Digital Commons Network^™

The Role Of Intraoperative Esmolol Vs Ketamine In Laparoscopic Cholecystectomy, Rebekah Bitar

Nurse Anesthesia MSNA Student Capstones

As the understanding of opioid dependence mechanisms and origins in the adult population continues to evolve in the United States, so does the pursuit of alternative avenues for analgesia. Many opioid substance-use disorder patients can trace the origins of their dependence to routine prescription and administration of opioids during surgical procedures (Bohringer et al., 2020). One such procedure where opioids are frequently utilized for intraoperative and postoperative analgesia is laparoscopic cholecystectomy. Incidence of gall bladder disease is closely related to obesity (Hines & Marschall, 2018). Gallstone disease continues to be a common and costly health problem affecting 10 to 20% …

The Effect Of Post War Limited Resources In Management Of Anorectal Malformations In Mosul City, Obay Edan, Bassam Al-Hajjar, Awss Yehya

Iraqi Postgraduate Medical Journal

Abstract :Background: Anorectal malformations (ARMs) include a wide spectrum of diseases affecting male and female neonates and involve the rectum, anal canal, and genitourinary tract.Objective: To know the actual incidence of anorectal malformations in Mosul city, upgrade clinical knowledge about ARMs between health workers and midwives who look after newborn babies, and assess the related mortality in the limited resources zone.Method: A closed cohort study was conducted on patients with ARMs admitted to the pediatric surgery centre between January 2018 and January 2019. Patients included in this study are those with ARMs in the neonatal period, those admitted for pull-through …

Rhythms Of The Earth—Editorial Introduction, Karim-Aly S. Kassam, Morgan Ruelle, Christopher P. Dunn, Raj Pandya, Felice Wyndham

Sustainability and Social Justice

This special issue of GeoHealth, entitled Rhythms of the Earth: Ecological Calendars and Anticipating the Anthropogenic Climate Crisis, is a transdisciplinary articulation of a methodology of hope to confront the multiple injustices of the Anthropocene. One of the greatest challenges of the climate crisis is the lack of predictability at the scale of communities where impacts are most immediate. Indigenous and rural societies face an ever shifting “new normal” through increasing inconsistency in the seasonality of temperature and precipitation, as well as greater frequency of extreme weather events. With global food systems dependent on local and small producers, climatic variability …

Food Insecurity And Bmi Impact In Us And African Children, Josef Kleitch, Dayna Borregard

Honors Projects

Food insecurity is the lack of access to consistent food to live a healthy, balanced lifestyle. It is not fully understood how one's childhood habits may impact their likelihood of having obesity. Through research, we examined food insecurity in the United States and Africa and how it relates to an altered BMI in children.

The Association Between College Age Students' Nutrition Intake And Depression, Mackenzie Allen

Honors Projects

The research performed was to determine a correlation between depression and nutrient intake in college age students. This study used NHANES publicily available data and IBM's SPSS statistical software to analyze a correlation between depression and nutrition/lifestyle variables: vitamin D, vitamin B12, saturated fatty acids, unsaturated fatty acids, fiber, and exercise. The study found that fiber and unsaturated fatty acid intake had a negative correlation with depression, meaning that as the intake of these nutrients increased, depression decreased. This research reveals key factors to improve the nutritional status of college age students, along with their emotional wellbeing.

The Freshman 15: The Who, What, And How It Harms Us, Eva Vanwyck

Honors Projects

The Freshman 15: The Who, What, and How it Harms Us is a publicly posted podcast on the harms of the phrase "The Freshman 15" to student health. This project consists of three episodes, each with a different main focus. The first episode covers what "The Freshman 15" is, the history of its origins, and the reality of the term. It also covers why this term affects freshmen specifically and the unique stressors of the transition from high school to college. The second episode covers the stigma around weight and food in the US. It delves into the fatphobia embedded …

Effect Of Exercise Training Intensity On Cognition, Jaclyn Voyt

Honors Projects

A literature review examining the effects of exercise intensity and modality on cognitive performance.

Understanding Equine-Assisted Therapy And Its Impact On The Counseling Field, Christian N. Brown

Theology Undergraduate Work

The usage of horses in the physical healing process of humans (hippotherapy) has been carried out since the second century; however, the usage of horses in the mental and emotional healing process has been less common. In recent years, more research has surfaced addressing this phenomenon, supporting the theory that horses can also assist in the mental and emotional healing of humans. Emotional support animals have been increasingly popularized, but horses’ abilities to mirror human emotions and sense those in pain are extraordinary. The mental-emotional benefits of horses have not yet been universally recognized as a valid and effective form …

Building A Better Community: Public Service Jobs For Stray Dog Shelters, Divya Sharma

Student Papers in Local and Global Regional Economies

Stray dogs are a common sight in India, and their population is increasing at an alarming rate. India has an estimated 30 million stray dogs, which is one of the highest numbers in the world. These stray dogs pose a significant threat to public health and safety, with an estimated 20,000 people dying every year from rabies transmitted by stray dogs. In addition, stray dogs are often malnourished, injured, and exposed to harsh weather conditions. Building sheds for stray dogs can help address this problem, as it provides a safe and comfortable place for the dogs to sleep and helps …

Agriculture: A Feminist Commodity Chain Analysis, Shriraksha Mohan

Student Papers in Local and Global Regional Economies

Feminist Commodity Chain analysis enables economists to situate women within the framework of the global commodity chains, and recognize their roles in creating values in various stages of the commodity chain. Unlike in the “realist” commodity chain, when feminist commodity chain concepts are applied to agriculture, there is emphasis on women as the agents in various nodes of agriculture commodity chain, from the beginning of farming, with sowing of seeds, to the end as consumers of agricultural products. This approach allows researchers to understand how gender ideologies shape the social and structural hierarchies within commodity chains, and account for how …

Teacher’S Knowledge/Training Of Child Maltreatment In The Dominican Republic, Andrea Newell, Emily Newell

International Professional Development Partnerships (IPDP) Consortium

The purpose of this study was to learn more about the Dominican Republic’s definition of child maltreatment, the types of maltreatment recognized and the services provided for child maltreatment.

The Jackson/Cubbin Skin Risk Assessment Tool: Implementing An Evidence-Based Practice Change Initiative In The Intensive Care Unit, Andrew Riddle Msn, Rn, Npd-Bc, Ccrn-K

Doctor of Nursing Practice Projects

Background: Pressure injuries in acute care patients cause thousands of deaths and billions of losses annually. The Braden Scale has been an American standard of pressure injury risk assessment yet demonstrates poor predictability in the Intensive Care Unit (ICU) population. Recent evidence indicates that the Jackson/Cubbin Scale performs similarly or superiorly to the standard.

Purpose: To compare the Jackson/Cubbin Scale to the Braden Scale in assessing ICU patients’ risk for pressure injuries and resulting nursing interventions. Methods: Using a pretest-posttest and comparative design, trained nurses in two ICUs applied both Jackson/Cubbin Scale and Braden Scale to assess patients’ risks twice …

Addressing Verbal Aggression To Reduce Workplace Violence Against Nurses, Rebecca Harris

Doctor of Nursing Practice Projects

Background: Almost three-quarters of non-fatal workplace violence-related injuries requiring time away from the workplace occur in the healthcare and social services sector. More than 90 percent of assaults against nurses are from patients. Verbal aggression was correlated with physical violence and could contribute to nurses’ stress and dissatisfaction and compromise patient care. Policies and guidelines addressing verbal aggression against nurses are often unclear and not well-supported by evidence. This can leave nurses unprepared to recognize and respond to verbal aggression or threats of physical harm without compromising their safety.

Aim: This health policy analysis aimed to explore a range of …

The Effectiveness Of The Gut-Brain-Axis Versus Ssri For Treatment And Management Of Depression, Jenni Hetletved

Physician Assistant Scholarly Project Papers

Major Depressive Disorder (MDD) is a crippling condition that affects millions of people worldwide. Serotonin reuptake inhibitors (SSRIs) are the staple treatment adjunct to psychotherapy. Recently, the connection between gut health, specifically the gut brain axis, has been researched to look at the connection between gut microbiota and it’s effect on depressive symptoms. A literature review was performed using electronic databases such as PubMed, PsychINFO, and embase. This meta-analysis evaluates the connection between gut microbiota and depression as well as the effectiveness of SSRI therapy on depression. Results show a significant change in gut microbiota with short term change to …

The Economic, Mental Health, And Social Stressors During The Covid-19 Pandemic Among Native Americans In South Dakota, Savannah E. Lukkes

Honors Thesis

American Indian/Alaska Native (AI/AN) communities test positive for COVID-19 and experience higher mortality than other racial and ethnic groups. These high rates of vulnerability could be connected to the systemic inequalities that have been experienced for centuries. This study aimed to compare socioeconomic stressors, concerns, and mental health experiences during the early COVID-19 pandemic between AI/AN and non-AIAN populations in South Dakota. The study sample (n=1,586) was grouped by AI/AN and non-AI/AN status based on self-identification of being AI/AN alone or in combination with another race/ethnicity. Participant responses to socioeconomic stressors and concerns (e.g., top concerns, level of concern, self-isolation, …

Wooster Magazine: Spring 2023, Caitlin Paynich Stanowick

Wooster Magazine: 2021-2030

The spring 2023 issue of Wooster magazine features alumni influencing change in their communities around the world, including John Carwile ’81, career member of the U.S. Foreign Service; Rashmi Ekka ’08, international development consultant; Samira El-Adawy ’13, Special Olympics youth manager in the Middle East and North Africa; Ishtiaq Ghafoor ’00, a diplomat with the British Foreign Service; Sarah Haile ’03, a biostatistician at University of Zurich; Kurt Russell ’94, 2022 National Teacher of the Year; and Lauren Vargo ’13, climate change researcher in New Zealand. Also featured are students who have attended the annual Athens Democracy Forum for the …

Virtual Patient/Family Communication In The Acute Care Setting, Kathleen Defigueiredo

Translational Projects (Open Access)

Patient and family-centered care strategies see patients and families as valuable healthcare team members. Such strategies thus treat these groups as essential clinical partners in providing safe, high-quality care. Participation, collaboration, and shared decision-making are central to this framework. Historically, hospitals have relied on physical presence at the bedside as a prerequisite to engaging families in the shared decision-making process. Visitor restrictions of the COVID-19 pandemic removed the primary strategy for family participation: physical presence. Healthcare organizations rapidly deployed mobile devices to help minimize the exposure of healthcare providers and provide video visits for family members. This deployment was often …

Extraction And Analytical Method For N-Nitrosoatrazine Using Liquid Chromatography Paired With Tandem Mass Spectrometry, Carolyn Billings

Honors Program: Senior Projects (Public)

Atrazine is an herbicide used in the United States to control weeds. When combined with nitrite, atrazine can be nitrosated to form N-nitrosoatrazine (NNAT) in vivo and in vitro under acidic conditions. Atrazine can also be metabolized to atrazine mercapturate, deethylatrazine (DEA), didealkylatrazine (DDA), and deisopropylatrazine (DIA). Atrazine is monitored in drinking water due to its possible carcinogenicity. The objective of this study was to develop extraction and analytical methods for NNAT, atrazine, and atrazine metabolites. An instrument detection limit, extraction methods comparison, and extraction method detection limit were determined. To compare methods, Fischer 344 rat tissue samples were …

Exploring Modern Trends And Prevention Strategies For Childhood Obesity: A Comprehensive Literature Review, Anya E. Bogen

Honors Program: Senior Projects (Public)

This literature review seeks to provide an overview of the current research on childhood obesity. The study examines the prevalence and causes of childhood obesity, including genetic, environmental, and behavioral factors. The review also discusses the health consequences associated with childhood obesity, such as the increased risk for chronic diseases and psychological and social problems. Additionally, the review explores the effectiveness of interventions designed to prevent childhood obesity, including individual lifestyle modifications, education from health practitioners and school programs, and global, national, and state programs to promote wellness. The literature review concludes that childhood obesity is a complex and multifactorial …

Food And Nutrition Education: A Tool To Help Combat Growing Food Insecurity, Sy Lim

Honors Program: Senior Projects (Public)

Food insecurity is an escalating issue often overlooked and stigmatized in the United States, affecting about 1 in 10 households. This issue is a threat that can increase stress and anxiety, which is believed to further negatively impact academic and daily performance. The University of Nebraska-Lincoln community is no exception. To combat local food insecurity, the Husker Pantry has served almost a third of the Husker community, aiming to assist by offering food items, school supplies, personal hygiene products, and additional services. This project was made in collaboration with the Husker Pantry, designed to further help combat the ever-growing issue …

The Effects Of Exercise On The Lipid Profile Of Extracellular Vesicles, Tesha Kerr

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

We sought to ascertain the effect of different types of exercise (aerobic training and resistance training) on the lipid profile of extracellular vesicles. Thus, we had participants perform bouts of AT and RT and rest (control) and collected blood samples from them immediately after (timepoint 0) and 30 minutes after (timepoint 30) exercise. Small extracellular vesicles (sEVs) were isolated from plasma of participants using cushioned-density gradient ultracentrifugation (C-DGUC). Small EV size, morphology, and protein markers were determined using nanoparticle tracking analysis, transmission electron microscopy, and western blot, respectively. Additionally, we performed untargeted lipidomics on the sEV isolate. We found that …

Migrants Sans Papiers: The Impact Of Cantonal Program And Policy Discrepancies On Undocumented Migrant Healthcare Utilization In Switzerland, Denise Peng

Independent Study Project (ISP) Collection

While Switzerland houses what is generally considered one of the best healthcare systems globally, regional policy discrepancies leave undocumented migrants (UDM) in precarious conditions that threaten the nation’s claim to universal health coverage. Critical analyses of existing UDM-catering structures in different cantons, the Swiss Confederation member states, reveal that local discrepancies in healthcare utilization are functional gradients of cantonal support and public endorsement. Relationships with these authorities are instrumental in steering health outcomes not only with program funding and outreach but also management of studies to better understand UDM health determinants and inform future preventative measures.

UDM services and initiatives …

The Revolutionary Genome Editor: Crispr-Cas9 Systems, Grace Spade

Senior Honors Theses

Genetic engineering is the modification of an organism's genetic material to alter its traits through adding, deleting, or changing specific genes. CRISPR-Cas9 systems are groundbreaking tools for genetic engineering, in short utilizing a molecule called RNA to guide a protein called Cas9 to a specific location in DNA to add, delete, or replace genes. The history of how the CRISPR-Cas9 systems came into existence, how it was adapted from a natural defense system in bacteria, and its mechanism of action in both are explained. Its applications, both present and future, competing genetic modifiers, advantages and disadvantages, and the ethical dilemmas …

Following In California’S Footsteps?: Pennsylvania Eliminates The De Minimis Exception In State Wage And Hour Claims, Lauren E. Stahl

Dickinson Law Review (2017-Present)

Under the Fair Labor Standards Act (“FLSA”), employers risk receiving wage and hour violations if they fail to compensate employees for all “hours worked” or fail to adhere to minimum wage and overtime requirements. The de minimis doctrine provides an exception to this general rule and excuses employers from compensating employees for insignificant amounts of time spent on otherwise compensable off-the-clock work activities. Examples of de minimis off-the-clock work activities include waiting for a computer to load or waiting to log onto a computer network. These activities are considered de minimis because they take only a minute or less, and …

Assessing And Characterizing Marijuana Use Disorders (Dsm-5) — National Survey On Drug Use And Health, United States, 2020, Alejandro Azofeifa-Ujueta

Dissertations

Despite that marijuana (cannabis) is still considered, under federal law, an illegal Schedule I drug, marijuana is the most commonly used illicit substance in the United States. National trend data has shown that the prevalence of marijuana use has increased over time, particularly among those aged 18 years and older. Some individuals can use marijuana without harm; however, long-term and heavy marijuana users may experience health consequences, including marijuana use disorders (addiction). For the last 20 years, existing national and statelevel epidemiological, surveillance, and research data have analyzed marijuana use disorders (MUD) using previous diagnostic criteria (DSM-IV). There is limited …

Racial Isolation, School Police, And The “School-To-Prison Pipeline”: An Empirical Perspective On The Enduring Salience Of “Tipping Points”, Michael Heise

Buffalo Law Review

Two broad trends inform public K-12 education’s current trajectory. One involves persisting (and recently increasing) school racial isolation which helps account for an array of costs borne by students, schools, and communities. A second trend, involving a dramatically increasing police presence in schools, is evidenced by a rising school resource officer (“SRO/police”) presence in schools. Increases in the magnitude of a school’s SRO/police presence correspond with increases in the school’s propensity to engage law enforcement agencies in student disciplinary matters which, in turn, help fuel a growing school-to-prison pipeline problem. While these two broad trends propel two distinct research literatures, …

The Impact Of A Culinary Medicine Curriculum On Gestational Diabetes For Expectant Mothers, Shaleen Arora, Graciela Caraballo, Timothy Harlan

GW Research Showcase 2021-2026

No abstract provided.

Development Of A Primary-Care And Social-Marketing Based Sugary Drink Reduction Intervention: Qualitative Feedback From Community Pediatricians, Natalie Vallone, Nia I. Bodrick, Jasmine H. Kaidbey, Adam Dawer, William H. Dietz, Jennifer Sacheck, William D. Evans, Allison C. Sylvetsky

GW Research Showcase 2021-2026

No abstract provided.

Impact Of University Dining Hall On Fruit And Vegetable Consumption Among First-Year Undergraduate Students, Nikita Vivekanandan, Natalie Vallone, Allison Sylvetsky

GW Research Showcase 2021-2026

No abstract provided.

The Fitness, Rest, And Exercise For Strength And Health (Fresh) Study: A Comparison Of College Students’ Perceived Health To Measured Health Metrics, Jennifer Cook, Adelaide Feek, Lihi Kadosh, Annika Stadler, Catherine Alvaro, Kyle Levers, Jennifer Sacheck

GW Research Showcase 2021-2026

No abstract provided.