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2021

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A Bioinformatic Analysis Of The Biosynthesis Of Carotenoids In The Copepod Tigriopus Californicus, Anchalya Balasubramaniam Jan 2021

A Bioinformatic Analysis Of The Biosynthesis Of Carotenoids In The Copepod Tigriopus Californicus, Anchalya Balasubramaniam

Theses and Dissertations (Comprehensive)

Abstract

Biological pigments, also called biochromes, are coloured compounds which are displayed by a variety of life forms, including animals, due to selective colour absorption. The combination of light absorption and reflection enables each pigment to portray a distinct colour which results in the broad spectrum of colours we observe in our surroundings. Carotenoids are a large group of yellow, orange, and red biological pigments found in living organisms. Our current biomolecular knowledge of carotenoids is heavily derived from studying the pathway in photosynthetic prokaryotes, bacteria, fungi, and plants. Carotenoid pigments are exceptionally multifunctional as they act as photo-protectors against …


Differential Patterns Of Connectivity In Western Pacific Hydrothermal Vent Metapopulations: A Comparison Of Biophysical And Genetic Models, Corinna Breusing, Shannon B. Johnson, Satoshi Mitarai, Roxanne A. Beinart, Verena Tunnicliffe Jan 2021

Differential Patterns Of Connectivity In Western Pacific Hydrothermal Vent Metapopulations: A Comparison Of Biophysical And Genetic Models, Corinna Breusing, Shannon B. Johnson, Satoshi Mitarai, Roxanne A. Beinart, Verena Tunnicliffe

Graduate School of Oceanography Faculty Publications

Hydrothermal ecosystems face threats from planned deep-seabed mining activities, despite the fact that patterns of realized connectivity among vent-associated populations and communities are still poorly understood. Since populations of vent endemic species depend on larval dispersal to maintain connectivity and resilience to habitat changes, effective conservation strategies for hydrothermal ecosystems should include assessments of metapopulation dynamics. In this study, we combined population genetic methods with biophysical models to assess strength and direction of gene flow within four species of the genus Alviniconcha (A. boucheti, A. kojimai, A. strummeri and A. hessleri) that …


Esca Terrestrial Executive Summary, Delila Torres, Keiana Coleman Jan 2021

Esca Terrestrial Executive Summary, Delila Torres, Keiana Coleman

Student Publications

No abstract provided.


The Impact Of A Sleep Training Program For Night Nurse Shift Workers, Adelaide C. Durkin Jan 2021

The Impact Of A Sleep Training Program For Night Nurse Shift Workers, Adelaide C. Durkin

DNP Research Projects

Abstract Objectives: To evaluate the impact of the NIOSH training on sleep quality scores, determine the association between intention to perform sleep improvement strategies and sleep quality, and identify strategies, barriers, and facilitators for implementation among night nurse shift workers. Methods: A pre-test and post-test design was used. Data were collected electronically between September 2020 and February 2021 before and after online intervention (NIOSH training). Participants who met the inclusion criteria were night shift nurses who worked full time in a hospital setting in the midwestern and southern United States (N = 42). After screening for risk of sleep apnea, …


Surgical Management Of Complex Post-Tuberculous Kyphosis Among African Patients: Clinical And Radiographic Outcomes For A Consecutive Series Treated At A Single Institution In West Africa, Ali M. Maziad, Owoicho Adogwa, Henry Ofori Duah, Kawdwo P. Yankey, Derrick Nyantakyi Owusu, Arthur Sackeyfio, Mabel Adobea Owiredu, Tyler Wilps, Gerhard Ofori-Amankwah, Franklin Coleman, Harry Akoto, Irene Wulff, Oheneba Boachie-Adjei, Focos Spine Research Group Jan 2021

Surgical Management Of Complex Post-Tuberculous Kyphosis Among African Patients: Clinical And Radiographic Outcomes For A Consecutive Series Treated At A Single Institution In West Africa, Ali M. Maziad, Owoicho Adogwa, Henry Ofori Duah, Kawdwo P. Yankey, Derrick Nyantakyi Owusu, Arthur Sackeyfio, Mabel Adobea Owiredu, Tyler Wilps, Gerhard Ofori-Amankwah, Franklin Coleman, Harry Akoto, Irene Wulff, Oheneba Boachie-Adjei, Focos Spine Research Group

College of Nursing Faculty Research and Publications

Study design Retrospective review of consecutive series. Objective To assess the clinical and radiographic outcomes after surgical management of post-tuberculous kyphosis. Summary of background data Post-tuberculous (TB) kyphosis can lead to progressive pulmonary and neurological deterioration. Surgery is indicated to decompress neural elements and correct the spine deformity. Although posterior vertebral column resection (PVCR) has been established as the treatment of choice for severe TB kyphosis, there is paucity of studies on the clinical outcomes among patients treated in West Africa. Methods Clinical and radiographic data of 57 patients (pts) who underwent surgical correction of post-TB kyphosis at a single …


Mala Prohibita And Proportionality, Youngjae Lee Jan 2021

Mala Prohibita And Proportionality, Youngjae Lee

Faculty Scholarship

What is the proportionate punishment for conduct that is neither harmful nor wrongful? A likely response to that is that one ought not to be punished at all for such conduct. It is, however, common for the state to punish harmless conduct the wrongfulness of which is not always apparent. Take, for example, the requirement that those who give investment advice for compensation do so only after registering as an investment advisor. Advising a person on how to invest his or her funds and accepting a fee for the advice without registering with the government does not seem harmful or …


Listening To Other Voices: Moving Beyond Traditional Mission Histories- A Case Study From El Salvador, Robert A. Danielson, Kelly J. Godoy De Danielson Jan 2021

Listening To Other Voices: Moving Beyond Traditional Mission Histories- A Case Study From El Salvador, Robert A. Danielson, Kelly J. Godoy De Danielson

The Asbury Journal

For the most part, mission history has focused on the work and effort of missionaries and not as much on the missionized, those people and communities they assisted. this is a flaw in the field which needs to be corrected, but how do we accomplish this? This article proposes a two-step process. First, by closely reading the traditional histories and the primary documents, we can emphasize and highlight the roles and voices of the missionized. Second, by using oral history interviews we can capture essential thoughts and attitudes of missionized people and communities about their mission experience. This dual approach …


A Mixed Methods Evaluation Of An Intensive Therapeutic Lifestyle Change Program For Nurses With Obesity, Theresa L. Free Jan 2021

A Mixed Methods Evaluation Of An Intensive Therapeutic Lifestyle Change Program For Nurses With Obesity, Theresa L. Free

DNP Research Projects

No abstract provided.


Diet Of Long-Eared Owl And Common Kestrel In An Urban Landscape (Ukraine), Ivan Zahorodnyi, Oleksii Dubovyk, Ivan Komarnytskyi, Ihor Dykyy Jan 2021

Diet Of Long-Eared Owl And Common Kestrel In An Urban Landscape (Ukraine), Ivan Zahorodnyi, Oleksii Dubovyk, Ivan Komarnytskyi, Ihor Dykyy

Biological Sciences Faculty Publications

In the present study we performed a comparative dietary analysis of two predatory birds, the Long-eared Owl (Asio otus) and the Common Kestrel (Falco tinnunculus) in the district of Lviv city. We found that the Long-eared Owl and the Common Kestrel are typical small mammal specialists within the urban ecosystem. Considering the abundance and biomass of prey, small mammals comprise 98.4% of the Long-eared Owl’s diet. The species composition of mammals coincides almost 50% in the food intake comparison of the two birds. It has been established that the main prey of both species is the …


Microbiomes Of Blood-Feeding Arthropods: Genes Coding For Essential Nutrients And Relation To Vector Fitness And Pathogenic Infections. A Review, Daniel E. Sonenshine, Philip E. Stewart Jan 2021

Microbiomes Of Blood-Feeding Arthropods: Genes Coding For Essential Nutrients And Relation To Vector Fitness And Pathogenic Infections. A Review, Daniel E. Sonenshine, Philip E. Stewart

Biological Sciences Faculty Publications

Blood-feeding arthropods support a diverse array of symbiotic microbes, some of which facilitate host growth and development whereas others are detrimental to vector-borne pathogens. We found a common core constituency among the microbiota of 16 different arthropod blood-sucking disease vectors, including Bacillaceae, Rickettsiaceae, Anaplasmataceae, Sphingomonadaceae, Enterobacteriaceae, Pseudomonadaceae, Moraxellaceae and Staphylococcaceae. By comparing 21 genomes of common bacterial symbionts in blood-feeding vectors versus non-blooding insects, we found that certain enteric bacteria benefit their hosts by upregulating numerous genes coding for essential nutrients. Bacteria of blood-sucking vectors expressed significantly more genes (p < 0.001) coding for these essential nutrients than those of non-blooding insects. Moreover, compared to endosymbionts, the genomes of enteric bacteria also contained significantly more genes (p < 0.001) that code for the synthesis of essential amino acids and proteins that detoxify reactive oxygen species. In contrast, microbes in non-blood-feeding insects expressed few gene families coding for these nutrient categories. We also discuss specific midgut bacteria essential for the normal development of pathogens (e.g., Leishmania) versus …


Polar Bear Behavior: Morphologic And Physiologic Adaptations, John P. Whiteman Jan 2021

Polar Bear Behavior: Morphologic And Physiologic Adaptations, John P. Whiteman

Biological Sciences Faculty Publications

Polar bears possess morphologic and physiologic characteristics that reflect their terrestrial lineage as members of the bear family (Ursidae) as well as adaptations to the Arctic marine environment. Among marine mammals, they are the least adapted for aquatic life. They exhibit substantial seasonality in body mass, body condition, and many physiological functions, reflecting the annual cycle of both their Arctic sea ice habitat and the availability of their main prey, ringed seals. This hypercarnivorous diet has likely influenced the polar bear’s craniodental morphology and nutritional physiology. Similar to other marine mammal predators, polar bears exhibit a relatively high resting metabolic …


A Snapshot Of Postgraduate Research At Mtu 2021, Stephen Cassidy Jan 2021

A Snapshot Of Postgraduate Research At Mtu 2021, Stephen Cassidy

Publications

As our postgraduate research students live and work in an increasingly digital and information-driven age, the ability to write and communicate in a variety of styles appropriate to a range of audiences becomes increasingly important. The Graduate Studies Office working with the MTU Library Service and others, supports research students to develop their writing skills not just for academic publication but also for communicating to the general public. As part of this initiative, we organized the inaugural MTU Postgraduate Research Writing Competition. Its aim was to provide postgraduate research students from all disciplines across the University with an opportunity to …


A Pilot Study: Periodontal Risk Factor Screening Tool For Certified Diabetes Care Education Specialists, Holly Brawner Jan 2021

A Pilot Study: Periodontal Risk Factor Screening Tool For Certified Diabetes Care Education Specialists, Holly Brawner

EWU Masters Thesis Collection

Purpose: There is a bidirectional link between uncontrolled diabetes and untreated periodontal disease. Controlling periodontal infection plays an essential role in the overall management of diabetes. This study explored an interprofessional (IP) collaboration between Certified Diabetes Care and Education Specialists (CDCES) and Dental Hygienists and the utility of a point of care Periodontal Screening Tool (PST) for CDCES to build confidence in informing their clients on periodontal disease risk factors and providing resources to seek dental care.

Methods: This pilot study used a pre-test post-test design where a survey was administered prior to CDCES participating in an Education and Training …


Zika Virus Concern And Preventative Behaviors During Pregnancy: Analysis Of 2017 Georgia Pregnancy Risk Assessment Monitoring System Data, Priya R. Nair, Christine E. Stauber Jan 2021

Zika Virus Concern And Preventative Behaviors During Pregnancy: Analysis Of 2017 Georgia Pregnancy Risk Assessment Monitoring System Data, Priya R. Nair, Christine E. Stauber

Journal of the Georgia Public Health Association

Background: Zika virus infection can cause severe health complications in pregnant women such as microcephaly and other congenital anomalies in the developing fetus but it can be prevented. It is imperative to develop an understanding of concern about Zika virus among pregnant women as this can influence their Zika virus preventative behaviors.

The purpose of this study was to gain an understanding of Zika virus concern among women in Georgia with live births in 2017 and to examine the frequency of condom use among those who were sexually active during their most recent pregnancy.

Methods: This cross- sectional study used …


“No Queremos Quedar Mal”: A Qualitative Analysis Of A Boundary Setting Training Among Latina Community Health Workers., Luis R. Alvarez-Hernandez, J. Maria Bermudez, Pamela Orpinas, Rebecca Matthew, Alejandra Calva, Carolina Darbis Jan 2021

“No Queremos Quedar Mal”: A Qualitative Analysis Of A Boundary Setting Training Among Latina Community Health Workers., Luis R. Alvarez-Hernandez, J. Maria Bermudez, Pamela Orpinas, Rebecca Matthew, Alejandra Calva, Carolina Darbis

School of Social Work Faculty Publications

Community health workers (CHWs)—or promotoras de salud in Spanish—have successfully addressed the health needs of Latinx and immigrant populations. However, for promotoras, setting boundaries is particularly difficult given challenges like residing in the same communities as their participants. The purpose of this study was to describe the development and impact of a boundary setting training to support the emotional well-being of immigrant promotoras. The training (four 1-hr sessions) was informed by social cognitive theory and a Chicana feminist framework. The promotoras who participated in the training helped create Lazos Hispanos, a community-based participatory research (CBPR) study and CHW …


Total Plasma Homocysteine And Depressive Symptoms In Older Hispanics, Fernando Castro, Jesus D. Melgarejo, Carlos A. Chavez, Gabriel A. De Erausquin, Joseph D. Terwilliger, Joseph H. Lee, Gladys E. Maestre Jan 2021

Total Plasma Homocysteine And Depressive Symptoms In Older Hispanics, Fernando Castro, Jesus D. Melgarejo, Carlos A. Chavez, Gabriel A. De Erausquin, Joseph D. Terwilliger, Joseph H. Lee, Gladys E. Maestre

School of Medicine Publications

Background: Very few studies have investigated the association between total plasma homocysteine (tHcy) and depressive symptoms in older Hispanics.

Objective: To test the hypothesis that high tHcy associates with depressive symptoms in older Hispanics.

Methods: A total of 1,418 participants .55 years old from the Maracaibo Aging Study (MAS) underwent standardized neurological, neuropsychiatric, and cardiovascular assessments. The Neuropsychiatric Inventory Depression Subscale (NPId) was used to assess the burden of depressive symptoms. The tHcy levels and other biochemical parameters in blood samples were measured. Univariate and multivariate logistic regression models were applied.

Results: Participants with depressive symptoms had higher levels of …


Opportunities And Challenges Of Consumer Health Information On The Internet: Is Cyberchondria An Emerging Challenge?, Amirreza Kalantari, Saeideh Valizadeh-Haghi, Azam Shahbodaghi, Farid Zayeri Jan 2021

Opportunities And Challenges Of Consumer Health Information On The Internet: Is Cyberchondria An Emerging Challenge?, Amirreza Kalantari, Saeideh Valizadeh-Haghi, Azam Shahbodaghi, Farid Zayeri

Library Philosophy and Practice (e-journal)

Introduction: With the advent of the Internet, retrieval and searching of information resources have changed compared to the past. These changes have made the Internet network easy enough for users to access specialized and non-specialized knowledge, and consequently, expose users to many challenges and opportunities. Accordingly, this study investigates and categorize these challenges and opportunities.

Methods: To conduct this narrative review, at the first step, the articles addressed health-related information available on the Internet from reputable journals and databases were selected. Then, the selected articles were examined to answer the research questions, and the information obtained was categorized. Finally, the …


The Evaluation Of Usage Of Library Resources And Services: An Exclusive Study On Users Of Academic College Libraries, Prayangi Vishal Matonkar, Keshav R. Dhuri Dr Jan 2021

The Evaluation Of Usage Of Library Resources And Services: An Exclusive Study On Users Of Academic College Libraries, Prayangi Vishal Matonkar, Keshav R. Dhuri Dr

Library Philosophy and Practice (e-journal)

Academic libraries play crucial role in enhancing teaching and research missions of their parent institutions. This paper shares findings of the study which investigated awareness and use of library resources. The main aim of this research study is to identify the use and usage of resources and services provided by the library. A well structured questionnaire was prepared on Google Forms to collect the data from users of six colleges from Goa. Total 360 questionnaires were sent to 60 students of each college under study and 300 filled questionnaires were received from the respondents. The study has revealed that highest …


Nutritional Aspects Related To Covid-19: A Bibliometric Analysis Using Scopus Database, Arti Muley Dr, Srujana Medithi Dr Jan 2021

Nutritional Aspects Related To Covid-19: A Bibliometric Analysis Using Scopus Database, Arti Muley Dr, Srujana Medithi Dr

Library Philosophy and Practice (e-journal)

Nutrition therapy has lately gained attention as an effective way of combating the novel Coronavirus 2019 (COVID-19), especially to address the immunity in an individual and their overall health. The present study is a bibliometric assessment of research conducted to understand the role of nutrition in treating COVID-19 which was carried out since the pandemic's sudden outburst during 2020 and 2021 and published in the Scopus database. A total of 93 publications were found, and the results were studied by evaluating these documents. The present analysis identifies the active countries where the research was conducted, various types of documents wherein …


Admissions Viewbook, 2021-2022, Illinois State University, Office Of Admissions Jan 2021

Admissions Viewbook, 2021-2022, Illinois State University, Office Of Admissions

Admissions Viewbook

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


Impact Of Social Networking Sites On School-Going Adolescent Boys In Kashmir, India, Aadil Bashir, Sarafaraz Ahmed, Unjum Bashir, Sumeer Gul, Fayaz Ahmad Loan Jan 2021

Impact Of Social Networking Sites On School-Going Adolescent Boys In Kashmir, India, Aadil Bashir, Sarafaraz Ahmed, Unjum Bashir, Sumeer Gul, Fayaz Ahmad Loan

Library Philosophy and Practice (e-journal)

The adolescent age group is one of the most vulnerable periods of life span. It is the period that develops identity and integrity among individuals. The environmental influx to this group includes the SNS’s as one of the major components, having a direct impact on the transition of adolescents to adults. It is in this backdrop, the need is to critically study the impact of SNS’s on adolescent’s life and identifying the key consequences that are emerging out of either using or misusing of same. Ranging from initial exposure of SNS’s to disturbed social life a detailed assessment has been …


Crisis Management: Pk-12 Leaders & Resilience Building Practices During The Covid-19 Pandemic, Shafiga Abramova, Oruba Anthony, Haley Brown Jan 2021

Crisis Management: Pk-12 Leaders & Resilience Building Practices During The Covid-19 Pandemic, Shafiga Abramova, Oruba Anthony, Haley Brown

Educational and Organizational Learning and Leadership Dissertations

The COVID-19 pandemic has presented evolving challenges for educational leaders. This study will explore the crisis management practices of PK-12 public school superintendents. Specifically, the team will consider effective resilience-building practices as a means for leaders to manage a prolonged crisis. A comparative case study was conducted to analyze publicly available documents across two cases (Eastern and Western regions) in the state of Washington. During the COVID-19 pandemic, school communities only had access to publicly available documents emphasizing the importance of exploring forward facing documents. The analysis of the study was informed by the theoretical framework of Critical Race Theory …


Transmission Routes Of The Microbiome And Resistome From Manure To Soil And Lettuce, Yuepeng Sun, Daniel D. Snow, Harkamal Walia, Xu Li Jan 2021

Transmission Routes Of The Microbiome And Resistome From Manure To Soil And Lettuce, Yuepeng Sun, Daniel D. Snow, Harkamal Walia, Xu Li

Daugherty Water for Food Global Institute: Faculty Publications

The land application of animal manure can introduce manure microbiome and resistome to croplands where food crops are grown. The objective of this study was to characterize the microbiome and resistome on and in the leaves of lettuce grown in manured soil and identify the main transmission routes of microbes and antibiotic resistance genes (ARGs) from soil to the episphere and endosphere of lettuce. Shotgun metagenomic results show that manure application significantly altered the composition of the microbiome and resistome of surface soil. SourceTracker analyses indicate that manure and original soil were the main source of the microbiome and resistome …


River City Review, Vol. 1:3, Memphis, 1971 Jan 2021

River City Review, Vol. 1:3, Memphis, 1971

Documents

Vol. 1, No. 3 of "River City Review", a monthly newspaper published in 1971 in Memphis, Tennessee. The newspaper was published by James M. Godown and included articles on local music, record reviews, and interviews. This issue included an interview with Stanley Booth on the Rolling Stones, and articles on the Madison Avenue Sidewalk Art Festival, Overton Park Expressway, and Memphis theater.


Executive Board Annual Summary, 2020-2021, Emeriti Society Jan 2021

Executive Board Annual Summary, 2020-2021, Emeriti Society

Emeriti Society History and Reports

No abstract provided.


Metagenomic Insights Of The Infant Microbiome Community Structure And Function Across Multiple Sites In The United States, Giorgio Casaburi, Rebbeca M. Duar, Heather Brown, Ryan D. Mitchell, Sufyan Kazi, Stephanie Chew, Orla Cagney, Robin L. Flannery, Karl G. Sylvester, Steven A. Frese, Bethany M. Henrick, Samara L. Freeman Jan 2021

Metagenomic Insights Of The Infant Microbiome Community Structure And Function Across Multiple Sites In The United States, Giorgio Casaburi, Rebbeca M. Duar, Heather Brown, Ryan D. Mitchell, Sufyan Kazi, Stephanie Chew, Orla Cagney, Robin L. Flannery, Karl G. Sylvester, Steven A. Frese, Bethany M. Henrick, Samara L. Freeman

Department of Food Science and Technology: Faculty Publications

The gut microbiome plays an important role in early life, protecting newborns from enteric pathogens, promoting immune system development and providing key functions to the infant host. Currently, there are limited data to broadly assess the status of the US healthy infant gut microbiome. To address this gap, we performed a multi-state metagenomic survey and found high levels of bacteria associated with enteric inflammation (e.g. Escherichia, Klebsiella), antibiotic resistance genes, and signatures of dysbiosis, independent of location, age, and diet. Bifidobacterium were less abundant than generally expected and the species identified, including B. breve, B. longum and B. bifidum, had …


Incidence Of Aflatoxins And Fumonisins In Grain, Masa And Corn Tortillas In Four Municipalities In The Department Of Lempira, Honduras, Jeimy Cabrera-Meraz, Luis Maldonado, Andreia Bianchini, Raúl Espinal Jan 2021

Incidence Of Aflatoxins And Fumonisins In Grain, Masa And Corn Tortillas In Four Municipalities In The Department Of Lempira, Honduras, Jeimy Cabrera-Meraz, Luis Maldonado, Andreia Bianchini, Raúl Espinal

Department of Food Science and Technology: Faculty Publications

In Honduras, corn is the most important staple food for the majority of the population. This high-demand crop is susceptible to biological contamination with mycotoxins, which could represent a latent hazard for consumers. To assess the incidence of aflatoxins and fumonisins in grain, masa and tortilla, and the dietary exposure to these substances among consumers, a study was conducted in four municipalities in the department of Lempira. Total aflatoxin and fumonisin content were quantified by fluorometry in 144 samples from 48 farmers. Sixty five percent of the samples were contaminated with aflatoxins with levels of 1.28–32.05, 1.15 to 12.61, and …


Phospholipid R Ecovery From Sweet Whey And Whey Protein Concentrate: Use Of Electrodialysis With Bipolar Membrane Combined With A Dilution Factor As An Ecoefficient Method, Mélanie Faucher, Véronique Perreault, Ozan Nazim Ciftci, Sami Gaaloul, Laurent Bazinet Jan 2021

Phospholipid R Ecovery From Sweet Whey And Whey Protein Concentrate: Use Of Electrodialysis With Bipolar Membrane Combined With A Dilution Factor As An Ecoefficient Method, Mélanie Faucher, Véronique Perreault, Ozan Nazim Ciftci, Sami Gaaloul, Laurent Bazinet

Department of Food Science and Technology: Faculty Publications

Electrodialysis with bipolar membrane (EDBM) is promising to recover phospholipids (PLs) from sweet whey and whey protein concentrate (WPC), as it promotes lipoprotein complex formation following a decrease in pH and ionic strength. The aim of this work was to study the impact of dilution factor (without dilution, with a 2X, 4X and 6X dilution) after EDBM on the process performances. For both products, a 4X dilution, which cor- responds to a decrease in ionic strength of 81.4 ± 1.5 % for sweet whey and 79.4 ± 0.4 % for WPC, seemed sufficient to maximize lipoprotein complex formation as a …


2021-2022 Lindenwood University Undergraduate Course Catalog, Lindenwood University Jan 2021

2021-2022 Lindenwood University Undergraduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Undergraduate Course Catalog


Aiding Screening, Diagnosis, And Management Of Prediabetes Among High-Risk Medicare Patients In A Primary Care Setting, Manaye Utaile Jan 2021

Aiding Screening, Diagnosis, And Management Of Prediabetes Among High-Risk Medicare Patients In A Primary Care Setting, Manaye Utaile

Doctor of Nursing Practice Projects

Purpose: Encourage prediabetes screening, testing, and referral to a CDC-recognized Diabetes Prevention Program (DPP) as a first-line treatment.

Background: The prevalence of diabetes and prediabetes incidence is highest among Medicare-eligible Washingtonian patients, with 19% and 16%, respectively. DPP results in a 71% reduction of diabetes incidence in 65 years and older. However, only 3% of healthcare sites screen, test, and refer to DPP.

Design: Quality assessment with a descriptive quantitative evaluation method was conducted using Retrospective Chart Review for patients who visited Franciscan primary clinics from 08/31/2019 to 08/31/2020. A total of 1250 Medicare patients were extracted from a convenient …