Digital Commons Network^™

Human Papillomavirus Vaccination Coverage In Genesee County: Geographic Disparities And The Need For Community-Partnered Vaccination Efforts, Olivia G. Aspiras, Joanne Herman, Todd Lucas, Eric Adjei Boakye, Ariel Washington, Hayley S. Thompson

Michigan Journal of Public Health

There are approximately 37,000 new cases of cancer attributed to human papillomavirus (HPV) each year in the United States. The HPV vaccine is generally widely available, low cost, and highly effective in providing long-lasting protection against HPV. Yet, HPV vaccination rates remain suboptimal among children and adolescents in the United States. The present commentary spotlights HPV vaccination within Genesee County. Using data from the Michigan Department of Health and Human Services, we describe the alarmingly low HPV vaccination rates in Genesee County relative to state and national vaccination rates. We then identify potential barriers to vaccination and offer evidence-based strategies …

The Revised Cdc Chronic Pain Guidelines And Payer Opioid Analgesic Policies In Michigan, Victoria Tutag Lehr, Cynthia L. Arfken

Michigan Journal of Public Health

Abstract

The 2016 publication of A Guideline for Prescribing Opioids for Chronic Pain by the Centers for Disease Control and Prevention motivated commercial and Medicaid payers to restrict their opioid prescribing policies including the imposition of hard limits on opioid daily dosages and duration. One result of these policies was an increase in abrupt opioid discontinuation and rapid tapering events for patients receiving long-term opioid therapy. Responding to this misapplication of the 2016 guideline, the 2022 revised guidelines emphasized individualized opioid therapy and exclusion of certain chronic diseases. However, it is not known if the payers changed their policies to …

Pathways From Socioeconomic Factors To Major Cardiovascular Events Among Postmenopausal Veteran And Nonveteran Women: Findings From The Women's Health Initiative, Hind A Beydoun, May A Beydoun, Rebecca L Kinney, Simin Liu, Rona Yu, Matthew Allison, Robert B Wallace, Qian Xiao, Longjian Liu, Philippe Gradidge, Su Yon Jung, Hilary A Tindle, Shawna Follis, Robert Brunner, Jack Tsai

Faculty, Staff and Student Publications

BACKGROUND: Cardiovascular disease (CVD) remains a leading cause of death for women in the United States, with veterans being at potentially higher risk than their nonveteran counterparts due to accelerated aging and distinct biopsychosocial mechanisms. We examined pathways between selected indicators of socioeconomic status (SES) such as education, occupation, household income, and neighborhood SES and major CVD events through lifestyle and health characteristics among veteran and nonveteran postmenopausal women.

METHODS AND RESULTS: A total of 121 286 study-eligible WHI (Women's Health Initiative) participants (3091 veterans and 118 195 nonveterans) were prospectively followed for an average of 17 years, during which …

Development Of A Health Education Intervention And Its Effectiveness In Improving Mmr Vaccination Confidence, Attitude And Uptake Among Parents Attending Public Health Clinics In Kuala Lumpur, Aida Mohd Azlan

Student Works (2020-2029)

Despite the progress made in Malaysia's vaccination programmes, measles continues to persist. Parental confidence in measles vaccines plays a pivotal role in ensuring successful immunisation. However, there is currently limited research on effective interventions to measure outcomes related to parental trust in MMR (measles, mumps, rubella) vaccination programmes in Malaysia. Hence, this study aims to determine the effectiveness of Health Education Intervention in improving MMR vaccination confidence, attitude, and uptake among parents attending Public Health Clinics in Kuala Lumpur. Methods: This multi-phase quantitative study, conducted from June 2022–March 2024, utilised the Health Belief Model to assess parental vaccine confidence and …

Examining Change In Burnout And Empathy Among Physician Assistant Students During The Clinical And Didactic Years, Jannelle Reynolds, Kimberly Gomes, Nicole M. Sleddens, Jana L. Wardian Phd

Innovations in Health Sciences Education Journal

Few studies investigate how burnout affects physician assistant's student empathy. This study aimed to determine the degree of burnout and empathy in didactic PA students as compared to burnout and empathy in their clinical year.

Methods: One cohort of PA students at a Midwestern university were surveyed twice during their education. Once during didactic and once during the clinical year. Two surveys were used to assess burnout and empathy.

Results: Our findings showed moderate to high levels of emotional exhaustion and depersonalization at the end of the didactic phase and significant improvement in lack of personal achievement and emotional exhaustion …

Influence Of Demographics, Health, And Self-Objectification On Body Acceptance And Body Appreciation In Older Adults, Heather Russell

Walden Dissertations and Doctoral Studies

Prior research has examined the demographic, health, and activity factors influencing how young people, particularly young women, see themselves concerning body appreciation and acceptance. However, body appreciation and acceptance as perceived by older men and women have not been well-studied. The purpose of the study was to examine the extent to which gender, age, quality of life assessment of physical and mental health, physical activity, and self-objectification influence body acceptance by others and body appreciation in adults ages 55-75. Self-objectification theory (SOT) was the framework used to examine the influence of two aspects of self-objectification (lack of autonomy and invisibility) …

Staff Education To Improve Depression Management Using Mindfulness Meditation Intervention, Ndubuisi Chimezie Obioha

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education to Improve Depression Management Using Mindfulness Meditation Intervention by Ndubuisi Obioha MSN, Walden University, 2021 BSN, Grand Canyon University, 2017 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 Summary The problem of poor depression management guided this quality improvement staff educational project due to treatment nonadherence issues. The providers at the project site had minimal knowledge of self-help interventions that can be used to assist individuals with depression who often face treatment barriers. Failing to address the problem could result …

Skincare Brands Strategies To Maintain A Competitive Advantage, Tracey Hicks-Kearse

Walden Dissertations and Doctoral Studies

Skincare companies are facing significant challenges in remaining competitive due to a lack of brand loyalty. To stay competitive, skincare brand leaders must adopt innovative strategies to increase product awareness and foster brand loyalty. Grounded in Michael Porter's Theory of Management, this qualitative multiple case study was to explore the strategies skincare brand leaders use to strengthen brand loyalty and sustain a competitive advantage. The study involved five skincare brand leaders in New York City who implemented these strategies. Data were collected from semistructured interviews, social media, and websites. Thematic analysis was used to analyze the data. Three themes emerged: …

The Lived Experiences Of Poverty Among Particularly Vulnerable Tribal Groups In A Rights-Based Anti-Poverty Programme In Jharkhand India, Monimala Sengupta

Lingnan Theses (MPhil & PhD)

This research explores poverty and social exclusion among Primitive Tribal Groups (PVTGs) in India using T. H. Marshall's concept of social citizenship. With evidence showing a disproportionate burden of poverty in the Global South, indigenous groups are even overrepresented among the poor. India, home to one of the largest Indigenous populations, accounts for 70% of South Asia's impoverished, but the specific nature of poverty within these communities remain poorly understood.

Over the past two decades, India's national response to poverty has shifted towards rights-based, inclusive policies targeting marginalised communities such as Dalits, Scheduled Castes, and Scheduled Tribes, historically subjected to …

Co-Inhibition Of Tgli1 And Gp130 Using Fda-Approved Ketoconazole And Bazedoxifene Is Synergistic Against The Growth And Metastasis Of Her2-Enriched And Triple-Negative Breast Cancers, Sara Manore, Chuling Zhuang, Mariana K Najjar, Grace L Wong, Shivani Bindal, Kounosuke Watabe, Jiayuh Lin, Hui-Wen Lo

Faculty, Staff and Student Publications

Breast cancer stem cells (CSCs) are resistant to most cancer therapeutics and contribute to tumor recurrence and metastasis. Two breast CSC-promoting transcription factors, truncated glioma-associated oncogene homolog 1 (tGLI1) and signal transducer and activator of transcription 3 (STAT3), have been reported to be frequently co-expressed in HER2-enriched breast cancer and triple-negative breast cancer (TNBC), undergo protein-protein interactions for gene regulation and activation, and functionally cooperate to promote breast CSCs. STAT3 can be activated by activated interleukin-6 receptor/glycoprotein-130 (IL-6R/GP130). Co-targeting of tGLI1 and IL-6R/GP130 has not been investigated in breast cancer or any tumor type. Here, we report that tGLI1 and …

Phytoplankton As A Bioindicator For Evaluation Of The Irrigation Water Quality Near A Metal-Coating Factory, Mimatun Nasihah, Ardyati Ardyati, Dian Siswanto, Catur Retnaningdyah

Makara Journal of Science

The irrigation water quality in Plosowahyu village, Lamongan District, Indonesia, has declined because of industrial waste disposal in irrigation canals. Specifically, waste from a metal-coating factory considerably threatens the aquatic ecosystem. To assess the impact, we evaluated water quality on the basis of phytoplankton diversity and various phys-icochemical parameters. We collected water and phytoplankton samples from four locations in Plosowahyu village: before the wastewater treatment plant (WWTP) outlet of the metal-coating factory, at this outlet, and from two sites in Wahyu River, with three repetitions at each site. The study measured several physicochemical parameters, including total dissolved solids (TDS), total …

Mnsod Gene Knockout Promotes Apoptosis In Triple-Negative Breast Cancer Bt-549 Cells Through Survivin Inhibition And Caspase-3 And Caspase-9 Modulation, Niken Rahmah Ghanny, Septelia Inawati Wanandi, Sekar Arumsari, Rafika Indah Paramita, Resda Akhra Syahrani, Putu Indah Paramita Adi Putri

Makara Journal of Science

Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype characterized by the lack of estro-gen, progesterone, and human epidermal growth factor receptor 2 (HER2) receptors. TNBC cells are becoming more aggressive due to the high expression of manganese superoxide dismutase (MnSOD) antioxidants to suppress reactive oxygen species-induced apoptosis and promote oncogenic signaling. This study was aimed to evaluate the effects of MnSOD knockout (KO) on TNBC cell apoptosis by assessing the survivin, caspase-9, and caspase-3 expressions. BT-549 TNBC cells containing the clustered regularly interspaced short palindromic repeat (CRISPR)/Cas9-edited MnSOD gene were used to evaluate the messenger RNA (mRNA) …

Unveiling Soil Microbial Communities And Resistomes In Northern Alaska National Wildlife Refuges, Bevyn Amber Cover

Biological Sciences

Microbial communities residing in pristine high-latitude soils play a critical role in ecosystem function, but also harbor potential threats such as acting as reservoirs of antimicrobial resistance (AMR) genes. Current knowledge about these microbial communities and the resistance genes they carry presents limits to the ability to predict how these ecosystems will respond to climate change. This knowledge gap is particularly concerning in light of the potential public health threat posed by antimicrobial resistance harbored within these communities as antibiotic-resistant human infections continue to increase. This study investigated the microbial communities and details the antimicrobial resistance gene reservoirs in previously …

Learning And Doing And Bricks Transfer, Angela Brock

General Education Committee

No abstract provided.

Ucc Minutes 12-17-24, Angela Brock

UCC Agendas/Minutes

No abstract provided.

Bat Activity Across Urban Forest Plantings In Lexington, Kentucky, Grayson Marie Collier

Online Theses and Dissertations

Urbanization has led to major forest loss and negatively impacts ecosystem services. Urban reforestation efforts, such as Reforest the Bluegrass (RTB) in the Lexington-Fayette metropolitan area of Kentucky, have been implemented to address these negative effects, and to create habitat for forest-dependent wildlife such as bats. My research focused on assessing differences in bat activity across a 20-year chronosequence of RTB sites. Acoustic detectors were deployed across 10 different-aged plantings at 60 randomly-defined detector locations. Each planting was surveyed across 8 sampling periods from May – August 2023. Each recording session spanned ca. 7 consecutive nights, yielding a total of …

An Intervention For Youth Impacted By Parental Incarceration: A Mentoring Program Effectiveness From The Caregiver’S Perspective, Sunni Sarah Iris Ann Walters

Online Theses and Dissertations

This study explores the effectiveness of the Amachi mentoring program in supporting children impacted by familial incarceration from the caregivers perspective. Using a qualitative approach, we conducted two focus groups with three participants in each to assess the program's impact across four key areas: behavior, emotions, school performance, and social interactions. We hypothesized that Amachi would have a positive impact on the children they serve. The findings indicate that caregivers perceive the program as beneficial, suggesting potential improvements in various aspects of the children’s lives. These results highlight the potential of the Amachi program to support the development and resilience …

Factors Associated With First-Year Student Retention In Higher Education: A Quantitative Analysis Of Student Confidence And Use Of Support Services On Persistence And Success, Starr Wentzel

Online Theses and Dissertations

This quantitative study investigated factors influencing first-year student retention at a midsized regional comprehensive university. Using archival data from the 2021-2022 and 2022-2023 academic years, the research examined the retention rates of Standard Admit students and conditionally admitted Success First students. The study explored student retention based on use of available support services, namely visits to the campus Student Success Center (SSC), as well as measures of cognitive and non-cognitive skills and confidence as assessed through a standardized nationally normed assessment tool. Additionally, it identified key demographic variables such as gender, race, Pell Grant eligibility, and first-generation status that impact …

Touching Distant Time And Place: Place-Based Augmented Reality Storytelling, Misha Myers

School of Art, Design and Architecture

Storying place through augmented reality technologies, such as software and applications which enhance and encourage interaction with physical environments with digital visual and audio elements and place digital objects in specific locations, offers multisensory tactile ways of inter-mediating relationships between self and changing environments. This chapter examines and compares how four site-specific, site-responsive and site-generic augmented reality storytelling works made for smartphones augment specific living environments through augmented spatiality, immersive audio, geo-located and interactive sound and/or visually augmented three-dimensional animations of digital entities and objects. This chapter considers how the application of specific augmented technologies in each of the works …

Assessment Of Food Allergy Management And Interactions With Campus Dining Halls Among College Students At Rochester Institute Of Technology, Meghan Taylor

Theses

Objective: This study explored college student dining experiences to identify areas for improving Dining Service allergen management. Method: A cross-sectional survey assessed specific allergies, frequency of allergic reactions, confidence and satisfaction with Dining Services, epinephrine auto-injector use, challenges, suggestions and use of dietitian services. Analyses included quantitative and qualitative methods. Results: Of 74 survey respondents, 28 were eligible, with 61% reporting two or more allergies (mean 2.4 ± 2.0). Tree nuts, peanuts, and milk were most common. Students with multiple allergies were more likely to carry epinephrine auto-injectors (p=0.015), though overall adherence was low. Concerns included cross-contact, inconsistent allergen labeling, …

The Imposition Of Power: Modernity And Nature In Hemingway And Mccarthy, Danielle Ball

Honors College Theses

This thesis focuses on the role of nature in opposition to modernity in Ernest Hemingway's “The Last Good Country” and “The End of Something” as well as Cormac McCarthy’s The Orchard Keeper. Each author places the forces of modernity, such as the logging industry or the introduction of the railroad, at odds with the untouched state of the natural world. Specifically, I emphasize the different portrayals of the natural world from each author. Hemingway’s nature is very closely tied to Romanticism, as nature is a spiritual and healing force for those who choose to commune with it. However, McCarthy portrays …

The Activity And Origin Of The Chitinases In The Gut Of The Mediterranean House Gecko, Alec John

Masters Theses (Archived)

Chitin is a major component of the exoskeleton of arthropods as well as the cell wall of fungi. This amino polysaccharide polymer provides structure and protection to these organisms and represents a significant barrier to digestion of arthropod prey and fighting fungal infections. Chitinases are enzymes that break down chitin. Smaller insectivores, based upon the higher surface-to-volume ratio of their even smaller prey, ingest a large amount of chitin per unit prey item. Therefore, they represent high-likelihood opportunities to bio prospect for novel chitinases that may be effective against pathogenic fungi. Fungal infections are notoriously difficult to treat, and they …

Salmon, Stewardship, And Indigenous Livelihoods: Bridging Knowledge Systems And Reshaping Research Relationality In The Kuskokwim Region Of Southwestern Alaska, Janessa Esquible

Fisheries

This dissertation research is situated in southwestern Alaska, in the communities of Kongiganak, Quinhagak, Bethel, Aniak, and McGrath, spanning the Kuskokwim Bay and Kuskokwim River, and with Alaska Native Peoples (primarily Yup'ik and Athabascan fishing families) who have been salmon peoples and stewards of their ancestral homelands since time immemorial. This Indigenous-led project documented historical and current ways in which Yup'ik and Athabascan Peoples have served as salmon stewards, and the values and governance mechanisms pertaining to salmon stewardship. We utilized a participatory approach by involving Tribal governments, communities, and Indigenous local youth in all aspects of our research. We …

Degradation And Digestion Of Polypropylene, Polyethylene, And Styrofoam By Tenebrio Molitor L. (Coleoptera, Tenebrionoidae) Larvae, Wachju Subchan, Abdu Rohman, Jekti Prihatin, Fahriyah Ulimatus Salma, Rohima Novianti Halimah, Alifia Wardhatul Jannah, Risa Rosita

Makara Journal of Science

The increasing use of disposable plastic bags is affecting environmental problems because it requires thousands of years to degrade naturally. To overcome these problems, mealworms (larvae of Tenebrio molitor L.) become an alter-native solution. They can be considered as biodegradation agents of plastic because of the presence of symbiont bacte-ria in its gut that secretes plastic-depolymerizing enzymes. Therefore, this study aimed to compare the degradation and digestion ability of T. molitor in consuming various plastic types and thickness. Two designs have also been used: first, comparing the degradation and digestion of various plastic types, and second, comparing the degradation and …

Morphological And Molecular Identification Of Saurida Spp. (Teleostei: Synodontidae) From Saudi Arabia And Indonesia, Muhammad Browijoyo Santanumurti, Suciyono Suciyono, Mohamed Ahmed Abu El-Regal

Makara Journal of Science

Saurida is a unique fishery commodity because it is difficult to differentiate visually. They can be only effectively con-served once accurately identified. This study aimed to determine the morphology and molecular characteristics of Sau-rida spp. from Banyuwangi (Indonesia) and Jizan (Saudi Arabia). Meristic and morphometric analysis was performed for morphological identification, whereas COI gene analysis was performed for molecular identification. Morphological analysis was performed to identify Saurida in this study, such as S. tumbil (Jizan, Saudi Arabia) and S. micropectoralis (Banyuwangi, Indonesia). S. tumbil did not have dark brown spots on the lateral line and upper caudal fin, whereas S. …

Activities Of Cellulolytic, Amylolytic, And Secondary Metabolites From Thermophilic Actinomycetes Collected From The Heated Soil Around Cisolok Geyser, Dhian Chitra Ayu Fitria Sari, Fitria Ningsih, Mazytha Kinanti Rachmania, Akira Yokota, Wellyzar Sjamsuridzal

Makara Journal of Science

This study investigated the antimicrobial activity, cellulolytic, and amylolytic abilities of eight thermophilic Actinomy-cetes isolated from the heated soil around the Cisolok geyser, West Java, Indonesia. Cellulolytic and amylolytic abili-ties were screened for on media by adding 1% (w/v) soluble starch and carboxymethylcellulose (CMC), respectively. Antimicrobial activity was screened for using the agar-plug diffusion method by cultivating strains on various growth media. Growth at various temperatures showed that six strains could grow up to 50 °C. Seven out of eight strains showed amylolytic ability at 40 °C and 45 °C, and only four strains did so at 50 °C. Screening …

Observations On The Biodegration By Solid State Fermentation Of The Giant Swamp Taro (Cyrtosperma Merkusii) Biomass By Two Endolichenic Fungi Isolates, Maria Helena, Helen Joan Lawalata, Dino Rahardiyan, Livana Dethris Rawung, Emma Mauren Moko

Makara Journal of Science

Giant swamp taro (GST/Cyrtosperma merkusii), a local North Sulawesi coastal plant, is underutilized but has high po-tential for cultivation as a paludiculture plant on rewetted peatland restorations. GST has high starch content and is currently being explored for potential use. This study explored the potential of using the biomass pulp yielded as resi-dues of the starch extraction process. Endolichenic fungi (Trichoderma reesei and Aspergillus aculeatus) isolated from local lichens, were inoculated on the GST biomass in a solid state fermentation (SSF). Findings of this study indicate that both isolates were effective in degrading the lignocellulosic biomass of GST over an …

Synthesis Of Activated Carbon From Coconut Shell And Recycled Styrofoam Nanofiber For Water Filtration, Rahma Dani, Ismet Ismet, Leni Marlina, Rona Alisya, Muhamad Abel Kirana Aldi, Anggi Ludiansyah, Lintang Auliya Kurdiati, Meutia Kamilatun Nuha Ap Idjan, Agung Mataram, Muhammad Rama Almafie, Ida Sriyanti

Makara Journal of Science

Water pollution affects life sustainability; hence, several efforts have been exerted to overcome this problem. For ex-ample, nanofiber membrane technology is introduced to retain solutes while allowing only water molecules to pass through the system. Therefore, this study aimed to maximize the technology for water filtration using the electrospin-ning method by combining Styrofoam waste-based polymer with activated carbon from coconut shell waste (ACCS). The nanofiber diameter produced ranged from 590 nm to 610 nm with porous characteristics and without beads. The carbon content varied from 68.04% to 69.84%, according to the energy dispersive X-ray measurement, demonstrating the composite’s effectiveness. The …

Analysis Of Dense Metals Accumulation In Shikaripara Stone Mines, Gopinath Gorai, Nirajan Kumar Mandal

Makara Journal of Science

This study aimed to measure the amount of dangerous substances in the cultivated area of the Shikaripara stone mines in Jharkhand, India, which are well known for their stone quarrying. Sixteen soil samples were collected at varying dis-tances from the Shikaripara stone mines in the Dumka District of Jharkhand. The metals found in these samples in-clude Pb, As, Zn, Mn, Cd, Cu, Fg, and Fe. The combined amount of the elements was calculated by inductively coupled plasma mass spectrometry. Enrichment factor, accumulation index, contamination factor, pollution load index (PLI), Nemerow index, and ecological risk index (RI) were employed to assess …

The Teacher Mental Health Crisis: A Mixed Methods Examination Of The Factors Contributing To Teacher Burnout, Minerva Carrasco

Masters Theses (Archived)

For decades, teachers' mental health and burnout have been an issue nationwide (Sewell, 1971). This has been an even larger struggle in the education field in recent years because turnover is high, the COVID-19 pandemic, and districts are struggling to find ways to retain teachers to stay in their profession. There are things that administrators and teachers can do to guide districts to ensure that teachers are comfortable in their classrooms and their school campus. There are coping strategies that teachers can do to prevent teacher mental health and burnout and there are ways that administrators can support their teachers …