Digital Commons Network^™

Targeting Parental Behavior: Contingency Contracting To Increase Parental Competence And Adherence, Sara Clasky Richardson

Theses and Dissertations

The purpose of this study was to investigate the impact of using behavior contracts specifically targeting parental behavior and providing reinforcing consequences for the parent’s behavior on parental adherence in implementing behavior contracts to address their child’s behavior problems. Parents used identical procedures to implement behavior contracts with their children to address their child’s noncompliance and associated problem behavior. A secondary purpose of this study was to determine parent perceptions about the impact their use of behavior contracts had on the behavior of their children.

This study used a multiple baseline across participants design to measure the effectiveness of a …

A Mixed-Method Study On Social Media’S Role In The Health Decision-Making Practices Of Black Millennial Women In South Florida, Sashah Damier

Theses and Dissertations

The purpose of this research study was to examine health care decision-making practices of Black millennial women in South Florida, based on their social media use. The study contributed to understanding of how cultural components contribute to health care disparities for people of color because health care providers lacked information on how to reach Black millennial women with accurate and helpful information through social media.

The design for the study included a convergent parallel mixed-methods design using a web-based quantitative cross-sectional survey along with embedded qualitative telephone interviews and NVivo software. This mixed-methods methodology provided rich data and new understandings …

Reflections On “Personal Responsibility” After Covid And Dobbs: Doubling Down On Privacy, Susan Frelich Appleton, Laura A. Rosenbury

Scholarship@WashULaw

This essay uses lenses of gender, race, marriage, and work to trace understandings of “personal responsibility” in laws, policies, and conversations about public support in the United States over three time periods: (I) the pre-COVID era, from the beginning of the American “welfare state” through the start of the Trump administration; (II) the pandemic years; and (III) the present post-pandemic period. We sought to explore the possibility that COVID and the assistance programs it inspired might have reshaped the notion of personal responsibility and unsettled assumptions about privacy and dependency. In fact, a mixed picture emerges. On the one hand, …

Fungicide Sensitivity In P. Tritici-Repentis Diverse Population And Phenotyping Of Spelt Wheat For Multiple Diseases, Zunera Shabbir

Electronic Theses and Dissertations

Pyraclostrobin, a QoI fungicide, is extensively used in the management of fungal leaf spot diseases. In this study, 215 P. tritici-repentis isolates collected from wheat fields in South Dakota were evaluated for their sensitivity to Pyraclostrobin. Of 215 isolates, 48 isolates (22%) exhibited insensitivity based on G143A mutation and EC50 values using spore germination assay. Our results indicate reduced sensitivity to insensitivity to pyraclostrobin in some isolates suggesting regular monitoring of the P. tritici-repentis population to QoI fungicides is essential to track the evolution of insensitive population. Spelt wheat (Triticum spelta L.) is an ancient cereal that is gaining small …

Development Of Corn Kernel-Based Biocomposite Films For Food Packaging Applications, Swastika Bera

Electronic Theses and Dissertations

Most of the current and active food packaging resources and methods are nonbiodegradable and nonrenewable therefore harmful to the environment. Due to this, alternate sources of food packaging materials are in high demand. In this study, a bio-composite film has been developed, with Corn kernel powder as fiber reinforcement which is mixed with gelatin, and lignin two biopolymers as the matrix. The effect of Corn Kernel (CK) reinforcement on the Gelatin/Lignin (G/L) matrix on mechanical and barrier properties has been studied. CK has shown great potential as reinforcement to natural polymer, gelatin, and lignin (G/L) for food packaging applications as …

Effects Of Dietary Genistein And Fugacity Modelling In An Aquaculture System, Travis Schaeffer

Electronic Theses and Dissertations

Fish production from aquaculture has continued to grow over the past several decades, with finfishes being fed formulated, fish meal-based diets supporting most of that industry’s growth. However, increased demand and costs, coupled with static volume and erratic supplies of fish meal, has resulted in the use of alternative plant-derived protein sources. A common oilseed protein source is soybean meal (SBM), because of its protein content and amino acid profile; however, it also contains multiple anti-nutritional factors, including phytoestrogens. Phytoestrogens are naturally produced, estrogenmimicking compounds, with isoflavones receiving the most investigation as higher levels of these compounds occur within SBM. …

Federal Nonenforcement At A Crossroads, Zachary Price

Faculty Scholarship

As a novel aspect of “presidential administration”—the president- centered approach to federal governance discussed in a 2001 article by then-Professor and future Supreme Court Justice Elena Kagan—broad federal nonenforcement policies have been a major source of controversy in the past decade. As illustrated by the Obama Administration’s ex- pansive nonenforcement policies relating to marijuana, immigration, and Affordable Care Act implementation, recent presidents have recog- nized nonenforcement’s potential to reshape statutory law to suit an administration’s policy aims. This Article takes stock of this develop- ment as it relates to the past three presidential administrations. While advocating a limited view of …

Effects Of Pregnancy And Lactation On Muscle-Tendon Morphology, Nicole Danos, Marjorie Patrick, Jacob Barretto, Francesca Bilotta, Megan Lee

Biology: Faculty Scholarship

Pregnancy and lactation hormones have been shown to mediate anatomical changes to the musculoskeletal system that generates animal movement. In this study, we characterize changes in the medial gastrocnemius muscle, its tendon and aponeuroses that are likely to have an effect on whole animal movement and energy expenditure, using the rat model system, Rattus norvegicus. We quantified muscle architecture (mass, cross-sectional area, and pennation angle), muscle fiber type and diameter, and Young's modulus of stiffness for the medial gastrocnemius aponeuroses as well as its contribution to Achilles tendon in three groups of three-month-old female rats: virgin, primiparous pregnant, and primiparous …

Changes In The Microbiome Of The Sea Anemone Exaiptasia Diaphana During Bleaching From Short-Term Thermal Elevation, Jamison R. Sydnor, Jamie Lopez, Gordon V. Wolfe, Lisa Ott, Cawa Tran

Biology: Faculty Scholarship

We examined the response of microbial communities in the model sea anemone Exaiptasia diaphana (Aiptasia) to short-term thermal elevation. Through 16S rRNA gene sequencing, we characterized the microbiomes of symbiotic (with algal symbionts) and aposymbiotic (bleached) anemones under ambient (27°C) and heat-stressed (34°C) conditions for 8-10 days, using both replicated endpoint and non-replicated time-course approaches. Consistent with prior studies, we observed a stable abundance of bacteria from the families Alteromonadaceae and Rhodobacteraceae, though with wide variation among individual anemones. We observed that symbiotic state conferred a larger impact on the microbiome than heat stress, implying the microbiome may play a …

Analysis Of Factors Affecting Cross-Boundary Knowledge Mobilization In Agri-Food Supply Chains: An Integrated Approach, Guoqing Zhao, Huilan Chen, Shaofeng Liu, Denis Dennehy, Paul Jones, Carmen Lopez

Plymouth Business School

Agri-food supply chains (AFSCs) link produce from farm-to-fork. Over 80% of businesses operating in AFSCs are small and medium-sized enterprises (SMEs) that lack the necessary resources to make knowledge accessible and usable to other stakeholders. To enhance AFSCs’ performance, we adopt an integrated approach to analyze factors affecting knowledge mobilization (KMob) across boundaries. Thematic analysis of data collected from interviews reveals 11 KMob factors. We apply total interpretive structural modeling (TISM) to identify influential relationships among these factors, and fuzzy cross-impact matrix multiplication applied to classification (MICMAC) to distinguish each factor’s role in the system. Our results complement previous studies …

Preconception Care For People With Health Conditions: What Approaches Work, For Whom, And In What Circumstances? A Realist Review, Heather Hopper, Kerryn Husk, Kate Maslin, Bridie Kent, Amanda Wanner, Jill Shawe

School of Nursing and Midwifery

Preconception care for people with chronic health conditions is recommended in view of the implications for them and their offspring during pregnancy and beyond. This realist review of published and grey literature explored factors that explain why people seek or receive appropriate preconception counseling and why they engage in recommended health behavior change prior to pregnancy. Fifty-two studies contributed to phase one synthesis, and 38 studies provided explanations in phase two. Ten program theories were developed, explored, and refined through iterative discussion and coding. Causal explanations of the ways in which components of preconception care contribute to effective access to …

A Mixed Methods Study Investigating Sources Of Fertility And Reproductive Health Information In The Uk, B. Grace, J. Shawe, J. Stephenson

School of Nursing and Midwifery

No abstract provided.

Self-Managed Dietary Changes And Functional Gut Symptoms In Endometriosis: A Qualitative Interview Study, Komal Kumar, Nitish N. Narvekar, Kate Maslin

School of Nursing and Midwifery

Objective Endometriosis is a chronic gynaecological condition, often causing gastrointestinal symptoms and misdiagnosed as irritable bowel syndrome (IBS). Endometriosis guidelines do not formally endorse dietary changes and little is known about how they are self-managed. The objective of this study is to understand nutritional practices and management of gut symptoms in people with endometriosis. Study design Participants were recruited as part of a larger survey study via endometriosis support groups on social media. Eligibility criteria were: a self-reported physician-led diagnosis of endometriosis, over 18 years old and residing in the United Kingdom (UK). Semi-structured interviews were undertaken virtually via Zoom …

Nutritional Practices And Dietetic Provision In The Endometriosis Population, With A Focus On Functional Gut Symptoms, Komal Deepak Kumar, Bridie Appleby-Gunnill, Kate Maslin

School of Nursing and Midwifery

Background: Endometriosis is a common condition causing chronic pain, fatigue and gut symptoms. Research suggests that dietary changes may improve symptoms; however, evidence is lacking. The present study aimed to investigate the nutritional practices and needs of individuals with endometriosis (IWE) and the management of endometriosis by dietitians in the UK, focusing on gut symptoms. Methods: Two online questionnaires were distributed via social media: a survey of dietitians working with IWE and functional gut symptoms and a survey of IWE. Results: All respondents to the dietitian survey (n = 21) used the low fermentable oligosaccharides disaccharides monosaccharides and polyols (FODMAP) …

Air Quality And Mental Health: Evidence, Challenges And Future Directions, Kamaldeep Bhui, Joanne B. Newbury, Rachel M. Latham, Marcella Ucci, Zaheer A. Nasir, Briony Turner, Catherine O'Leary, Helen L. Fisher, Emma Marczylo, Philippa Douglas, Stephen Stansfeld, Simon K. Jackson, Sean Tyrrel, Andrey Rzhetsky, Rob Kinnersley, Prashant Kumar, Caroline Duchaine, Frederic Coulon

School of Biomedical Sciences

Background Poor air quality is associated with poor health. Little attention is given to the complex array of environmental exposures and air pollutants that affect mental health during the life course. Aims We gather interdisciplinary expertise and knowledge across the air pollution and mental health fields. We seek to propose future research priorities and how to address them. Method Through a rapid narrative review, we summarise the key scientific findings, knowledge gaps and methodological challenges. Results There is emerging evidence of associations between poor air quality, both indoors and outdoors, and poor mental health more generally, as well as specific …

Patient-Specific Analysis Of Aortic Hemodynamics And Wall Shear Stresses In Patients Undergoing Pediatric Bariatric Surgery Using 2d Phase-Contrast Mri, Oluwaferanmi S. Akande, Joao Soares, Nathan Hargan, Dr. Uyen Truong, Haeung Kang, David Lanning

UROP Posters

Patient-Specific Analysis of Aortic Hemodynamics and Wall Shear Stresses in Patients Undergoing Pediatric Bariatric Surgery using 2D Phase-Contrast MRI

Feranmi Akande¹ Nathan Hargan² Haesung Kang³ David Lanning³ Uyen Truong⁴ João S. Soares¹

¹ Department of Biomedical Engineering, College of Engineering, Virginia Commonwealth University

² Department of Mechanical & Nuclear Engineering, College of Engineering, Virginia Commonwealth University

³ Department of Cardiology, Children’s Hospital of Richmond, Virginia Commonwealth University

Introduction: Severe obesity among today’s youth is a rising epidemic within the United States. Emerging research has linked childhood obesity with shortened life expectancy and early …

School Attendance Information Or Conditional Cash Transfer? Evidence From A Randomized Field Experiment In Rural Bangladesh, Tomoki Fujii, Christine Ho, Rohan Ray, Abu S. Shonchoy

Research Collection School Of Economics

Low school attendance remains an important challenge in resource-poor settings with cash and information constraints. We compare conditional cash transfer (CCT) treatments with framing variations (gain and loss) against attendance information treatment as interventions to address these constraints in a unified framework. Our randomized evaluation shows CCT treatments increase attendance by 11 percentage points, about half of which is attributable to attendance information. These treatments improve girls’ academic aspirations and reduce early marriage. Daily CCT set at a quarter of local child wage maximizes attendance impact. We highlight the importance of low-cost information technology to boost attendance sustainably and cost-effectively.

Agricultural Extension Services And Household Food Security Of Women Rice Farmers In The Ayeyarwady Region Of Myanmar, Yi Mon Thu, Rowena Dt. Baconguis, Myra E. David, Merlyne M. Paunlagui, Pompe C. Sta. Cruz

Journal of Public Affairs and Development

The study aimed to analyze women's households' farming practices towards household food security, particularly in six villages of the Ayeyarwady region. Data were collected from 126 randomized respondents. Findings show that the respondents are respondents who had a mean age of 45 years, married, natives of the study sites, and have attended primary education with an average of four family members. The government is the primary agency that provides training programs, mostly in rice production. They have access to extension worker visitation in which the most common topic discussed is pest management. Less than a fourth of the respondents are …

Sexual Misconduct Against Female Athletes: Knowledge, Training, And Readiness To Act Of Future Sport Leaders, Mackenzie B. Luikart

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study is to understand the comprehensiveness and effectiveness of current education in sport related degree programs and the impact that has on future and current sport leaders to confront and report sexual misconduct in sport.

A total of 15 participants were selected to participate in this study. The participants for this study include current graduate students pursuing degree programs in either coaching studies or sport management, and graduates of these two programs (within the last five years) who are currently in the workforce in their respective fields. Most participants were white, female, and currently served a …

Implementation Of A Preconception Health Counseling Program, Emily J. Stidham

DNP Projects

Approximately 75 million women in the United States are of reproductive age, 15-44 years old. Among this group of childbearing-aged women, hypertension, diabetes, obesity, and other chronic health conditions are contributing to maternal morbidity, mortality, and poor infant outcomes (Raghuraman & Tuuli, 2021). The current unintended pregnancy rate in the United States is 48%, higher than the global rate of 41% (Ramos, 2019). To improve women’s health and perinatal outcomes, a shift in the paradigm of healthcare should focus on preventative care rather than reactive care. Preconception health counseling (PCHC) with the patient is a primary prevention strategy that allows …

Nutrient Function Over Form: Organic And Inorganic Nitrogen Additions Have Similar Effects On Lake Phytoplankton Nutrient Limitation, Sabrina N. Volponi, Heather L. Wander, David C. Richardson, Clayton J. Williams, Denise A. Bruesewitz, Shelley Arnott, Jennifer A. Brentrup, Hailee L. Edwards, Holly Ewing, Kristen Holeck, Lauren Johnson, Brian S. Kim, Ana M. Morales-Williams, Nisha Nadkarni, Beth C. Norman, Lianne Parmalee, Amy Shultis, Adrienne Tracy, Nicole K. Ward, Kathleen C. Weathers, Courtney R. Wigdahl-Perry, Kiyoko Yokota

All Faculty Scholarship

The concentration of dissolved organic nitrogen (DON) is increasing in many northern hemisphere lakes, yet its use by phytoplankton and fate in the environment seldom have been quantified. We conducted 1 week, in situ, microcosm incubations across 25 lakes in northeastern North America to understand how DON, dissolved inorganic nitrogen (DIN), and dissolved inorganic phosphorus (P) affected phytoplankton biomass. In addition, we tested whether lakes were limited by single macronutrients (N or P) or colimited by both. Phytoplankton biomass in 80% of lakes responded similarly to DON and DIN additions. Of the lakes where N form produced differential responses, the …

The Influences Of The Religious Tradition Of Ramadan On Dietary Intake And Body Composition In Adolescent Athletes: An Evidence-To-Practice Review, Regina A. Duncan, Shannon E. Ryan, Erin M. Watlington, Nancy A. Uriegas, Zachary K. Winkelmann

Clinical Practice in Athletic Training

When participating in the religious tradition of Ramadan, the body is subject to changes that adjust an athlete's regimented dietary intake. The guiding systematic review and meta-analysis were conducted to gather the results of the limited research on the effect of Ramadan observance on body mass, body composition, and dietary intake in adolescent athletes. Data were extracted from two different databases, and a search through several journals exploring body mass and/or body composition and/or dietary intake was conducted. The methodological quality of each study was assessed via QualSyst. No significant differences were found when comparing the body mass, body composition, …

Promoting The Positive: A Case Study Of The Influence Of School Climate On One Turnaround School From 2016-2022, Cynthia Gunner

College of Graduate Studies: Theses & Dissertations

Schools across the country are finding various means to address the social realities that often exist in high poverty schools. School climate is one of those social realities. While there is research related to school climate in high poverty schools, there are limited case studies related to this subject. This qualitative case study examined how one elementary school was transformed by creating a positive school climate between 2016-2022. This study also explored the impact that the pandemic and subsequent school lockdown had on the newly established school climate. Findings from this study indicated that PF Elementary School established a positive …

“Bhat Khaiso?”: The Role Of Food In A Bangladeshi Community In The U.S., Jinia Meherin , '23

Senior Theses, Projects, and Awards

No abstract provided.

Healthcare Providers’ Knowledge And Implementation Of Pneumococcal Vaccination Recommendations, Lara Blake, Pam White

MSN Research Projects

Streptococcal pneumoniae is a vaccine preventable disease but remains a leading cause of disease and death in the United States. In 2016, Streptococcal pneumoniae was responsible for 1.2 million deaths in over 195 countries. The illness is attributed to patients having invasive diseases, comorbid diseases, disability and death. The number of adults contracting Streptococcal pneumonia could be lowered dramatically with the use of proper vaccination, which is readily available. In 2022, the Center for Disease Control and the Advisory Committee on Immunization Practices (ACIP) release a new timing schedule and guidelines regarding the vaccination for pneumonia in the adult population. …

Eating Change: A Critical Autoethnography Of Community Gardening And Social Identity, Jessica Gerrior

Antioch University Dissertations & Theses

Community gardening efforts often carry a social purpose, such as building climate resilience, alleviating hunger, or promoting food justice. Meanwhile, the identities and motivations of community gardeners reflect both personal stories and broader social narratives. The involvement of universities in community gardening projects introduces an additional dimension of power and privilege that is underexplored in scholarly literature. This research uses critical autoethnography to explore the relationship of community gardening and social identity. Guided by Chang (2008) and Anderson and Glass-Coffin (2013), a systematic, reflexive process of meaning-making was used to compose three autoethnographic accounts. Each autoethnography draws on the author’s …

Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul

Antioch University Dissertations & Theses

Orthorexia, a pathological fixation with healthy eating, has recently emerged as a construct of interest in the field of clinical psychology. Despite its growing recognition, the origin of this construct remains unclear. This dissertation aims to contribute to the understanding of orthorexia by examining its emergence and contextual factors through a constructivist lens. The study found that the cultural, economic, and moralistic landscape of healthism and social medially have played a role in the development of orthorexia. The dominant clinical perspective of orthorexia was also deconstructed, revealing potential biases that may lead to pathologizing the experiences of those who demonstrate …

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 Student 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 …

Dietary Behaviours During Covid-19 Among Households At Risk For Food Insecurity, Maha Almohamad, Allison Marshall, Jayna Markand Dave, Ru-Jye Chuang, Christine Markham, Shreela Sharma

Faculty, Staff and Student Publications

The objective of the present study was to examine associations between variables of COVID-19-related concerns and changes in fruit and vegetable (FV) consumption among a sample of participants from the Brighter Bites program at risk for food insecurity. Cross-sectional data were collected during April-June 2020 using a rapid-response survey to understand social needs, COVID-19-related concerns and diet-related behaviours among families with children participating in Brighter Bites (

Researcher Views On Changes In Personality, Mood, And Behavior In Next-Generation Deep Brain Stimulation, Peter Zuk, Clarissa E Sanchez, Kristin Kostick-Quenet, Katrina A Muñoz, Lavina Kalwani, Richa Lavingia, Laura Torgerson, Demetrio Sierra-Mercado, Jill O Robinson, Stacey Pereira, Simon Outram, Barbara A Koenig, Amy L Mcguire, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

The literature on deep brain stimulation (DBS) and adaptive DBS (aDBS) raises concerns that these technologies may affect personality, mood, and behavior. We conducted semi-structured interviews with researchers (