Digital Commons Network^™

The Heart Of Atrial Fibrillation: Integrating Yoga For Holistic Care, Jessica Lee Mcalpine

Theses and Graduate Projects

Atrial fibrillation (afib) is a chronic disease with no reliable cure that is caused by a chaotic heart rhythm. The heart has both metaphysical and physical meaning as the place where the spirit resides, a symbol of love, and as an organ that provides life. Yoga can be integrated as a holistic modality that has both physical and metaphysical benefits. Literature demonstrates that yoga can reduce self-assessed symptoms of afib, secondary outcomes, and objective episodes of afib. Negative emotional states can increase afib frequency. Yoga has been found to improve emotional states, ability to cope with chronic disease, perceived wellness, …

Opioid Agonist Therapy And Detoxification: Improving Outcomes For Fetuses Born To Addicted Mothers, Kao Lee

Theses and Graduate Projects

The use of opioids has increased significantly in the last decade. Concern for the undertreatment of pain emerged in the mid-1990s, prompting providers to treat pain as a fifth vital sign. The pharmaceutical industry marketed their products as having significantly less abuse potential than reality. Prescriptions for pain medications soared with prescription opioids leading the way. Prescription opioids became ubiquitous in medicine cabinets and reports of abuse rose. Casually administered, illicit sale, theft, and doctor shopping became more common as reports of overdose also rose. By 2010, the United States government was issuing strategies to combat the opioid crisis.

People …

An Evaluation Of Home-Based Primary Care (Hbpc): Impact On Cost And Outcomes And Patient Satisfaction In The United States And Abroad, Isaac Pierre

Theses and Graduate Projects

Over the past century, the role of medical home visits in patient care has undergone significant changes. Historically, physicians routinely delivered medical care to sick patients in their own homes. In 1930, for example, such calls represented 40% of physician-patient encounters. As healthcare providers developed an increasing reliance on technology and as payment models began to prioritize volumes and efficiency, the provision of health care shifted to hospitals and office-based settings. An analysis of house calls in 1972 found that the number of in-home visits amounted to a mere 5% of physician-patient encounters and these rates continued to decrease to …

Geographic Variances Of Osteoporosis: What Interventions Can Be Implemented To Raise Awareness And Reduce The Risk Of Fractures In Latin America?, Kayla Mork

Theses and Graduate Projects

Osteoporosis is a major public health problem worldwide. Its complications are those related to fragility fractures, which cause considerable morbidity, mortality, and resource utilization. The socioeconomic burden is relatively well understood in the United States, but less studied in developing regions of the world. This paper will compare the epidemiology and socioeconomic burden of osteoporosis between the United States and Latin America. It will also review the current prevention, screening, diagnosis, and treatment methods, with an emphasis on raising awareness, improving management, and prioritizing osteoporosis as a public health problem. Information was gathered through a PubMed literature review and an …

Maternal Health Interventions In Rural, Resource-Limited Countries, Katherine Tilton

Theses and Graduate Projects

Pregnant women are continuing to die at unacceptable rates around the globe. According to the World Health Organization, complications during pregnancy and childbirth are the leading cause of death and disability among reproductive age women in developing countries. Maternal mortality is often a reflection of a combination of causes: medical conditions while giving birth (ie. hemorrhage, eclampsia, and sepsis); other pre-existing medical conditions (ie. malaria, diabetes, HIV/AIDS); and socio-economic factors (ie. access to contraception, religious beliefs, and political agendas) that when combined, largely compromise health care, most often in the poor, rural and marginalized communities. Nearly all maternal deaths (99%) …

High-Dose Ipilimumab And High-Dose Interleukin-2 For Patients With Advanced Melanoma., Ann W Silk, Howard L Kaufman, Brendan Curti, Janice M Mehnert, Kim Margolin, David Mcdermott, Joseph Clark, Jenna Newman, Praveen K Bommareddy, Lisa Denzin, Saltanat Najmi, Azra Haider, Weichung Shih, Michael P Kane, Andrew Zloza

Articles, Abstracts, and Reports

High-dose ipilimumab (IPI) and high-dose interleukin-2 (IL-2) are approved agents for metastatic melanoma, but the efficacy and safety of the combination are unknown. The objective of this study was to evaluate the feasibility, safety, and efficacy of combination high-dose IPI and high-dose IL-2 in patients with histologically confirmed advanced unresectable stage III and IV melanoma. This Phase II, multicenter, open-label, single-arm trial was conducted in nine patients enrolled between 12/2014 and 12/2015. Subjects were treated with high-dose IPI 10 mg/kg intravenous (IV) every 3 weeks for four doses starting at week 1 and high-dose IL-2 (600,000 IU/kg IV bolus every …

Ethical Patient Care Overview For Doctoral Nursing Students, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

Clinical care is guided by knowledge, competency, and the maintenance of ethical standards. Maintenance of ethical standards is necessary by all care providers across disciplines. Attention should be paid to the following ethical tenets: autonomy, beneficence, non-malfeasance, justice, veracity, and confidentiality. Avoiding paternalism is a goal for providers to optimize outcomes for individuals and families. Providers who demonstrate a thorough understanding of ethical principles best serve individuals, communities, and populations by strengthening trust with adherence to ethical standards.

Spring 2019 News: Encapsulated Fertilizer Improves Nutrient Release, Protects Water Quality, Christine Delfanian

SDWRI Water News

The secret is in the timing. Chemical fertilizers should activate precisely when the crop needs more nutrients. To accomplish this, South Dakota State University researchers are developing an encapsulated biocharfertilizer combination designed to control nutrient release, making them available when the plant needs them. “We’re taking precision ag to the next level,” said Assisant Professor Lin Wei of the Department of Agricultural and Biosysems Engineering. He began developing what he refers to as a smart fertilizer two years ago.

Cardiovascular Risks In Type 2 Diabetes And The Interpretation Of Cardiovascular Outcome Trials, Deborah Hinnen, Davida F. Kruger

Endocrinology Articles

Background: Patients with type 2 diabetes (T2D) are at increased cardiovascular (CV) risk compared to subjects without diabetes, with some data estimating that CV disease (CVD) risk is doubled in these individuals. Additionally, CVD remains the leading cause of death in patients with T2D, so it is paramount to determine the relationship between these two diseases.

Purpose: Older diabetes treatments have limited CV safety data. In 2008, the US Food and Drug Administration published guidance for manufacturers on antihyperglycemic agents, requiring studies to ensure CV safety of new therapies. Since then, manufacturers of many newer agents have conducted and published …

Population Dynamics Of Pinfish In The Eastern Gulf Of Mexico (1998-2016), Meaghan E. Faletti, Dinorah H. Chacin, Jonathan A. Peake, Timothy C. Macdonald, Christopher D. Stallings

Marine Science Faculty Publications

Forage fishes play an important role in marine ecosystems by transferring energy and nutrients through the food web. The population dynamics of forage species can therefore have cascading effects across multiple trophic levels. Here, we analyzed a 19-year dataset on Pinfish (Lagodon rhomboides) across four eastern Gulf of Mexico estuaries to investigate population dynamics, inter- and intra-annual synchrony, metapopulation portfolio effects, growth, and habitat effects. Young-of-year growth rates did not differ among estuaries. The population dynamics of these four systems were stable in the long-term, but highly dynamic inter-annually. Intra-annual dynamics were stable and predictable despite variation in long-term means. …

The Effect Of Nursing Interventions And Health Promotion On Childhood Obesity: A Literature Review, Grace N. Mageloff

Honors Undergraduate Theses

Childhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases, with 11 articles having similar themes and interventions used. The main themes from the literature review were parental willingness and involvement …

The Hyperaccumulation Of Zinc In Sunflowers And Its Effect On Disease Resistance, Rayner J. Seavey

Honors Undergraduate Theses

Sunflowers are considered to be a part of a group of plants known as hyperaccumulators that share the ability to accumulate high amounts of heavy metals in the above ground organs, far in excess of the levels found in other species, often without suffering any phytotoxic effects. Quantifying the effects of zinc accumulation through the lens of the elemental defense hypothesis is essential for uncovering if there is a means to increase herbivore resistance in agricultural settings without the use of external interventions such as pesticides. A greenhouse study was conducted on four widely grown commercial cultivars of sunflower. Each …

"I'M A Strong Independent Black Woman": The Cost Of Strong Black Woman Schema Endorsement, Stephanie Castelin

Honors Undergraduate Theses

The Strong Black Woman Schema (SBWS) is a cultural expectation placed on black women to unfailingly display signs of strength and caretaker qualities, while suppressing their emotions. The present study aimed to examine the relationship between the SBWS and psychological distress, suicidal behaviors, and resilience. Researchers expected to find a positive relationship between the SBWS and psychological distress, a positive relationship between the SBWS and resilience, and an undefined relationship between the SBWS and suicidal behaviors. The study also examined the potential moderating effects of the SBWS and resilience on the existing psychological distress-suicidal behaviors relationship. Lastly, the study examined …

Using The Ketogenic Diet As An Adjuvant To Cancer Therapy: A Systematic Review, Melanie L. Risola

Honors Undergraduate Theses

Cancer is the second leading cause of death in the United States. Evidence shows that a conventional western diet may contribute to the proliferation of cancer cells, affecting their prognosis. The aim of this review is to examine the efficacy and safety of using the ketogenic diet as an adjuvant to traditional cancer therapy. The systematic literature search was performed in October 2018 on two search engines: EBSCOhost (Medline, CINHAL, Cochrane Central Register of Controlled Trials) and Web of Science using the following key terms: ketogenic diet, high fat & low-carbohydrate diet, Atkins diet, cancer or neoplasms+. The search limitations …

Effects Of A Plant-Based Vegan Diet On The Risk Of Cancer: An Integrative Review Of The Literature, Chelsie M. Silavent

Honors Undergraduate Theses

Cancer, an aggressive chronic disease, impacts the lives of millions of people every day. There are numerous proposed triggers related to the diagnosis and much remains to be learned about the causes. Associated with this disease's variability is the challenge to identify a single causative agent that lead to its prevention. Specific topics that need additional evidence relate to environmental factors and lifestyle behaviors in the development, treatment and, in some instances, even suppression of disease progression. Specifically, a diet that excludes animal-based products but consists of a variety of fruits and vegetables (i.e., plant-based vegan diet) is reported to …

Nutritional Intake And Weight Gain In Infants With Neonatal Abstinence Syndrome: A Literature Review, Kailey A. Kubisch

Honors Undergraduate Theses

Neonatal abstinence syndrome (NAS) in infants presents unique challenges in feeding and weight gain. The unpredictable clinical manifestations associated with the newborns withdrawal from exposure to drugs in utero can lead to costly delays in transition of the infant out of the Neonatal Intensive Care Unit (NICU).The purpose of this review of literature was to explore feeding positions and nutritional intake with the greatest impact on weight gain in infants with neonatal abstinence syndrome (NAS) following delivery. The secondary purpose was to compare the clinical manifestations of infants with NAS that influence nutritional intake and their relationship to length of …

Sex Determination Using Discriminant Function Analysis Of Carpals From Maya Sites In Belize From Pre-Classic To Spanish Colonial Period, Michelle D. Labbe

Honors Undergraduate Theses

The sexing of human skeletal remains is important for identification and demographic purposes. It is made more difficult when elements such as the skull and pelvis are not recovered or are in too poor of a condition to assess. Previous studies have used carpal (wrist) bones of contemporary populations to assess the viability of these skeletal elements exhibiting sexual dimorphism, as these bones are small, compact elements that are usually recovered in good condition. This study evaluates the use of carpal bones recovered from an ancient Maya population from Belize to determine the biological sex of individuals. The study sample …

Autologous Skin Cell Spray-Transplantation As An Innovative Alternative To Autologous Split- Thickness Skin Grafts For Deep Partial Thickness Burn Wounds: An Integrative Literature Review, Alexandria M. Beaudet

Honors Undergraduate Theses

Burn wounds tend to be a critical problem with a complicated healing process. Although advancements have been made and the treatment of burn wounds has improved significantly, the healing process for deep-partial thickness burn wounds remains problematic. The purpose of this thesis is to review the available literature on an innovate biotechnology, autologous skin cell-spray transplantation, to more effectively treat burn wounds and potentially other injuries in the future. This study was conducted by critically researching and comparing (N=7) peer-reviewed research articles focusing not only on burn wounds using traditional treatments, but also the treatment of burn wounds using revolutionary …

Capillary Electrophoresis Buffer Optimization For Plant Tissue Analysis, Rebekah Davis

Honors Undergraduate Theses

Capillary electrophoresis (CE) is an analytical chemistry approach that allows for the efficient separation by charge of diverse classes of compounds for analysis, including secondary metabolites. The goal of this work was to optimize a buffer system for plant tissue analysis using micellar electrokinetic chromatography (MEKC), and by doing so to understand the role of buffer components in the performance of this form of capillary electrophoresis. In this experiment we implemented a factorial design to optimize buffer composition for separating plant tissue and secondary metabolites. The results of this experiment will be used to optimize a universal buffer for MEKC …

Total Salivary Protein Concentration And Its Correlation To Dental Caries, Emyli Peralta

Honors Undergraduate Theses

Introduction: According to the World Health Organization, dental cavities are the number one chronic disease in children. Saliva coats the teeth all day and can serve many functions to maintain and protect teeth. Saliva has many proteins that can be both detrimental and essential to the preservation of tooth enamel. The purpose of this study is to determine if a correlation exists between the total protein concentration in saliva and the prevalence of cavities in the mouth. We hypothesized that there would be a positive correlation with total salivary protein concentration and the prevalence of cavities in the participant. Methods: …

Prevalence Of Alcohol Use: A National Survey Of Deaf Adults In The United States, Poorna Kushalnagar, Traciann Hoglind, Abbi N. Simons, Debra Guthmann

JADARA

Objective: Alcohol is one of the most commonly used substances in the United States. Alcohol consumption has been linked to several sociodemographic and social characteristics in the general population. Research is needed to understand the prevalence of and characteristics related to alcohol use in Deaf adults. Our study purpose was to determine nation-wide prevalence of alcohol use and investigate characteristics related to alcohol consumption in Deaf adults in the United States.

Methods: Secondary data were drawn from the Health Information National Trends in American Sign Language (HINTS-ASL). Self-reported data from 1272 Deaf adults (56% female) were used to …

The Effect Of Food And Sleep Tracking On Quality Of Life, Souad Aboufadel, Sara Piecukonis

Loma Linda University Research Reports

Abstract Background: Various factors such as sleep quality and amount and food intake can have an impact on quality of life in terms of the amount of stress or fatigue that an individual experiences as an outcome. Food tracking has been commonly used as a tool for weight loss. Yet, current research has been looking at other possible advantages related to food tracking.

Objective: To examine the effects of food and sleep tracking on health-related quality of life with respects to sleep quality and quantity, stress, and fatigue, in adults aged 18 years or older.

Methods: Participants …

The Effects Of Mindful Eating Education On Increasing Satiety Signals, Audrey Bamford, Evelyn Gonzalez, Sneha Lalla

Loma Linda University Research Reports

Background: Mindful eating is a practice that incorporates focusing on thoughts, emotions and sensations within the body when consuming food. Satiety is defined as a state of fullness where there is no longer an intake of food. Mindful eating techniques could help college students identify their hunger and satiety signals and respond to those cues over environmental or psychosocial cues that could lead to over-eating. Giving mindful eating education has the possibility to help people recognize their satiety signals and stop eating sooner.

Objective: To examine the effects of mindful eating education on increasing satiety signals.

Design: …

Thoughts Of A First Year Teacher: Know Your Students, Caitlin King

CGU Theses & Dissertations

This Ethnographic Narrative is a research based look into the lives of socially disadvantaged students in a low-income area. It breaks down the assets and needs of each student individually and discusses how to better help them academically and socially based on their individual personalities and needs. The narrative also discusses the community in which these individual students live and attend school, it looks at research on the community to determine how each student is affected by the city that they live in. Finally the narrative concludes by looking at the teacher over the course of this past year and …

Learning Journey As An Educator Ethnography, Seleni Alcantar

CGU Theses & Dissertations

What makes an effective teacher? This is the question I have tried to answer as I developed this ethnographic narrative. What is written here for you to read is an outline of what my experiences have been for the past two years, although it could have been my first year of teaching, but because I set back in the program, I will talk about both my first and second year of teaching. It traces back to the early expectations and hopes to more complex understandings of my students and myself. It has been 19 months since I started writing my …

Education Through Athletics: Interest In An Athletics Performance Curriculum, Harry Molly, Erianne A. Weight

Journal of Applied Sport Management

Intellectual and life-skill benefits of collegiate athletics participation have been doc-umented in empirical research, yet athletics-centric curricula are traditionally not offered for academic credit in higher education. This pilot study employed a survey, distributed to FBS Division I college varsity athletes, coaches, athletics administra-tors, and faculty from three Atlantic Coast Conference institutions, to explore the interest in an athletics performance minor through the lens of the Integrated View of intercollegiate athletics. The results demonstrate a moderate interest in an ath-letics performance curriculum, with 66% of those surveyed voicing support. Those most supportive were varsity athletes and coaches, while faculty were …

Increasing Teacher Retention: An Applied Research Study On The Effects Of Mentoring And Culture In The Abc County School District, Jimmy Holland Weeks

Electronic Theses and Dissertations

No abstract provided.

Food Insecurity And Health Of International Students, Jamie Nichole Benefield

Electronic Theses and Dissertations

International college students may be at risk for suffering from food insecurity and poor health. The purposes of this study were to: 1) determine if the household adult food security status (HAFSS) differs between undergraduate and graduate international students (INSTUD) attending the University of Mississippi (UM); 2) establish if a statistically significant relationship exists between health (physical functioning (PF) , role limitations due to physical health (RLPH), role limitations due to emotional problems (RLEP), energy/fatigue (EF), emotional well-being (EWB), social functioning (SF), pain (P), and general health (GH) and HAFSS; 3) assess if health differs between INSTUD living in food …

Expenditure, Coping, And Academic Behaviors Among Food-Insecure College Students At 10 Higher Education Institutes In The Appalachian And Southeastern Regions, Rebecca L. Hagedorn, Laura H. Mcarthur, Lanae B. Hood, Maureen Berner, Elizabeth T. Anderson Steeves, Carol L. Connell, Elizabeth Wall-Bassett, Marsha Spence, Oyinlola Toyin Babatunde, E Brooke Kelly, Julia F. Waity, J Porter Lillis, Melissa D. Olfert

Faculty & Staff Scholarship

Background

A number of studies have measured college student food insecurity prevalence higher than the national average; however, no multicampus regional study among students at 4-y institutions has been undertaken in the Appalachian and Southeast regions of the United States.

Objectives

The aims of this study were to determine the prevalence of food insecurity among college students in the Appalachian and Southeastern regions of the United States, and to determine the association between food-insecurity status and money expenditures, coping strategies, and academic performance among a regional sample of college students.

Methods

This regional, cross-sectional, online survey study included 13,642 college …

Prevalence And Correlates Of Comorbid Depression In Patients With Type 2 Diabetes Attending Clinic At Aga Khan University Hospital, Nairobi, Alamin Suleiman

Master of Medicine in Family Medicine

Introduction: Type 2 diabetes affects 500,000 people in Kenya and is a single cause of morbidity and mortality. It also co-exists with depression, increasing the disease severity and the likelihood of a lower quality of life. Objectives: The primary aim of this study was to examine the depression prevalence as well as factors associated with depression among patients with Type 2 diabetes attending clinic at Aga Khan University Hospital Nairobi (AKUHN). The study also assessed the differences in depression severity with Type 2 diabetes alone and with Type 2 diabetes and other comorbid conditions. Methodology: An analytic cross-sectional methodology was …