional supplements. …

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The Classic, Winter 2017-18, Public Relations

The Classic, 2010-2019

Zwemer View: A Decade of Blessings; In Box; Around the Green: A Home for Hospitality, Science and Sunday School, InteNtional ADvocates, Sisterhood; Campus LIfe: Conversation Starter; Living with Differences; Art of Display; A Servant Retires; Arnett Wins NSF Grant; Enrollment Among the Best; Strategic Success; P.A. Prep; Face Value: Dan Robinson; New Online B.A. for Early Childhood; Top of the Class; Good Hands; Mastering the MCAT; Raider Days; Lives Well Lived; Investing in the MIssion: Supporters give record $19.1 million in 2016-17; Building Progress; Red Zone: WOW-dstra, Recognized Raiders; 1000 Words: Faithful; More Than Just a Phage; New Year, Improved …

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Developmental Origins Of Health And Disease: Current Knowledge And Potential Mechanisms, Daniel J. Hoffman, Rebecca M. Reynolds, Daniel B. Hardy

Physiology and Pharmacology Publications

Epidemiologic and clinical research has provided a large body of evidence supporting the developmental origins of health and disease (DOHaD), but there has been a relative dearth of mechanistic studies in humans due to the complexity of working with large, longitudinal cohorts. Nonetheless, animal models of undernutrition have provided substantial evidence for the potential epigenetic, metabolic, and endocrine mechanisms behind DOHaD. Furthermore, recent research has explored the interaction between the environment and the gastrointestinal system by investigating how the gut microbial ecology may impact the capacity for nutrient processing and absorption in a manner that may limit growth. This review …

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Adult Learning And The Effect Of Education And Gender Interaction On Type 2 Diabetics, Abdi H. Nur

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this mixed methods research study was to investigate whether the relationships between education and medication and healthy exercise adherence were the same among female and male Type 2 diabetic adult learners. The purpose included also exploring whether registered nurses would alter their approach to diabetic adult learners’ education on medication and healthy exercise adherence considering patients’ gender and education levels. The study also investigated the correlation between diabetes duration and medication and healthy exercise adherence. The research investigation employed mixed methods sequential explanatory design using qualitative data to help explain the quantitative findings. The quantitative study was …

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Analyzing Communities In Black America: How Urban And Regional Planners Can Plan For Prosperous Black Communities, Tatiana Height

Community and Regional Planning Program: Theses

The black community in the United States has evolved out of a unique set of circumstances which have led to few black neighborhoods being able to prosper. Considering the negative influences on the black community such as wide-spread discrimination, mass incarceration, concentrations of poverty, and poor housing quality this community requires unique considerations to prosper. Given that only 10% of urban and regional planners are black, this research is meant to be a guide for urban and regional planners at large to plan in such a way that allows black communities to thrive. The results of this research indicate that …

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Food Insecurity And Emotional Health In The Usa: A Systematic Narrative Review Of Longitudinal Research, Meg Bruening, Lauren Dinour, Jose B.Rosales Chavez

Department of Nutrition and Food Studies Scholarship and Creative Works

Objective To examine the causal directionality in the relationship between food insecurity and emotional well-being among US-based populations. Design Systematic literature review from January 2006 to July 2016 using MEDLINE (PubMed), PsychInfo, Web of Science and CINHAL. Inclusion criteria were: written in English; examined a longitudinal association between food insecurity and emotional well-being. Setting The USA. Subjects Children and adults. Results Twelve out of 4161 peer-reviewed articles met inclusion criteria. Three articles examined the effect of emotional well-being on food insecurity, five studies examined the effect of food insecurity on emotional well-being, and four studies examined a bidirectional relationship. Most …

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24-Month Hiv-Free Survival Among Infants Born To Hiv-Positive Women Enrolled In Option B+ Program In Kigali, Rwanda: The Kabeho Study, Michelle Gill, Heather J. Hoffman, Dieudonne Ndatimana, Placidie Mugwaneza, Laura Guay, +Several Additional Authors

Genomics and Precision Medicine Faculty Publications

Lifelong antiretroviral therapy (ART) provision to all pregnant HIV-positive women (“Option B+”) has been recommended by the World Health Organization since 2013, but there remain limited data on the effects of Option B+ on long-term HIV-free survival in breastfeeding HIV-exposed infants. The Kigali Antiretroviral and Breastfeeding Assessment for the Elimination of HIV (Kabeho) study enrolled HIV-positive women from the third trimester of pregnancy to 2 weeks postpartum in 14 heath facilities implementing Option B+ in Kigali, Rwanda. Mother–child pairs in the longitudinal observational cohort were followed until 24 months postpartum, with HIV diagnostic testing at 6 weeks, and 9, 18 …

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Interindividual Neuromuscular Characteristics And Their Relationships To Running Economy, Barbara Jean Schornstein

Dissertations

Running economy (RE) has previously been shown to be associated with endurance running performance. Neuromuscular characteristics, such as the activity of lower-extremity biarticular muscles during stance, have shown both positive and negative relationships with RE. That is, a positive relationship would indicate as there is more muscular excitation, more oxygen would be used for running, leading to a performance detriment. These conflicting relationships with neuromuscular activity have used two separate electromyographic (EMG) analyses, as there is no gold standard for the processing of EMG data. The first study was performed in order to compare the EMG analysis methods of each …

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Improving Discharge Planning Using The Re-Engineered Discharge (Red) Program, Sterling L. Roberts, Leslie C. Moore, Brian Jack

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The 12-actionable items of the Re-Engineered Discharge Program (RED) are equipped to address essential areas to prevent hospital re-visits. Evidence supports the use of nurses to complete these essential components of hospital interventions. The aims of this project were to: 1) assess nurses’ readiness to learn prior to receiving education on the RED Program, and 2) measure the utilization of the RED discharge process from patient chart reviews following an educational intervention focused on the RED 12-actionable items. Participants (N = 69) scored high M = 219.8 (SD 23.7) on the Self-Directed Learning Readiness – Adult Scale, indicating the nurses …

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Graduate Internship Report - Joseph A. Gregori High School, Kyle L. Beeman

Agricultural Education: Graduate Internship Reports

This internship and project report includes validation documents required in meeting the quality criteria for secondary-level programs of instruction in agriculture. The documents are concurrently used for the Agriculture Incentive Grant review process at Joseph A Gregori High School conducted by representatives of the California Department of Education. The internship includes the development of 16 steel raised garden beds for the Agriculture Department through a USDA farm to school grant. The supporting material includes information to receive state and local funding, outline the goals and objectives of the program, along with an overview of Gregori agriculture program and community

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Clemson Commencement Program, December 2017, Clemson University

Clemson Commencement Programs

No abstract provided.

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Short-Term Toxicity Of 1-Methylnaphthalene To Americamysis Bahia And 5 Deep-Sea Crustaceans, Anthony H. Knap, Nicholas R. Turner, Gopal Bera, Dorothy-Ellen A. Renegar, Tamara Frank, Jose Sericano, Bernhard Riegl

Marine & Environmental Sciences Faculty Articles

There are few studies that have evaluated hydrocarbon toxicity to vertically migrating deep-sea micronekton. Crustaceans were collected alive using a 9-m² Tucker trawl with a thermally insulated cod end and returned to the laboratory in 10 °C seawater. Toxicity of the polycyclic aromatic hydrocarbon 1-methylnaphthalene to Americamysis bahia, Janicella spinacauda, Systellaspis debilis, Sergestes sp., Sergia sp., and a euphausiid species was assessed in a constant exposure toxicity test utilizing a novel passive dosing toxicity testing protocol. The endpoint of the median lethal concentration tests was mortality, and the results revealed high sensitivity of the deep-sea micronekton …

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Comparing Methods Of Targeting Obesity Interventions In Populations: An Agent-Based Simulation, Rahmatollah Beheshti, Mehdi Jalalpour, Thomas A. Glass

Civil and Environmental Engineering Faculty Publications

Social networks as well as neighborhood environments have been shown to effect obesity-related behaviors including energy intake and physical activity. Accordingly, harnessing social networks to improve targeting of obesity interventions may be promising to the extent this leads to social multiplier effects and wider diffusion of intervention impact on populations. However, the literature evaluating network-based interventions has been inconsistent. Computational methods like agent-based models (ABM) provide researchers with tools to experiment in a simulated environment. We develop an ABM to compare conventional targeting methods (random selection, based on individual obesity risk, and vulnerable areas) with network-based targeting methods. We adapt …

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The Monadnock Volume 59, December 2017, Clark University Geographical Society

The Monadnock (Clark Geographical Society)

Volume 59 of The Monadnock. The Monadnock was the alumni magazine of the Clark University Geographical Society (1927-1985) (2014-present).

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Delaying The Start Of Iron Until 28 Days After Antimalarial Treatment Is Associated With Lower Incidence Of Subsequent Illness In Children With Malaria And Iron Deficiency., Ericka Jaramillo, Ezekiel Mupere, Robert Opoka, James Hodges, Troy Lund, Michael Georgieff, Chandy John, Sarah Cusick

Paediatrics and Child Health, East Africa

We evaluated the incidence of all-cause and malaria-specific clinic visits during follow-up of a recent trial of iron therapy. In the main trial, Ugandan children 6–59 months with smearconfirmed malaria and iron deficiency [zinc protoporphyrin (ZPP > = 80 μmol/mol heme)] were treated for malaria and randomized to start a 27-day course of oral iron concurrently with (immediate group) or 28 days after (delayed group) antimalarial treatment. All children were followed for the same 56-day period starting at the time of antimalarial treatment (Day 0) and underwent passive and active surveillance for malaria and other morbidity for the entire follow-up period. …

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Impact Assessment Of Sewage Sludge To Ecological Environment, Thanh Tran

Manipal Journal of Science and Technology

Sewage sludge from wastewater treatment plants in Vietnam is facing a difficulty due to the significant increase of the volume of discharge to landfill and its impacts on environment. There have been many articles about the odour impact on people living around Binh Hung wastewater treatment plant; however, there is no clear research on the impact, when sewage sludge is discharged directly into the environment. This study was implemented with the change of sludge concentration and environmental conditions to assess the impact of mud through analytical ability to germinate and grow height of cucumber. Results showed that the ratio of …

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Management Of Undernutrition And Failure To Thrive In Children With Congenital Heart Disease In Low- And Middle-Income Countries, Andrew C. Argent, Rakhi Balachandran, Balu Vaidyanathan, Amina Khan, R. Krishna Kumar

Section of Cardiology

Poor growth with underweight for age, decreased length/height for age, and underweight-for-height are all relatively common in children with CHD. The underlying causes of this failure to thrive may be multifactorial, including innate growth potential, severity of cardiac disease, increased energy requirements, decreased nutritional intake, malabsorption, and poor utilisation of absorbed nutrition. These factors are particularly common and severe in low- and middle-income countries. Although nutrition should be carefully assessed in all patients, failure of growth is not a contraindication to surgical repair, and patients should receive surgical repair where indicated as soon as possible. Close attention should be paid …

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Investigating Parental Involvement In Their Childrens Education In A Government Aided Secondary School In Maracha Uganda, Alesi Judith

Master of Education

The concept of parental involvement in their children‟s education has been core in enhancing students‟ academic performance and life in general regardless of their socio economic background. Families provide the base upon which the learners are supported in their social, moral, financial, psychological and academic growth which ushers them into great achievements. This study therefore aimed at investigating parental involvement in their children‟s education in a rural secondary school where most parents are of low socio economic status, and how they offer their support both at school and at home. Based on the context of the study, we should acknowledge …

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A Retrospective Chart Review Comparing Nutritional Screening Tools (Mna-Sf And Must) In Identifying Malnutrition In Older Adults Admitted To A Hospital In 2016, Elizabeth Schneider

2017 Fall Honors Capstone Projects - Archive

There are many factors that contribute toward negative outcomes in the healthcare setting for hospitalized older adults (Tappenden, Quatrara, Parkhurst, Malone, Fanjiang, & Ziegler, 2013). One of these factors includes meeting nutritional requirements. Unfortunately, many cases of malnutrition in patients 65 years and older, who are admitted to the hospital, go unnoticed due to the lack of nutritional screening tool implementation (Tappenden et al., 2013). Therefore, this study looks at two of the most popular nutritional screening tools, the MNA-SF and MUST, to identify malnutrition in older adults with a preexisting diagnosis of either malnutrition or failure to thrive and …

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Obesity, Dyspnea On Exertion And Health Related Quality Of Life In Obese Males, Lauren Crane

2017 Fall Honors Capstone Projects - Archive

Previous research has shown that one in three otherwise healthy obese adults experience dyspnea on exertion (DOE). Both dyspnea and obesity can have a negative influence on a person’s health related quality of life (HRQOL). However, it is unclear if these relationships can be found in otherwise healthy mild-to-moderately obese men. In this study, we examined the relationship between 1) obesity and HRQOL, and 2) dyspnea on exertion (DOE) and HRQOL. A secondary analysis was conducted from the baseline data of an interventional 12-week weight loss study. Volunteers filled out the Medical Outcomes Short Form-36 (SF36) as the measurement for …

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The Effects Of Palmitate On The Expression Of G-Protein Coupled Receptors And Glut Transporters In Neuro2a Cells, Brian Montoya

Seton Hall University Dissertations and Theses (ETDs)

Palmitate (PA) is a saturated fatty acid that has been reported to be elevated in individuals with metabolic syndromes. The effects of fatty acids on the expression of various fatty acid receptors on neuronal cells is unknown, as is the effects of fatty acids on GLUT transporters. In this study, Neuro-2a (N2a) cells were treated with either 300μM of bovine serum albumin (BSA) or 300μM of palmitate conjugated to BSA (PA) at various time points to determine the effect of palmitate on the expression of various fatty acid receptors and GLUT transporters. RNA isolation followed by RT-PCR with primers specific …

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Synchronization Of Reproduction In Deertoe Mussel (Truncilla Truncata), Kendell R. Loyd

Graduate Theses/Dissertations

Freshwater mussels, Order Unionoida, are diverse and widespread in North America but have suffered general decline and many extinctions in recent decades. The reproductive biology of Unionoida is complex and may be vulnerable to human impacts. Male mussels release aggregates of sperm called spermatozeugmata that drift downstream. Females obtain spermatozeugmata from the water and brood the fertilized eggs internally during development. Many aspects of general reproductive biology are poorly understood, including the mechanisms that coordinate spawning and the route by which sperm meet eggs in the female. The present study focuses on reproduction in the Deertoe (Truncilla truncata), …

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Effects Of Ocean Warming And Acidification On Fertilization Success And Early Larval Development In The Green Sea Urchin, Lytechinus Variegatus, Brittney L. Lenz

HCNSO Student Theses and Dissertations

Climate change is predicted to affect the larval stages of many marine organisms. Ocean warming can reduce larval survival and hasten larval development, whereas ocean acidification can delay larval development. Ocean acidification is especially concerning for marine organisms that develop and grow calcified shells or skeletons in an environment undersaturated with calcium carbonate minerals. This study assessed the effects of ocean warming and acidification on the fertilization and larval development of the green sea urchin, Lytechinus variegatus, a tropical species common in Florida and the Caribbean. After spawning, gametes were fertilized and embryos/larvae were reared at: 1) 28°C and …

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A Quality Improvement Initiative To Increase Statin Therapy Adherence Among Patients With Diabetes Aged 65 Years And Older, Kelly Nunemaker

Doctor of Nursing Practice

The purpose of this project was to improve statin therapy adherence among diabetic patients aged 65 and older treated at a small family practice clinic in western San Antonio. Additionally, the project aimed to decrease LDL cholesterol (LDL-C) levels in this patient population as recommended to 70 mg/dl or less. Diabetic patients are more likely to die from a cardiac event than patients without diabetes. Statin therapy is an important factor in lowering cholesterol, which reduces the patient’s risk for atherosclerosis. Educating patients aged 65 and older about the role of statin therapy in preventing cardiovascular events, stroke, and vascular …

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Interventions To Increase Diabetes Self-Management Education Referral And Attendance, Genevieve Talamantez

Doctor of Nursing Practice

Despite the proven benefits of diabetes self-management education (DSME), referral and attendance remains suboptimal. DSME has the ability to encourage self-care behavior, improve clinical outcomes, and improve quality of life in a cost-effective manner. The American Diabetes Association recommends that all people with diabetes receive DSME in order to facilitate the knowledge, skills, and ability necessary for diabetic self-care. The Office of Disease Prevention and Health Promotion, Healthy People 2020, set a national diabetic patient education attendance target goal of 62.5% for adults. The purpose of this quality improvement project is to increase referral and attendance to DSME in type-2 …

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Full-Text Articles in Entire DC Network

College Of Health Sciences Newsletter, December 2017, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

Avs Corner, December 2017, Farzana Ferdous (Advisor), Caitlin Mathews, Emily Alexander, Brooke Redmond, Meghan Courey, Erika Jones, Wendy Guzman, Peyton Voirin, Morgan Forte

AVS Corner

Urinformed December 2017, Urinformed

URInformed: The URI Employees' Newsletter

No. 12: Compounding Vulnerability: A Model Of Urban Household Food Security, Cameron Mccordic

Hungry Cities Partnership

Shear-Induced Aggregation And Ordering Of Amylopectin Dispersion Affected By Hydrocolloids, Fang Fang

Open Access Dissertations

Nutritional Supplement Practices Of Professional Ugandan Athletes: A Cross-Sectional Study, Haruna Muwonge, Haruna Muwonge, Robert Zavuga, Peninnah Kabenge, Timothy Makubuya

Educator Preparation & Leadership Faculty Works

The Classic, Winter 2017-18, Public Relations

The Classic, 2010-2019

Developmental Origins Of Health And Disease: Current Knowledge And Potential Mechanisms, Daniel J. Hoffman, Rebecca M. Reynolds, Daniel B. Hardy

Physiology and Pharmacology Publications

Adult Learning And The Effect Of Education And Gender Interaction On Type 2 Diabetics, Abdi H. Nur

All-Inclusive List of Electronic Theses and Dissertations

Analyzing Communities In Black America: How Urban And Regional Planners Can Plan For Prosperous Black Communities, Tatiana Height

Community and Regional Planning Program: Theses

Food Insecurity And Emotional Health In The Usa: A Systematic Narrative Review Of Longitudinal Research, Meg Bruening, Lauren Dinour, Jose B.Rosales Chavez

Department of Nutrition and Food Studies Scholarship and Creative Works

24-Month Hiv-Free Survival Among Infants Born To Hiv-Positive Women Enrolled In Option B+ Program In Kigali, Rwanda: The Kabeho Study, Michelle Gill, Heather J. Hoffman, Dieudonne Ndatimana, Placidie Mugwaneza, Laura Guay, +Several Additional Authors

Genomics and Precision Medicine Faculty Publications

Interindividual Neuromuscular Characteristics And Their Relationships To Running Economy, Barbara Jean Schornstein

Dissertations

Improving Discharge Planning Using The Re-Engineered Discharge (Red) Program, Sterling L. Roberts, Leslie C. Moore, Brian Jack

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Graduate Internship Report - Joseph A. Gregori High School, Kyle L. Beeman

Agricultural Education: Graduate Internship Reports

Clemson Commencement Program, December 2017, Clemson University

Clemson Commencement Programs

Short-Term Toxicity Of 1-Methylnaphthalene To Americamysis Bahia And 5 Deep-Sea Crustaceans, Anthony H. Knap, Nicholas R. Turner, Gopal Bera, Dorothy-Ellen A. Renegar, Tamara Frank, Jose Sericano, Bernhard Riegl

Marine & Environmental Sciences Faculty Articles

Comparing Methods Of Targeting Obesity Interventions In Populations: An Agent-Based Simulation, Rahmatollah Beheshti, Mehdi Jalalpour, Thomas A. Glass

Civil and Environmental Engineering Faculty Publications

The Monadnock Volume 59, December 2017, Clark University Geographical Society

The Monadnock (Clark Geographical Society)

Delaying The Start Of Iron Until 28 Days After Antimalarial Treatment Is Associated With Lower Incidence Of Subsequent Illness In Children With Malaria And Iron Deficiency., Ericka Jaramillo, Ezekiel Mupere, Robert Opoka, James Hodges, Troy Lund, Michael Georgieff, Chandy John, Sarah Cusick

Paediatrics and Child Health, East Africa

Impact Assessment Of Sewage Sludge To Ecological Environment, Thanh Tran

Manipal Journal of Science and Technology

Management Of Undernutrition And Failure To Thrive In Children With Congenital Heart Disease In Low- And Middle-Income Countries, Andrew C. Argent, Rakhi Balachandran, Balu Vaidyanathan, Amina Khan, R. Krishna Kumar

Section of Cardiology

Investigating Parental Involvement In Their Childrens Education In A Government Aided Secondary School In Maracha Uganda, Alesi Judith

Master of Education

A Retrospective Chart Review Comparing Nutritional Screening Tools (Mna-Sf And Must) In Identifying Malnutrition In Older Adults Admitted To A Hospital In 2016, Elizabeth Schneider

2017 Fall Honors Capstone Projects - Archive

Obesity, Dyspnea On Exertion And Health Related Quality Of Life In Obese Males, Lauren Crane

2017 Fall Honors Capstone Projects - Archive

The Effects Of Palmitate On The Expression Of G-Protein Coupled Receptors And Glut Transporters In Neuro2a Cells, Brian Montoya

Seton Hall University Dissertations and Theses (ETDs)

Synchronization Of Reproduction In Deertoe Mussel (Truncilla Truncata), Kendell R. Loyd

Graduate Theses/Dissertations

Effects Of Ocean Warming And Acidification On Fertilization Success And Early Larval Development In The Green Sea Urchin, Lytechinus Variegatus, Brittney L. Lenz

HCNSO Student Theses and Dissertations

A Quality Improvement Initiative To Increase Statin Therapy Adherence Among Patients With Diabetes Aged 65 Years And Older, Kelly Nunemaker

Doctor of Nursing Practice

Interventions To Increase Diabetes Self-Management Education Referral And Attendance, Genevieve Talamantez

Doctor of Nursing Practice