Digital Commons Network^™

Assisting Food Processors With Food Safety Modernization Act Compliance, Jacques L.A. Overdiep Iii, Angela M. Shaw

Journal of Extension

The Food Safety Modernization Act (FSMA) Human Food Audit Checklist was developed as a tool for assisting food processors with implementation of FSMA. This 70-page checklist incorporates Title 21 Code of Federal Regulations (CFR) Part 1 Subparts H (Registration of Food Facilities) and O (Sanitary Transportation of Human and Animal Food) and 21 CFR 117 (Preventive Controls for Human Food Hazard Analysis and Risk-Based Preventive Controls and Current Good Manufacturing Practices) with hints, comments, and definitions. The checklist was reviewed by Food and Drug Administration experts and food company personnel to validate its usefulness. It can be modified to fit …

A Framework For Sustainable Slum Development Based On Zero Waste Concept: "Learn To Earn Model", Sally Maher Elgizawy

Theses and Dissertations

The rapid urbanization of the last century caused more slum formation resulting in numerous adverse effects and is considered a major problem facing developing countries specially Egypt. This research touches on the complexities of sustainable slum development specially dealing with slum dwellers in a trial to enhance their capacities and potential which would benefit the community and lead to the development of the slum. Teaching them new skills through the "Learn to Earn Model'', will help them generate income which turns the slum into a catalyst for the economy rather than a burden on it. Another major problem in developing …

The Use Of Electronic Devices To Seek Health Information On The Internet And Social Media Among Adults In The United States, Noara Alhusseini

Loma Linda University Electronic Theses, Dissertations & Projects

Background

More than three billion adults use the internet worldwide for communication and 90% of them use it to access information. The internet and social media have become a vital source for seeking health information in the US. Using online sources to seek health information and manage chronic medical conditions remains unclear.

Purpose

The purpose of this study is to explore using electronic devices to seek health information by using variables conceptually aligned with the Health Belief Model and to examine associations between using social media for health-related purposes and individuals with certain chronic medical conditions.

Methodology

A secondary analysis …

Variation In Morphology, Diet, And Venom Composition In Crotalus Pyrrhus (Cope 1867), Chip Cochran

Loma Linda University Electronic Theses, Dissertations & Projects

Because rattlesnakes rely heavily on their venom for predation and defense, we can expect selection pressures from several sources to act on its composition, including, ontogeny, sex, and environmental variation. In this dissertation, I summarize the results of four studies of the southwestern speckled rattlesnake (Crotalus pyrrhus). First, I describe two cases of envenomation at separate Arizona localities (Tinajas Altas Mountains, Yuma County, and Phoenix Mountains, Maricopa County). Both patients experienced swelling, but neither demonstrated coagulopathy, thrombocytopenia, or hypofibrinogenemia. The latter patient required amputation of the distal portion of his middle finger. I also investigated variation in morphology, diet, and …

Determining Heavy Metal Concentrations In The Blueband Hermit Crab (Pagurus Samuelis), Tyler Dos Santos

Loma Linda University Electronic Theses, Dissertations & Projects

Although heavy metal concentrations fluctuate naturally in the environment, anthropogenic sources of heavy metal concentrations can mask and override natural fluctuations. Large anthropogenic metal concentrations can lead to deleterious effects in organisms, such as malformation or death. Indicator species can be used to determine environmental concentrations of certain metals to help understand the impacts of anthropogenic sources of heavy metal concentrations. The aim of this study was to determine if Pagurus samuelis may play a role as an indicator species by analyzing specimens for Cadmium (Cd), Chromium (Cr), Copper (Cu), Lead (Pb), and Zinc (Zn) found in tidepool seawater in …

Does Self-Evaluation And Education In Students Change Attitudes And Beliefs Towards Weight Stigma?, Henry A. Garcia

Loma Linda University Electronic Theses, Dissertations & Projects

The current state of global ensures physical therapists will encounter patients that are overweight/obese in all clinical settings, which makes them exceptionally positioned to promote lifestyle modifications to their patients. Unfortunately, weight stigma is highly prevalent among health care providers. Weight stigma has been shown to have adverse effects on patients. The purpose of this study is to measure weight bias in the doctor of physical therapy (DPT) students. Elicit change in obesity stigma in DPT students by way of self-evaluation while enrolled in a course Aspects of Health Promotion (AHP). Methods: Sixty students enrolled in AHP course participated in …

Size, Shape, And Sexual Dimorphism Of Island And Mainland Melanerpes Woodpeckers Of The Centurus Clade, Lee Michelle Silva Núñez

Loma Linda University Electronic Theses, Dissertations & Projects

Island ecosystems are widely studied as "natural laboratories” for biological change. Animals that colonize islands frequently exhibit differences from their mainland counterparts in morphology, physiology, and behavior. Some of the most striking features include changes in body size and shape, with extreme examples being dwarfism, gigantism, and flightlessness. These changes are generally driven by isolation and reduction in predators and competitors. The 10 woodpecker species belonging to the Centurus clade of genus Melanerpes are ideally suited to study evolutionary changes associated with island conditions because they include numerous populations restricted to islands, allowing comparisons among island and continent ecosystems. To …

Connected Families: Programs For Families Of Infants/Toddlers At Risk For Autism, Toni Carol Durnal Dunning

Loma Linda University Electronic Theses, Dissertations & Projects

Although children with secure attachment are known to have better outcomes, fostering secure attachment in an infant/toddler at risk for autism spectrum disorder is challenging. Some of the challenges stem from bi-directional, negative and ambiguous interaction sequences between the child and caregiver that cause emotional dysregulation and undermine caregiver confidence setting the stage for perpetual miscuing and misattunement— a pattern that can impact the entire family system leaving the child, caregiver, and family vulnerable to stress, anxiety, depression, and isolation.

Although the etiology of autism is a matter of intensive and ongoing research spanning many disciplines, there is converging agreement …

Use Of A Timely Topics Web Tool To Enhance Research-Based Extension Program Impact, Jennie L.Z. Ivey, Phillip R. Myer

Journal of Extension

Developing creative, impactful methods for delivering research-based Extension educational material is often challenging. However, options have increased as technological advancement has made online learning accessible to stakeholders, producers/farmers, and the general public alike. An interactive timely topics web tool (TTW) can enhance interaction with a program home page to aid Extension professionals in effectively disseminating relevant information to users. Use of an equine program TTW broadened the reach of programmatic resources to national and international scales and increased new and repeat contacts with the educational website. Providing opportunities for interactive web-based learning may enhance implementation of recommended practices and reportable …

Chemical Characterization Of Trichoderma Reesei Degraded Date Pits And Its Effect On Growth Performance And Intestinal Bacterial Population And Antioxidant Status - A Comparative Study With Mannose And Mannan -Oligosaccharide On Broiler, Salem Rashed Ali Rashed Al Yileili

Dissertations

With the increasing apprehension over food safety nowadays, there have been relentless efforts aiming for subrogating antibiotic growth promoters (AGPs) in poultry feeds. Thus, this research study aims at investigating the potential effects of using degraded date pits (DDP) as feedstuff and as a natural alternative for antibiotics in poultry feeding. Two feeding experiments were conducted. In experiment 1, the minimum time of feeding a diet containing 10% DDP is required to induce growth-promoting effects on broiler performance. In experiment 2, the influence of feeding 10% DDP was examined as feedstuff at 10% in broilers diets and a growth-promoting agent …

From Best Fit Technologies To Best Fit Scaling: Incorporating And Evaluating Factors Affecting The Adoption Of Grain Legumes In Sub-Saharan Africa, Andrew Farrow, Esther Ronner, Greta J. Van Den Brand, Stephen K. Boahen, Wilson Leonardo, Endalkachew Wolde-Meskel, Samuel Adjei-Nsiah, Regis Chikowo, Fredrick Baijukya, Peter Ebanyat, Emmanuel A. Sangodele, Jean Marie Sanginga, Speciose Kantengwa, Lloyd Phiphira, Paul Woomer, Theresa Ampadu-Boakye, Edward Baars, Fred Kanampiu, Bernard Vanlauwe, Kenneth E. Giller

All Peer-Reviewed Publications

The success of scaling out depends on a clear understanding of the factors that affect adoption of grain legumes and account for the dynamism of those factors across heterogeneous contexts of sub-Saharan Africa. We reviewed literature on adoption of grain legumes and other technologies in sub-Saharan Africa and other developing countries. Our review enabled us to define broad factors affecting different components of the scaling out programme of N2Africa and the scales at which those factors were important. We identified three strategies for managing those factors in the N2Africa scaling out programme: (i) testing different technologies and practices; (ii) evaluating …

R2gan: Cross-Modal Recipe Retrieval With Generative Adversarial Network, Bin Zhu, Chong-Wah Ngo, Jingjing Chen, Yanbin Hao

Research Collection School Of Computing and Information Systems

Representing procedure text such as recipe for crossmodal retrieval is inherently a difficult problem, not mentioning to generate image from recipe for visualization. This paper studies a new version of GAN, named Recipe Retrieval Generative Adversarial Network (R2GAN), to explore the feasibility of generating image from procedure text for retrieval problem. The motivation of using GAN is twofold: learning compatible cross-modal features in an adversarial way, and explanation of search results by showing the images generated from recipes. The novelty of R2GAN comes from architecture design, specifically a GAN with one generator and dual discriminators is used, which makes the …

Dietlens-Eout: Large Scale Restaurant Food Photo Recognition, Zhipeng Wei, Jingjing Chen, Zhaoyan Ming, Chong-Wah Ngo, Tat-Seng Chua, Fengfeng Zhou

Research Collection School Of Computing and Information Systems

Restaurant dishes represent a significant portion of food that people consume in their daily life. While people are becoming healthconscious in their food intake, convenient restaurant food tracking becomes an essential task in wellness and fitness applications. Given the huge number of dishes (food categories) involved, it becomes extremely challenging for traditional food photo classification to be feasible in both algorithm design and training data availability. In this work, we present a demo that runs on restaurant dish images in a city of millions of residents and tens of thousand restaurants. We propose a rank-loss based convolutional neural network to …

Optimizing Clinical And Cost Outcomes For Patients On Enteral Nutrition Support For Treatment Of Exocrine Pancreatic Insufficiency: Proceedings From An Expert Advisory Board Meeting, Joseph I. Boullata, Janice L. Clarke, Archie Stone, Alexis Skoufalos, David B. Nash

College of Population Health Faculty Papers

No abstract provided.

Clinical Outcomes Of A Cohort Of Migrants And Citizens Living With Human Immunodeficiency Virus In Botswana: Implications For Joint United Nation Program On Hiv And Aids 90-90-90 Targets., Tafireyi Marukutira, Dwight Yin, Laura Cressman, Ruth Kariuki, Brighid Malone, Tim Spelman, Shreshth Mawandia, Jenny H. Ledikwe, Bazghina-Werq Semo, Suzanne Crowe, Mark Stoove, Margaret Hellard, Diana Dickinson

Manuscripts, Articles, Book Chapters and Other Papers

The aim of the study was to evaluate the human immunodeficiency virus (HIV) treatment cascade and mortality in migrants and citizens living with HIV in Botswana.Retrospective 2002 to 2016 cohort study using electronic medical records from a single center managing a high migrant case load.Records for 768 migrants and 3274 citizens living with HIV were included. Maipelo Trust, a nongovernmental organization, funded care for most migrants (70%); most citizens (85%) had personal health insurance. Seventy percent of migrants and 93% of citizens had received antiretroviral therapy (ART). At study end, 44% and 27% of migrants and citizens, respectively were retained …

Proportion Of Adults Meeting The 2018 Physical Activity Guidelines For Americans According To Accelerometers., Zachary Zenko, Erik A. Willis, David A. White

Manuscripts, Articles, Book Chapters and Other Papers

The new 2018 Physical Activity Guidelines for Americans provides updated recommendations for physical activity behavior. These guidelines remove the requirement for physical activity to be obtained in bouts of at least 10 min. The purpose of the present study was to provide an updated estimate of the proportion of adults meeting the physical activity guidelines, based on nationally representative data using accelerometers. Data from 6,525 adults were included in this study. The proportion of adults meeting the physical activity guidelines according to the Department of Health and Human Services and according to the American College of Sports Medicine were estimated …

Recommendations For The Design Of Therapeutic Trials For Neonatal Seizures., Janet S. Soul, Ronit Pressler, Marilee Allen, Geraldine Boylan, Heike Rabe, Ron Portman, Pollyanna Hardy, Sarah Zohar, Klaus Romero, Brian Tseng, Varsha Bhatt-Mehta, Cecil Hahn, Scott Denne, Stephane Auvin, Alexander Vinks, John Lantos, Neil Marlow, Jonathan M. Davis, International Neonatal Consortium

Manuscripts, Articles, Book Chapters and Other Papers

Although seizures have a higher incidence in neonates than any other age group and are associated with significant mortality and neurodevelopmental disability, treatment is largely guided by physician preference and tradition, due to a lack of data from well-designed clinical trials. There is increasing interest in conducting trials of novel drugs to treat neonatal seizures, but the unique characteristics of this disorder and patient population require special consideration with regard to trial design. The Critical Path Institute formed a global working group of experts and key stakeholders from academia, the pharmaceutical industry, regulatory agencies, neonatal nurse associations, and patient advocacy …

The Forensic Analysis Of Adult Temporary Tattoos, Paige Cooper

Student Theses

Adult temporary tattoos have become more popular, yet there is very little research on them, especially regarding their use in forensics. This poses a problem because forensic investigators may not be able to distinguish a temporary tattoo from a real tattoo, possibly hindering their investigation. In this study, various types of adult temporary tattoos were examined and analyzed in attempts to identify and distinguish them, both from each other and from permanent tattoos. Infrared spectroscopy, specifically attenuated total reflection (ATR), proved to be more useful than ultra-violet visible light spectroscopy in terms of analyzing the samples. The natural adult temporary …

Mindsets Of Health And Healthy Eating Intentions, Fanice M. Thomas, Jennifer L. Burnette, Crystal L. Hoyt

Jepson School of Leadership Studies articles, book chapters and other publications

Across two studies, we examined the relation between mindsets of health, expectancy-value and eating intentions. We also explored if relations are stronger for African Americans compared to White Americans. In Study 1, we conducted a correlational study (N= 158) to examine initial relations among constructs. In Study 2, we employed an experimental design (N = 205), and randomly assigned participants to either a growth mindset or a fixed mindset of health condition. In both studies, we measured participants’ mindsets of health, expectancy-value beliefs, healthy eating intentions, past eating habits and demographics.

In Study 1, stronger growth mindsets of health predicted …

Association Of Nutritional Status Measures With Self-Efficacy And Experiencing Depressed Mood Among Pakistani Young Women (P10-090-19), Jo-Anna Baxter, Yaqub Wasan, Sajid Bashir Soofi, Imran Ahmed, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Objectives:
We aimed to assess self-efficacy and the experience of depression-related emotions among non-pregnant adolescent and young women (15–23 years) living in rural Pakistan, and determine their association with measures of nutritional status.
Methods:
Outcomes were assessed from the Matiari emPowerment and Preconception Supplementation (MaPPS) Trial baseline data (n = 25,279). Self-efficacy and depression-related emotions were determined and categorized using the general self-efficacy scale (low, moderate, and high) and DASS-21 tool (normal, mild, moderate, severe, and extremely severe), respectively. Nutritional status was evaluated using hemoglobin concentration (HemoCue Hb 301 System) and body mass index (BMI). Associations were assessed using ordinal …

Position Statement On The Diagnosis And Management Of Non-Alcoholic Fatty Liver Disease, Khalid A. Alswat, Hind I. Fallatah, Bandar Al-Judaibi, Hussien A, Elsiesy, Waleed K. Al-Hamoudi, Adel N. Qutub, Naif Alturaify, Abdullah Al-Osaimi

Saudi Medical Journal

Non-alcoholic fatty liver disease (NAFLD) is a major national and international health burden. It is one of the most common liver diseases worldwide and the most common cause of abnormal liver enzymes in many developed countries. Non-alcoholic fatty liver disease is also known as an important cause of cryptogenic cirrhosis and second leading cause for liver transplantation. It is commonly associated with metabolic syndrome. Non-alcoholic steatohepatitis (NASH) is the progressive phenotype of NAFLD. In spite of promising performance of non-invasive tools, liver biopsy remains the gold standard test for NASH diagnosis. Over decades, many drugs have been investigated in phase …

The Histopathological Pattern Of Benign And Non-Neoplastic Skin Diseases At King Fahad Hospital, Madinah, Saudi Arabia, Abdulkader M. Albasri, Irfan A. Ansari

Saudi Medical Journal

Objectives: To characterize and compare the histopathological pattern of benign skin diseases in patients from Madinah region of Saudi Arabia. Methods: This retrospective study was conducted at the Department of Pathology, King Fahad Hospital, Madinah, Saudi Arabia, and contained cases of benign skin diseases for 11 years (from January 2006 to December 2017). The findings were tabulated in Microsoft Excel sheet and classified based on histopathological diagnosis. Results: Of 1,125 skin tissues reviewed, 579 (51.5%) specimens were from male patients and 546 (48.5%) specimens were from females giving a male: female ratio of 1.1:1. The ages ranged from 1 to …

Determinants Of Bone Mineral Density Through Quantitative Ultrasound Screening Of Healthy Children Visiting Ambulatory Paediatric Clinics, Abdulmoein E. Al-Agha, Yousof O. Kabli, Melissa G. Albeiruty, Asmaa A. Milyani

Saudi Medical Journal

Objectives: To investigate the determinants of bone mineral density through screening healthy children using a non-invasive quantitative ultrasound measurement device. Methods: A descriptive cross-sectional study carried out at King AbdulAziz University Hospital, Jeddah, Kingdom of Saudi Arabia. between May 2018 and January 2019 through interviewing, examining, and screening healthy children visiting general paediatric. Total sample size encompassed 450 children. The inclusion criteria were healthy children between the ages of 2 and 20 years. Exclusion criteria were previous pathological fractures, chronic medical diseases, or long-term medications. Data entry and analysis was conducted using Statistical Package for Social Sciences version 24 (IBM …

Prevalence Of Sarcopenia And Related Factors In Community-Dwelling Elderly Individuals, Hatice Simsek, Reci Meseri, Sevnaz Sahin, Asli Kilavuz, Derya H. Bicakli, Mehmet Uyar, Sumru Savas, Fulden Sarac, Fehmi Akcicek

Saudi Medical Journal

Objectives: To determine the prevalence of sarcopenia and related factors in individuals aged ≥65 years living in the Bornova district of Izmir, Turkey. Sarcopenia is one of the most serious health problems among elderly individuals. Methods: This cross-sectional study was conducted in the Bornova district of Izmir, Turkey, between February-July 2015. This study participants were comprised of 909 individuals aged ≥65 years. The dependent variable was the presence of sarcopenia and the European Working Group on Sarcopenia in Older People (EWGSOP) approach was used for determining sarcopenia. The independent variables were socio-demographic and economic characteristics, healthy life behaviors and health …

Functional Exercise Improves Mobility Performance In Older Adults With Type 2 Diabetes: A Randomized Controlled Trial, Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background: Diabetes-related disability occurs in approximately two-thirds of older adults with diabetes and is associated with loss of independence, increased health care resource utilization, and sedentary lifestyle. The objective of this randomized controlled trial was to determine the effect of a center-based functional circuit exercise training intervention followed by a 10-week customized home-based program in improving mobility function in sedentary older adults with diabetes.

Methods: Participants (n = 111; mean age 70.5 [7.1] y; mean body mass index 32.7 [5.9] kg/m²) were randomized to either a moderate-intensity functional circuit training (FCT) plus 10-week home program to …

An Assessment Of The Egyptian Government's Use Of Public Service Announcements For Development Communication, Ghada El Marsafawy

Theses and Dissertations

Mass media has long been used as a tool for communicating national development. It is through the use of public service announcements (PSAs) that nations could com-municate to the masses their development goals. This study examines the use of Pub-lic service announcements by the Egyptian government in order to communicate its 2030 development goals. A content analysis of television PSAs (N=69) has been con-ducted assessing the content and context of those PSAs comparing them to the crite-ria of effective PSAs. The categories analyzed in the PSAs were PSA Approach, PSA Message, PSA Appeal, PSA Source Characteristics, Personal Relevance, Message quality, …

Predictions And Computational Analysis Of Novel Chromosomal Type Ii Toxin Antitoxin Systems In The Human Oral Microbiome, Ashraf Abd-El-Raouf Bazan

Theses and Dissertations

The importance of the human oral microbiome is progressively receiving considerable attention in recent research, serving as a model niche for studying microevolution. The impact of horizontal gene transfer by mobile genetic elements in such environment is the driving force for the mosaic nature of the oral microbiome. However, there is a missing link between the molecular systems interactions responsible for the plasticity of the genomes and the adaptations of the oral microbiome to physiological and pathological changes. The mobile chromosomal type II Toxin Antitoxin Systems (TASs). are known for their effective role in dynamic environment adaptation and stress response. …

Turmeric/ Oregano Extracts As Wound Healing Agents In A Diabetic Animal Model, Diana Guirguis Sami

Theses and Dissertations

Diabetic wound infections and pressure ulcers pose a significant challenge to healthcare providers worldwide. With an increased incidence of chronic skin ulcers and a significant financial impact on healthcare systems, reaching $25 billion annually, new methods to treat chronic and diabetic ulcers are in great need. The current study provides new and innovative wound care products that reduce inflammation, clear infection and improve healing time in an animal model of pressure and diabetic ulcers. Animal model with excisional wound & pressure ulcer was done on the dorsal side of the rats in diabetic and non-diabetic groups. Our results showed that …

The Impact Of Legislation On Ngo's Role In Programme Delivery: The Case Of Egypt, Rana Magdy Salah El Araby

Theses and Dissertations

NGOs are a vital partner and contributor to economic and social development, and an impactful tool for community participation in providing initiatives that the state might not able to implement. It is therefore important to provide an enabling environment for NGOs to organize their operation without constructing limitations, as to reach the most impoverished and marginalized communities. Therefore, restrictive laws prevent NGOs from operating, and hinder the implementation of development programmes, whilst progressive laws promote the role of NGOs in programme delivery and support its application. This study aims to determine how legislation impacts the role of NGOs in programme …

Egyptian Media Policies To Protect Minors From Harmful Content And Promote Positive Media Use, Nour Hussien Abu-Seada

Theses and Dissertations

Children are by far the most important asset for the future of any nation. Hence, any investment in them will not only reflect positively or negatively on their homeland and society, but maybe even the whole world. With the understanding that early childhood is an extremely important and critical stage for mental, physical and psychological development, it is highly important to constantly provide a healthy environment for young children in order to nourish those seeds that will harvest the future. Media is on the forefront means influencing peoples lives nowadays, some even consider it a source of information. Children, being …