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Psychometric Properties Of A New Measure For Orthorexia Nervosa: The Orthorexia Nervosa Scale (Ons), Rebecca Conrad

College of Graduate Studies: Theses & Dissertations

Orthorexia nervosa (ON) is a disordered eating pattern that has recently attracted attention from researchers and clinicians, and can lead to some of the same negative effects as other recognized eating disorders, including malnutrition. To continue exploring unique symptoms and features of this disorder, a new scientifically rigorous and inclusive measure needs to be created, focusing on a sample of individuals in the United States. The purpose of this dissertation was to create a valid measure for ON symptomology using rigorous statistical procedures with samples of United States adults. The first study determined the factor structure of the items though …

Effect Of Group Size On The Activity Budget Of Two Captive Chimpanzees (Pan Troglodytes), Kaeley Sullins

All Master's Theses

Captive facilities housing chimpanzees are required to provide adequate care and provisions such as dietary, social, and environmental enrichment to promote the psychological well-being of the apes in their care. Chimpanzees are social creatures and changes in groups as well as relocation to a facility with new social partners, can impact each individual chimpanzee’s welfare. By tracking each chimpanzee’s activity budgets, managers can assess welfare and make improvements or adjustments if necessary. I looked at the activity budgets of two captive chimpanzees after the death of a group member and the two chimpanzees’ subsequent relocation to a novel, more socially …

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

College of Public Health: News & Publications

• Message from the Interim Dean: Stuart Tedders, P.D.
• Dean Greg Evans: Seven years at the helm
• Can owning a pet affect your health? Students and faculty work together to answer this question
• Class project becomes reality: Students partner with local health departments for inaugural drive-thru flu clinics
• Up in smoke! Health hazards of burning scrap tires for meat-singeing
• Where in the world did we go?
• Center for Addiction Recovery: Celebrating 10 years of recovery
• Center for Public Health Practice and Research: Community assessments
• Karl E. Peace Center for Biostatistics and Survey Research: Ten years of developing biostatistical techniques to impact …

The Activity Budgets Of Captive Javan Gibbons (Hylobates Moloch) And Their Response To Visitor Presence Or Absence, Kalli Kohnen

All Master's Theses

Anthropogenic stress can negatively impact the health of captive animals. Visitors may be a source of stress to captive animals in zoos and sanctuaries. Javan gibbons (Hylobates moloch) are endangered, and healthy captive populations are important to the species’ conservation. The purpose of this study is to assess the impact of visitor presence on the activity budgets of captive Javan gibbons. Using continuous sampling, I recorded the activity budgets of 10 Javan gibbons housed at the Gibbon Conservation Center (GCC) in Santa Clarita, California. I collected data in the mornings, middays, and afternoons on visitor days and non-visitor …

The Effect Of Sound On Captive Chimpanzees (Pan Troglodytes), Grace Coffman

All Master's Theses

Sound exposure can have detrimental physiological and psychological effects on humans, but effects on nonhuman primates are not as well understood. Captive chimpanzees are exposed to markedly different acoustic environments than their wild counterparts. This study assessed the organic soundscape of a chimpanzee sanctuary, the Fauna Foundation, in Carignan, Québec, Canada. Noninvasive, observational data collection assessed for frequency of behavior and correlations between chimpanzee behavioral categories, arousal level, and decibel level. Agonistic behavior occurred more frequently in the highest decibel level category. There was a positive correlation between decibel level and arousal level. These findings suggest the need for increased …

Evaluations Of Health In Sympatric Free-Ranging Saguinus Imperator And Leontocebus Weddelli Using Neopterin, Urinalysis, And Blood Chemistry Analyses, Alexandra J. Sacco

All Master's Theses

This thesis is composed of one journal-ready article and one chapter that includes a preliminary interpretation of data for later publication. In summary, this thesis proposes the use of three different methods of evaluating the health status of New World Monkeys: urinary neopterin measurement, blood chemistry analyses, and urinalysis. Chapter II addresses the question of whether or not the neopterin molecule, a biomarker for cell-mediated immune system activation, is conserved across primate taxa. To do so, we collected urine samples across three New World Monkey (NWM) families including captive Leontopithecus rosalia and Pithecia pithecia, and wild populations of Leontocebus …

A Novel Snp Genotyping Technique To Determine Orangutan Relatedness And Genetic Diversity At Camp Leakey In Tanjung Puting, Central Kalimantan, Ruth Ella Linsky

All Master's Theses

Genetic studies of dispersal patterns in wild populations of orangutans (Pongo spp.) have sought to confirm behavioral observations that female orangutans tend to stay near their natal range while males disperse. In order to genotype a previously unsampled wild population of endangered orangutans at Tanjung Puting National Park I developed novel application of a methyl based magnetic capture for enrichment of fecal DNA and commercial human targeted single nucleotide polymorphism (SNP) microarray technology. I confirmed results of this new genotyping technique through standard microsatellite short tandem repeat (STR) micro-capillary genotyping. I estimate genetic diversity and relatedness (r) …

Prevalence Of Low-Energy Availabilty Amongst Female Paralympic Athletes, Alicia Difolco

All Master's Theses

The prevalence of low-energy availability (LEA) in able-bodied female athletes has been extensively examined; however, research has yet to examine LEA in Paralympic athletes. Therefore, the purpose of this study was to examine the risk of LEA and related symptoms including menstrual health, hormonal profiles, and bone mineral density (BMD) in female para-athletes. Female national para-athletes (n = 9) completed 7-day food and activity logs, Low Energy Availability in Females Questionnaire (LEAF-Q) and Eating Disorder Examination Questionnaire (EDE-Q), Dual energy X-Ray Absorptiometry (DXA) scans, and hormonal profile blood spot testing. LEAF-Q results suggested that 78% of athletes were considered …

A Cognitive Task As Enrichment For Chimpanzees (Pan Troglodytes) In Sanctuary, Federico Rubio

All Master's Theses

Chimpanzees (Pan troglodytes) hold an especially powerful attraction for researchers interested in cognition and how it developed to the degree observed in humans specifically and primates more generally. Chimpanzees are behaviorally complex primates with compelling data supporting their possession of intricate internal lives. The objective of this study was to simultaneously learn more of the cognitive process of inductive reasoning while also assessing the efficacy of a computerized box as a novel form of enrichment to aid in improving the environment of captive chimpanzees. Three social groups at the retired medical research chimpanzee sanctuary Project Chimps were given …

Water And Life. A Cross-Sectional Study On Determinants Of Beverage Consumption And Water Access In One Tribal Community, Christina White

All Master's Theses

Increasingly, poor diet has been shown to be one of the most crucial factors associated with cause of death, even more critical than smoking. Research in the past two decades has consistently linked increased consumption of sugar-sweetened beverages (SSB) to the obesity epidemic contributing to a public health crisis all over the United States. Native Americans, among other minority groups, suffer obesity disproportionately from the rest of the US population, yet they continually fail to be included in research on the subject. Traditional research methods, sparse care coverage on reservations, consolidation of unique tribes into one classification, and failure to …

Transgenerational Plasticity Is Sex-Dependent And Persistent In Yellow Moneyflower (Mimulus Guttatus), Kayla Akkerman

All Master's Theses

Transgenerational phenotypic plasticity, whereby environmental cues experienced by parents alter the phenotype of their progeny, has now been documented in diverse organisms. Transmission of environmentally determined responses is known to occur through both maternal and paternal gametes, but the underlying mechanisms have rarely been compared. In addition, the persistence of induction over multiple generations appears to vary widely but has been characterized for relatively few systems. Yellow monkeyflower (Mimulus guttatus) is known to exhibit transgenerational induction of increased glandular trichome production in response to simulated insect damage. Here we test for differences between maternal and paternal transmission of …

Effectiveness Of Nutrition Education And Fitness Tracking In A Large Corporate Healthcare Wellness Program, Jess Tyrrell

All Master's Theses

In the United States, greater than two-thirds of adults are considered overweight or obese – making the treatment and prevention of overweight/obesity a public health priority. In response, employers are recognizing that promoting and maintaining employee health is beneficial, so the implementation of corporate wellness programs is on the rise. The purpose of this study was to determine the effectiveness of a ten-month multicomponent employee corporate wellness program on two health-related outcomes: weight loss and step count. The study was used to determine how active utilization of program components would affect the achievement of health-related outcomes among participants. This retrospective …

Predetermined? The Prospect Of Social Determinant-Based Section 1115 Waivers After Stewart V. Azar, Griffin Schoenbaum

Dickinson Law Review (2017-Present)

Section 1115 of the Social Security Act allows the Secretary of Health and Human Services (the “Secretary”) to waive some of Medicaid’s requirements so states can enact “demonstration projects.” A demonstration project is an experiment a state can conduct by modifying aspects of its Medicaid program. To waive Medicaid’s requirements for this purpose, the Secretary must determine that the proposed demonstration project will likely assist in promoting Medicaid’s objectives.

Using this standard, President Trump’s Secretary has approved waiver requests to enact demonstration projects that contain “community engagement” requirements. The U.S. District Court for the District of Columbia has heard each …

The Unconstitutional Tampon Tax, Bridget J. Crawford, Emily Gold Waldman

University of Richmond Law Review

Thirty-five states impose a sales tax on menstrual hygiene products, while products like spermicidal condoms and erectile dysfunction medications are tax-free. This sales tax—commonly called the “tampon tax”—represents an expense that girls and women must bear on top of the cost of biologically necessary items that they need in order to attend school, work, and otherwise participate in public life. This article explores the constitutionality of the tampon tax and argues that it is an impermissible form of gender discrimination under the Equal Protection Clause. First, menstrual hygiene products are a unique proxy for female sex, and therefore any disadvantageous …

Role Of Mcp-1 And Ccr2 In Ethanol-Induced Damage In The Developing Brain, Kai Zhang

Theses and Dissertations--Pharmacology and Nutritional Sciences

Fetal alcohol spectrum disorders (FASD) are caused by alcohol exposure during pregnancy and is the leading cause of mental retardation. Alcohol exposure during development results in the loss of neurons in the developing brain. The underlying molecular mechanisms are unclear and there currently is no cure for FASD. Ethanol-induced neuronal death is accompanied by neuroinflammation. Chemokine monocyte chemoattractant protein 1 (MCP-1) and its receptor C-C chemokine receptor type 2 (CCR2) are critical mediators of neuroinflammation and microglial activation. Using a third trimester equivalent mouse model of ethanol exposure, we found that treatment of Bindarit (MCP-1 synthesis inhibitor) and RS504393 (CCR2 …

A Fractured International Response To Crispr-Enabled Gene Editing Of Agricultural Products, Christopher M. Holman

Faculty Works

In 2015, Science Magazine named CRISPR gene editing technology its “Breakthrough of the Year,” and for good reason. CRISPR represents a transformative advance in the ability of biotechnologists to edit genes and genomes in both humans and nonhuman organisms. This article begins with a discussion of recent advances in gene editing, including the development of CRISPR and other sequence-specific nucleases (SSNs), and how this new technology compares to other techniques for genetically modifying agricultural plants such as selective breeding, induced random mutagenesis, and, more recently, the use of recombinant technology to produce transgenic plants. It then turns to the complex …

A Flexible Zero-Inflated Poisson Regression Model, Eric S. Roemmele

Theses and Dissertations--Statistics

A practical problem often encountered with observed count data is the presence of excess zeros. Zero-inflation in count data can easily be handled by zero-inflated models, which is a two-component mixture of a point mass at zero and a discrete distribution for the count data. In the presence of predictors, zero-inflated Poisson (ZIP) regression models are, perhaps, the most commonly used. However, the fully parametric ZIP regression model could sometimes be restrictive, especially with respect to the mixing proportions. Taking inspiration from some of the recent literature on semiparametric mixtures of regressions models for flexible mixture modeling, we propose a …

Primary Report Of First Documentation Of Mammal Footprints From The Late Oligocene Inthe Sivas Basin, Turkey, Beki̇r Levent Mesci̇, Ahmet Cem Erkman, Şaki̇r Önder Özkurt

Turkish Journal of Earth Sciences

The footprints in this study, which were considered to have been made by ungulates, were discovered on mudstone that was approximately 5 cm thick, near an abundant mud-cracked plane located on the stratigraphic subsurface of the late Oligocene Karayün Formation, which crops out over wide areas in southern Sivas (Turkey) and has terrestrial, fluvial sediment characteristics. These ungulate footprints documented from the late Oligocene of the Karayün Formation in southern Sivas represent the first reported vertebrates in Anatolia. The footprints of three different species of ungulates were identified. The shapes, depth, and widths of the footprints provided some basic ichnotaxonomic …

Is Nocturnal Enuresis A Predisposing Factor For The Overactive Bladder?, Nicolaie Suditu, Irina Negru, Adelina Miron, Bogdan Novac, Catalin Ciuta

Turkish Journal of Medical Sciences

Background/aim: This study aimed to perform a limited observational study to ascertain whether there is statistical support that nocturnal enuresis (NE) is a predisposing factor in the development of overactive bladder (OAB).Materials and methods: The authors recruited patients diagnosed with OAB over a period of twelve months, and those who declared a history of NE were asked additional questions regarding the features of their NE.Results: A total of 285 patients were diagnosed with overactive bladder, and 98 (34.38%) of them had previously displayed NE symptoms that had diminished before reaching the median age of 9.83. Separation of patients by sex …

Use Of Traditional And Complementary Medicine For Musculoskeletal Diseases, Güli̇s Kavadar, Sali̇ha Eroğlu Demi̇r, Ebru Ayteki̇n, Yildiz Akbal

Turkish Journal of Medical Sciences

Background/aim: We aimedto determine the prevalence of traditional and complementary medicine (TCM) use among patients with musculoskeletal disorders (MSDs) and to examine the methods used, frequency, and experienced benefits of therapies; the reasons for using TCM; and the sources of information about therapies. We also compared demographic characteristics of users and nonusers of TCM.Materials and methods: The descriptive study was conducted with 839 patients who attended the physical therapy and rehabilitation units of 3 public hospitals between September 2014 and March 2015. A self-administered questionnaire including demographic characteristics, medical history, and details of TCM use was applied. Results: Of the …

Viral Prevalence, Clinical Profiles And Comparison Of Severity Scores For Predicting The Mortality Of Adults With Severe Acute Respiratory Infections, Hakan Aydin, Hali̇l Doğan, Doğaç Ni̇yazi̇ Özüçeli̇k, Mehmet Koçak, Osman Avşar Gül

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine the accuracy of severity scores for predicting the 28-day mortality among adults with severe acute respiratory infection (SARI) admitted to the emergency department.Materials andmethods: This study included 159 consecutive adult patients with SARI admitted to the emergency department of a tertiary hospital. A standard form was filled out in order to record demographic information, clinical parameters, laboratory tests, and radiographic findings of the patients. CURB-65, PSI, SIRS, qSOFA, SOFA and APACHE II scores were compared between the survivor and nonsurvivor groups. Results: Of 159 patients included in the study, 38.4% were …

Evaluation Of Being Overweight/Obese And Related Sociodemographic Factors In 0-5 Year Age Group In Turkey: Turkey Demographic Health Survey 2013 Advanced Analysis, Asi̇ye Uğraş Di̇kmen, Hande Konşuk Ünlü, Lütfi̇ye Hi̇lal Özcebe

Turkish Journal of Medical Sciences

Background/aim: To determine risk factors of overweightness/obesity in children aged 0-5 years in the Turkish population.Materials and methods: We made advanced analysis using the Turkey Demographic Health Survey (TDHS) 2013 female database, in which data from children aged under five years and their mothers are included. Analyses were performed using weight for height index data. The children were divided into two groups by age as 0-23 months and 24-59 months.Results: The analysis comprised 2196 children aged under 5 years. Several factors were associated with an increase in overweightness/obesity of children aged under 5 years. Overweight/obesity in children aged 0-23 months …

Karnofsky Performance Scale Validity And Reliability Of Turkish Palliative Cancer Patients, Nagi̇han Yildiz Çeltek, Mustafa Süren, Osman Demi̇r, İsmai̇l Okan

Turkish Journal of Medical Sciences

Background/aim: Validated measures in palliative cancer patients are very important in the evaluation and management of the disease. The Karnofsky Performance Scale (KPS) has been used for many years to assess the performance status of cancer patients. The aim of this study is to determine the validity and reliability of the KPS in cancer patients receiving palliative care in Turkey.Materials and methods: Eighty patients with a cancer diagnosis who were admitted to Gaziosmanpaşa University Medical Faculty Hospital Palliative Care Unit between 01.03.2016 and 01.03.2017 were included in the study. KPS, measurements from the Katz Activi-ties of Daily Living (ADL) scale, …

Diaphragmatic Thickness In Chronic Obstructive Lung Disease And Relationship With Clinical Severity Parameters, Nalan Ogan, Yusuf Aydemi̇r, Togay Evri̇n, Gökçe Kaan Ataç, Ayşe Baha, Burak Kati̇poğlu, Banu Süzen, Evri̇m Eylem Akpinar

Turkish Journal of Medical Sciences

Background/aim: Sonographic assessment of diaphragm structure and function would be a useful clinical tool in patients with chronic obstructive pulmonary disease (COPD). Our aim was to determine the muscle thickness of the diaphragm and the usefulness of clinical practice in patients with COPD.Materials and methods: The diaphragmatic thickness of 34 COPD patients and 34 healthy subjects was measured during tidal volume (Tmin) and deep inspiration (Tmax) on both sides using a B-mode ultrasound. The body mass index and the modified Medical Research Council (mMRC) index values were reported.Results: There was no correlation among TminR (P = 0.134), TminL (P = …

Validity Of The Falls Risk For Older People In The Community (Frop‑Com) Tool To Predict Falls And Fall Injuries For Older People Presenting To The Emergency Department After Falling, Marlon Mascarenhas, Keith D. Hill, Anna Barker, Elissa Burton

Health Sciences Papers and Journal Articles

The aims of this study were to (1) externally validate the accuracy of the Falls Risk for Older People in the Community (FROP-Com) falls risk assessment tool in predicting falls and (2) undertake initial validation of the accuracy of the FROPCom to predict injurious falls (requiring medical attention) in people aged ≥ 60 years presenting to emergency departments (EDs) after falling. Two hundred and thirteen participants (mean age = 72.4 years; 59.2% women) were recruited (control group of a randomised controlled trial). A FROP-Com assessment was completed at a home visit within 2 weeks of ED discharge. Data on falls …

The Association Between Hysterectomy And Ovarian Cancer Risk: A Population-Based Record-Linkage Study, Suzanne C. Dixon-Suen, Penelope M. Webb, Louise F. Wilson, Karen Tuesley, Louise M. Stewart, Susan J. Jordan

Health Sciences Papers and Journal Articles

Background: Recent studies have called into question the long-held belief that hysterectomy without oophorectomy protects against ovarian cancer. This population-based longitudinal record-linkage study aimed to explore this relationship, overall and by age at hysterectomy, time period, surgery type, and indication for hysterectomy.

Methods: We followed the female adult Western Australian population (837 942 women) across a 27-year period using linked electoral, hospital, births, deaths, and cancer records. Surgery dates were determined from hospital records, and ovarian cancer diagnoses (n¼1640) were ascertained from cancer registry records.We used Cox regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the …

Does Exercise Impact Gut Microbiota Composition In Men Receiving Androgen Deprivation Therapy For Prostate Cancer? A Single-Blinded, Two-Armed Randomised Controlled Trial, Robert U. Newton, Claus T. Christophersen, Ciaran M. Fairman, Nicolas H. Hart, Dennis R. Taaffe, David Broadhurst, Amanda Devine, Raphael Chee, Colin I. Tang, Nigel Spry, Daniel A. Galvao

Health Sciences Papers and Journal Articles

Introduction: A potential link exists between prostate cancer (PCa) disease and treatment and increased inflammatory levels from gut dysbiosis. This study aims to examine if exercise favourably alters gut microbiota in men receiving androgen deprivation therapy (ADT) for PCa. Specifically, this study will explore whether: (1) exercise improves the composition of gut microbiota and increases the abundance of bacteria associated with health promotion and (2) whether gut health correlates with favourable inflammatory status, bowel function, continence and nausea among patients participating in the exercise intervention.

Methods and analysis: A single-blinded, two-armed, randomised controlled trial will explore the influence …

A Randomized Trial Of Prenatal N-3 Fatty Acid Supplementation And Preterm Delivery, Maria Makrides, Karen Best, Lisa Yelland, Andrew Mcphee, Shao Zhou, Julie Quinlivan, Jodie Dodd, Elinor Atkinson, Huda Safa, Jacqueline Van Dam, Gustaaf Dekker, Monika Skubisz, Amanda Anderson, Beth Kean, Anneka Bowman, Carly Mccallum, Kara Cashman, Robert Gibson

Health Sciences Papers and Journal Articles

Background: Previous studies have suggested that maternal supplementation with n−3 long-chain polyunsaturated fatty acids may reduce the incidence of preterm delivery but may also prolong gestation beyond term; however, more data are needed regarding the role of n−3 long-chain polyunsaturated fatty acids in pregnancy.

Methods: We performed a multicenter, double-blind, randomized trial in which women who were pregnant with single or multiple fetuses were assigned to receive either fish-oil capsules that contained 900 mg of n−3 long-chain polyunsaturated fatty acids (n−3 group) or vegetable-oil capsules that contained trace n−3 long-chain polyunsaturated fatty acids (control group) daily, beginning before 20 weeks …

Metabolic Compounds Within The Porcine Uterine Environment Are Unique To The Type Of Conceptus Present During The Early Stages Of Blastocyst Elongation, Sophie C. Walsh, Jeremy R. Miles, Linxing Yao, Corey D. Broeckling, Lea A. Rempel, Elane C. Wright-Johnson, Angela K. Pannier

Department of Agricultural and Biological Systems Engineering: Faculty Publications

The objective of this study was to identify metabolites within the porcine uterine milieu during the early stages of blastocyst elongation. At Days 9, 10, or 11 of gestation, reproductive tracts of White cross‐bred gilts (n = 38) were collected immediately following harvest and flushed with Roswell Park Memorial Institute‐1640 medium. Conceptus morphologies were assessed from each pregnancy and corresponding uterine flushings were assigned to one of five treatment groups based on these morphologies: (a) uniform spherical (n = 8); (b) heterogeneous spherical and ovoid (n = 8); (c) uniform ovoid (n = 8); (d) heterogeneous …

Study To Assess The Prevalence Of Breakfast Skipping And Its Associated Factors Among Nursing Students In Selected College, Mangaluru, Derina Benny Ms, Anu Varghese Ms, Ashly Susan Baby Ms, Aishwarya Roy Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Nowadays breakfast skipping is a tradition in the adolescent group. Breakfast actually means breaking the fast over the night. One of the most important meals which is required for a normal growth is breakfast. If we fail to have breakfast it can lead to the poor concentration, obesity, high blood pressure, irritability, fatigue, etc. Objectives: The objective of the study was to identify the prevalence among nursing students in relation to their breakfast skipping pattern and find out the factors associated with it. Methods: The approach used was a descriptive survey design. The sample comprised of 349 students. The …