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Factors Associated With Poor Glycaemic Control Among Patients With Type 2 Diabetes Mellitus At Gatundu Level 5 Hospital, Kiambu County, Kenya, Carolyne Wangare Ndungu

MSc in Advanced Practice Nursing

Background: Diabetes Mellitus poses a significant global public health concern, marked by a surge in morbidity and mortality rates. Its incidence and prevalence have witnessed a consistent rise over recent decades, with a projected rise. Occurrence of complications is primarily attributed to Poor Glycemic Control, which is attributed diabetes related complications, among them retinopathy, atherosclerosis, renal complications, amputations, as well as life threatening conditions; Diabetes Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State(HHS).

Purpose: This study sought to identify the proportion as well as factors linked to poor glycemic control among Type 2 Diabetes Mellitus patients at Gatundu Level Five in Kiambu …

Storage Stability Of Chocolate Can Be Enhanced Using Locust Protein-Based Film Incorporated With E. Purpurea Flower Extract-Based Nanoparticles, Shubam Singh, Hina F. Bhat, Sunil Kumar, Rana Muhammad Aadil, Maneesha S. Mohan, Charalampos Proestos, Zuhaib F. Bhat

Dairy Science and Food Science Faculty Publications: 2022 to Present

The study aimed to develop a locust protein (Loct-Prot)-based film to enhance the lipid oxidative and storage stability of chocolate. The E. purpurea flower extract based-nanoparticles (EFNPs) were developed using ultra- sonication (500 W and 20 kHz for 10 min) following a green method of synthesis. The EFPNs were incorporated at different levels [T0 (0%), T1 (1.0%), T2 (1.5%), and T3 (2.0%)] to impart bioactive properties to the Loct-Prot- based films which were used for packaging of white chocolate during 90 days trial. The addition of EFPNs increased (P < 0.05) the density of the Loct-Prot-based film which in turn decreased (P < 0.05) the transmittance (%) and WVTR (water vapour transmission rate, mg/mt2) with increasing levels of addition. While brightness (L*) showed a decrease, redness (a*) and yellowness (b*) increased with increasing concentration of EFPNs. No significant (P > 0.05) effect was recorded on other physicomechanical parameters of the film. …

Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand

Dairy Science and Food Science Faculty Publications: 2022 to Present

This review focuses on the potential opportunities to incorporate functional ingredients like probiotics in the dairy fat-rich matrix to develop functional foods. Many dietary guidelines and the relevant literature have in general indicated many benefits of consuming milk-fat-rich products for the human body. Milk fat contains essential nutrients, including fat-soluble vitamins; short-, medium-, and long-chain with odd and branched chain fatty acids; essential amino acids; and calcium, which are all known for their bioactive properties. In addition, the incorporation of probiotics, which are known for their bioactive properties, could further enhance the products’ attributes. However, direct probiotic addition is known …

A Phenomenological Exploration Of Women’S Lived Experiences During Their Pregnancy Lifecycle, Ashley J. Blount, Charmayne R. Adams, Kara M. Schneider, Gurudutt Pendyala, Ann L. Anderson-Berry, Corrine Hanson

Office of Health Promotion Scholarship

When considering peri-and-post natal health, there are several biopsychosocial risk factors at play. Biological, psychological, and social health factors are significant in contributing to maternal wellbeing and influencing maternal morbidity/mortality [1]. The Covid-19 pandemic had significant impacts on general populations and on vulnerable groups such as pre-peri-and-post natal women [2]. In previous epidemics, pregnant women were reluctant to attend hospitals and doctors’ appointments due to fear of infection [3]. Covid-19 has shown similar effects [2] and as such, risks associated with the pregnancy lifecycle have increased. A phenomenological investigation found themes of women experiencing negative healthcare, struggles with self-advocacy, heightened …

Clinical Practice Patterns Of Speech-Language Pathologists For Screening And Identifying Dysphagia, Matthew Dumican, Zoë Thijs Ph.D., Kaitlynn Harper

Communication Sciences and Disorders: Faculty Publications

Purpose: To identify how speech-language pathologists (SLPs) in the UnitedStates are screening for and identifying dysphagia. To do this, we examined theapproaches most often used to screen for dysphagia and the influence of contex-tual factors such as setting, continuing education and means of staying up to datewith the most current literature on screening approaches.Method: A web-based survey composed of 32 questions was developed andfield tested for content, relevance and workflow. The survey was distributedonline, via social media, online SLP forums and through the American Speech-Language-Hearing Association’s Special Interest Group 13 (swallowing disor-ders). One hundred and thirty-seven clinicians from the United …

Association Of Elevated Serum Aldosterone Concentrations In Pregnancy With Hypertension, Robin C. Shoemaker, Marko Poglitsch, Dolph Lewis Davis Iii, Hong Huang, Aric Schadler, Neil Patel, Katherine Vignes, Aarthi Srinivasan, Cynthia Cockerham-Morris, John Anthony Bauer, John M. O’Brien

UK CARES Faculty Publications

Emerging evidence indicates a previously unrecognized, clinically relevant spectrum of abnormal aldosterone secretion associated with hypertension severity. It is not known whether excess aldosterone secretion contributes to hypertension during pregnancy. We quantified aldosterone concentrations and angiotensin peptides in serum (using liquid chromatography with tandem mass spectrometry) in a cohort of 128 pregnant women recruited from a high-risk obstetrics clinic and followed prospectively for the development of gestational hypertension, pre-eclampsia, superimposed pre-eclampsia, chronic hypertension, or remaining normotensive. The cohort was grouped by quartile of aldosterone concentration in serum measured in the first trimester, and blood pressure, angiotensin peptides, and hypertension outcomes …

Nursing News & Views - November 2023, Joanne Miller Rn

Nursing Newsletters

No abstract provided.

2023 - The Fourth Annual Fall Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Fall 2023 Symposium of Student Scholars, held in November 2023. Includes abstracts from the presentations and posters.

Advancing Equity And Congestion Relief: An Investigation Of On-Demand Shared Rides For Underserved Populations, Ipek Nese Sener, Austin Sibu, Audrey Cabay

Research Reports

Transportation network companies (TNCs) and microtransit are changing the way people travel by providing dynamic, on-demand mobility that can supplement public transit and personal vehicle use. However, heavy use of such motorized vehicles among all sociodemographic populations could contribute to increased vehicle miles traveled, congestion, and/or greenhouse gas emissions. To balance the objectives of increasing mobility and access for underserved communities while simultaneously mitigating the potential adverse impacts of increased motor vehicle use, well-designed policy strategies, such as pooling and first-mile/last-mile linkages, are needed. In this study, we applied a mixed-method approach to examine on-demand transportation services for underserved populations …

Impact Of Transglutaminase Treated Micellar Casein Concentrate And Milk Protein Concentrate On The Functionality Of Processed Cheese Product Slice Formulations, Prafulla Salunke, Lloyd E. Metzger

Dairy Science and Food Science Faculty Publications: 2022 to Present

Milk protein concentrate (MPC) is used as an ingredient in processed cheese product (PCP) formulations. However, its use can result in texture defects such as a soft body and restricted melting characteristics. The use of micellar casein concentrate (MCC), which has a higher level of casein and less serum protein, improves the texture of PCP. Further improvement in PCP products may be possible using transglutaminase (TGase), an enzyme that can crosslink proteins. This study aimed to determine the effect of TGase treatment of MPC and MCC retentates on the functionality of MPC and MCC when used in a PCP slice …

Incorporation Of Probiotics And Other Functional Ingredients In Dairy Fat-Rich Products: Benefits, Challenges, And Opportunities, Kritika Gaba, Sanjeev Anand

Dairy Science and Food Science Faculty Publications: 2022 to Present

This review focuses on the potential opportunities to incorporate functional ingredients like probiotics in the dairy fat-rich matrix to develop functional foods. Many dietary guidelines and the relevant literature have in general indicated many benefits of consuming milk-fat-rich products for the human body. Milk fat contains essential nutrients, including fat-soluble vitamins; short-, medium-, and long-chain with odd and branched chain fatty acids; essential amino acids; and calcium, which are all known for their bioactive properties. In addition, the incorporation of probiotics, which are known for their bioactive properties, could further enhance the products’ attributes. However, direct probiotic addition is known …

Increasing The Acceptance Of Cultivated Meat, Mark Chong

Asian Management Insights

Factors to consider when designing communication strategies for diverse nations.

Grazing Stubbles And Dry Pasture, Department Of Primary Industries And Regional Development, Western Australia

Animal production and livestock factsheets

Dry pastures in Western Australia provide good early feed after senescence but rapidly become unable to maintain stock. Stubbles are the major feed source for sheep during the summer-autumn period.

While there is often up to three tonnes of dry plant material per hectare available, sheep grazing stubbles eat only about 6% of it. With increased harvesting efficiency and better weed control, stubble paddocks now generally contain less grain and fewer weeds than in the past.

Biological And Environmental Factors May Affect Children’S Executive Function Through Motor And Sensorimotor Development: Preterm Birth And Cerebral Palsy, Iryna Babik, Andrea B. Cunha, Sudha Srinivasan

Psychological Sciences Faculty Publications and Presentations

Disruptive biological and environmental factors may undermine the development of children’s motor and sensorimotor skills. Since the development of cognitive skills, including executive function, is grounded in early motor and sensorimotor experiences, early delays or impairments in motor and sensorimotor processing often trigger dynamic developmental cascades that lead to suboptimal executive function outcomes. The purpose of this perspective paper is to link early differences in motor/sensorimotor processing to the development of executive function in children born preterm or with cerebral palsy. Uncovering such links in clinical populations would improve our understanding of developmental pathways and key motor and sensorimotor skills …

Uab Nurse-Family Partnership Awarded $8.8 Million To Increase Maternity Care Access In Alabama, Staff

Browse All News

No abstract provided.

The Evaluation Of Calsporin And Imw50 On Production Performance, Microbial Population, And Immune Function Of The Laying Hen, Kayla N. Kleist

Master's Theses

The use of antibiotics as growth promotors in the food animal industry has led to the generation of antibiotic resistant microorganisms, which are a major health risk to humans. Therefore, bans and limitations, including the FDA’s veterinary feed directive, have been placed on the use of antibiotics as growth promotors, and there has been a push to find an adequate alternative. In the laying hen, probiotics and/or prebiotics have shown promise as they help promote the colonization of beneficial bacteria in the GI tract of the host, increase feed efficiency, increase egg production, and provide protection against pathogenic bacteria.

In …

Emulating Evolutionary Principles For Agriculture: Designing A Biomimetic Vertical Garden By Mimicking Tracheophyte Evolution, Earl M. Riddell

Honors Theses

Biodiversity, particularly in the world’s equatorial regions, is under threat from human industry. Among the most daunting problems facing these biomes is that of the food industry’s continual expansion into what was once rainforest. Expansive monoculture (large cultivated swaths of a single crop species) are the primary threat to tropical biodiversity. This method of agriculture is harmful because it requires the clearing of land that once supported thousands of species in order to replace it with rows of a single crop. If more plants could be grown in a smaller horizontal square footage, farms need not rely so heavily on …

Sarcopenia Is Associated With Osteopenia And Impaired Quality Of Life In Children With Genetic Intrahepatic Cholestatic Liver Disease, Julia Boster, Nathan P. Goodrich, Cathie Spino, Kathleen M. Loomes, Estella M. Alonso, Binita M. Kamath, Ronald J. Sokol, Saul J. Karpen, Alexander Miethke, Benjamin L. Shneider, Jean P. Molleston, Rohit Kohli, Simon P. Horslen, Philip Rosenthal, Pamela L. Valentino, Jeffrey Teckman, Thomas N. Hangartner, Sundaram Shikha

Biomedical, Industrial & Human Factors Engineering Faculty Publications

Background:
Sarcopenia occurs in pediatric chronic liver disease, although the prevalence and contributing factors in genetic intrahepatic cholestasis are not well-described. The objective of this study was to measure muscle mass in school-aged children with genetic intrahepatic cholestasis and assess relationships between sarcopenia, clinical variables, and outcomes.

Methods:
Estimated skeletal muscle mass (eSMM) was calculated on dual-energy x-ray absorptiometry obtained in a Childhood Liver Disease Research Network study of children with bile acid synthesis disorders(BASD) alpha-1 antitrypsin deficiency (a1ATd), chronic intrahepatic cholestasis (CIC), and Alagille syndrome (ALGS). Relationships between eSMM, liver disease, and transplant-free survival were assessed.

Results:
eSMM was …

Effects Of Ingested Essential Oils And Propolis Extracts On Honey Bee (Hymenoptera: Apidae) Health And Gut Microbiota, Allyson Martin Ewert, Michael Simone-Finstrom, Quentin Read, Claudia Husseneder, Vincent Ricigliano

Faculty Publications

Managed honey bee (Hymenoptera: Apidae: Apis mellifera Linnaeus) hives require frequent human inputs to maintain colony health and productivity. A variety of plant natural products (PNPs) are delivered via feeding to control diseases and reduce the use of synthetic chemical treatments. However, despite their prevalent use in beekeeping, there is limited information regarding the impact of ingested PNPs on bee health. Here, we tested the effects of different essential oils and propolis extracts on honey bee life span, nutrient assimilation, xenobiotic detoxification, and gut microbiota abundance. Brazilian propolis extract lengthened worker life span, while the other PNPs (Louisiana propolis extract, …

Weight And Protozoa Number But Not Bacteria Diversity Are Associated With Successful Pair Formation Of Dealates In The Formosan Subterranean Termite, Coptotermes Formosanus, Junyan Chen, Garima Setia, Li Hsiang Lin, Qian Sun, Claudia Husseneder

Faculty Publications

New colonies of Formosan subterranean termites are founded by monogamous pairs. During swarming season, alates (winged reproductives) leave their parental colony. After swarming, they drop to the ground, shed their wings, and male and female dealates find suitable nesting sites where they mate and become kings and queens of new colonies. The first generation of offspring is entirely dependent on the nutritional resources of the founder pair consisting of the fat and protein reserves of the dealates and their microbiota, which include the cellulose-digesting protozoa and diverse bacteria. Since termite kings and queens can live for decades, mate for life …

Validity Of An Artificial Intelligence-Based Application To Identify Foods And Estimate Energy Intake Among Adults: A Pilot Study, Chloe P. Lozano, Emma N. Canty, Sanjoy Saha, Stephanie T. Broyles, Robbie A. Beyl, John W. Apolzan, Corby K. Martin

Clinical Research Faculty Publications

Background: The commercial application Openfit allows for automatic identification and quantification of food intake through short video capture without a physical reference marker. There are no known peer-reviewed publications on the validity of this Nutrition Artificial Intelligence (AI). Objectives: To test the validity of Openfit to identify food automatically and semiautomatically (with user correction), test the validity of Openfit at quantifying energy intake (kcal) automatically and semiautomatically, and assess satisfaction and usability of Openfit. Methods: During a laboratory-based visit, adults (7 male and 17 female), used Openfit to automatically and semiautomatically record provided meals, which were covertly weighed. Foods logged …

Low Movement, Deep-Learned Sitting Patterns, And Sedentary Behavior In The International Study Of Childhood Obesity, Lifestyle And The Environment (Iscole), Paul R. Hibbing, Jordan A. Carlson, Chelsea Steel, Mikael Anne Greenwood-Hickman, Supun Nakandala, Marta M. Jankowska, John Bellettiere, Jingjing Zou, Andrea Z. Lacroix, Arun Kumar, Peter T. Katzmarzyk, Loki Natarajan

Population and Public Health Science Faculty Publications

Background/Objectives: Sedentary behavior (SB) has both movement and postural components, but most SB research has only assessed low movement, especially in children. The purpose of this study was to compare estimates and health associations of SB when derived from a standard accelerometer cut-point, a novel sitting detection technique (CNN Hip Accelerometer Posture for Children; CHAP-Child), and both combined. Methods: Data were from the International Study of Childhood Obesity, Lifestyle, and the Environment (ISCOLE). Participants were 6103 children (mean ± SD age 10.4 ± 0.56 years) from 12 countries who wore an ActiGraph GT3X+ accelerometer on the right hip for approximately …

Bariatric Surgery Alters Mitochondrial Function In Gut Mucosa, Robert C. Ross, Elizabeth C. Heintz, Elizabeth R.M. Zunica, R. Leigh Townsend, Amanda E. Spence, Philip R. Schauer, John P. Kirwan, Christopher L. Axelrod, Vance L. Albaugh

Division of Basic Science Faculty Publications

Background: The obesity pandemic has worsened global disease burden, including type 2 diabetes, cardiovascular disease, and cancer. Metabolic/bariatric surgery (MBS) is the most effective and durable obesity treatment, but the mechanisms underlying its long-term weight loss efficacy remain unclear. MBS drives substrate oxidation that has been linked to improvements in metabolic function and improved glycemic control that are potentially mediated by mitochondria—a primary site of energy production. As such, augmentation of intestinal mitochondrial function may drive processes underlying the systemic metabolic benefits of MBS. Herein, we applied a highly sensitive technique to evaluate intestinal mitochondrial function ex vivo in a …

Access, Interest, And Barriers To Incorporation Of Birth Doula Care In The United States, Amanda W. Mitchell, Joshua R. Sparks, Robbie A. Beyl, Abby D. Altazan, S. Ariel Barlow, Leanne M. Redman

Clinical Research Faculty Publications

Doula care improves maternal care, yet barriers exist to incorporating doula care. The purpose of this study was to evaluate interest and barriers to doula care. Overall, 508 women, 26–35 years of age (54.5%), White/Caucasian (89.8%), and married (88.6%), completed this study. Most reported ≥1 previous birth (97.6%). Respondents would “feel comfortable” (73.2%) and “more confident” (54.9%) with doula care at birth, and 57.9% reported their provider would be supportive of doula care. Only 39.0% expressed benefits to doula care during pregnancy compared to 72.6% at birth and 68.1% during postpartum. Most would hire a doula if health insurance covered …

Erratum To ‘P23-075-23 Development & Validating Of A Food Literacy Behavior Questionnaire For Adults With Type 2 Diabetes Mellitus’ [Current Developments In Nutrition 7s1 (2023) 100184] (Current Developments In Nutrition (2023) 7(S1), (S2475299123249094), (10.1016/J.Cdnut.2023.100184)), Sarah Ludwig, Melissa Cater, Georgianna Tuuri

Faculty Publications

The American Society of Nutrition regrets that the author order of this abstract is incorrect. The author order is currently listed as: Georgianna Tuuri, Melissa Cater, Sarah Ludwig The author order should be: Sarah Ludwig, Melissa Cater, Georgianna Tuuri The Society would like to apologise for any inconvenience caused.

Responses Of Phytoplankton Communities To The Effect Of Both River Plume And Coastal Upwelling, Zhuyin Tong, Lingqi Ma, Shujie Cai, Lei Wang, Wupeng Xiao, Bangqin Huang, Edward A. Laws

Faculty Publications

River plumes and coastal upwelling systems are both nutrient-abundant habitats compared to the open ocean, and the mechanisms that structure the phytoplankton community when these occur together are unclear. In this study we investigated the dynamics and drivers of phytoplankton biomass and community composition in the Pearl River plume-coastal upwelling system on the northern South China Sea shelf during summer. We found that phytoplankton biomass was lower in the plume than in upwelled water. Diatoms were the only dominant group in the upwelled water. In contrast, diatoms and Synechococcus were co-dominant in the plume, and the negative correlation between the …

Influences Of Yogurt With Functional Ingredients From Various Sources That Help Treat Leaky Gut On Intestinal Barrier Dysfunction In Caco-2 Cells, Ricardo S. Aleman, Ryan Page, Roberto Cedillos, Ismael Montero-Fernández, Jhunior Abraham Marcia Fuentes, Douglas W. Olson, Kayanush Aryana

Faculty Publications

The impact of yogurts made with starter culture bacteria (L. bulgaricus and S. thermophilus) and supplemented with ingredients (maitake mushrooms, quercetin, L-glutamine, slippery elm bark, licorice root, N-acetyl-D-glucosamine, zinc orotate, and marshmallow root) that can help treat leaky gut were investigated using the Caco-2 cell monolayer as a measure of intestinal barrier dysfunction. Milk from the same source was equally dispersed into nine pails, and the eight ingredients were randomly allocated to the eight pails. The control had no ingredients. The Caco-2 cells were treated with isoflavone genistein (negative control) and growth media (positive control). Inflammation was stimulated using an …

World Allergy Organization (Wao) Diagnosis And Rationale For Action Against Cow's Milk Allergy (Dracma) Guidelines Update – X – Breastfeeding A Baby With Cow's Milk Allergy, Vicki Mcwilliam, Merryn Netting, Evelyn Volders, Debra Palmer, Ignacio Ansotegui, Stefania Arasi, Amal H. Assa'ad, Sami L. Bahna, Antonio Bognanni, Rose Kamenwa

Paediatrics and Child Health, East Africa

Cow’s milk allergy is rare in exclusively breastfed infants. To support the continuation of breastfeeding an infant after diagnosis with a cow’s milk allergy, it is critical to examine the evidence for and against any form of cow’s milk elimination diet for lactating mothers. In this narrative review, we highlight the lack of high-quality evidence, hence subsequent controversy, regarding whether the minuscule quantities of cow’s milk proteins detectable in human milk cause infant cow’s milk allergy symptoms. Current clinical practice recommendations advise a 2–4 week trial of maternal cow’s milk dietary elimination for: a) IgE-mediated cow’s milk allergy only if …

Prevalence And Factors Associated With Stillbirths Among Women Giving Birth In Four Hospitals Of Eswatini- A Multi-Centre Study, Phetsile Nolungelo Thwala

MSc in Advanced Practice Midwifery

Background: Stillbirth, a component of perinatal mortality, remains a global burden, with approximately 2 million occurring annually worldwide and mostly in low- and middle-income countries (LMICs). There is a dearth of studies on stillbirth in some Low-middle income countries, such as Eswatini. The purpose of this study was to assess the prevalence and associated factors for stillbirths among women giving birth in four selected hospitals in Eswatini.

Methods: A quantitative unmatched case-control study was conducted using records of stillbirths (cases) and live births (controls) from July 1 to December 31, 2021. Consecutive sampling and systematic random sampling were …

Effect Of Sampling Method On Detection Of The Equine Uterine Microbiome During Estrus, B. A. Heil, M. Van Heule, S. K. Thompson, T. A. Kearns, E. L. Oberhaus, G. King, P. Daels, P. Dini, J. L. Sones

Faculty Publications

Bacterial endometritis is among the most common causes of subfertility in mares. It has a major economic impact on the equine breeding industry. The sensitivity of detecting uterine microbes using culture-based methods, irrespective of the sample collection method, double-guarded endometrial swab, endometrial biopsy, or uterine low-volume lavage (LVL), is low. Therefore, equine bacterial endometritis often goes undiagnosed. Sixteen individual mares were enrolled, and an endometrial sample was obtained using each method from all mares. After trimming, quality control and decontamination, 3824 amplicon sequence variants were detected in the dataset. We found using 16S rRNA sequencing that the equine uterus harbors …