Digital Commons Network^™

How Undocumented Latino Parents’ Legal Status Affects Their U.S. Citizen-Children’S Health, Karla Garcia Hernandez

Senior Theses

The purpose of this paper is to review studies that have assessed how undocumented parents’ legal status have affected their United States citizen-children’s health. This issue involves nurses from different specialties, such as pediatric nursing, mental health nursing and community health nursing. Eight articles were reviewed in regard to how parental legal status affects the child’s access to healthcare services, the child’s physical health and the child’s mental health. The articles revealed that citizen-children of undocumented parents had limited access to health care services, had poorer health, and had higher chances of having mental health illnesses. The paper provided implementations …

Socioeconomic Inequality In Life Expectancy In India, Miqdad Asaria, Sumit Mazumdar, Samik Chowdhury, Papiya Mazumdar, Abhiroop Mukhopadhyay, Indrani Gupta

Journal Articles

Introduction Concern for health inequalities is an important driver of health policy in India; however, much of the empirical evidence regarding health inequalities in the country is piecemeal focusing only on specific diseases or on access to particular treatments. This study estimates inequalities in health across the whole life course for the entire Indian population. These estimates are used to calculate the socioeconomic disparities in life expectancy at birth in the population. Methods Population mortality data from the Indian Sample Registration System were combined with data on mortality rates by wealth quintile from the National Family Health Survey to calculate …

The Effect Of Basal Bolus Insulin Administration Vs. Sliding Scale Insulin On Glycemic Control In Patients With Type 2 Diabetes Mellitus At A Community Hospital, Meriam Signo

Doctoral Projects

Evidence of effective insulin delivery by nurses can help prevent fluctuating plasma glucose levels of Type 2 diabetes mellitus (T2DM) in the hospital setting. Information leading to better diabetes care using either basal bolus insulin administration (BBI) or sliding scale insulin (SSI) is essential for safe blood sugar values. The purpose of this project was to measure patient glycemic control after the implementation of BBI vs. SSI during a patients’ stay in the hospital. This study was a quantitative, retrospective exploratory chart review of T2DM in medical-surgical units at a Northern California community hospital. The data were collected from routine …

Consumer Power To Change The Food System? A Critical Reading Of Food Labels As Governance Spaces: The Case Of Acai Berry Superfoods, Christine Parker, Hope Johnson, Janine Curll

Journal of Food Law & Policy

This article argues that the marketing claims on food labels are a governance space worthy of critical examination. We use a case study of superfood açaí berry products to illustrate how marketing claims on food labels encapsulate dominant neoliberal constructions of global food systems. These marketing claims implicitly promise that by making careful choices consumers can resist and redress the ravages of unbridled global capitalism. Food labels suggest that consumers can use market signals to simultaneously govern our own selves and the market to ensure sustainable, fair, and healthy consumption. In response, this article develops, justifies and applies a socio-legal …

Federal Regulation Of Pesticide Residues: A Brief History And Analysis, Kate Z. Graham

Journal of Food Law & Policy

In the United States today, there are over 900 pesticides in use1 and over 400 are approved for use in food production, whether used as part of the growing process or in post-harvest handling. Although the history of pesticide use in food crops goes back centuries, the post-war period has seen an enormous growth in the varieties and amounts of pesticides used in our food system. As our reliance on pesticides has grown, pesticides have become a divisive issue. Pesticide advocates view them as essential to a secure and reliable food supply needed to feed a growing world population. Detractors, …

How To Conduct Clinical Trials In Children: A Tutorial., Valentina Shakhnovich, Christoph P. Hornik, Gregory L. Kearns, Jaylene Weigel, Susan M. Abdel-Rahman

Manuscripts, Articles, Book Chapters and Other Papers

Despite a growing interest in, and commitment to, implementing pediatric clinical trials, approximately one in every five trials in children fails because of inappropriate study design, suboptimal experiment planning, or inadequate participant enrollment. This tutorial, presented from the perspectives of seasoned pediatric investigators, an experienced research coordinator, and an established pediatric clinical trials network, is designed to provide practical guidance for successfully implementing pediatric clinical trials at an academic center or another comparable institution.

Outcomes Of Implementation Of An Evidence-Based Enteral Feeding Protocol In Neonates Weighing Less Than 1800g At Birth, Rebecca Edwards

MaineHealth Maine Medical Center

Background:

Several studies have demonstrated that the implementation of standardized enteral feeding guidelines can lead to positive outcomes in the neonatal intensive care unit (NICU), including improved nutrition, decreased need for parenteral nutrition (PN), central lines and decreased costs. Furthermore, implementation of standard feeding regimens have significantly reduced the incidence of necrotizing enterocolitis (NEC), a devastating gastrointestinal emergency in neonates. It has been reported that NEC has an iatrogenic component related to variations in feeding practices. While the exact mechanism of the reduced risk of NEC and implementation of feeding protocols is unclear, standard feeding regimens likely improve consistency in …

The Importance Of Interprofessional Education To Develop Successful Interprofessional Collaborative Teams In Healthcare, Christina Sebastiao

Senior Honors Projects

Many individuals live with chronic illnesses, various disabilities, and other complex needs that require an array of medical services from multiple disciplines within the healthcare field. To address the medical, behavioral and social needs of these patients, there has been an emphasis on providing treatment through interprofessional collaborative teams and interprofessional practice (IPP). These teams consist of multiple health professionals from various disciplines.

To ensure IPP teams are efficient and effective in the workplace, the application of interprofessional education (IPE) is key. The goal of IPE is to increase competency in interdisciplinary collaborative skills in students and future practitioners. In …

Food Is Medicine: A Low-Cost, Plant-Based Cooking Class Series For Food Pantry Users, Carolyn Ellis

Senior Honors Projects

Food insecurity, defined as the limited or uncertain access to nutritionally adequate, safe, and acceptable food, is a major public health concern. In 2017, 15 million US households were at one point food insecure. Food insecure adults typically have poorer diet quality than food secure adults independent of poverty. Both food insecurity and poor diet quality are associated with diet sensitive chronic diseases including cardiovascular disease, type 2 diabetes, and obesity. People who rely on food pantries are a subgroup of concern due to their limited ability to purchase food. As meat, poultry, and seafood are the most expensive items …

Self-Report Participation Of Physical Activity Outside Of School On Rate Of Motor Skills Development In Elementary Students, Maritza Cuevas, Kara Lynn Boynewicz Dr., Brandi Eveland-Sayers Dr.

Undergraduate Honors Theses

In this research project, the question of why some younger children appear to have better motor skills than older children is investigated. The hypothesis proposed is that children involved in physical activities after school or in the evenings have better motor skills at younger ages than children who are not involved in physical activities outside of school. Young children have very varied levels of motor skills competency that have developed due to living in different environments and having varied opportunity to be physically active. These differences are a result of factors like socioeconomic status, parental influence, climate, culture, etc.1 Sports …

Subjective Visual Vertical And Otolith Compensation: Evaluating Off-Axis Rotation Stimulus In Healthy Controls, Eva Price

Undergraduate Honors Theses

The vestibular system senses changes in head position and is responsible for the brain’s perception of verticality. Vestibular dysfunction is caused by deficits in the semicircular canals and/or otolith end-organs with resulting symptoms including dizziness, vertigo, and unsteadiness. Current vestibular rehabilitation focuses on compensation of the semicircular canal-mediated vestibulo-ocular reflex through gaze and balance exercises. Little is known about rehabilitation of otolith organ function, yet research findings suggest that fall risk may be related to otolith dysfunction. A recent case study demonstrated improvement of vertical perception and balance following off-axis rotation in a rotary chair, showing that such stimulation may …

Pyschosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs

Undergraduate Honors Theses

A sample of 1,031 pregnant women from five prenatal practices participated in Tennessee Intervention for Pregnant Smokers (TIPS), an expanded 5A’s (Ask, Advise, Assess, Assist, Arrange) program. Stress, self-esteem, depressive symptoms, and disordered eating were hypothesized to differ among three groups: pregnant women who never smoked, pregnant women who smoked but quit prior to birth, and pregnant women who smoked and did not quit prior to birth. Smokers who quit were lower in stress and higher in self-esteem than those who did not quit. Non-smokers were lowest in stress and depression, and highest in self-esteem. These findings may lead to …

Self-Rated Health, Healthcare Satisfaction, Healthcare Adherence, And Medical Mistrust: The Moderating Role Of Rurality, Stephanie Alu

Undergraduate Honors Theses

The current study is part of a broader study called the Women’s Reproductive Health Survey (WRHS) which aimed to examine various aspects of women’s life experiences. This study examined the moderating effect of rurality on several factors of healthcare in a sample of women between the ages of 18 and 50. Self-rated health (SRH) was hypothesized to predict healthcare satisfaction, healthcare adherence, and medical mistrust. Furthermore, rurality was hypothesized to weaken the relationships between SRH and healthcare satisfaction and adherence; it was further hypothesized to exacerbate the relationship between SRH and medical mistrust. A survey containing a single-item measure of …

The Chelation Of Metal Ions By Vicibactin, A Siderophore Produced By Rhizobium Leguminosarum Atcc 14479, Joshua Stinnett

Undergraduate Honors Theses

Vicibactin is a small, high-affinity iron chelator produced by Rhizobium leguminosarum ATCC 14479. Previous work has shown that vicibactin is produced and secreted from the cell to sequester ferric iron from the environment during iron-deplete conditions. This ferric iron is then transported into the cell to be converted into ferrous iron. This study uses UV-Vis spectroscopy as well as ion trap-time of flight mass spectroscopy to determine that vicibactin does form a complex with copper(II) ions, however, at a much lower affinity than for iron(III). Stability tests have shown that the copper(II)-vicibactin complex is stable over time. The results of …

Wave: A Dance Composition And Performance, Morgan Labelle

Undergraduate Honors Theses

Wave: A Dance Composition and Performance is a choreographic work and performance that tells a personal narrative in comparison to a wave. I performed the modern/lyrical dance with two other dancers, Rachel Crabtree and Kate Trabalka, on the evening of November 16^th, 2018 in room 205 of the ETSU Campus Center building. My previous technical dance training, and training as a dance minor at East Tennessee State University from 2015-2018 prepared me to proudly present a piece that was entirely choreographed by me. The following research of modern and lyrical dance shaped my choreography, as well as my …

Identification Of Genes Involved In Iron Metabolism In Rhizobium Leguminosarum Atcc 14479 Genome Through The Use Of In-Silico Analysis, Shuaib A. Siddiqui

Undergraduate Honors Theses

The complete genomic sequence of Rhizobium leguminosarum ATCC 14479 has been determined. Its genome size is 7,935,223 base-pairs of DNA (bp). This multipartite genome contains 5 distinct replicons: a chromosome of 4,883,137 bp and four mega-plasmids of size 1,234,209 bp, 415,988 bp, 771,583 bp, and 630,306 bp. In silico (literally: on computer) analysis was done on the complete genome to detect genes relating to iron metabolism by bacteria. Seven iron-related operons and genes were found: nodulation genes, the Tol operon, the hmuPSTUV operon, iron response regulator genes, the cycHJKL operon, genes for bacterial cyclic glucans, and vicibactin genes.

Mooove Over Cow's Milk: Why The Fda Should Amend Their Guidelines To Include For Plant-Based Alternatives, Lauren Harris

Northern Illinois University Law Review

Along with the rise in plant-based alternatives to conventional animal-based foods has been a concern over the use of terms established by the FDA that are specific to animal-based products. Can companies use terms such as "milk" when the product does not come from an animal or "mayo" when the product does not contain eggs? What if a company uses these terms in violation of the FDA's established guidelines and the FDA chooses not to take action? This article explores the history of the FDA, the rise of plant-based alternatives to conventional animal-based foods, consequent litigation and proposed legislation over …

Lindenwood Magazine, Spring/Summer 2019, Lindenwood University

Lindenwood Magazine (2017- )

Lindenwood University news magazine.

Evaluation Of Herd Size Management Strategies, Colson A. Tester

Graduate Theses and Dissertations

This thesis is comprised of two studies examining the effects of price signal based herd size management strategies on profitability of cow-calf operations. Herd size management strategies were evaluated across the previous two cattle cycles, 1990-2014, using a fixed land resource and included a variety of production scenarios. These scenarios varied in terms of stocking rates, fertilizer applications rates, and calving season. Each scenario was also analyzed both with and without weather effects on forage production. Weather effects were simulated using a production index derived from satellite imagery across the observed 25-year period. Three herd size management strategies: i) constant …

First Thirty Days Of Life: Examining Calf Behavioral Development In Beluga Whales (Delphinapterus Leucas) And Pacific White-Sided Dolphins (Lagenorhyncus Obliquidens) At One Zoological Facility, Kendal Smith

Master's Theses

Cetacean development is important for general comparative understanding and the implementation of informed husbandry policies. Due to the inaccessibility of many of these species in the wild, researchers can study managed care populations to better understand basic developmental patterns of cetaceans, as well as to improve husbandry policies for facility animals. However, no previous studies have attempted to observe the behavioral development of Pacific white-sided dolphins (Lagenorhyncus obliquidens). Eight beluga whale calves and four Pacific white-sided dolphin calves were observed for the first 30 days of life to determine the developmental trajectory of several typically monitored behaviors. The …

Maize And Bone: An Evaluation And Expansion Of A Proposed Model For The Differential Diagnosis Of Pellagra In Human Remains, Myra G. Miller

Master's Theses

This study attempts to test and expand a previous study to establish a differential diagnosis of pellagra in human remains (Paine & Brenton, 2006a). Seven individuals with documented pellagra and nine individuals randomly selected for comparison from the Hamann-Todd Osteological Collection were evaluated for caries, alveolar bone loss, periostitis, osteoporosis, cribra orbitalia, and porotic hyperostosis. Results indicate that the pellagra sample had lower rates of caries and alveolar bone loss, and higher rates of periostitis of the tibia and fibula in relation to the comparison sample. No osteoporosis, cribra orbitalia, or porotic hyperostosis was found in the pellagra sample. No …

Hope For Struggling School Districts, Mary D. Travis

Master's Theses

Education improves the opportunities and life-chance outcomes of our children, and is a key factory in both economic and community development. Although high school graduation rates have shown improvement nationwide in recent years, public education is suffering from increasing inequality between different school districts and within the same school districts. Such inequalities widen academic outcome gaps and can result in entire school districts being branded as academic failures. However, there is also encouraging evidence of struggling schools and school districts moving toward improvement. Innovative leaders who are committed to inclusive and rigorous academics, shared leadership, and an in-depth understanding of …

Influence Of Environmental Conditions On Fatty Acid-Induced Changes In Vibrio Cholerae Persistence And Pathogenicity, Abigail Doyle

Honors Theses

Vibrio cholerae, a Gram-negative bacterium, is responsible for the acute intestinal infection known as cholera. This illness is due in part to V. cholerae’s ability to sense and adapt to changing environments as it is ingested into the human body from brackish environments. It was shown in recent studies that this bacteria has the ability to uptake exogenous fatty acids, resulting in changes to V. cholerae persistence and pathogenicity. The aim of this research is to determine the extent to which these additional exogenous UFAs influence the persistence and pathogenicity of V. cholerae throughout its transitional period from brackish environments …

Let’S Talk About Sex: An Analysis Of The Gaps In Effective Sex Education In The United States And A Proposed Solution, Mackenzie Butera

Honors Theses

The United States is not currently providing effective avenues through which the majority of U.S children are accessing comprehensive information about sexual health. This gap in education is causing serious consequences emotionally, mentally and physically for U.S. youth. It is critical that discourse surrounding sex and healthy relationships be normalized so as not to closet, stigmatize or victim blame children during formative years. Historically, the United States has perverted the right to education by allocating significant federal funding to abstinence-only-until-marriage curricula. Although this content has been repeatedly proven ineffective and the U.S. continues to rank high amongst developing countries for …

The Creative Path To Peace: An Exploration Of Creative Arts-Based Peacebuilding Projects, Mary L. Clark

Creativity and Change Leadership Graduate Student Master's Projects

ABSTRACT OF PROJECT

The Creative Path to Peace:

An Exploration of Creative Arts-based Peacebuilding Projects

There is a strong connection between creative arts and building capacity for peaceful transformation of entrenched conflict. While governments, warlords, militias and bureaucrats may control or dominate the overt peacebuilding process, artists of all disciplines work behind the scenes, in communities, cultural centers, refugee camps and war zones, building resiliency and peace from the personal level. This project explores how the creative arts stimulate and support peacebuilding: the nature and definition of peace itself, and the aspects of creative arts that render them powerful in …

Where Are We On The Path To Law Student Well-Being?: Report On The Aba Colap Law Student Assistance Committee Law School Wellness Survey, Jordana Alter Confino

Journal of Legal Education

No abstract provided.

Idiopathic Chylothorax: Is It A Benign Or Malignant Diagnosis?, Sandra Naffouj, Jasmine-Yasmine Omar

MERF 2019 - Case Reports

Background:Chylothorax is the presence of chyle in the pleural space with triglyceride (TG) level>110 mg/dl or evidence of chylomicrons in the pleural fluid. The two main etiologies for chylothorax are traumatic (thoracic surgery) and non-traumatic (malignancy). We present a case of idiopathic chylothorax in which the etiology could not be identified after an extensive work-up and resolution occurred after operative intervention. Case: A 29-year-old male presented with acute onset of dyspnea and right-sided pleuritic chest pain. CT scan of the chest showed large right-sided pleural effusion. Thoracentesis was performed, draining 2 liters of turbid white pleural fluid and a …

Unique Risk Factors For Thiamine Deficiency In Ed Patients Without Alcohol Dependence, Jad Dandashi, Kaleem Chaudhry, Sam Tirgari, Daniel Hrabec, Abraham Markin, Jacob Ross, John France, Joann Rammal, Joseph B. Miller Md

MERF 2019 - Clinical Research

Background: Thiamine (vitamin B1) is a crucial component in multiple essential biochemical pathways, andB1deficiency is increasingly recognized as a treatment target in sepsis and other critical illnesses. Our objective was to determine risk factors for B1 deficiency in severely ill ED patients without a history of alcohol dependence. Methods: This was a multi-pronged, prospective observational study that assessed B1 levels in ED patients with diabetic ketoacidosis, severe sepsis, and oncological emergencies. We excluded patients that had known alcohol dependence or for whom the ED clinicians planned B1 treatment. Investigators collected whole blood levels on all patients in ED, which measure …

Markers Of Mineral Homeostasis And Bone Turnover In Patients With Acute Hip Fractures, Kathleen Estrada, Mahalakshi Honasoge, Arti Bhan, Sudhaker D Rao

MERF 2019 - Clinical Research

Markers of Mineral Homeostasis and Bone Turnover in Patients Presenting with Acute Hip Fractures. It is generally assumed that bone turnover increases soon after a fracture, particularly after a major fracture such as hip. However, very little data exists on bone turnover markers (BTM) immediately after a hip fracture. In addition, it is unclear if the BTMs are related to prevailing VDN and parathyroid function. As part of ongoing project we assessed these characteristics in a larger sample (162), and further evaluated the indices of mineral homeostasis (as assessed by serum PTH and 25-OHD levels), and bone turnover (as assessed …

Chronic Peri-Oral Dermatitis As The First Manifestations Of Crohn's Disease, Mahmoud Isseh, Mouhanna Abu Ghanimeh, Sandra Naffouj, Nicholas Horton, Nirmal Kaur

MERF 2019 - Case Reports

Introduction: Oral manifestations have been reported in crohn’s disease (CD). The reported prevalence of these manifestations varies widely between studies, and range between 0.5%-50% in adults and 10%-80% in pediatrics. Oral manifestations of CD may coincide with the intestinal manifestations, or less commonly precede them. Aphthous ulcers, angular cheilitis, swelling of the lips and gingiva, cobblestoning of the mucosa, deep linear ulcers and periodontal disease have been reported in the literature. Case report: An 18-year-old female with no significant history presented to her primary care physician with recurrent lip swelling and dryness. She was diagnosed initially with angioedema without urticaria. …