Digital Commons Network^™

Implementation Science For Clinicians: Accelerating The Uptake Of Evidence Into Practice For Best Outcomes, Bernadette Mazurek Melnyk, Sharon Tucker

General Webinars

This presentation describes implementation science as a key strategy for advancing evidence-based practice. The ARCC Model and a new accompanying implementation toolkit will be highlighted as one exemplar for promoting the uptake of evidence-based practice in health care settings. Challenges and opportunities to accelerate uptake of evidence-based practices in healthcare settings also will be discussed.

Association Between Childhood Obesity And Lack Of Healthy Food Access In Urban Food Deserts, Nicholas Averell, Rushali Desai, Archana Menon, Ayushi Naik, Arpun Shah

Rowan-Virtua Research Day

Background

Childhood Obesity: growing epidemic affecting almost 20% of children and adolescents in the United States

● Characterized by BMI greater than 95^th percentile of their age and gender

● Often leads to chronic medical conditions: high blood pressure, Type II Diabetes and heart diseases

● Low socioeconomic status(SES), lack of healthy food access and urban neighborhood

Breastfeeding Education Support Tool For Baby (Best4baby): Feasibility, Acceptability, And Preliminary Impact Of An Mhealth Supported Breastfeeding Peer Counselor Intervention In Rural India, Parth D. Lalakia, Vanessa L. Short, Roopa M. Bellad, Patricia J. Kelly, Yukiko Washio, Tony Ma, Katie Chang, Niranjana Majantashetti, Umesh S. Charantimath, Frances J. Jaeger, Shivaprasad S. Goudar, Richard J. Derman

Rowan-Virtua Research Day

Objective: To evaluate the feasibility of an mHealth-supported breastfeeding peer counselor intervention implemented in rural India and the preliminary impact of the intervention on maternal breastfeeding behaviors, including exclusive breastfeeding (EBF).

Methods: In this quasi-experimental pilot study, participants received either the intervention plus usual care (n = 110) or usual care alone (n = 112). The intervention group received nine in-home visits during and after pregnancy from peer counselors who provided education about and support for EBF and other optimal infant feeding practices and were aided with an mHealth tool. The control group received routine prenatal and postnatal health education. …

Subepidermal Moisture Measures And Their Relationship To Early Identification Of Pressure Injuries In Both Dark And Light Skin Tones In The Acute Care Setting, Cecilia Zamarripa

Electronic Theses and Dissertations

Background: Pressure injuries are an important quality measure. Most are avoidable and can be prevented by implementing nursing care strategies early. Pressure injury prevention is significant to nursing practice. There is a gap in the ability to detect early skin damage through standard visual skin assessment in dark skin toned individuals. Subepidermal moisture (SEM) values have been shown to detect early tissue damage in people with dark skin, prior to it being detected through standard visual skin assessment.

Objectives: This study sought to explore the relationship between visual skin assessment and SEM as indicators of pressure injury and …

Designing An Independent Public Health Agency, Jacqueline Salwa, Christopher Robertson

Faculty Scholarship

We believe that Congress should act on a bipartisan basis to fix U.S. public health institutions. Legislators could decide to merely buttress current institutions, as former commissioners have suggested be done for the FDA.1 Alternatively, legislators could consider a broad reorganization of public health functions and create a superagency, whose purview would include everything from the approval of drugs and devices to the maintenance of national stockpiles of protective equipment.

Food Availability And Cost Patterns In Mississippi Retail Stores Participating In The Supplemental Nutrition Assistance Program, Virginia B. Gray, Sylvia H. Byrd, Laura Downey

Journal of Extension

Research has suggested that availability of healthful food varies according to rurality/urbanicity, Supplemental Nutrition Assistance Program (SNAP) participation, and sociodemographic variables. We investigated differences in variety and cost of fruits and vegetables in convenience stores, grocery stores, and supermarkets across Mississippi. We collected data using the Nutrition Environment Measures Survey–Corner Store. Among stores surveyed (n = 453), fruit and vegetable variety was greater in nonmetro versus metro areas for convenience and grocery stores but not supermarkets. Elucidation of food availability in retail establishments serving SNAP Education (SNAP-Ed) clients is valuable for planning outreach efforts; smaller retailers may be important …

The Influence Of Side-Lying Position On Oropharyngeal Swallow Function In At-Risk Infants: An Exploratory Study, Julian White

Dissertations, 2020-current

Speech-Language Pathologists (SLP) are the primary healthcare providers responsible for the evaluation and treatment of infant feeding and swallowing disorders. At-risk infants, such as those born prematurely or with certain medical conditions, are more prone to swallowing impairments (i.e., dysphagia). Dysphagia in at-risk infants can have severe consequences such as chronic respiratory symptoms, pneumonia, progressive lung disease, undernutrition, and death. Therefore, it is important to have methods of examining an infant’s swallow functioning that are both safe and accurate. A leading method of evaluating infant swallowing is the Modified Barium Swallow Study (MBS). The works contained within this dissertation document …

Transformational Leadership: The Roles Of Leader's Fromal Education And Professional Training, Ahmet Shala

Dissertations, 2020-current

Abstract

Transformational leadership is a popular leadership theory that instigates extraordinary changes in individuals, teams and organizations. Transformational leaders motivate, enhance and transform their direct subordinates’ and followers’ actions, and their ethical aspirations are beyond their immediate self-interest. The current literature and research is focused on the transformational leadership outcomes, but little is known about the antecedents of transformational leadership. This research is an attempt to discover the impact of leaders’ formal education and professional training on transformational leadership and leadership effectiveness.

The target population of this research were the top leaders of the organizations from different sectors (education, production, …

Physical Activity In A University Community Before And After A Covid-19 Shutdown, Brynn Hudgins

Masters Theses, 2020-current

Reaching recommended levels of physical activity (PA) is important for achieving and maintaining health, however there are many potential barriers which may impact an individual’s ability to engage in PA. The COVID-19 pandemic resulted in the transition to remote teaching and learning, shut-downs of places to engage in PA, and changes to the daily work routine of university staff. Therefore, overall PA levels were likely impacted. The purpose of this study was to assess whether a significant change in PA occurred before and after one university transitioned to remote learning and working due to COVID-19 shutdowns. Subjects were recruited from …

Rationale For Participation In Jmu Worksite Wellness Programs, Rebecca Mathien

Masters Theses, 2020-current

Effective employee wellness programs require an adequate understanding of the needs of employees. An employee wellness needs assessment was created to target the understanding of specific topics of interest, incentives and barriers to participation, and general health status of university employees. The majority (74.1%) of the 639 survey respondents (15.3% response rate) were female (age 45.7 ± 11.7 years), full-time employees. Employees were most interested in participating in programs involving physical activity, nutrition, and lifestyle wellness. Stages of change related to these topics include physical activity (pre-action: 42.3% and action: 44.7%), nutrition (pre-action: 37.4% and action: 42.2%), and work/life balance …

Postprandial Exhaled Nitric Oxide Responses In Older And Younger Adults With And Without Acute Exercise, Molly Miller

Masters Theses, 2020-current

A single high fat meal (HFM) increases airway inflammation in young, healthy individuals. Additionally, aging increases airway resistance and inflammation, though the airway inflammatory response to a HFM has not been investigated. Exercise is a natural anti-inflammatory, but has yet to be administered with a HFM as a method to study postprandial airway inflammation in older adults. Purpose: To investigate whether older individuals have greater postprandial airway inflammation compared to younger counterparts, and to explore whether exercise may modify the postprandial airway response in older adults. Methods: 12 younger adults (23.3±3.9 years; 5 M/7 F) and 12 older adults (67.7±6 …

Fucoxanthin: A Review Of Potential Benefits Relative To Human Health, Michael R. White

Masters Theses, 2020-current

Fucoxanthin is a carotenoid sourced and extracted mainly from dark orange and brown seaweeds found in the pacific ocean, such as the wakame algae. The allenic bonds and unique oxygen groups give fucoxanthin its unique structure and are thought to be part of the reason fucoxanthin has unique physiological functions. Fucoxanthin has potentially numerous effects on the physiology of human health, ranging from skin health to metabolic health, which have been demonstrated in animal model research. The goal of this review is to examine current literature to discuss fucoxanthin’s potential application as a nutraceutical, treatment for obesity, type 2 diabetes, …

Seeking New Understanding Of Primarycare Policy Constraints: A Qualitative Assessment Of Health Workers And Community Perspectives On The Role Of Communication In The Implementation Of Ghana‘S National Community Health Policy, Mathias Aboba

Masters Theses, 2020-current

Ghana has been implementing the Community-based Health Planning and Service (CHPS) initiative as a national health policy for over twenty years. The CHPS program is designed for delivering Primary Health Care services to under-served population who mostly reside in economically poor and hard to reach locations. Over the years studies looking at various aspects of the operation of the policy have found that community members and other stakeholders lack proper understanding of the program. This study analyzed qualitative data collected in two districts in Northern and Volta Regions of Ghana to assess health workers and community members’ perspectives on the …

Formally Trained Musicians’ Perceptions Of Music Performance Anxiety In Informal Contexts: A Phenomenology, Smith R.K. Waylett

Masters Theses, 2020-current

While researchers have explored concepts relating to both Music Performance Anxiety (MPA) and informal music learning, few have related the two subjects to each other. The purpose of this study was to explore formally trained musicians’ experiences with MPA in informal contexts. Specifically, I examined informal musicians’ learning and performing environments, and the relationships they share with musicians’ perceptions of MPA. Primary data included two rounds of recorded interviews. Findings revealed that physical venues, audience size, audience makeup, financial factors, audience reception, interpersonal relationships among bandmates, creative ownership over music they performed, and motivation to prepare for performances all played …

In Vivo Digestibility, Intake And Nitrogen Balance Of Lambs Fed Different Barley Herbage: Sorghum Silage Diets, M. Arzadun, S. Arias, J. Freddi, A. Piazza

IGC Proceedings (1977-2023)

No abstract provided.

Green Forage And Silage Nutritive Value Of Double Purpose Winter Species, Renato S. Fontaneli, Rob S. Fontaneli, J. W. Dürr, H. P. Dos Santos

IGC Proceedings (1977-2023)

No abstract provided.

Effects Of The Small Enterprises Technology Upgrading Program Of The Department Of Science And Technology–Philippines On The Productivity Of Beneficiary Enterprises In Calabarzon, Jan Danica S. Asma

Journal Article

The Department of Science and Technology (DOST) initiated the Small Enterprise Technology Upgrading Program (SETUP) to provide assistance to micro, small and medium enterprises (MSMEs) through technological innovations. From 2002 to 2010, 51 projects in CALABARZON availed of the SETUP assistance mainly for the acquisition of production equipment. This study assesses the performance of MSMEs which focused on the achievement of the target level of improvement and identified the factors that affected the achievement or non-achievement of the target. The target differs for every firm and depends on the technological intervention identified during the conduct of Technology Needs Assessment (TNA). …

Finding Place Through Music And Arts: Hc Black Music & Arts Association (Hcbmaa), Kyra Skylark

Redwood Roots Digital Magazine

No abstract provided.

Full Issue

Redwood Roots Digital Magazine

No abstract provided.

U.S. Property Law: A Revised View, Kamaile A.N. Turčan

William & Mary Environmental Law and Policy Review

No abstract provided.

Immigrants: Barriers To Care, Nikisha Hamal

Academic Festival

Socioeconomic barriers to accessing and receiving health services contributes to poor health outcomes experienced by immigrants. The purpose of the project is to discover individual and structural barriers facing the immigrants in the United States to access and utilize health care services. It presents an immigrant patient who was seen at the primary clinical practice, discusses differential diagnoses, and formulates final diagnoses with comprehensive treatment plan. The theoretical framework includes Roy’s adaptation model (RAM) from Sister Callista Roy to answer the research question: What are the effects of social determinants of health as a barrier on immigrants’ access to and …

The Benefits Of Early Head Start, Grace Triquet

Academic Festival

Early childhood education serves many benefits for many children. Children with disabilities and those who come from low-income areas are shown to excel in the opportunity that they have when attending early head start programs. Early head start programs are federally funded so that children younger than 3 can begin their education at a younger age so that they will be better prepared for when they come of school-age. In addition, Early head start programs are also put in place to educate pregnant women how to provide support to their developing child including being able to care for themselves. It …

Social Media And Its Effects On Society, Gabrielle Reina

Academic Festival

Over the past 20 years, the computers in our pockets have become increasingly more prominent in daily lifestyles. Specifically, what we spend our time doing on these computers has had a profound impact on society today; the use of smart phones and social media. Timelines are suddenly perfectly crafted to fit an aesthetic, theme, or simply to display the “good” in an individual’s life. Rarely is a negative toned post seen in today’s society. If it is, it is often sent around because of how unusual it is. That “raw” post that is usually a reality takes more courage to …

Workplace Wellness, Olivia Sangiovanni, Isabella Montecalvo

Academic Festival

The purpose of this project was to create a user friendly way for employers and employees of small to medium sized businesses to access information regarding how to incorporate healthy habits into a mostly sedentary work day. Our website provides both data and strategy to support these businesses on their journey towards creating a well rounded workplace wellness program.

Stereotypes In Women’S Sports And Their Psychological Effects, Jennifer Wartel

Academic Festival

This paper will discuss the different pressures and stereotypes that female athletes face and the psychological effects that result from these stereotypes. These stereotypes cause issues in athletes’ lives such as low self-esteem which can cause more serious psychological impacts on one’s life.

Female athletes have already overcome so many adversaries. They have gone from not being able to compete competitively because of biological beliefs to having the same opportunities as male athletes because of Title IX. There is more room for female athletes to become accepted in society today. Society creates pressure on everyone but throw in being a …

Anterior Cruciate Ligament, Christina Capito

Academic Festival

The anterior cruciate ligament(ACL) is a major ligament found in the knee joint. This ligament is one of the most injured ligaments in athletics. This is due to the structure of it and how it used during certain movements. Once the ACL is fully ruptured, reconstructive surgery is an option for anyone who tore it, but almost mandatory to return back to sports. The purpose of this paper is to address the function and purpose of the ACL and where it is located, to explain the possible injuries that may occur and what the process is like following an ACL …

Food Insecurity—How Does It Affect The U.S.?, Alyssa Balestrieri

Academic Festival

In 2016, 12.3% of all US households (15.6 million households) experienced food insecurity sometime during the year. Of these households 7.4% ( 9.4 million households) experienced low food security and 4.9%( 6.1 million households) experienced very low food security (Hoblen & Marshall, 2019). Not only is food insecurity a significant problem in the United States, but it is also impacted by many factors such as gender, racial and ethnic groups, cultures and socioeconomic status. This problem in the United States was researched to continue finding information of how to eliminate inequalities that exist amongst diverse populations of this country, due …

The Impact Of Social Economic Inequities In Government Funded Physical Education Programs, Corry Brinken

Academic Festival

The United States Dietary Guidelines for Americans recommend that young people (ages 6-19) participate in at least 60 minutes of moderate-to-vigorous physical activity on most, if not all, days of the week.¹ A substantial percentage of each student’s recommended amount of physical activity can be provided through a comprehensive school-based physical activity program such as physical education. Ten percent of the world’s school-aged children are estimated to carry excess body fat, which increases the risk for developing chronic diseases later in life.² Out of this ten percent, a quarter of them are obese, with a high chance of having multiple …

Issues Of Racist Quality Of Care In Maternal Healthcare, Victoria Huggan

Academic Festival

This paper addresses the concern of racial disparities in maternal healthcare diving into the socioeconomic status of people entering medical school, and the ethics of the Hippocratic Oath that physicians have to take before fully becoming a doctor. In this paper, the United States' maternal and newborn rates of morbidity are compared to other countries. The author illustrates improvements that can be done by the United States' healthcare system due to this issue.

The Need For Transparency In Diet Programs And Their Marketing Campaigns, Anna Martinelli

Academic Festival

While the number of diet programs and dietary supplements over the years have increased exponentially, the obesity rate in the United States has also continued to rise. The media preaches that these programs and supplements are quick fixes to losing weight and achieving optimal health, but there is a lack of conversation regarding the negative health effects that following a specific, restrictive diet regime can have on the human body. Although there have been actions taken against diet companies and social media companies to hold them accountable for promoting a product or supplement that does not have the consumers best …