Digital Commons Network^™

Integrating Primary Care Into Community Mental Health Centres In Texas, Usa: Results Of A Case Study Investigation, Rebecca Wells, Ellen D Breckenridge, Sasha Ajaz, Aman Narayan, Daniel Brossart, James H Zahniser, Jolene Rasmussen

Faculty, Staff and Student Publications

INTRODUCTION: Despite evidence that people with serious mental illness benefit from receiving primary care within mental health care settings, there is little research on this type of integration. The objective of this study was to characterize how providers and patients experienced implementation of primary care into specialty mental health services.

METHODS: During site visits, study team members interviewed staff and conducted focus groups with patients at 10 United States community mental health centres then beginning to integrate primary into their practices. One year later, follow up phone interviews with key centre staff informants validated and updated findings. Data analysis included …

Changes In Serum Albumin And Other Nutritional Markers When Using Sucroferric Oxyhydroxide As Phosphate Binder Among Hemodialysis Patients: A Historical Cohort Study, Kamyar Kalantar-Zadeh, Linda H Ficociello, Vidhya Parameswaran, Nicolaos V Athienites, Claudy Mullon, Robert J Kossmann, Daniel W Coyne

Open Access Publications

BACKGROUND: Elevated serum phosphorus concentrations are common among maintenance hemodialysis patients. Protein is a major source of dietary phosphate, but restriction of protein intake can result in hypoalbuminemia and protein-energy wasting. We hypothesized that sucroferric oxyhydroxide (SO), a potent phosphate binder with a low pill burden, may reduce serum phosphorus levels in hemodialysis patients with hypoalbuminemia without adversely impacting albumin levels or dietary intake of protein.

METHODS: We retrospectively examined de-identified data from 79 adult, in-center hemodialysis patients with baseline hypoalbuminemia (≤ 3.5 g/dL) switched to SO as part of routine clinical care for at least 1 year. Temporal changes …

Pathways To Parenthood: Attitudes And Preferences Of Eight Self-Identified Queer Women Living In Tampa Bay, Fl, Emily Noelle Baker

USF Tampa Graduate Theses and Dissertations

This small-scale ethnographic study looks at the how queer women living in Florida imagine navigating family building decisions under the current climate of policies such as a lack of federal non-discrimination protections and the largely unregulated use of assisted reproductive technologies. Despite the federal legalization of same-sex marriage in the United States in 2015, state and county legislations continue to vary greatly on the extent of support they will provide for LGBTQ families. The goal of this research is to evaluate parenting desire, intentions, and preferences for queer women living in Tampa Bay since the passage of the Marriage Equality …

Volume 55, Issue 6 - Monday, October 28, 2019, Rose Thorn Staff

The Rose Thorn Archive

The Rose Thorn, Rose-Hulman's independent student newspaper.

Unh Hosts Industry Day To Encourage Collaboration With State Businesses, Erika Mantz

Media Relations

No abstract provided.

Iron Status And Inherited Haemoglobin Disorders Modify The Effects Of Micronutrient Powders On Linear Growth And Morbidity Among Young Lao Children In A Double-Blind Randomised Trial, Sonja Y. Hess, K. Ryan Wessells, Guy Marino Hinnouho, Maxwell A. Barffour, Kanokwan Sanchaisuriya, Charles D. Arnold, Kenneth H. Brown, Charles P. Larson, Supan Fucharoen, Sengchanh Kounnavong

College of Health and Human Services

Some studies found that providing micronutrient powder (MNP) causes adverse health outcomes, but modifying factors are unknown. We aimed to investigate whether Fe status and inherited Hb disorders (IHbD) modify the impact of MNP on growth and diarrhoea among young Lao children. In a double-blind controlled trial, 1704 children of age 6-23 months were randomised to daily MNP (with 6 mg Fe plus fourteen micronutrients) or placebo for about 36 weeks. IHbD, and baseline and final Hb, Fe status and anthropometrics were assessed. Caregivers provided weekly morbidity reports. At enrolment, 55·6 % were anaemic; only 39·3 % had no sign …

Theoretical And Empirical Foundations Of Divorce Education: Connecting Program Theory And Curricular Content, Alisha M. Hardman, Emily H. Becher, Ellie Mccann, Sharon E. Powell, Jennifer Garbow, Neeraj Rajasekar, Mary S. Marczak

Journal of Human Sciences and Extension

Many parent and family education programs lack a clearly articulated program theory that is solidly founded in the social science literature and used to guide rigorous evaluation. This article describes the program theory for Parents Forever, a divorce education program developed by the Minnesota Extension to serve divorcing parents. The Parents Forever program theory is theoretically based and empirically-informed. The program theory is based on three significant frameworks, which serve as the theoretical foundation for the program: human ecosystems, life course development, and family resilience. These theories are explored and discussed. Three primary change mechanisms relevant for divorcing families serve …

2019 October 28 - Graduate Council Minutes, College Of Graduate And Continuing Studies, East Tennessee State University

Graduate Council Agendas and Minutes

No abstract provided.

Padres Preparados, Jóvenes Saludables, A Family-Based Program To Prevent Obesity Among Latino Early Adolescents: Pilot Test Findings, Youjie Zhang, Ghaffar A. Hurtado, Alejandro Peralta Reyes, Patricia Arellano Brazys, Laura Perdue, Silvia Alvarez De Davila, Rafael Florex, Javiera Monardez Popelka, Marla Reicks

Journal of Human Sciences and Extension

Latino children have a disproportionately high prevalence of obesity. Parenting styles and food- and activity-related parenting practices influence children’s weight and weight-related behaviors. Fathers are underrepresented in existing healthy lifestyle intervention studies for families. The Padres Preparados, Jóvenes Saludables program was designed with an emphasis on paternal involvement for preventing childhood obesity among early adolescents. It offers eight weekly sessions delivered by Extension educators at community sites, with major topics of parenting skill training, positive parent-adolescent relationships, and healthy lifestyles related to healthy eating, physical activity, and screen time. The current study described pilot testing of the program for feasibility …

Flipping An Agricultural Teaching Methods Course At A Non-Land Grant University, Nathan W. Conner, Christopher T. Stripling, Stacy Tomas, Dennis Fennewald, Billye Foster

Journal of Human Sciences and Extension

The purpose of this study was to analyze undergraduate students’ perceptions of experiencing a flipped classroom in a teaching methods course at a Non-Land Grant Public Institution. The flipped classroom moves lectures and online videos outside of the classroom and uses class time for learning activities that promote problem-solving and discussion. Basic qualitative methods were used to provide flexibility, rich description, and the emergence of common patterns and themes. Participants reported the online lectures were beneficial and provided order and structure to the learning process. Personal responsibility emerged as a subtheme with mixed responses. Some participants felt it was the …

Using Ripple Effects Maps To Identify Story Threads: A Framework To Link Private To Public Value, Jane E. Haskell, Barbara A. Baker, Melissa D. Olfert, Sarah E. Colby, Lisa D. Franzen-Castle, Kendra K. Kattlemann, Adrienne A. White

Journal of Human Sciences and Extension

Extension professionals must demonstrate organizational value to garner public awareness and support. Measuring and communicating outcomes that have public value can be challenging. In this study, Ripple Effects Mapping incorporating the Community Capitals Framework was used to evaluate a childhood obesity prevention study, iCook 4-H, of youth-adult pairs in Maine. The objective was to describe the process of generating impact statements through story threads about program benefits to the participants and the potential benefits to nonparticipants, such as family members, friends, and other community members. Extension professionals can use storylines, or story threads, as a qualitative research technique to generate …

Rx For Health Referral Toolkit To Promote Extension Programs, Holly Tiret, Cheryl Eschbach, Cathy Newkirk

Journal of Human Sciences and Extension

The Cooperative Extension National Framework for Health and Wellness calls for the Cooperative Extension Service (CES) to partner with healthcare professionals to support their patients in preventing illness and promoting health through community education. Strategies to connect the healthcare system with coordinated referrals to community-based health programs can help patients improve health outcomes. The Rx for Health Referral Toolkit pilot project was developed as part of a strategy to align CES’s strengths with the medical community to promote quality healthcare experiences for patients. The toolkit educates healthcare providers about the many health programs offered by CES in Michigan. It helps …

Before You Tie The Knot: Mapping Pedagogy, Learning Outcomes, And Effect Size In Premarital Education, Victor W. Harris, C. Bradford Sewell, Jon Anderson, Kyra C. Speegle, Heidi Jones Harris

Journal of Human Sciences and Extension

Human services educators are continually seeking ways to make instruction more effective and engaging. This study evaluated the AIAI-FTFD (Attention, Interact, Apply, Invite – Fact, Think, Feel, Do) Start-to-Finish Teaching Model for educators in an ongoing premarital educational program to determine the model’s effectiveness in implementing the concept of “teaching as an intervention” in human services educational programming. The AIAI-FTFD Model is designed to first, assist instructors to engage the audience’s attention, then introduce the information being taught with the purpose to facilitate interaction between the instructor and participants, next elicit application of the material to personal contexts, and finally, …

Indicators Of Supportive Service Need Among Older Adults In Mississippi, Joshua J. Turner, Carolyn E. Adams-Price, Joe D. Wilmoth

Journal of Human Sciences and Extension

Providing quality services is one of the challenges associated with the continued increase in the nation’s older adult population. Effective use of needs assessment data can be useful in assessing service need. This study measures the level of perceived need for supportive services among older adults in Mississippi. Using statewide needs assessment data, this study applies the Behavioral Model to measure the perceived need for supportive services among survey participants aged 60 and older (N = 838). Results indicate that age, race, physical health, and subjective well-being were consistent predictors of perceived need for supportive services. Results suggest the importance …

Adapting An Elementary School Nutrition Context Assessment For High School Settings And Students, Deborah H. John, Beret Halverson, Tia H. Ho

Journal of Human Sciences and Extension

The school nutrition context is comprised of supportive environmental features, programs, policies, and social relationships that shape students’ healthy dietary choices and patterns. When engaging students as change agents, advocates, and partners in making healthy nutrition choices easier, environmental assessment tools developed for adults may be too complex or inappropriately tailored for youth. Adolescents need practical, user-tailored tools that reliably measure the food and beverage environments they encounter in school to inform youth-led changes to the school nutrition context. To meet this need, an evidence-based school environmental assessment was adapted for use in high schools by students as evaluators. Cooperative …

Effect Of Enzymatic Modification On Microstructure And Functional Properties Of Walnut Glutenin, Xue Yufei, Zhang Yue, Cheng Yimei, Ma Shujie, Sun Qian, Li Fang, Kong Lingming

Food and Machinery

In order to make better use of walnut glutenin and increase its functional properties, the microstructure of walnut glutenin and proteins modified by enzyme method were analyzed by means of enzymatic modification, fluorescence spectrum, ultraviolet spectrum, circular dichroism and other instruments. The modification mechanism was observed and analyzed from the aspects of protein intermolecular, protein intramolecular and polypeptide. The solubility of enzymatic modified proteins was increased by 133.01% and 96.75%, and the water holding capacity was increased by 23.19% and 22.25%. Moreover, the oil retention was decreased by 27.03% and 29.11%, and the emulsifying property was increased by 31.81% and …

Analysis Of Organic Acid Contents In Three Kind Of Saccharomyces Cerevisiae, Pei Fangyi, Jiang Ming, Ma Yanshi, Chen Xue, Liu Zhenyan, Liu Xi, Chen Xiaoting

Food and Machinery

In this study, the contents of glucose, glycerol, ethanol and organic acids in the fermentation process of three Saccharomyces cerevisiae were determined by high performance liquid chromatography (HPLC). The results showed that the content of glycerol and ethanol in S. cerevisiae 1946 was significantly higher than that in S. cerevisiae P1 and S. cerevisiae 32788 (P<0.05). The seven organic acids in the three kinds of S. cerevisiae fermentation broth have obvious differences and regularity. The content of organic acids in S. cerevisiae 1946 was lower than that in S. cerevisiae P1 and S. cerevisiae 32788. The acid production level of S. cerevisiae was negatively correlated with ethanol production capacity.

Study On The Change Of Texture Characteristics Of Water Buffalo Meat During Low Temperature Storage, Li Chunyou, Fu Chunting, Yin Chaomin, Xu Jinrong, Huang Chengdu, Jin Guofeng

Food and Machinery

The changes of texture characteristics of Guangxi water buffalo meat buffalo meat was investigated during low temperature storage using texture profile analysis. Moreover, the correlation among various indexes of beef texture characteristics of buffalo meat was also analyzed. The results indicated that the hardness, elasticity, chewiness and adhesiveness of buffalo meat decreased continuously with the prolongation of storage time, but the cohesiveness of buffalo meat was increasing. During cryopreservation, there was a significantly positive correlation between the hardness of buffalo meat and characteristics of elasticity, adhesiveness, and chewiness (P＜0.05), but no significant correlation between the cohesiveness of buffalo meat and …

Effect Of Edible Mushroom Polysaccharide On Human Gut Microbiome, Cheng Mengya, Yang Yalan, Yang Qiao, Feng Lulu, Huang Rengui, Zheng Lufei, Ren Jiali

Food and Machinery

Polysaccharide is one of the main bioactive compounds in these mushroom which had been generally studied to have the health-promoting properties of anti-oxidation, antitumor, anti-inflammatory, immunoregulation. With the heat wave of gut microbiome rising, how the edible mushroom polysaccharide affects human health through the gut microbiome has become the focus of attention. This review discussed the efficacy and structure of edible mushroom polysaccharides, the composition, distribution and function of human gut microbiome, and how the mushroom polysaccharides affect human health through regulating the gut microbiome. At the same time, preliminary suggestions for the follow-up study of edible mushroom polysaccharides were …

Opportunities And Challenges Of Pulses In The Sustainable Development Of Diets, Tan Bin, Qiao Congcong

Food and Machinery

As one kind of sustainable diets, pulses have their own advantages and developmental opportunities, combined with some problems. In this review, the necessity and development direction of sustainable dietary development were discussed, and the advantages and problems of pulses as one kind of sustainable diets, and the development direction of pulses foods were summarized.

Research On Production Process And Product Characteristics Ofnutritional Fermented Milk In Chickpea, Chen Xiajing, Liu Hongyu, Li Yanze, Wang Ying, Wang Changyuan, Yao Di

Food and Machinery

Chickpeas and milk were used as raw materials, and the chickpea fermented milk was prepared by mixed strains of SL and LSB. The single factor and orthogonal experiment were used, and the processing conditions of chickpea fermented milk were optimized with sensory score. At the same time, the physical and chemical properties, rheological properties and nutritional composition of the product were determined, the shelf life of the product was determined by microbial index and sensory evaluation. The results showed that optimal conditions of fermented milk of SL strains were the immersing chickpeas time of 5 h, the inoculum doses of …

Optimization Of Ultrasonic Assisted Enzymatic Extraction Of Dietary Fiber From Light Speckled Kidney Bean, Zhangn Yanli, Wang Ying, Wang Di, Zuo Zhaohang, Liu Shuting

Food and Machinery

Ultrasonic assisted complex enzyme (1.0% alkaline protease and 0.2% high temperature resistant alpha-amylase) was used to extract dietary fiber from milk white colored kidney bean residue after enzymolysis.The effect of ultrasonic conditions on the extraction rate of water-insoluble dietary fiber (IDF) and water-soluble dietary fiber (SDF) was studied.The results showed that the extraction rate of IDF and SDF reached 60.11% and 5.63% respectively, when extracted with 250 W of ultrasonic at 60 ℃ 25 min. There were characteristic absorption peaks in the infrared spectra of DF. The water holding capacity of SDF was 1.828 g/g higher than that of IDF, …

Are We Listening To Our Limited-Resource Audiences? Engaging Parents And Caregivers With Nutrition Messaging In Extension Programs, Karen L. Franck, Christopher T. Sneed

Journal of Human Sciences and Extension

Social marketing campaigns can be an effective method for reaching and engaging limited-resource participants in health messages related to nutrition and physical activity. The target audience should be engaged throughout the process of message identification and creation. This study included focus groups with limited-resource caregivers to help identify information sources utilized, nutrition messages most likely to resonate, and preferred communication channels. Nine focus groups with 108 limited-resource caregivers were conducted. Most participants were between the ages of 21 and 44, with a majority receiving SNAP benefits. All participants were female with over half identifying as white. Two researchers coded focus …

Promoting Healthy Lifestyles For Extension Employees: An Exploratory Study, Joseph L. Donaldson, Karen L. Franck

Journal of Human Sciences and Extension

Employee health is regarded as a strategic advantage with individual, organizational, and societal benefits. This study sought to describe the major health issues, motivations, barriers, and needs related to healthy lifestyles for Cooperative Extension employees. A total of 16 focus groups were conducted throughout Tennessee with 105 participants. Separate focus groups were conducted with seven groups of University of Tennessee Extension employees: administrative assistants, county agents, county directors, program assistants, departmental faculty, administrators, and professional staff. Findings indicate chronic stress as the dominant health issue. Respondents were motivated to stay healthy to be role models for good health, among other …

A Unique Presentation Of Scurvy In The Modern Era, Anita Bhagavathula Do, Joanna Linsteadt Md, Sonam Jaggi Md

Internal Medicine

No abstract provided.

Global Imprint Of Mycorrhizal Fungi On Whole-Plant Nutrient Economics, Colin Averill, Jennifer M. Bhatnagar, Michael C. Dietze, William D. Pearse, Stephanie N. Kivlin

Biology Faculty Publications

Mycorrhizal fungi are critical members of the plant microbiome, forming a symbiosis with the roots of most plants on Earth. Most plant species partner with either arbuscular or ectomycorrhizal fungi, and these symbioses are thought to represent plant adaptations to fast and slow soil nutrient cycling rates. This generates a second hypothesis, that arbuscular and ectomycorrhizal plant species traits complement and reinforce these fungal strategies, resulting in nutrient acquisitive vs. conservative plant trait profiles. Here we analyzed 17,764 species level trait observations from 2,940 woody plant species to show that mycorrhizal plants differ systematically in nitrogen and phosphorus economic traits. …

Purchasing Products To Make A Difference: A Study Of Corporate Social Responsibility, Gender, And Cosmetic Purchasing Behavior By College Students, Allegra Blomenberg

Honors Program: Senior Projects (Public)

The purpose of this study was to investigate gender differences that exist in the way corporate social responsibility (CSR) is perceived by college students and how this affects cosmetic purchasing behavior. Two other objectives included finding what drives millennial cosmetic purchasing behavior as a whole and the ways in which millennials are informed of companies’ corporate social responsibilities. Through analyses of interview data from fourteen college-age millennials, the study showed that non-binary participants more positively perceived CSR and actively bought from responsible brands. The male participant perceived CSR positively but had never been sure to purchase products from a brand …

Racial And Ethnic Disparities In Palliative Care: A Systematic Scoping Review, Daniel Gardner, Meredith Doherty, Gleneara Bates, Aliza Koplow, Sarah C. Johnson

Publications and Research

Despite the advances and spread of palliative care programs, communities of color remain significantly underserved. Although these disparities are widely known, there is a marked lack of empirical evidence. The authors conducted a systematic scoping review that synthesized the literature since 2000 about racial and ethnic disparities in palliative and end-of-life care. We searched PubMed, Medline, SocIndex, CINAHL, Social Work Abstracts, and PsycINFO, using search terms including palliative care or end-of-life care, disparities or barriers or utilization, and race or ethnicity or African American or Hispanic. Findings lend support to extant literature that social environmental barriers and disparities distinctly affect …

Full Issue, Volume 7, Number 3, Donna J. Peterson, Rich Poling

Journal of Human Sciences and Extension

No abstract provided.

Oral Fungal Microbiota: To Thrush And Beyond, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

The oral microbiota is complex, multikingdom, interactive, and involves extensive biofilm formation. While dominated by bacteria, Candida is a frequent member of this microbiota; however, several other potentially pathogenic fungi (among around 100 identified species) appear to reside in some individuals, including Cryptococcus, Aspergillus, and Fusarium. Oral candidiasis may manifest as a variety of disease entities in normal hosts and in the immunocompromised. These include pseudomembranous candidiasis (thrush), hyperplastic or atrophic (denture) candidiasis, linear gingival erythema, median rhomboid glossitis, and angular cheilitis. The purpose of this review is to describe the oral fungal microbiota (ie, oral mycobiota), …