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Exploring The Effectiveness Of Ecological Momentary Assessment And Video At Eliciting The Impact Of Park Features On Human Health And Well-Being In A Protected Area Context, Katelyn O'Bright

Theses and Dissertations (Comprehensive)

It is increasingly recognized that contact with nature in parks and other forms of protected areas provides benefits to visitors’ physical, mental, social, spiritual, and intellectual health and well-being. However, the methods used to assess these outcomes, including the influence of different environmental features that lead to these benefits, is under-researched. To address this gap, this study used a mixed methods design to explore the effectiveness of using Ecological Momentary Assessment (EMA) and video to assess the impact of various park features on the self-perceived (subjective) health and well-being of visitors. Participants were prompted by a mobile application on their …

“Bright Spots” And Effectively Communicating The Ecological And Social Outcomes Of Protected And Conserved Areas In Canada, Jen Hoesen

Theses and Dissertations (Comprehensive)

Healthy and resilient protected and conserved areas are the foundation of biodiversity conservation, improve livelihoods, and drive sustainable development. Protected lands and seascapes radiate life sustaining ecosystem services and provide important places for nature connection, rejuvenation, and inspiration. Although escalating human pressures and climate change-related risks continue to place many protected and conserved areas under increasing threat, “conservation bright spots” have emerged as a key communications strategy to illustrate where and how biodiversity and the social benefits it provides is performing relatively well. Given the crucial need to educate the public about biodiversity-related issues and amplify solution-centric approaches to support …

"I'M Not Working, But I'M A Professional": Precarious Employment Pathways, Consequences, And Resistance Strategies Impacting The Health Of Racialized Immigrant Women, Elizabeth C. Watters

Theses and Dissertations (Comprehensive)

Precarious employment, which is characterized by low wages, insecurity, few entitlements, and a higher risk of ill health, is on the rise in Canada; however, precarious forms of employment are not equally distributed across society, but are borne disproportionately by some groups, including racialized immigrant women. To better understand the impact of precarious employment on the health of racialized immigrant women, I conducted a qualitative study consisting of semi-structured interviews (n=21) and two follow-up focus groups (n=11) with women in Southwestern Ontario. The women were recruited through a combination of convenience and snowball sampling and were compensated for their time …

Glacial Southern Ocean Expansion Recorded In Foraminifera-Bound Nitrogen Isotopes From The Agulhas Plateau During The Mid-Pleistocene Transition, B. A. Marcks, T. P. Dos Santos, D. V.O. Lessa, A. Cartagena-Sierra, M. A. Berke, A. Starr, I. R. Hall, R. P. Kelly, Rebecca S. Robinson

Graduate School of Oceanography Faculty Publications

The emergence of 100-Kyr glacial cycles (The Mid-Pleistocene Transition [MPT]) is attributed in part to slower global overturning circulation and iron stimulation of biological carbon drawdown in the Southern Ocean. We present foraminifera-bound nitrogen isotope values and polar planktic foraminifera abundances from the Agulhas Plateau that show that increases in biogenic sediment accumulation coincide with northward migrations of the Subtropical Frontal Zone (STFZ) and elevated foraminifera-bound nitrogen isotope values during MPT glacial episodes. The nitrogen isotope values of two planktic foraminifera species, Globigerina bulloides and Globorotalia inflata show remarkable coherence amongst the sea surface temperature gradient between the STFZ and …

Gene-Environment Interactions Underlying The Etiology Of Neural Tube Defects, Carlo Donato Caiaffa, Cristiane Sá Roriz Fonteles, Lei Yunping, Richard H Finnell

Faculty, Staff and Students Publications

Neural tube defects (NTDs) consist of severe structural malformations of the brain and spinal cord and are the second most common structural birth defect in humans, accounting for approximately 2700 affected pregnancies every year in the United States. These numbers are highly significant, considering that birth defects remain a leading cause of infant mortality in the United States, affecting approximately 120,000 babies born annually. Survivors of these congenital malformations face long-term disability and lifelong challenges imposed by severe physical burdens compromising the afflicted individual's overall quality of life. Clearly, birth defects, and especially NTDs remain a global public health challenge, …

Exploring The Feasibility Of Intrapartum Gbs Collection To Identify Residual Gbs In A Pilot Study Of An Antenatal Probiotic Intervention, Emily Malloy, Lisa Hanson, Leona Vandevusse, Karen Robinson, Maharaj Singh, Marie Forgie

College of Nursing Faculty Research and Publications

Background: We aimed to explore the feasibility of collecting intrapartum maternal Group B Streptococcus (GBS) colonization and immediate post-birth neonatal GBS colonization cultures for use in a larger trial and to identify cases of residual GBS, which were hypothesized to be less common in the probiotics group.

Methods: This sub-study added additional outcome measures to the parent study to identify intrapartum and neonatal colonization and compare between probiotic and placebo groups and to identify cases of residual GBS. Intrapartum maternal vaginal and rectal GBS cultures were collected at the time of admission to a hospital for labor and to give …

A Randomized Controlled Trial Of An Oral Probiotic To Reduce Antepartum Group B Streptococcus Colonization And Gastrointestinal Symptoms, Lisa Hanson, Leona Vandevusse, Marie Forgie, Emily Malloy, Maharaj Singh, Maryanne Scherer, Diana Kleber, Jonah Dixon, Andrew J. Hryckowian, Nasia Safdar

College of Nursing Faculty Research and Publications

BACKGROUND

Probiotics have been suggested as a strategy to reduce antenatal group B Streptococcus colonization. Although probiotics are known to improve gastrointestinal symptoms, this has not been studied during pregnancy.

OBJECTIVE

This study aimed to evaluate the efficacy of a probiotic to reduce: (1) standard-of-care antenatal group B Streptococcus colonization and colony counts and (2) gastrointestinal symptoms of pregnancy.

STUDY DESIGN

In a double-blind fashion, 109 healthy adult pregnant people were randomized to Florajen3 probiotic or placebo capsules once daily from 28 weeks’ gestation until labor onset. Baseline vaginal and rectal study swabs for group B Streptococcus colony-forming units and …

The Journey Box: Promoting Language Development While Exploring One’S Identity, David Wolff

Open Educational Resources - Teaching and Learning

A Journey Box allows students to explore and share their family’s historical narrative using primary sources like interviews and artifacts. Students explore different facets of their own family’s history and journey to America while engaging in a larger shared experience among classmates to understand different perspectives. The Journey Box develops oral and written language skills while supporting individual’s exploration of their culture and identity.

Advanced Photon Counting Ct Imaging Pipeline For Cardiac Phenotyping Of Apolipoprotein E Mouse Models, Alex J Allphin, Ali Mahzarnia, Darin P Clark, Yi Qi, Zay Y Han, Prajwal Bhandari, Ketan B Ghaghada, Alexandra Badea, Cristian T Badea

Faculty, Staff and Students Publications

Background: Cardiovascular disease (CVD) is associated with the apolipoprotein E (APOE) gene and lipid metabolism. This study aimed to develop an imaging-based pipeline to comprehensively assess cardiac structure and function in mouse models expressing different APOE genotypes using photon-counting computed tomography (PCCT).

Methods: 123 mice grouped based on APOE genotype (APOE2, APOE3, APOE4, APOE knockout (KO)), gender, human NOS2 factor, and diet (control or high fat) were used in this study. The pipeline included PCCT imaging on a custom-built system with contrast-enhanced in vivo imaging and intrinsic cardiac gating, spectral and temporal iterative reconstruction, spectral decomposition, and deep learning cardiac …

Use Of Amino Acid Isotope Analysis To Investigate Capital Versus Income Breeding Strategies In Migratory Avian Species, Nico Lübcker, John P. Whiteman, Oliver N. Shipley, Keith A. Hobson, Seth D. Newsome

Biological Sciences Faculty Publications

1. Income and capital breeding represent opposing ends of a continuum of reproductive strategies. Quantifying nutrient allocation to reproduction is challenging, but recent advances in compound-specific stable isotope analysis hold promise for tracing the source of individual compounds allocated to reproduction.

2. Here, we describe a novel approach of using measured carbon (δ13C) and nitrogen (δ15N) isotope values of individual amino acids (AAs) in pectoral muscle of egg-laying females and egg yolk as a useful tool to quantify the reliance on income versus capital breeding in migrating species. We used white-fronted (Anser albifrons frontalis), lesser snow (A. …

Editorial: New Frontiers In The Application Of Stable Isotopes To Ecological And Ecophysiological Research, Keith A. Hobson, John P. Whiteman, Seth D. Newsome

Biological Sciences Faculty Publications

No abstract provided.

Review Of Acute Kidney Injury And Progression To Chronic Kidney Disease In Pediatric Patients Undergoing Hematopoietic Cell Transplant, Kim T Vuong, Catherine Joseph, Joseph R Angelo

Faculty, Staff and Students Publications

While acute kidney injury (AKI) after hematopoietic cell transplant (HCT) has been well-described in pediatric patients, literature regarding the long term renal consequences of HCT-related AKI, the development of chronic kidney disease (CKD), and CKD care in pediatric patients post-HCT is limited. CKD affects almost 50% of patients after HCT with multifactorial etiology including infection, nephrotoxic medications, transplant-associated thrombotic microangiopathy, graft-versus-host disease, and sinusoidal obstruction syndrome. As renal function declines in CKD, eventually progressing to end stage kidney disease (ESKD), mortality increases and is more than 80% among patients requiring dialysis. Using society guidelines and current literature, this review summarizes …

Protocol For The Promoting Resilience In Stress Management (Prism) Intervention: A Multi-Site Randomized Controlled Trial For Adolescents With Type 1 Diabetes, Maeve B O'Donnell, Samantha R Scott, Britney M Ellisor, Viena T Cao, Chuan Zhou, Miranda C Bradford, Catherine Pihoker, Daniel J Desalvo, Faisal S Malik, Marisa E Hilliard, Abby R Rosenberg, Joyce P Yi-Frazier

Faculty, Staff and Students Publications

BACKGROUND: Adolescents with type 1 diabetes (T1D) are at high risk for elevated diabetes distress, which greatly impacts diabetes management, glycemic outcomes and overall quality of life. Developing protective skills and "resilience resources" to navigate adversity and manage diabetes distress has high potential to help adolescents with T1D achieve optimal behavioral, psychological, and health outcomes. The "Promoting Resilience in Stress Management" (PRISM) program is a manualized, brief, skills-based intervention delivered over 6 months via two 45-60 min one-on-one sessions and a family meeting with a PRISM coach, and supplemented by booster calls and a digital app. This trial (PRISM versus …

Snap-Ed Nm Tribal Report, Theresa H. Cruz, Analissa M. Gutierrez

Reports & Documents

No abstract provided.

Snap-Ed New Mexico: Programming For Adults And Older Adults Fy 2023 Evaluation Report, Theresa H. Cruz, Erica Landrau, Camille Velarde, Yvonnie Vitanzos, Analissa Gutierrez

Reports & Documents

No abstract provided.

A Systematic Review Of Associations Between Gut Microbiota Composition And Growth Failure In Preterm Neonates, Larissa L Neves, Amy B Hair, Geoffrey A Preidis

Faculty, Staff and Students Publications

Growth failure is among the most prevalent and devastating consequences of prematurity. Up to half of all extremely preterm neonates struggle to grow despite modern nutrition practices. Although elegant preclinical models suggest causal roles for the gut microbiome, these insights have not yet translated into biomarkers that identify at-risk neonates or therapies that prevent or treat growth failure. This systematic review aims to identify features of the neonatal gut microbiota that are positively or negatively associated with early postnatal growth. We identified 860 articles, of which 14 were eligible for inclusion. No two studies used the same definitions of growth, …

Clinical Characterization Of Data-Driven Diabetes Clusters Of Pediatric Type 2 Diabetes, Mahsan Abbasi, Mustafa Tosur, Marcela Astudillo, Ahmad Refaey, Ashutosh Sabharwal, Maria J Redondo

Faculty, Staff and Students Publications

BACKGROUND: Pediatric Type 2 diabetes (T2D) is highly heterogeneous. Previous reports on adult-onset diabetes demonstrated the existence of diabetes clusters. Therefore, we set out to identify unique diabetes subgroups with distinct characteristics among youth with T2D using commonly available demographic, clinical, and biochemical data.

METHODS: We performed data-driven cluster analysis (K-prototypes clustering) to characterize diabetes subtypes in pediatrics using a dataset with 722 children and adolescents with autoantibody-negative T2D. The six variables included in our analysis were sex, race/ethnicity, age, BMI

RESULTS: We identified five distinct clusters of pediatric T2D, with different features, treatment regimens and risk of diabetes complications: …

Identification Of Oral Microbiome With Full-Length 16s Sequencing Using Nanopore Technology, Uyen Hoang

Master's Projects

Human microbiota has a key role in human development and receives considerable attention from research communities. Advances in metagenomics sequencing technologies have significantly improved the capabilities to characterize microbial species associated with human health and disease. Nanopore metagenomics sequencing makes a revolution by detailed characterization of the complex human microbiome. The Nanopore approach resembles traditional genome sequencing but also presents unprecedented challenges. This project will examine the Nanopore approach for oral human microbiome analysis focusing on the 16S rRNA gene collected from the oral cavity of healthy and Mild PKU patients. The findings of this project found that Nanopore sequencing …

Specialized Intensive Inpatient Rehabilitation Is Crucial And Time-Sensitive For Functional Recovery From Disorders Of Consciousness, Bei Zhang, Katherine O'Brien, Jean Woo, Bradley Chi, Colton Reeh, Sheng Li, Sunil Kothari

Faculty, Staff and Students Publications

Background: Disorders of consciousness (DoCs) after severe brain injury are considered to be conditions with dire prognosis. Despite the accumulating evidence, inpatient rehabilitation is often denied by payers referring to the Medicare/Medicaid criteria, under the assumption that such patients will not "actively" participate in therapy or make "measurable improvements."

Objective: This study aimed to report on the effectiveness and efficiency of a specialized inpatient DoC rehabilitation program based on measurable clinical parameters.

Methods: A retrospective cohort study was conducted. The cohort comprised 137 patients with DoC admitted to a specialized acute inpatient rehabilitation program between January …

Development Of A Clinical Prediction Model For Diabetes In Chronic Pancreatitis: The Predict3c Study, Christie Jeon, Phil A Hart, Liang Li, Yunlong Yang, Eleanor Chang, Melena D Bellin, William E Fisher, Evan L Fogel, Christopher E Forsmark, Walter G Park, Stephen K Van Den Eeden, Santhi Swaroop Vege, Jose Serrano, David C Whitcomb, Dana K Andersen, Darwin L Conwell, Dhiraj Yadav, Mark O Goodarzi

Faculty, Staff and Students Publications

OBJECTIVE: Diabetes that arises from chronic pancreatitis (CP) is associated with increased morbidity and mortality. Methods to predict which patients with CP are at greatest risk for diabetes are urgently needed. We aimed to examine independent risk factors for diabetes in a large cohort of patients with CP.

RESEARCH DESIGN AND METHODS: This cross-sectional study comprised 645 individuals with CP enrolled in the PROCEED study, of whom 276 had diabetes. We conducted univariable and multivariable regression analyses of potential risk factors for diabetes. Model performance was assessed by area under the receiver operating characteristic curve (AUROC) analysis, and accuracy was …

Toward More Rigorous And Informative Nutritional Epidemiology: The Rational Space Between Dismissal And Defense Of The Status Quo, Andrew W Brown, Stella Aslibekyan, Dennis Bier, Rafael Ferreira Da Silva, Adam Hoover, David M Klurfeld, Eric Loken, Evan Mayo-Wilson, Nir Menachemi, Greg Pavela, Patrick D Quinn, Dale Schoeller, Carmen Tekwe, Danny Valdez, Colby J Vorland, Leah D Whigham, David B Allison

Faculty, Staff and Students Publications

To date, nutritional epidemiology has relied heavily on relatively weak methods including simple observational designs and substandard measurements. Despite low internal validity and other sources of bias, claims of causality are made commonly in this literature. Nutritional epidemiology investigations can be improved through greater scientific rigor and adherence to scientific reporting commensurate with research methods used. Some commentators advocate jettisoning nutritional epidemiology entirely, perhaps believing improvements are impossible. Still others support only normative refinements. But neither abolition nor minor tweaks are appropriate. Nutritional epidemiology, in its present state, offers utility, yet also needs marked, reformational renovation. Changing the status quo …

Editorial: Health Effects And Pathophysiological Mechanisms Of One-Carbon Metabolism Nutrients Intake Throughout The Life Cycle, Jufen Liu, Yunping Lei, Lei Wang, Chao Guo

Faculty, Staff and Students Publications

No abstract provided.

Perspective: Dimensions Of Environment And Health In Arctic Communities, Rainer Lohmann, Bonita Beatty, Jessica Graybill, Elena Grigorieva, Ketil Lenert Hansen, Anu Soikkeli

Graduate School of Oceanography Faculty Publications

In the Arctic, environment and health are linked in myriad ways. A key emphasis has been on numerous long-lived contaminants in traditional foods, particularly marine mammals, and their well-documented impacts on human, animal and environmental health (“One health approach”). More recent concerns for Indigenous communities focus on the (side) effects of the switch to a modern, processed diet, which is accompanied by a loss of tradition and emerging health impacts. Furthermore, the availability of traditional foods is increasingly threatened by the impacts of climate change, which also causes the emergence and spread of new and old diseases, such as anthrax. …

Dietary Plasticity Linked To Divergent Growth Trajectories In A Critically Endangered Sea Turtle, Matthew D. Ramirez, Larisa Avens, Anne B. Meylan, Donna J. Shaver, Angela R. Stahl, Peter A. Meylan, Jamie M. Clark, Lyndsey N. Howell, Brian A. Stacy, Wendy G. Teas, Kelton W. Mcmahon

Graduate School of Oceanography Faculty Publications

Foraging habitat selection and diet quality are key factors that influence individual fitness and meta-population dynamics through effects on demographic rates. There is growing evidence that sea turtles exhibit regional differences in somatic growth linked to alternative dispersal patterns during the oceanic life stage. Yet, the role of habitat quality and diet in shaping somatic growth rates is poorly understood. Here, we evaluate whether diet variation is linked to regional growth variation in hawksbill sea turtles (Eretmochelys imbricata), which grow significantly slower in Texas, United States versus Florida, United States, through novel integrations of skeletal growth, gastrointestinal content (GI), and …

Porotic Hyperostosis And Cribra Orbitalia In The Adult Population Of Tipu, Miranda Hahn

Master's Theses

Tipu is a contact period Maya site in western Belize where a mission church and cemetery was established around AD 1560. An archaeological excavation in the 1980s recovered the remains of more than 550 individuals. In its unique location on the fringes of Spanish control, Tipu was the site of both acceptance of introduced cultural traits as well as rebellion against them. The series has been intensively studied over the last decades, but an analysis of anemia using more recently developed and widely accepted standards has not yet been completed. Therefore, I scored adults using the new widely accepted standards …

Teen Appeal, Memphis, 01.03, 1997

Documents

Issue 1:3 of the "Teen Appeal" published by the University of Memphis Journalism Department and Commercial Appeal, Memphis, Tennessee, on December 9, 1997.

Caring For Fat Bodies: Bridging The Gap Between Intention And Practice In Primary Care, Sadie Pile

Doctor of Nursing Practice Projects

Healthcare providers work hard to support patients in optimizing their health. Typical care prioritizes use of the body mass index (BMI) which has widely been criticized for its ineffectiveness at measuring health, and which perpetuates a white European male body as “normal”. From individual care to public health policy, the measurement of health through BMI and thinness has created and enforced weight stigma. Literature over the past 20 years has continued to demonstrate the negative health impacts of weight stigma, not only in harming physiological, psychological, and behavioral health, but also in fact contributing to weight gain. Notably, the research …

Opioid Use Disorder Treatment Program: Participant Factors For Retention And Motivation For Treatment, Javier Barrero, Victoria Strickland

Doctor of Nursing Practice Projects

Purpose: The purpose of this project was to explore OUD patient-reported factors for motivation and retention in a medication-assisted treatment (MAT) program in the Seattle metropolitan area. Method: This mixed methods project collected data via an exploratory, preliminary survey from patients receiving treatment at 11 outpatient medication for opioid use disorder (MOUD) clinics located in three counties in Washington state. The survey contained both qualitative and quantitative questions that addressed factors of motivation, external support, and self-efficacy. The survey was sent via a secure text messaging system. Results: Qualitative analysis developed five themes after coding: supportive factors for retention, health …

Supporting Pregnant People In Prenatal Physical Activity & Exercise: Brief In-Service Training Integrating The 6 Rs Framework To Facilitate Counseling By Healthcare Professionals, Morgan Frazier

Doctor of Nursing Practice Projects

Studies show that physical inactivity in pregnancy is attributed to pregnant people receiving inadequate and incomplete prenatal physical activity and exercise (PAE) counseling from healthcare professionals (HCPs). There is a gap in the knowledge translation of prenatal PAE guidelines and pregnant people are uncertain how to safely engage in PAE. The purpose of this quality improvement project was to evaluate the effect of an online brief in-service training integrating the 6 Rs Framework on Rainier Valley Birth & Health Center HCPs’ (i.e., Certified Nurse-Midwives and Licensed Midwives) attitudes, beliefs, knowledge, and practices pertaining to antenatal PAE. Quantitative data was collected …

An Interprofessional Collaboration To Increase Total Enteral Nutrition In Critically Ill Patients On Vasopressor Agents In Cvicu, Priyanka Shah

DNP Projects

Background: Delayed enteral nutrition (EN) in critically ill patients increases the risk of complications and poor outcomes. The 2016 American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) and Society of Critical Care Medicine (S.C.C.M.) evidence-based guideline recommends initiating EN within 24-48 hours of Intensive Care Unit (ICU) admission once resuscitation and hemodynamically stability have been achieved. The evidence-based guideline notes that critically ill patients on low-dose vasopressors can be started on EN with close monitoring.

Purpose: This interprofessional project aims to increase the amount of EN delivered to all qualifying Cardiovascular Intensive Care Unit (CVICU) patients who are at risk …