Digital Commons Network^™

Adult Attitudes And Adverse Childhood Experiences: Implications For Child Maltreatment, Carla M. Santana

Walden Dissertations and Doctoral Studies

In the United States, approximately $124 billion is spent annually on mental health and medical diagnosis as a result of the negative effects of adverse childhood experiences. These experiences can result in both mental and physical illness as well as a pattern of instability across the lifespan, which may affect adult attitudes toward child maltreatment and perpetuate the cycle of abuse. The purpose of this quantitative regression study was to examine any association between a person’s adverse childhood experiences and attitudes of what defined child maltreatment. Bronfenbrenner’s ecological systems theory was the framework. A total of 98 participants took part …

Implementing Music Therapy Into Behavioral Healthcare To Treat Autism Spectrum Disorder, Arthur George Scott

Walden Dissertations and Doctoral Studies

AbstractThis study explored how best to implement Music Therapy (MT) in any hospital setting when working with autistic children, teenagers, and adults. Baldrige’s theory and concepts were used as a benchmark to facilitate all findings through the research conducted. Multiple factors affect the workforce and the existing staff at a large medical facility in the Western United States. The methodology employed included interviews with two behavioral health leaders using structured questions. This was an ideal research setting given that over fifty providers, including doctors, psychiatrists, and therapists, who work daily with the ASD population. Key findings included MT treatments at …

Awareness Of The Role Of Nutrition In Cancer Causation And Prevention Among Rural Adult Population: A Cross-Sectional Study, Sayana Basheer, Kavya G. Upadhya, Sana Khader M

Digital Journal of Clinical Medicine

Background

In recent years, nutrition has received an increasingly important role in the aetiology of cancer. Thus, public education about dietary factors associated with cancer risk or prevention could be an important intervention for cancer prevention, particularly in low- and middle-income countries where the burden of cancer is increasing rapidly and access to care is limited. This study aimed to assess the awareness among rural adults about the role of nutrition in cancer development and its prevention.

Methods

A cross-sectional study was conducted among 300 individuals in the adult population (> 18 years) in rural field practice area of a …

Brain Activity Associated With Taste Stimulation: A Mechanism For Neuroplastic Change?, Angela M. Dietsch, Ross M. Westemeyer, Douglas H. Schultz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: Neuroplasticity may be enhanced by increasing brain activation and bloodflow in neural regions relevant to the target behavior.We administered precisely formulated and dosed taste stimuli to determine whether the associated brain activity patterns included areas that underlie swallowing control.

Methods: Five taste stimuli (unflavored, sour, sweet-sour, lemon, and orange suspensions) were administered in timing-regulated and temperature-controlled 3 mL doses via a customized pump/tubing system to 21 healthy adults during functional magnetic resonance imaging (fMRI). Whole-brain analyses of fMRI data assessed main effects of taste stimulation as well as differential effects of taste profile.

Results: Differences in …

Site-Specific Analysis Of The Incidence Rate Of Enterotoxigenic Escherichia Coli Infection Elucidates An Association With Childhood Stunting, Wasting, And Being Underweight: A Secondary Analysis Of The Mal-Ed Birth Cohort, Ahshanul Haque, Sabiha Nasrin, Parag Palit, Rina Das, Barbie Zaman Wahid, Amran Gazi, Mustafa Mahfuz, Abu Syed Golam Faruque, Tahmeed Ahmed

Department of Nutrition and Health Sciences: Faculty Publications

Asymptomatic infection by fecal enteropathogens is a major contributor to childhood malnutrition. Here, we investigated the incidence rate of asymptomatic infection by enterotoxigenic Escherichia coli (ETEC) and assessed its association with childhood stunting, wasting, and being underweight among children under 2 years of age. The Malnutrition and Enteric Disease birth cohort study included 1,715 children who were followed from birth to 24 months of age from eight distinct geographic locations including Bangladesh, Brazil, India, Peru, Tanzania, Pakistan, Nepal, and South Africa. The TaqMan array card assay was used to determine the presence of ETEC in the nondiarrheal stool samples collected …

The Paradox Of Child Poverty And Welfare, Tirna Purkait

Department of Nutrition and Health Sciences: Faculty Publications

The United States confronts persistent child welfare issues rooted in poverty. The age-old debate vacillates between advocating personal responsibility and bolstering social safety nets. Current welfare programs, aiming to mitigate child poverty, often fall short given the deep nexus of poverty and child maltreatment. This paper probes the intricate ties between child poverty and welfare, emphasizing state legislative variances, inherent system paradoxes, and potential policy enhancements. Exploring historical contexts, existing societal frameworks, and future reforms, this research emphasizes the urgency for all-encompassing solutions. These should tackle poverty’s core while fortifying child welfare, safeguarding the well-being of forthcoming American generations.

Comparison Of An Antioxidant Source And Antioxidant Plus Bcaa On Athletic Performance And Post Exercise Recovery Of Horses, Emily Kent, Stephen J. Coloman, Jason E. Bruemmer, Renan Regatieri Casagrande, Christine Levihn, Grace Romo, Kevin Herkelman, Tanja Hess

United States Department of Agriculture Wildlife Services: Staff Publications

Antioxidant supplementation decreases postexercise oxidative stress but could also decrease muscle pro- tein synthesis. This study compared the effects of three diets: low antioxidant (control, CON), high an- tioxidant (AO), and branched-chain amino acid high antioxidant (BCAO) supplementation on postexercise protein synthesis and oxidative stress. We hypothesized that supplementing antioxidants with branched- chain amino acids(BCAA) would reduce oxidative stress without hindering muscle protein synthesis. Eigh- teen mixed-breed polo horses (11 mares and 7 geldings, with age range between 5 and 18 years, were on CON diet for 30 days (from day -45 until day 0) and then were assigned to …

Variance In Offspring Sex Ratio And Maternal Allocation In A Highly Invasive Mammal, Sarah M. Chinn, Timothy J. Smyser, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Skewed sex ratios at birth are widely reported in wild populations, however, the extent to which parents are able to modulate the sex ratio of offspring to maximize their own fitness remains unclear. This is particularly true for highly polytocous species as maximizing fitness may include trade-offs between sex ratio and the size and number of offspring in litters. In such cases, it may be adaptive for mothers to adjust both the number of offspring per litter and offspring sex to maximize individual fitness. Investigating maternal sex allocation in wild pigs (Sus scrofa) under stochastic environmental conditions, we predicted that …

The Past, Present, And Future Of Equine Science, Sarah H. White-Springer, Jason E. Bruemmer, Robert J. Coleman

United States Department of Agriculture Wildlife Services: Staff Publications

A core group of 27 equine nutritionists and physiologists joined together in the late 1960s to formally address and enhance the direction of equine research, creating the Equine Nutrition and Physiology Soci- ety. In 2003, that growing society transformed into the Equine Science Society, which now serves as the preeminent, internationally recognized scientific equine organization. In recent years, it has been appre- ciated that equine science encompasses a wide range of focus areas, including exercise science, nutrition, genetics, reproductive physiology, teaching and extension, production and management, and mix of other specialties, qualified as biosciences. Additionally, trainees are highly valued in …

Invasive Frogs Show Persistent Physiological Differences To Elevation And Acclimate To Colder Temperatures, Jack R. Marchetti, Karen H. Beard, Emily E. Virgin, Erin L. Lewis, Steven C. Hess, Kwanho C. Ki, Layne O. Sermersheim, Adriana P. Furtado, Susannah S. French

United States Department of Agriculture Wildlife Services: Staff Publications

The coqui frog (Eleutherodactylus coqui) was introduced to the island of Hawai’i in the 1980s and has spread across much of the island. Concern remains that this frog will continue to expand its range and invade higher elevation habitats where much of the island’s endemic species are found. We determined whether coqui thermal tolerance and physiology change along Hawai’i’s elevational gradients. We measured physiological responses using a short-term experiment to determine baseline tolerance and physiology by elevation, and a long-term experiment to determine the coqui’s ability to acclimate to different temperatures. We collected frogs from low, medium, and …

Alternatives To Corn For Baiting Wild Pigs, Justin A. Foster, Lee H. Williamson, John C. Kinsey, Ryan L. Reitz, Kurt C. Vercauteren, Nathan P. Snow

United States Department of Agriculture Wildlife Services: Staff Publications

We examined dietary preferences of wild pigs to discern possible bait alternatives to corn. Captive trials were conducted during spring and fall 2021 in the Wild Pig Research Facility at Kerr Wildlife Management Area, Hunt, Texas, USA. We conducted 2‐choice tests by allowing wild pigs to feed ad libitum on soybeans, split peas, mealworms, and peanuts (spring 2021), and oats, acorns, earthworms, and peanuts (fall 2021), always with corn available as a second choice for reference. In each trial, we used proportion of test bait eaten versus total bait eaten, and relative access to both food sources as indices of …

Outbreak Of Epizootic Hemorrhagic Disease In Captive Reindeer (Rangifer Tarandus), Emma H. Torii, Arno Wünschmann, Mia Kim Torchetti, Leo Koster, Albert Van Geelen, Randy Atchison, Anne Rivas

United States Department of Agriculture Wildlife Services: Staff Publications

In September 2020, an outbreak of epizootic hemorrhagic disease occurred in captive reindeer (Rangifer tarandus) and was associated with neurological signs and mortality. Four reindeer died or were euthanized after acute illness over a 12-day period. Affected reindeer displayed abnormal behavior, neurologic signs, lethargy, and/or lameness. The most consistent gross finding was dark red streaks throughout the adrenal gland cortices (4/4). One animal had acute hemorrhage involving the subcutis and skeletal muscles over the ventrolateral body wall and back, and abomasal serosa. Histologically, the most common lesions were adrenal gland cortical hemorrhage (4/4) with necrosis (3/4) and lymphoplasmacytic meningoencephalitis with …

Academic Stress And Anxiety In Nursing Students: An Aerobic Exercise Intervention, Mariko Danielle Aka

DNP Research Projects

Abstract

Background: The demands of rigorous nursing education programs often cause students to experience high levels of stress and anxiety during their schooling. Moderate to high academic stress and anxiety levels impact nursing students around the world. This is significant as academic stress and anxiety contribute to decreased academic success, program completion, and student health.

Local Problem: Students at Kettering College and Southern Adventist University were found to have moderate academic stress and anxiety using the SNSI and GAD-7.

Intervention: Participants (N = 24) engaged in a 4-week aerobic-exercise intervention. They were required to complete a minimum of 80 …

The Impact Of Physical Activity Education During Pregnancy, Lizeth Banuchi

DNP Research Projects

Abstract

Background: Physical Activity (PA) during pregnancy is important to maintain optimal maternal and neonatal health. Gestational Diabetes Mellitus (GDM) requires close monitoring during pregnancy due to the health risk it can cause to mother and fetus. It is evident that PA can help improve maternal health outcomes to positively offer overall wellness throughout the pregnancy.

Objective: The purpose of this Quality Improvement Project (QIP) is to evaluate the impact of PA education on PA implementation during pregnancy and improve clinical practice for healthcare providers to introduce PA education during prenatal care per ACOG and CESP guidelines.

Method: This quality …

Nutritional Medicine: Education For Advanced Practice Providers, Natalie Organ

DNP Research Projects

Abstract

OBJECTIVE: The project's primary goal was to educate the APP and develop positive attitudes and beliefs concerning plant-based nutrition regarding obesity, diabetes, cardiovascular disease, and cancer. The project addressed a crucial gap in healthcare education. APPs were not routinely given the chance to learn nutritional medicine, leading to decreased confidence in providing nutritional guidance in clinical practice.

METHODS: The DNP project participants were practicing advanced practice providers. The Knowledge, Attitude, Behavior (KAB) education theory and CREATION Life were used. This project used Qualtrics to send a pre-and post-intervention survey titled Student Survey for Nutritional Medicine. The intervention was a …

A Lifestyle Management Coaching Intervention For Fear Of Cancer Recurrence In Young Breast Cancer Survivors, Lisa R. Murphy

DNP Research Projects

Abstract

Objective: A significant challenge facing young breast cancer (BC) survivors is learning how to manage fear of cancer recurrence (FCR) during survivorship. Limited tailored FCR interventions and age-appropriate support exist. This Doctor of Nursing (DNP) project, based upon best practice guidelines, aimed to evaluate how a Lifestyle Management Coaching Intervention (LMCI) could help young female BC survivors learn how to decrease and manage their FCR more effectively and experience improved health outcomes.

Method: Eligible participants were female BC survivors aged 18-59 with Stage I-III BC demonstrating elevated baseline FCR screening scores during the extended survival period recruited from the …

Prediction Of Kinase-Substrate Associations Using The Functional Landscape Of Kinases And Phosphorylation Sites, Marzieh Ayati, Serhan Yılmaz, Filipa Blasco Tavares Pereira Lopes, Mark R. Chance, Mehmet Koyutürk

Computer Science Faculty Publications

Protein phosphorylation is a key post-translational modification that plays a central role in many cellular processes. With recent advances in biotechnology, thousands of phosphorylated sites can be identified and quantified in a given sample, enabling proteome-wide screening of cellular signaling. However, for most (> 90%) of the phosphorylation sites that are identified in these experiments, the kinase(s) that target these sites are unknown. To broadly utilize available structural, functional, evolutionary, and contextual information in predicting kinase-substrate associations (KSAs), we develop a network-based machine learning framework. Our framework integrates a multitude of data sources to characterize the landscape of functional relationships …

Effect Of Stretch And Release On Myofascial Stem Cell Function In Vitro: A Putative Model To Understand The Molecular Benefits Of The Myofascial Release (Mfr) Technique, Ben Smith, Shahn Notta, Debasis Mondal

Research Day

Despite the beneficial effects of osteopathic manipulative techniques (OMT), there is a lack of in vitro models to understand the molecular mechanisms associated with these time-tested therapies. The Myofascial Release (MFR) technique is a non-invasive approach that involves passive stretching, hold and release, of the soft tissue to achieve myofascial homeostasis. Tissue-resident mesenchymal stem cells (MSC) can regulate the myofascial microenvironment by altering their secreted factors following stretch and release. Therefore, we initiated studies to develop an in vitro model to investigate the possible effects of stretch and release on MSC function, i.e. proliferation and differentiation capabilities, and changes in …

Effects Of A Residential Lifestyle Intervention Program On Selected Lipid Measures And Nutritional Choices, Delores M. Rugless

DNP Research Projects

Abstract

Objective: Cardiovascular disease has been the leading cause of death since the early 1920s. As with other chronic diseases, cardiovascular disease is primarily influenced by behaviors and the environment, with poor nutrition being a major contributing factor. Despite knowing the importance of lifestyle modification to manage cardiovascular disease effectively, many individuals have difficulty adhering to lifestyle modification principles. Residential lifestyle modification centers provide the education and support necessary to assist individuals with implementing behavioral changes. This DNP project aimed to demonstrate the value of diet modification implemented at a residential lifestyle center to decrease specific cardiovascular risk factors. Method: …

Implementing Prediabetes Screening During Hospitalization In An Internal Medicine Unit, Roxana Bustamante

Yale School of Nursing Digital Theses

About 1 in 3 adults in the United States have prediabetes, yet 8 in 10 of people are unaware of having this condition. The gap in timely diagnosis of prediabetes hinders opportunities for awareness of risk for type 2 diabetes (T2DM), self-management, and referral to preventative interventions. Individuals with undiagnosed prediabetes have 1.3 times higher risk for hospitalization. Extending prediabetes screening to the inpatient hospital setting offers opportunity to identify undiagnosed prediabetes. The purpose of this DNP project was to implement a prediabetes screening algorithm in the hospital setting to identify undiagnosed prediabetes and initiate patient education on preventative lifestyle …

Increasing Transplant Medication Knowledge Through Implementation Of A Medication Education Intervention Algorithm, Colleen Chime Karkhang

Yale School of Nursing Digital Theses

Limited health literacy (LHL) has profound implications on measured transplant outcomes as it is associated with higher incidence of graft loss, organ rejection, decreased immunosuppression medication adherence, and increased hospital re-admissions. Identification of patients with limited health literacy allows for opportunities to provide targeted medication education that allows patients to become more active participants in their care while increasing their transplant medication education knowledge and self-efficacy. The aims of this DNP projects were to develop and implement a medication education intervention algorithm that incorporates health literacy scores and evidenced based educational interventions amongst kidney transplant recipients (initial transplants and re-admissions) …

Conflicts Of Interest In The Assessment Of Chemicals, Waste, And Pollution, Andreas Schäffer, Ksenia J. Groh, Gabriel Sigmund, David Azoulay, Thomas Backhaus, Michael G. Bertram, Bethanie Carney Almroth, Ian T. Cousins, Alex T. Ford, Joan O. Grimalt, Yago Guida, Maria C. Hansson, Yunsun Jeong, Rainer Lohmann, David Michaels, Leonie Mueller, Jane Muncke, Gunilla Öberg, Marcos A. Orellana, Edmond Sanganyado, Ralf Bernhard Schäfer, Ishmail Sheriff, Ryan C. Sullivan, Noriyuki Suzuki, Laura N. Vandenberg, Marta Venier, Penny Vlahos, Martin Wagner, Fang Wang, Mengjiao Wang, Anna Soehl, Marlene Agerstrand, Miriam L. Diamond, Martin Scheringer

Graduate School of Oceanography Faculty Publications

Pollution by chemicals and waste impacts human and ecosystem health on regional, national, and global scales, resulting, together with climate change and biodiversity loss, in a triple planetary crisis. Consequently, in 2022, countries agreed to establish an intergovernmental science–policy panel (SPP) on chemicals, waste, and pollution prevention, complementary to the existing intergovernmental science–policy bodies on climate change and biodiversity. To ensure the SPP’s success, it is imperative to protect it from conflicts of interest (COI). Here, we (i) define and review the implications of COI, and its relevance for the management of chemicals, waste, and pollution; (ii) summarize established tactics …

Race-Ing Antitrust, I. Bennett Capers, Gregory Day

Faculty Scholarship

Antitrust law has a race problem. To spot an antitrust violation, courts inquire into whether an act has degraded consumer welfare. Since anticompetitive practices are often assumed to enhance consumer welfare, antitrust offenses are rarely found. Key to this framework is that antitrust treats all consumers monolithically; that consumers are differently situated, especially along lines of race, simply is ignored.

We argue that antitrust law must disaggregate the term “consumer” to include those who disproportionately suffer from anticompetitive practices via a community welfare standard. As a starting point, we demonstrate that anticompetitive conduct has specifically been used as a tool …

Pectus Excavatum With Bar Placement Eras, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Clostridioides Difficile Infection In Hospitalized Pediatric Patients: Comparisons Of Epidemiology, Testing, And Treatment From 2013 To 2019, Price T Edwards, Cary W Thurm, Matthew Hall, Jordan D Busing, Stacy A Kahn, Richard Kellermayer, Larry K Kociolek, Maria M Oliva-Hemker, Julia S Sammons, Madison Weatherly, Kathryn M Edwards, Maribeth R Nicholson

Faculty, Staff and Students Publications

OBJECTIVES: To compare the incidence, epidemiology, testing patterns, treatment, and outcomes of Clostridioides difficile infection (CDI) among hospitalized pediatric patients from 2013 to 2019.

STUDY DESIGN: The Pediatric Health Information System database was queried for patient admissions (age 0-17 years) with International Classification of Diseases, 9th and 10th edition, codes for diagnoses of CDI with a billing code for a CDI-related antibiotic treatment.

RESULTS: We identified 17 142 pediatric patients, representing 23 052 admissions, with CDI. The adjusted annual CDI incidence decreased over the study period from 7.09 cases per 10 000 patient-days (95% CI, 6.15-8.18) in 2013 to 4.89 …

Wildlife Value Orientations And Recreation Conflict: A Focus On Hunters And Non-Hunters In Alberta, Canada, Yuvana Sequeira

Theses and Dissertations (Comprehensive)

Parks and other forms of protected areas are considered a vital tool in the effective conservation of biodiversity. These areas also provide important spaces for nature-based tourism and recreation (NBTR), where activities such as hiking, swimming, canoeing, and socializing with friends and family often occur. In some cases, hunting may also occur within a protected area, but there is little understanding of how such activities affect the experience and overall satisfaction of other recreationists (and vise-versa). While NBTR is a popular and growing industry, there is limited research in Canada about the values of tourists and recreationists and the …

The Influence Of Decorin, A Potential Pro-Inflammatory Stimulant, On The Mechanical Properties Of The Annulus Fibrosus, Sabrina Sinopoli

Theses and Dissertations (Comprehensive)

Previous literature has investigated the biomechanical properties of various animal models, but few have studied an isolated and intact rat tail annulus fibrosus. Decorin, a class 1 small leucine-rich protein (SLRP) has the potential to trigger an inflammatory environment as previous research has shown that it may stimulate inflammation via the toll-like receptor (TLR) pathway. An increased inflammatory environment can have biomechanical implications for the disc, and so the ability of decorin to stimulate an environment that alters the mechanical properties of the disc was investigated.

The purpose of this study was to investigate the potential of decorin, a proteoglycan …

Intermittent Sucrose Access: Sweetness Versus Calories, Jarret Folmer, Rudy Eikelboom

Theses and Dissertations (Comprehensive)

Nondeprived rats receiving every 3^rd day access (E3DA) to 4% sucrose solution consume more sucrose on access days compared to rats with everyday access (EDA). Rats receiving EDA or E3DA to 16% sucrose do not consume different amounts, but if placed on every 2^nd day access (E2DA) to 4% sucrose E3DA-group rats consume more than EDA rats (Eikelboom, Hewitt, & Adams, 2022). E3DA affects rats’ value of sucrose but effects appear hidden with high sucrose concentrations. Valyear and Eikelboom (2021) suggested that calorie ceilings limit E3DA-induced consumption with high sucrose, but this ceiling could also be caused by …

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

Theses and Dissertations (Comprehensive)

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

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

Theses and Dissertations (Comprehensive)

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