Digital Commons Network^™

Creation Of An Interdisciplinary Evidence-Based Advocacy Tool: Promoting Medicaid Reimbursement For Pasteurized Donor Milk For Very Low Birth Weight Neonates, Christopher Schmaltz

Yale School of Nursing Digital Theses

An interdisciplinary approach to remove cost barriers associated with full utilization of pasteurized donor human milk in the neonatal intensive care unit. This scholarship produced an evidence-based advocacy tool which allows the user to enter state-specific data to demonstrate the fiscal advantages of implementing pasteurized donor human milk reimbursement policies from a Medicaid payor perspective.

The Feasibility Of A Behavioral Group Intervention After Weight-Loss Surgery: A Randomized Pilot Trial, Michelle R. Lent, Laura K Campbell, Mackenzie C Kelly, Jessica L Lawson, Jessica M Murakami, Sasha Gorrell, G Craig Wood, Marianne M Yohn, Stephanie Ranck, Anthony T Petrick, Krystal Cunningham, Megan E Lamotte, Christopher D Still

PCOM Scholarly Works

BACKGROUND: Formal psychosocial support programs after weight-loss surgery are limited in scope and availability.

OBJECTIVE: This randomized pilot study evaluated the feasibility of a postoperative behavioral intervention program.

MATERIALS AND METHODS: Postoperative weight-loss surgery patients (N = 50) were recruited from February 2017-July 2017 and randomized to a four-month behavioral program or usual care wait-list. Outcomes evaluated in addition to feasibility included health-related quality of life (Short Form -36), psychosocial functioning and adherence. Secondary outcomes included within-group changes for each outcome.

RESULTS: Out of eight possible sessions, intervention participants attended a mean of 4.2 sessions. Intervention group participants experienced greater …

Supporting Breastfeeding Among Women Residing In Homeless Shelters, Tracy Renee Webber

Yale School of Nursing Digital Theses

In general, homeless women face many challenges including intimate partner violence, abuse history, mental illness, chemical dependence, alcohol abuse, smoking, medical co-morbidities, lack of permanent address, or any combination of the aforementioned (Vijayaraghavan, et al., 2012). Adding pregnancy and a newborn into shelter living further heightens the vulnerability for this population. Women who reside in homeless shelters are likely to have minimal access to breastfeeding support services and thus low rates of sustained breastfeeding. The purpose of this DNP capstone project is to examine current breastfeeding support within homeless shelters in Brooklyn, New York by conducting assessments of services through …

Safety In Children With Medical Complexity: Our Canaries In The Coal Mine?, Christine A. Schindler, Elisabeth S. Pordes, Steven D. Finkenbinder, K. Jane Lee

College of Nursing Faculty Research and Publications

Purpose of review

The goal of this paper is to describe the complicated and diverse safety risks facing children with medical complexity.

Recent findings

Children with medical complexity have an increased risk of experiencing adverse health outcomes related to multiple comorbidities, the complicated nature of their care, and frequent interactions with the health care system. The safety risks experienced by children with medical complexity are in large part due to the complex nature of their care rather than the specific risks posed by the complicated nature of their illnesses.

Summary

The complicated nature of care for children with medical complexity …

Sense Of Community In Young Adulthood And Its Relation To Early Childhood Experiences, Madeline Gritzan

Theses and Dissertations (Comprehensive)

The present study focused on sense of community and community involvement in emerging and young adulthood and examined how these relate to involvement in an early childhood developmental (ECD) program. This study explored the effects of early childhood participation in the Better Beginnings Better Futures (Better Beginnings) program on entrance into communities later in life. The research objectives were to (i) identify factors related to developing sense of community in emerging and young adulthood and (ii) understand differences in adulthood sense of community based on early childhood experiences. The sample consisted of young adults who participated in three …

Expression Of Alternative Oxidase In The Copepod T. Californicus When Exposed To Environmental Stressors, Carly Tward

Theses and Dissertations (Comprehensive)

In addition to the typical electron transport system in animal mitochondria responsible for oxidative phosphorylation, some species possess an alternative oxidase (AOX) pathway, which causes electrons to bypass proton pumping complexes. Although AOX appears to be energetically wasteful, studies have revealed its wide taxonomic distribution, and indicate it plays a role in environmental stress tolerance. AOX discovery in animals is recent, and further research into its expression, regulation, and physiological role has been impeded by the lack of an experimental model organism. DNA database searches using bioinformatics revealed an AOX sequence present in the arthropod Tigriopus californicus. Multiple sequence …

The Effect Of Loading Rate On Annulus Fibrosus Strength Following Endplate Fracture, John Mcmorran

Theses and Dissertations (Comprehensive)

Low back pain is the most prevalent cause of chronic pain for North Americans, and its correlation with endplate damage, and deficient mechanical properties in the annulus fibrosus (AF) makes this injury particularly concerning. To date, biomechanical alterations in the AF following endplate fracture have not been well described. Owing to the AF’s collagenous composition, and the intrinsic biomechanics of intervertebral discs (IVDs) during compression, it was hypothesized that the mechanical properties of AF specimens would show rate-dependent alterations in their tensile and adhesive strengths following endplate fracture. The purpose of the present study was to quantify the mechanical properties …

Neurogenesis And Hippocampus- And Olfactory-Dependent Learning In The Goto-Kakizaki Rat, Alanna Chalk

Theses and Dissertations (Comprehensive)

Research suggests that the chronic hyperglycemia associated with type 2 diabetes impairs brain function a number of ways – including a reduction in adult neurogenesis in the dentate gyrus (Beaquis et al., 2009; Lang et al., 2009;) and olfactory bulb (Lang et al., 2009; Ramos-Rodriguez et al., 2014). To investigate these impairments, Goto-Kakizaki (GK) rats were tested in both a radial arm maze and the social transmission of food preference (STFP), behaviours that depend on the integrity of the dentate gyrus and olfactory bulb, sites of profound adult neurogenesis (Altman & Das, 1965; Galef and Wigmore, 1983; Morris et al., …

Incidence Of Responders Vs Non-Responders With Sprint Interval Training, Kyle Schulhauser

Theses and Dissertations (Comprehensive)

The current study examined the incidence of non-response to a traditional 30:240 s sprint interval training (SIT) protocol, as well as for 2 modified SIT protocols of 15:120 s, and 5:40 s over 4 wk of training in 84 recreationally active males and females (52m, 32f). Pre- and post- testing measures included: aerobic capacity (V̇O_2max), aerobic performance (5-km time trial), and anaerobic capacity (30 s sprint). Non-response was determined using 2x typical error for each variable. Chi square analysis indicated a significant difference (P = 0.032) in the frequency of non-responders for aerobic performance where the 30:240 group …

Expression, Purification, Functional Characterization And Crystallization Of Three Porphyromonas Gingivalis Gene Products, Katarina Mandic

Theses and Dissertations (Comprehensive)

Dental biofilms are coupled polymicrobial aggregates that have attached to solid surfaces in the oral cavity. These collections of microorganisms are known to cause periodontal diseases that commence as localized inflammation of the gingiva and if untreated, eventually lead to irreversible alveolar bone resorption and tooth loss. Porphyromonas gingivalis is one of three periodontal pathogens that make up the “Red Complex”; a bacterial consortium responsible for the production of polysaccharide-rich biofilms that are essential to the inception and progression of periodontal disease. The dysbiosis and destructive inflammation caused by these organisms propel a self-sustained feed-forward loop that perpetuates periodontal disease. …

Uptake Of Hydrophobic Organic Compounds, Including Ocps And Pbdes, And Perfluoroalkyl Acids (Pfaas) In Fish And Blue Crabs Of The Lower Passaic River (Nj, Usa), Mohammed A. Khairy, Gregory O. Noonan, Rainer Lohmann

Graduate School of Oceanography Faculty Publications

The bioavailability and bioaccumulation of sedimentary hydrophobic organic compounds (HOCs) is of concern at contaminated sites. Passive samplers have emerged as a promising tool to measure the bioavailability of sedimentary HOCs and possibly to estimate their bioaccumulation. We thus analyzed HOCs including organochlorine pesticides (OCPs), polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs) and polychlorinated dibenzo‐p‐dioxins/furans (PCDD/Fs) in sediment, porewater and riverwater using low density polyethylene (LDPE) passive samplers, and in 11 different finfish species and blue crab from the lower Passaic River. Additionally, perfluorinated alkyl acids (PFAAs) were measured in grab water samples, sediment and fish. Best predictors of bioaccumulation …

The Impact Of Maternal Bmi, Gestational Weight Gain, And Breastfeeding On Early Childhood Weight: Analysis Of A Statewide Wic Dataset, Jennifer M. Ohlendorf, Karen Marie Robinson, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Early childhood obesity is a persistent health concern with more frequent and significant impact on low-income families. Maternal weight factors impact offspring weight status, but evidence on whether breastfeeding protects against this impact is mixed. This analysis examined a model to predict early childhood obesity risk, simultaneously accounting for maternal pre-pregnancy body mass index (BMI), gestational weight gain, and breastfeeding. The team analyzed 27,016 unique maternal-child dyadic records collected via the Supplemental Nutrition Program for Wisconsin Women, Infants, and Children (WIC) between 2009 and 2011. Generalized Linear Modeling, specifically logistic regression, was used to predict a child's risk …

Of Children's Teeth And Missions: The Papers Of Martha R. Jones, Robert A. Danielson

The Asbury Journal

No abstract provided.

Caring For The Masses: Insights From John Wesley On Spiritual And Physical Healing, R. Jeffrey Hiatt

The Asbury Journal

No abstract provided.

Healthy Here Mobile Farmers' Market 2019 Evaluation Report, Theresa H. Cruz, Courtney Fitzgerald, Cam Solomon, Leigh Caswell

Reports & Documents

No abstract provided.

Information Needs And Access Among Women In Sagnerigu District Of Northern Region, Ghana, Beatrice Arthur Ms, Kojo Bawa Dukper Mr, Sakibu Bawa Mr

Library Philosophy and Practice (e-journal)

The aim of this study was to assess the information needs, sources and the challenges of information access among women in Sagnerigu district in Northern Ghana. Data was collected through questionnaire and interviews from 150 women participants in different geographical zones in the district. The study discovered that majority of women in the Sagnerigu district often need information that is related to agriculture, health and family planning issues. However, it was clear from the analysis that, the women do not have access to the required information that would alleviate poverty among them. There were two critical access gaps between the …

Health Information Behaviour Of Graduate Students On The Internet: Sources, Trust And Reliability Of Information, Setsoafia A. Y. Humphrey-Ackumey, Musah Adams, Michael Ahenkorah-Marfo

Library Philosophy and Practice (e-journal)

The study sought to investigate the health information behaviour of graduate students on the internet. A quantitative method using a cross-sectional survey was used to solicit information from 256 graduate students studying courses related to health in the Arts, Social, and applied Sciences. The results showed that most of the respondents preferred the Internet because it is timely, fast and provides information from different sources simultaneously. The type(s) of health information mostly sought for were general information on healthy lifestyle, specific disease or treatment, side effects of medications, new development in the medical field among others. Majority (90.9 %) of …

Environmental And Genetic Correlations Between The Metabolic Syndrome (Ms) And System Variables Representing Adaptive Immunity, Innate Immunity And Hemostasis, Jewel Udenwagu, Unyime-Abasi Eyobio, Stephanie Onyechi, Vincent P. Diego, Marcio A. Almeida, Tom E. Howard, John Blangero

School of Medicine Publications

The MS is prevalent in Mexican Americans (MAs) and is projected to increase. It is important therefore to better understand its genetic and environmental determinants. We hypothesized that the MS reflects dysfunction in important biological systems. To evaluate this concept, we analyzed gene expression data for the adaptive-immune, innate-immune, and hemostasis systems in relation to the MS from a study on MAs of San Antonio and the Rio Grande Valley.

Health Information Literacy In Everyday Life: A Study Of Pregnant Women’S In Ekiti State, Nigeria., Mayowa Akomolafe, Rosaline Oluremi Opeke Phd

Library Philosophy and Practice (e-journal)

Pregnancy is a sensitive period in a woman’s life that exposes her and her unborn child to lot of risks which may affect her health. These risks are as a result of altered physiological function of the body that affects the biochemistry and anatomy of the woman’s body, which eventually affects their Quality of Life. Pregnant women need health information literacy to search for health information to manage their health to compliment the ones provided during antenatal. Information needs of pregnant women are not often met during antenatal clinic. Studies have shown inadequate communication by health care professionals during antenatal …

The Publication Trend Of Internal Medicine In Iran, The Middle East And The World: A 10-Year Bibliometric Analysis, Maryam Esmaeilzadeh, Abbas Doulani, Mohammad Gomar

Library Philosophy and Practice (e-journal)

Purpose: This study sought to evaluate the scientific publications of Iranian researchers in the field of internal medicine as well as to compare them with those of the countries of the Middle East and the world within 2009-2018.

Design/methodology/approach: In this bibliometric study, the Scopus database was used. All papers published in the past ten years by researchers from Iran, the Middle East and the world in the field of internal medicine were included in the study. Data analysis and drawing of scientific maps were performed using Excel and VOS viewer software.

Findings: The number of scientific …

Development Of Information Diffusion Models Based On Mathematical Models Of Disease Diffusion, Farzaneh Fazli Dr, Seyyed Aliakbar Famil-Rohani Dr, Alireza Isfandyari-Mogaddam Dr, Manoochehr Karami Dr

Library Philosophy and Practice (e-journal)

Abstract

Purpose: Analysis of information diffusion process based on models of spread of epidemics is one of the issues considered by the researchers. Limited studies have addressed investigation and analysis of scientific information diffusion. Current study was conducted aiming at identifying scientific information diffusion process among academic faculty members using mathematical models of spread of diseases during 2016.

Methodology: Mathematical models of spread of epidemics including SIS, SI, and SIR models were used for analysis of scientific information diffusion. The study was conducted using semi-experimental method on 147 faculty members in three stages including evaluation of current status …

Admissions Viewbook, 2019-2020, Illinois State University, Office Of Admissions

Admissions Viewbook

Recruitment booklet created by Illinois State University's Office of Admissions

United States Midwest Soil And Weather Conditions Influence Anaerobic Potentially Mineralizable Nitrogen, Jason D. Clark, Kristen S. Veum, Fabian G. Fernandez, James J. Camberato, Paul R. Carter, Richard B. Ferguson, David W. Franzen, Daniel E. Kaiser, Newell R. Kitchen, Carrie A. M. Laboski, Emerson D. Nafziger, Carl J. Rosen, John E. Sawyer, John F. Shanahan

Department of Agronomy and Horticulture: Faculty Publications

Nitrogen provided to crops through mineralization is an important factor in N management guidelines. Understanding of the interactive effects of soil and weather conditions on N mineralization needs to be improved. Relationships between anaerobic potentially mineralizable N (PMN_an) and soil and weather conditions were evaluated under the contrasting climates of eight US Midwestern states. Soil was sampled (0–30 cm) for PMN_an analysis before pre-plant N application (PP_0N) and at the V5 development stage from the pre-plant 0 (V5_0N) and 180 kg N ha−1 (V5_180N) rates and incubated for 7, 14, and …

In Vitro Bioaccessibility Of Novel Low-Crystallinity Phytosterol Nanoparticles In Non-Fat And Regular-Fat Foods, Ali Ubeyitogullari, Ozan Ciftci

Department of Food Science and Technology: Faculty Publications

Crystalline structure of phytosterols leads to poor bioavailability and makes their incorporation into foods challenging. Bioaccessibility of first-of-their-kind low-crystallinity phytosterol nanoparticles impregnated in nanoporous starch aerogels (PS-NSA) was evaluated in non-, low-, and regular-fat solid and aqueous food formulations, namely, granola bars and puddings for the first time. Bioaccessibility of the phytosterol nanoparticles was significantly higher than that of crude phytosterols in all food formulations (p < .05); it was 88.2 and 91.8% for low- or regular-fat granola bars, respectively, whereas bioaccessibility of crude phytosterols was ca. 30% in those formulations. However, decreasing the lipid content to zero resulted in lower phytosterols' bioaccessibilities from both PS-NSA (53%) and crude phytosterols (ca. 16%) in non-fat granola bars. Bioaccessibility of crude phytosterols (2%) was significantly enhanced with PS-NSA (19%) in the pudding formulation. PS-NSA allows preparation of low- and non-fat foods enriched with phytosterols while enhancing the health benefits of phytosterols with smaller doses.

Post-Hurricane Sandy Coping Strategies And Resilience Factors Among People With Disabilities, Miriam Mukasa

Walden Dissertations and Doctoral Studies

People with disabilities are likely to experience difficulties overcoming the impact of natural disasters. Few scholars have focused on this population's ability to recover and handle stress following a natural disaster. The purpose of this phenomenological study was to explore and describe coping strategies and resilience factors that people with physical or mental disabilities used in the aftermath of Hurricane Sandy. Resilience theory was used as the theoretical framework. Through face-to-face interviews, 10 persons with disabilities shared their experiences of coping and resilience. A lens of interpretative phenomenological analysis was used to identify emergent themes related to persons with disabilities' …

Digital Information Technology Use And Patient Preferences For Internet-Based Health Education Modalities: Cross-Sectional Survey Study Of Middle-Aged And Older Adults With Chronic Health Conditions, Nancy P. Gordon, Elizabeth L. Crouch

Faculty Publications

Background: Health information, patient education, and self-management (health information and advice, HIA) tools are increasingly being made available to adults with chronic health conditions through internet-based health and mobile health (mHealth) digital information technologies. However, there is limited information about patient preferences for using specific types of health information and advice resources and how preferences and usage differ by age group and education.

Objective:The objective of this study was to examine how use of digital information technologies and preferred methods for obtaining health information and advice varies by age group and education among middle-aged and older adults with chronic …

Prevalence And Factors Influencing Use Of Internet And Electronic Health Resources By Middle-Aged And Older Adults In A Us Health Plan Population: Cross-Sectional Survey Study, Elizabeth L. Crouch, Nancy P. Gordon

Faculty Publications

Background: Health care organizations are increasingly using electronic health (eHealth) platforms to provide and exchange health information and advice (HIA). There is limited information about how factors beyond internet access affect use of eHealth resources by middle-aged and older adults.

Objective: We aimed to estimate prevalence of use of the internet, health plan patient portal, and Web-based HIA among middle-aged and older adults; investigate whether similar sociodemographic-related disparities in eHealth resource use are found among middle-aged and older adults; and examine how sociodemographic and internet access factors drive disparities in eHealth resource use among adults who use the internet.

Methods: …

Concentration-Dependent Effects Of A Dietary Ketone Ester On Components Of Energy Balance In Mice, Sarah E. Deemer, Rachel A. Davis, Barbara A. Gower, Andrew P. Koutnik, Angela M. Poff, Stephanie L. Dickinson, David B. Allison, Dominic P. D'Agostino, Eric P. Plaisance

Faculty Publications

Exogenous ketones may provide therapeutic benefit in treatment of obesity. Administration of the ketone ester (KE) R,S-1,3-butanediol acetoacetate diester (BD-AcAc) decreases body weight in mice, but effects on energy balance have not been extensively characterized. The purpose of this investigation was to explore concentration-dependent effects of BD-AcAc on energy intake and expenditure in mice. Forty-two male C57BL/6J mice were randomly assigned to one of seven isocaloric diets ( = 6 per group): (1) Control (CON, 0% KE by kcals); (2) KE5 (5% KE); (3) KE10 (10% KE); (4) KE15 (15% KE); (5) KE20 (20% KE); (6) KE25 (25% KE); and …

Evaluation Of A Diabetic Point Of Care Education In Primary Care, Mary Cho

DNP Projects

BACKGROUND: Diabetes education is the cornerstone of managing diabetes. The education can be delivered in group or individual sessions. Given that group classes are not always well received, a brief five-minute point of care education was developed and incorporated into patients’ routine diabetic appointment. The effectiveness of the method is yet to be determined.

PURPOSE: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the effectiveness and acceptability of a recently implemented diabetes point of care education as compared to patients’ usual care in an urban primary care clinic.

METHODS: An outcome evaluation using a retrospective …

Current Assessment And Intervention Strategies For Childhood Obesity Used By Pediatric Care Providers, Jennifer Bivins

DNP Projects

Childhood obesity rates in the United States have tripled since the 1970s in the U.S. (CDC, 2018). Due to the persistent rise in obesity rate sin children and the possible health risks associated with obesity, it is important for pediatric providers to appropriately assess and treat childhood obesity. There is limited data on what pediatric providers in the primary care setting are doing to address this growing health problem. PURPOSE: The purpose of this study was to determine current assessment and intervention strategies for childhood obesity used by pediatric health care providers at the University of Kentucky, General Pediatric clinic. …