Digital Commons Network^™

Improving Nursing Knowledge Of Heart Failure Discharge Self-Care Instructions, Maria Patricia Picar Deza

Walden Dissertations and Doctoral Studies

Patients with heart failure (HF) have recurrent symptoms that lead to frequent hospital readmissions. Moreover, HF is one of the leading causes of 30-day hospital readmissions. Evidence shows that patients with a high level of HF self-care have decreased readmissions. HF self-care education is commonly delivered by the nurse at hospital discharge, and the patient’s transition to self-care is a critical point in the continuum of care. However, nurses must be knowledgeable of patient self-care in HF to effectively convey this information to the patient upon discharge. Therefore, this staff education project question asked whether nursing knowledge of HF patient …

Litigating Welfare Rights: Medicaid, Snap, And The Legacy Of The New Property, Andrew Hammond

UF Law Faculty Publications

In 2017, the Republican-controlled Congress was poised to make deep cuts to the nation’s two-largest anti-poverty programs: Medicaid and the Supplemental Nutrition Assistance Program (SNAP), commonly known as “food stamps.” Yet, despite having a unified, GOP-led federal government for the first time in over a decade, those efforts failed. Meanwhile, the Trump Administration and its allies in state government continue to pursue different strategies to roll back entitlements to medical and food assistance. As public interest lawyers challenge these agency actions in federal court , roughly five million Americans’ health insurance and food assistance hang in the balance. This Article …

Integrative Environmental Law: A Prescription For Law In The Time Of Climate Change, Alyson C. Flournoy

UF Law Faculty Publications

As the magnitude of the threat posed by climate change has become increasingly apparent, scholars and practitioners have begun a dialogue about how to reform environmental law to meet the challenge. Concepts like adaptive management, sustainability, and resilience have emerged in succession, as policy makers and scholars search for new moorings for our ethical and legal framework. While useful, these concepts have failed to provide a vision, goal, or solid ethical grounding for environmental law in the era of climate change. This project takes a new approach by exploring what we can learn from the field of Integrative Medicine. The …

Corn Nitrogen Rate Recommendation Tools’ Performance Across Eight Us Midwest Corn Belt States, Curtis J. Ransom, Newell R. Kitchen, James J. Camberato, Paul R. Carter, Richard Ferguson, Fabián G. Fernández, David W. Franzen, Carrie A.M. Laboski, Emerson D. Nafziger, John E. Sawyer, Peter C. Scharf, John F. Shanahan

United States Department of Agriculture-Agricultural Research Service / University of Nebraska-Lincoln: Faculty Publications

Determining which corn (Zea mays L.) N fertilizer rate recommendation tools best predict crop N need would be valuable for maximizing profits and minimizing environmental consequences. Simultaneous comparisons of multiple tools across various environmental conditions have been limited. The objectives of this research were to evaluate the performance of publicly-available N fertilizer recommendation tools across diverse soil and weather conditions for: (i) prescribing N rates for planting and split-fertilizer applications, and (ii) economic and environmental effects. Corn N-response trials using standardized methods were conducted at 49 sites, spanning eight US Midwest states and three growing seasons. Nitrogen applications included eight …

Children’S Equality Rights: Every Child’S Right To Develop To Their Full Capacity, Nancy E. Dowd

UF Law Faculty Publications

Children are born equal. Yet as early as eighteen months, hierarchies emerge among children. These hierarchies are not random but fall into patterns by race, gender and class. They are not caused nor voluntarily chosen by children or their parents. The hierarchies grow, persist, and are made worse by systems and policies created by the state, perpetuating the position of the privileged and continuing the disadvantage of the subordinated. Children’s equal right to develop to their capacity is severely undermined by policies and structures that hamper and block the development of some by creating barriers and challenges or failing to …

Minding The Gaps In Regulation Of Do-It-Yourself Biotechnology, Barbara J. Evans

UF Law Faculty Publications

This Symposium confronts the reality that genetic technologies – not just genetic tests, but tools for altering plant, animal, and human genomes – are rapidly becoming and indeed already are consumer technologies. People can experiment with and apply these technologies in disintermediated formats, potentially without the involvement of national research funding agencies, professional scientists, physicians, genetic counselors, regulators, and traditional medical product manufacturers. The framework of 20th -century medical product and practice regulations assigned each of these parties a role in promoting ethical, safe, and effective biomedical research and health care. Do-it-yourself biotechnology (DIYbio), which includes direct-to-consumer (DTC) and do-it-yourself …

Negative Activism, Barbara A. Bliss, Peter Molk, Frank Partnoy

UF Law Faculty Publications

Shareholder activism has become one of the most important and widely studied topics in law and finance. To date, popular and academic accounts have focused on what we call “positive activism,” where activists seek to profit from positive changes in the share prices of targeted firms. In this Article, we undertake the first comprehensive study of positive activism’s mirror image, which we term “negative activism.” Whereas positive activists focus on increasing share prices, negative activists take short positions to profit from decreasing share prices.

We develop a descriptive typology of three categories of negative activism and use a private database …

Check State: Avoiding Preemption By Using Incentives, Michael Allan Wolf

UF Law Faculty Publications

No abstract provided.

How The Covid-19 Pandemic Has And Should Reshape The American Safety Net, Andrew Hammond, Ariel Jurow Kleiman, Gabriel Scheffler

UF Law Faculty Publications

The COVID-19 pandemic has delivered an unprecedented shock to the United States and the world. It is unclear precisely how long the twin crises, epidemiological and economic, will last, and it is difficult to gauge the extent and direction of the changes in American life these crises will cause. Nonetheless, it is beyond dispute that the COVID-19 pandemic is putting significant strain on both the ability of Americans to meet basic needs and our government’s capacity to assist them. Federal, state, and local governments have responded in various ways to deploy existing safety net programs like Medicaid, SNAP (food stamps), …

Testing An Ecological Model Of Obesity Among School-Age Children: Identifying Targets For Tailored Intervention, Dorothy Mcleod Loren

Dissertations

Childhood obesity rates remain historically high in the US. One way to conceptualize the many factors that contribute to obesity is through the use of an ecological model. There is a particular need to adapt and test this type of comprehensive model among vulnerable racial/ethnic and socioeconomic groups. Using a large sample of US youth drawn from the ECLS-K:2011 (N=8,225), this project first investigated an ecological model of childhood obesity from kindergarten to second grade, including factors such as child physical activity, child screen time, child bedtime, family physical activity, family food insecurity, family meals, and neighborhood safety. Then, it …

Children's Equality: The Centrality Of Race, Gender, And Class, Nancy E. Dowd

UF Law Faculty Publications

Hierarchies among children dramatically impact their development. Beginning before birth, and continuing during their progression to adulthood from birth to age 18, structural and cultural barriers separate and subordinate some children, while they privilege others. The hierarchies replicate patterns of inequality along familiar lines, particularly those of race, gender, and class, and the intersections of those identities. These barriers, and co-occurring support of privilege for other children, emanate from policies, practices, and structures of the state, including education, health, policing and juvenile justice, and limited social welfare. Reimagining Equality: A New Deal for Children of Color takes on the task …

First Man And Second Woman: Reflections On The Anniversaries Of Apollo 11 And Cruzan, George J. Annas

SMU Law Review

No abstract provided.

Cruzan’S Legacy In Autonomy, Kathy L. Cerminara

SMU Law Review

No abstract provided.

Cruzan And The Other Evidentiary Standard: A Reconsideration Of A Landmark Case Given Advances In The Classification Of Disorders Of Consciousness And The Evolution Of Disability Law, Joseph J. Fins

SMU Law Review

No abstract provided.

A History Of The Law Of Assisted Dying In The United States, Alan Meisel

SMU Law Review

No abstract provided.

Beyond Cruzan: Dementia And The Best Interests Standard, Rebecca Susan Dresser

SMU Law Review

No abstract provided.

The Legacy Of Cruzan: Balancing The Moral Agency Of Surrogates And The State, Margie Hodges Shaw, Timothy E. Quill, Bernard L. Sussman

SMU Law Review

No abstract provided.

A Holistic Approach To Infant Sleep, Mackenzie Danielson, Karlie Marler, Alyssa Turner-Strong

Occupational Therapy Capstones

A Holistic Approach to Infant Sleep. Mackenzie Danielson, Karlie Marler, Alyssa Turner-Strong, Dr. Julie Grabanski, Department of Occupational Therapy, University of North Dakota School of Medicine and Health Sciences, 1301 N. Columbia Road, Grand Forks, ND 58202

Purpose: The purpose of this scholarly project was to analyze and review current literature to determine the key variables that impact infant sleep. Based on the literature, the authors then created an educational manual and sleep assessment for occupational therapists that holistically addresses infant sleep.

Methodology: An extensive review of literature was completed on the role of occupational therapy, assessment tools, interventions, modifications …

Best Practices For The Occupation Of Education For College Students With Mental Health Issues, Karen Jaspers, Brianna Johnson

Occupational Therapy Capstones

Objective: To examine the available evidence for interventions provided on college campuses that address mental illness in college-aged students.

Method: The scoping review process laid out in Arksey and O’Malley (2005) was utilized to help guide the process. Four databases were used to search for articles. Specific search terms for each database were developed with the aid of a librarian. A total of 82 articles were included in the final scoping review.

Results: Interventions were categorized based on the Public Health Model and intervention type. 30 articles fell within the tier 1, universal category, 52 articles fell within the tier …

An Investigation Of Loss Of Control Eating Episodes And The Five Indicator Variables Of Loss Of Control Eating In A Non-Clinical Sample, Erica Goodman

Theses and Dissertations

Binge eating is common across both clinical and non-clinical populations; the diagnostic definition of binge eating has been scrutinized by extant literature in that findings have shown loss of control (LOC) to be more related to pathology than the amount of food consumed. The current study aimed to elucidate this notion further by investigating different types of LOC eating based on perception and amount of food consumed. College students (N = 227) completed self-report questionnaires assessing disordered eating, psychopathology, emotion regulation, impulsivity, quality of life, and self-esteem; 173 (76%) also completed an interview on typical and LOC eating in the …

Associations Between Dietary Fat Quality And Cognitive Function Among Adults: The Hispanic Community Health Study/ Study Of Latinos, Nicole Karazurna

Master's Theses and Capstones

Individual fatty acids (FA) within dietary fat classes [saturated (SFA), monounsaturated (MUFA), polyunsaturated (PUFA), and trans FA (TFA)] may deferentially affect risk of cognitive impairment. This has received little attention by previous studies of diet and cognitive function, and few studies are available among Hispanic/Latinos. We quantified the associations of dietary FA (DFA) patterns with cognitive function among Hispanic/Latinos in the US. In a cross-sectional analysis of participants of the Hispanic Community Health Study/ Study of Latinos, recruited from 2008-11 (n=7842, mean age 55 y, 62% female). Dietary data are from two 24-hr recalls; the National Cancer Institute method estimated …

Omega-3 Fatty Acids And Depressive Symptomology And The Influence Of Psychosocial Stress: The Hispanic Community Health Study/Study Of Latinos, Caitlin Porter

Master's Theses and Capstones

Objectives: The literature on omega-3 fatty acid (FA) intake and depressive symptoms is inconsistent, potentially due in part to the influence of psychosocial stress. Some evidence supports that omega-3 FA intake may have greater benefit on depressive symptoms among individuals with high oxidative stress. We quantified the associations between dietary and plasma omega-3 FA and 6-y depressive symptoms and measured the modifying effect of psychosocial stress.

Methods: Data are from the Hispanic Community Health Study/Study of Latinos (age 48 y, 63% female). At baseline (2008-11), EPA, DHA and omega-3 very-long-chain FAs (VLCFAs) were estimated using two 24-hr recalls and the …

Effect Of Different Fat Sources And Vitamin E Isoforms/ Levels On Carcass Characteristics, Meat Quality, And Belly/Bacon Characteristics Of Pigs Grown To Heavy Slaughter Weights (>150kg), Marlee Kelley

Theses and Dissertations--Animal and Food Sciences

Two separate studies were conducted to evaluate the potential interaction of fat sources and vitamin E (VE) on heavy slaughter weights. In Study 1, a total of 64 individually-fed pigs (28.41 ± 0.83 kg) were randomly assigned to 8 dietary treatments in a 4×2 factorial arrangement. Fat treatments included cornstarch (CS), tallow (TW), corn oil (CO), and coconut-oil (CN). VE treatments were dietary alpha-tocopheryl-acetate (ATA) at 11 and 200 ppm. In Study 2, a total of 72 individually fed pigs (28.55 ± 1.16 kg) were randomly assigned to 12 dietary treatments in a 2 × 6 factorial arrangement. Fat treatments …

Optimizing Animal Welfare In Commercial Laying Hens Through Novel Management Practices And Farm Manager Evaluation, John R. Brunnquell

Theses and Dissertations--Animal and Food Sciences

The commercial production of pasture and free-range eggs in the United States is expanding rapidly. According to the United States Department of Agriculture Agricultural Management Assistance, in May of 2019 there were 2.6M pasture hens and 4.5M free-range hens representing 1.9% of the nation’s laying flock. There is little industry and/or academic experience with this style of production in the United States. Programs such as the European Layer Training Initiative (ELTI), which emerged in 2019, have tried to fill this void but participation from the US was low. The principal sources for guidance of commercial free-range egg production in the …

Impact Of Ergot Alkaloid And Estradiol 17b On Whole-Body Protein Turnover And Expression Of Mtor Pathway Proteins In Muscle Of Cattle, Taylor Dawn Ferguson

Theses and Dissertations--Animal and Food Sciences

Beef cattle consuming endophyte infected tall fescue typically exhibit reduced performance in terms of both decreased dry matter intake (DMI) and growth rates. It has been suggested that lower concentrations of circulating IGF-1 (an important stimulator of the mTOR pathway and ultimately protein synthesis), as observed with consumption of ergot alkaloids, contribute to reduced growth rates. The objective of the current study was to determine if fescue-derived alkaloids decrease muscle protein synthesis though inhibitory action on the mTOR pathway via a direct effect on signal proteins, and if these negative effects can be alleviated by implantation with anabolic agents. Thirty-two …

The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandria Bachman-Williams

Physician Assistant Scholarly Project Posters

• The purpose of this study is to explore the role of gut microbiome alterations in the treatment of anxiety and depression. • There are multiple pathological pathways that lead to the development of anxiety and depression. • Research shows a link between pathologic bacteria and low grade inflammation. This causes a disruption of neurotransmitters that are current targets of pharmacological treatment of depression and anxiety. • Transfer of “pathogenic” bacteria caused increased symptoms of anxiety and depression. • Treatment with probiotics and “protective” bacteria showed decreased BDI scores and improved symptoms. • Studies were small but show need for …

Meat Intake And Prostate Cancer In African American Men, Uchenna Njoku

Walden Dissertations and Doctoral Studies

African American men have more prostate cancer and are more than twice as likely to die of the disease as Caucasian men, and the reasons for this racial disparity have not been clarified. Identifying lifestyle and dietary risk factors of prostate cancer is an important public health issue. Studies on the association between meat intake and prostate cancer risk have produced inconsistent results. The purpose of this cross-sectional quantitative study was to determine whether there is an association between total meat intake and total prostate cancer risk among African American men when controlling for age, income, educational level, physical activity, …

Behavioral, Demographic, And Clinical Determinants Of Hiv Serostatus In Zambian Women, Debebe Masresha Gebreyohannes

Walden Dissertations and Doctoral Studies

The rate of human immunodeficiency virus (HIV) infection shows a diminishing trend at the global level while it shows increasing in intensity of mortality, morbidity, and burden in Sub-Saharan Africa. The intertwined behavioral, demographic, and clinical determinants fueled the incidence of infections in Zambian women. The purpose of this study was to determine the association between demographic, behavioral, and clinical determinants with HIV serostatus in Zambian women. With the conceptual framework of the World Health Organization’s Commission for Social Determinants of Health (CSDH) and quantitative method of MANOVA, this study examined Zambian Demographic Health Survey data for Zambian women of …

Reducing Congestive Heart Failure Hospital Readmission Through A Practice Guideline, Michelle Hamric

Walden Dissertations and Doctoral Studies

Patients with congestive heart failure (CHF) are at increased risk for hospital readmission within 30 days of discharge. The gap in practice involves the coordination of care for patients with CHF in the transition from hospital to home. Patients with CHF are at increased risk for hospital readmission due to barriers involving self-care, communication, and coordination of care. The purpose of this project was to implement a clinical practice guideline (CPG) that used a predictive tool and clinical pathway for coordination of care for CHF patients at increased risk for hospital readmission within 30 days. The DNP project involved using …

Experiences Of Low Socioeconomic Community College Students Anticipating Transition To A 4-Year University, Richard Hayward

Walden Dissertations and Doctoral Studies

Low socioeconomic status students in the United States are facing declining completion rates for the attainment of 4-year degrees, which may have consequences for their economic well-being. The purpose of this study was to understand lower socioeconomic status students’ experiences regarding a sense of belonging, academic advising, and college preparedness while attending community college and transitioning to a 4-year university. The conceptual framework for this study was grounded in Strayhorn’s findings pertaining to a sense of belonging, Bandura’s social cognitive theory, Adelman’s momentum theory, and Schlossberg, Waters, and Goodman’s transition theory. This basic qualitative study used interviews with 11 community …