Digital Commons Network^™

Reducing Hospital-Acquired Pressure Injury In An Inpatient Medical-Surgical Telemetry Adult Unit By Educating And Encouraging Basic Wound Care Prior To Wound Care Consult, See Wai (Amy) Kong

Master's Projects and Capstones

Problem: A medical center in the Diablo Service Area had one of the highest rates in hospital-acquired pressure injury (HAPI), benchmarking with other facilities, with the project unit one of the top offenders. The patients and the medical center both suffered from the harm. Barriers to HAPI prevention included lack of patient turnings, skin assessment, and early standard wound care treatment.

Context: This project focused on the primary care team standardizing early wound care treatment to avoid wound progression.

Interventions: Interventions included re-educating the primary care team on early basic wound care using a standard wound care guideline created by …

Enhancing Diabetic Patient Continuous Glucose Monitoring Access, Colleen Ildefonso

Master's Projects and Capstones

Problem: Diabetic patients utilize treatments that require frequent monitoring and medication changes based on their blood sugar results. Continuous Glucose Monitoring (CGM) is more commonly used for diabetes management as time in range is becoming more prevalent to measure diabetes outcomes. Many diabetic patients find CGM use more accessible than finger sticks and glucometers. In contrast, others utilize the technology to closely monitor their blood sugars for interventions throughout the day. However, older adults have difficulty facilitating new CGM technology and may require further reinforcement using additional education methods such as teach-back.

Context: The endocrinology clinic serves a patient population, …

Engaging With ‘Less Affluent’ Communities For Food System Transformation: A Community Food Researcher Model (Foodsequal Project), C. Pettinger, L. Hunt, H. Gardiner, P. Garg, L. Howard, C. Wagstaff

School of Health Professions

The UK food system is distorted by inequalities in access, failing the people most in need, yet it should provide access to safe, nutritious affordable food for all citizens. Dietary patterns are associated with sociodemographic characteristics, with high levels of diet-related disease mortality attributed to poor dietary habits. Disadvantaged UK communities face urgent public health challenges, yet area often treated as powerless recipients of dietary and health initiatives. The need for food system transformation has been illustrated within recent UK government policy drivers and research funding. The Food Systems Equality project1 is a research consortium that aims to ‘co-produce healthy …

End Of Life In The Ed – Brain Death And Organ Transplantation, Madison Cohen, Donald Penney

The Journal of Integrated Primary Care

Every year thousands of Americans die awaiting an organ transplant. While our knowledge and experience with organ transplantation has only improved, organ availability continues to be a major issue due to a lack of suitable donor organs. A large population of organ donors are those who have been clinically diagnosed as brain dead. Brain death is defined as the irreversible loss of all brain and brainstem functions. Despite brainstem functions being lost, mechanical ventilation and perfusion techniques allow for proper organ maintenance. This gives brain-dead individuals a unique opportunity to serve as multiple organ donors. However, due to mistrust of …

Foreign Cuisine: Invasive Plants And Native Birds, Derek Lovitch

Bird Observer

No abstract provided.

Observations On The Feeding Behavior Of Bohemian Waxwings, Jim Berry

Bird Observer

No abstract provided.

The Purple Martins Of Plum Island, Sue Mcgrath, Alison O’Hare

Bird Observer

No abstract provided.

About Books: Dirty, Disgusting, Filthy, Lice-Ridden Boids, Mark Lynch

Bird Observer

No abstract provided.

Issue 433: December 14, 2023-January 11, 2024, The Local Voice

The Local Voice

No abstract provided.

Exploring The Microbial Diversity And Characterization Of Cellulase And Hemicellulase Genes In Goat Rumen: A Metagenomic Approach, Santosh Thapa, Suping Zhou, Joshua O’Hair, Kamal Al Nasr, Alexander Ropelewski, Hui Li

Agricultural and Environmental Sciences Faculty Research

Background

Goat rumen microbial communities are perceived as one of the most potential biochemical reservoirs of multi-functional enzymes, which are applicable to enhance wide array of bioprocesses such as the hydrolysis of cellulose and hemi-cellulose into fermentable sugar for biofuel and other value-added biochemical production. Even though, the limited understanding of rumen microbial genetic diversity and the absence of effective screening culture methods have impeded the full utilization of these potential enzymes. In this study, we applied culture independent metagenomics sequencing approach to isolate, and identify microbial communities in goat rumen, meanwhile, clone and functionally characterize novel cellulase and xylanase …

4 Chosen As Uab Vips For Fourth-Quarter 2023, Staff

Browse All News

No abstract provided.

Winter Commencement: December 14-15, 2023, University Of North Dakota

UND Commencement Programs

UND Winter Commencement program from December 14 and 15, 2023.

Understanding And Combating The Spread Of Antibiotic-Resistant Organisms, Bejan Mahmud

Arts & Sciences Graduate Student Theses and Dissertations

The introduction of antibiotics in the 20th century stands as one of our greatest scientific achievements, profoundly transforming human health and global well-being. Over the past century, antibiotics have ensured that infectious diseases are no longer the most common causes of death worldwide. In further enabling a vast array of invasive medical procedures (e.g., surgeries, organ transplants), antibiotics have effectively added decades to the average human lifespan. In agriculture, antibiotics have been heavily relied upon to meet the nutritional demands of the growing human population. Thus, ever since the introduction of penicillin, antibiotics have been the “miracle drugs” they were …

Body Positivity: A School Counseling Group For Adolescents, Zoe Justine Hess

Dissertations, Theses, and Projects

An eating disorder is a mental illness characterized by severe, unhealthy changes in appetite and dysphoric body image. One main indicator that an eating disorder is likely to occur is the person having a perfectionistic personality type. Another major factor is having an intense consciousness of body image, often with this being very skewed and negative. Both, when brought to extremes, have dangerous consequences for the person’s mental and physical health. Eating disorders typically first appear in adolescence or young adulthood, most markedly for females; thus, it is pertinent that school counselors are aware of the signs of an eating …

Embracing The Flow: The Right To Menstrual Health As A Response To Climate Change Impacts In South Asia, Lea Kuhlmann

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

Review: The Harvesting Process And Recent Advances On Health Benefits Of White Tea, Adhi Irianto Mastur, Agung Karuniawan, Ernah

Jurnal Kultivasi

The meticulous harvesting process and appropriate post-harvest techniques play pivotal roles in preserving the quality and health benefits of white tea. This careful approach maintains the bioactive compounds such as polyphenols, caffeine, gallic acid, Epigallocationchin (EGC), Epigallocationchin gallate (EGCG), and Epicatechin gallate (ECG), integral to white tea's health benefits. The stability of catechin content in tea plants is greatly influenced by the environment (clone, plant age, leaf age, altitude, temperature, humidity, processing, and pH when storing dry tea). In Indonesia, the raw materials used to produce white tea are mostly pecco from the superior GMB clone Assamica variety which has …

A Comprehensive Program Evaluation Of Colorectal Rescreening Initiatives In Rural Virginia, Sarah E. Stowell

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Background: Despite low-cost and effective screening tools, colorectal cancer (CRC) mortality remains high in the U.S., particularly in rural areas like Virginia’s Northern Shenandoah Valley, where screening rates are low. While literature highlights barriers to CRC screening in these communities and suggests improvement strategies, few studies focus on long-term adherence to screening in rural health clinics (RHCs).

Purpose: This program evaluation assessed the impact and effectiveness of the Rural Colorectal Cancer Rescreening Initiative (RCRI), a pilot program to increase colorectal cancer rescreening rates in a local RHC. It also offers recommendations for optimizing future RCRI efforts. Methods: The program evaluation …

Shallot Cultivation Originated From True Shallot Seed (Tss) On Andisols Enriched With Various Ameliorants, Fahmi Aprianto, Mahfud Arifin, Emma Trinurani Sofyan

Jurnal Kultivasi

Application of soil ameliorants is important to improve Andisols properties and increase shallot productivity. The research objective is to determine the kind of ameliorant which the best effect on the growth and productivity of shallots originating from TSS in Andisols Lembang, West Java. The experiment was conducted in Margahayu Research Station, Lembang, West Java from January to May 2021. A randomized block design (RBD) with 6 treatments and 5 replications was set up in the field. Treatments include control (no ameliorant), 20 tons/ha of horse manure, 10 tons/ha of rice straw compost, 10 tons/ha of bamboo leaf compost, 10 tons/ha …

Genotype, Oxidase Status, And Preceding Infection Or Autoinflammation Do Not Affect Allogeneic Hct Outcomes For Cgd, Jennifer W Leiding, Danielle E Arnold, Suhag Parikh, Brent Logan, Rebecca A Marsh, Linda M Griffith, Ruizhe Wu, Sharon Kidd, Kanwaldeep Mallhi, Deepak Chellapandian, Stephanie J Si Lim, Eyal Grunebaum, E Liana Falcone, Luis Murguia-Favela, Debbi Grossman, Vinod K Prasad, Jennifer R Heimall, Fabien Touzot, Lauri M Burroughs, Jack Bleesing, Neena Kapoor, Jasmeen Dara, Olatundun Williams, Malika Kapadia, Benjamin R Oshrine, Jeffrey J Bednarski, Ahmad Rayes, Hey Chong, Geoffrey D E Cuvelier, Lisa R Forbes Satter, Caridad Martinez, Mark T Vander Lugt, Lolie C Yu, Shanmuganathan Chandrakasan, Avni Joshi, Susan E Prockop, Blachy J Dávila Saldaña, Victor Aquino, Larisa A Broglie, Christen L Ebens, Lisa M Madden, Kenneth Desantes, Jordan Milner, Hemalatha G Rangarajan, Ami J Shah, Alfred P Gillio, Alan P Knutsen, Holly K Miller, Theodore B Moore, Pamela Graham, Andrea Bauchat, Nancy J Bunin, Pierre Teira, Aleksandra Petrovic, Sharat Chandra, Hisham Abdel-Azim, Morna J Dorsey, Olga Birbrayer, Morton J Cowan, Christopher C Dvorak, Elie Haddad, Donald B Kohn, Luigi D Notarangelo, Sung-Yun Pai, Jennifer M Puck, Michael A Pulsipher, Troy R Torgerson, Harry L Malech, Elizabeth M Kang

Faculty, Staff and Students Publications

Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by life-threatening infections and inflammatory conditions. Hematopoietic cell transplantation (HCT) is the definitive treatment for CGD, but questions remain regarding patient selection and impact of active disease on transplant outcomes. We performed a multi-institutional retrospective and prospective study of 391 patients with CGD treated either conventionally (non-HCT) enrolled from 2004 to 2018 or with HCT from 1996 to 2018. Median follow-up after HCT was 3.7 years with a 3-year overall survival of 82% and event-free survival of 69%. In a multivariate analysis, a Lansky/Karnofsky score < 90 and use of HLA-mismatched donors negatively affected survival. Age, genotype, and oxidase status did not affect outcomes. Before HCT, patients had higher infection density, higher frequency of noninfectious lung and liver diseases, and more steroid use than conventionally treated patients; however, these issues did not adversely affect HCT survival. Presence of pre-HCT inflammatory conditions was associated with chronic graft-versus-host disease. Graft failure or receipt of a second HCT occurred in 17.6% of the patients and was associated with melphalan-based conditioning and/or early mixed chimerism. At 3 to 5 years after HCT, patients had improved growth and nutrition, resolved infections and inflammatory disease, and lower rates of antimicrobial prophylaxis or corticosteroid use compared with both their baseline and those of conventionally treated patients. HCT leads to durable resolution of CGD symptoms and lowers the burden of the disease. Patients with active infection or inflammation are candidates for transplants; HCT should be considered before the development of comorbidities that could affect performance status. This trial was registered at www.clinicaltrials.gov as #NCT02082353.

Frailty In End-Stage Liver Disease: Understanding Pathophysiology, Tools For Assessment, And Strategies For Management, Mazen Elsheikh, Ahmed El Sabagh, Islam B Mohamed, Megha Bhongade, Manal M Hassan, Prasun Kumar Jalal

Faculty, Staff and Students Publications

Frailty and sarcopenia are frequently observed in patients with end-stage liver disease. Frailty is a complex condition that arises from deteriorations across various physiological systems, including the musculoskeletal, cardiovascular, and immune systems, resulting in a reduced ability of the body to withstand stressors. This condition is associated with declined resilience and increased vulnerability to negative outcomes, including disability, hospitalization, and mortality. In cirrhotic patients, frailty is influenced by multiple factors, such as hyperammonemia, hormonal imbalance, malnutrition, ascites, hepatic encephalopathy, and alcohol intake. Assessing frailty is crucial in predicting morbidity and mortality in cirrhotic patients. It can aid in making critical …

Designing For Dissemination Among Public Health And Clinical Practitioners In The Usa, Thembekile Shato, Maura M Kepper, Gabriella M Mcloughlin, Rachel G Tabak, Russell E Glasgow, Ross C Brownson

2020-Current year OA Pubs

INTRODUCTION: The slow adoption of evidence-based interventions reflects gaps in effective dissemination of research evidence. Existing studies examining designing for dissemination (D4D), a process that ensures interventions and implementation strategies consider adopters' contexts, have focused primarily on researchers, with limited perspectives of practitioners. To address these gaps, this study examined D4D practice among public health and clinical practitioners in the USA.

METHODS: We conducted a cross-sectional study among public health and primary care practitioners in April to June 2022 (analyzed in July 2022 to December 2022). Both groups were recruited through national-level rosters. The survey was informed by previous D4D …

Effect Of Different Levels Of Postbiotic And Phytobiotic Combination On Growth Performance, Economic Production, And Immune Response Of Broiler Chickens, Jamil Mobarak Mahmoud Doski, Karwan Yaseen Kareem

Polytechnic Journal

A total of two hundred and eighty eight day old unsexed chicks from a Ross 308 cross were randomly assigned to eight treatment and four replicates and each replicator had twelve birds. The experimental groups includes, N-control= negative control (basal diet), P-control = basal diet + 0.01% Doxin200 (positive control) (w/w), 0.1% Pos+Phy = basal diet + 0.05% thyme oil (v/w) + 0.05% postbiotic, 0.2% Pos+Phy = basal diet + 0.1% thyme oil (v/w) + 0.1% postbiotic, 0.3% Pos+Phy = basal diet + basal diet + 0.15% thyme oil (v/w) + 0.15% postbiotic, and 0.4% Pos+Phy = basal diet + …

Early Management Of Nutritional Deficiencies To Reduce Musculoskeletal Disabilities Of Pediatric Populations In Africa, Kristin Freitas, Justin Gambini, Curt C. Stilp, Kara Roman, Ryan Mather

Doctor of Medical Science (DMSc)

An estimated 1.3 billion individuals live with disabilities across the world, however many of these impairments are developed throughout childhood and could be prevented or treated with prompt and early intervention. In Africa, nutritional deficiencies are a common reason for disability in pediatric populations, often due to a limited supply of resources and diets high in grains and beans. This results in the development of genu varum and valgum deformities, which are most commonly caused by rickets attributed to calcium deficiencies in these areas. The children often go untreated, evidently causing musculoskeletal disabilities and further complications of osteomalacia or fractures …

Closing The Gaps In Care Of Dyslipidemia: Revolutionizing Management With Digital Health And Innovative Care Models, Samuel J. Apple, Rachel Clark, Jonathan Daich, Macarena Lopez Gonzalez, Robert J. Ostfeld, Peter P. Toth, Vera Bittner, Seth S. Martin, Jamal S. Rana, Salim S. Virani

Office of the Provost

Although great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the management of chronic conditions such as dyslipidemia. In this review, we discuss the evolving landscape of lipid management in the 21st century, current treatment gaps and possible solutions through digital health and new models of care. Our discussion begins with the history and development of value-based care and the national establishment of quality metrics for various chronic conditions. …

Haiti: Confronting An Immense Challenge, Irwin Stotzky

University of Miami Inter-American Law Review

This article analyzes the history of Haiti, from its origins as a slave colony of France, which was the richest colony in the Americas, to its war of independence leading to the first Black independent nation in the Americas, to its economic re-enslavement under the power of France and then the United States. The article discusses the great harm the French caused the Haitian people by imposing through force a ransom of billions of dollars that has led Haiti to its present position of being on the brink of becoming a failed state, with all of the disastrous consequences for …

Effect Of Timing Of Energy Intake On Blood Glucose And Body Composition In Women With Overweight Or Class One Obesity, Michael Wade Smith

Theses and Dissertations

Overweight and obesity has increased in the U.S. Unfortunately, this increases the risk of metabolic dysfunction, such as diabetes. Meal timing has recently shown promise as viable options to minimize the risk of overweight or obesity and metabolic dysfunction. The primary purpose of this study, therefore, was to investigate the effect of timing of energy intake on blood glucose in females with overweight or class one obesity (BMI=27-35 kg/m2). This study utilized crossover design with two conditions counterbalanced in random order. Participants completed two 2-week 1500kcal dietary interventions: 1) a big breakfast diet or BB (50% of energy intake between …

Policy Review And Recommendation For Secondary Education Np-Led Clinics In The Southeastern United States, Shiney Alex Jacob

Student Scholarly Projects

Secondary-level education involves adolescent children aged 11-12 years to 18-19 with unique healthcare needs. Their healthcare is of significant importance as they are transitioning to adulthood, and a majority of them lack access to primary healthcare needs. Advanced Practice Registered Nurses/Nurse Practitioners (APRNs/NPs) provide high-quality, cost-effective, and evidence-based care to people across the lifespan, and there is minimal utilization of their services in meeting the primary care needs of adolescents at the secondary school level. The purpose of the policy project was to determine if current policies and practices related to school health services in three southeastern states of the …

Living In Untranslatability--Performance Art In China And Usa, Ziyun Ma

Masters Theses

This thesis embodies discontinuities in performance art and its non-equivalent Chinese term “行 为艺术” between language and cultural context into a migrating journey. A comparative analysis on the disciplinary history of performance art studies in the US and China laid a foundation in exploring the dynamics of marginality in two contexts. Extracting from the narrative mechanism and body view of Chinese performance art, I demonstrate how the philosophy of living (生) inspired many artistic creation, which also echoes my research journey. And from our mutual living experience, I pose the concept of constructive untranslatability that applies positionality and situated knowledge …

Appearance Teasing And Identity Formation Amongst Young Adults: An Interpretative Phenomenological Analysis, Sneha Yadav, Shagun Shagun, Koko Veerning Moyon, Divya Bhanot

The Qualitative Report

Appearance teasing (AT) is such a widespread phenomenon that to discount its meaning, impact, and severity on the lives of those who are teased would be a mistake. This study aims to explore the lived experiences of Indian youths who have been appearance-teased by their close friends and family, how they perceive it has impacted their senses of self and identity and to understand their coping strategies that help them manage the negative effects of AT. Data was collected via semi structured interviews with six young adults and analyzed using Interpretative Phenomenological Analysis. Analysis of the transcripts reveals five master …

Sustained Beneficial Infections: Priority Effects, Competition, And Specialization Drive Patterns Of Association In Intracellular Mutualisms, Malcolm Hill, Barry Lawson, John W. Cain, Nasheya Rahman, Shiv Toolsidass, Tongyu Wang, Sara Geraghty, Eberardo Raymundo, April Hill

All Faculty Scholarship

Intracellular symbioses provide a useful system for exploring evolutionary and ecological forces that shape mutualistic partnerships. Within- and among-host competitiveness driven by different strategies that symbionts adopt as they transfer materials to the host across a sub-cellular membrane might explain patterns of host:symbiont association observed in natural systems. We tested the hypothesis that different translocation strategies employed by symbionts affect their ability to occupy host habitats using two distinct modeling approaches. The first involved constructing a deterministic, Lotka-Volterra-type model with two symbiont species competing for access to a single host. The model recovered expected behaviors of co-occupancy/coinfection as well as …