Digital Commons Network^™

What Would Happen In The United States If There Were No Cow Milk-Based Preterm Infant Nutritional Products: Historical Perspective And Evaluation Of Nutrient-Related Challenges, Steven A Abrams, Robert J Shulman

Faculty, Staff and Students Publications

Recent litigation has led to a situation where preterm cow milk-based infant nutritional products (PCMBPs) may soon have limited or no availability in the United States. Given their limited availability, similar products based only on human milk are unlikely to meet the needs of most preterm infants requiring such products, especially those born >1500 g or very preterm infants born at < 1500 g after they reach 34-35 wk postmenstrual age. Alternative nutritional strategies, used before the introduction of specialized preterm products, would require modular nutrient additions to a formula designed for full-term infants and donor or maternal milk. The addition of modular products would require careful calibration to provide needed macro and micronutrients which would expose infants to risks of contamination, poor growth, and limited bioavailability of some of these modulars. Substantial risks of metabolic derangements, and ultimately, poor outcomes would occur. In the long-term greater availability and support for the use of human milk-based products is needed. However, policymakers cannot assume that PCMBPs will not be critically needed and should identify strategies for their continued marketplace availability.

Exploring The Relationship Between Intrinsic Motivation And Receptivity To Mhealth Interventions, Varun Mishra, Sarah Hong, David Kotz

Dartmouth Scholarship

Just-in-Time Adaptive Interventions aim to deliver the right type and amount of support at the right time. This involves determining a user's state of receptivity - the degree to which a user is willing to accept, process, and use the intervention. Although past work has found that users are more receptive to notifications they view as useful, there is no existing research on whether users' intrinsic motivation for the underlying topic of mHealth interventions affects their receptivity. To explore this, we conducted a study with 20 participants over three weeks, where participants interacted with a chatbot-based digital coach to receive …

Healthy From The Start: Co-Designing Sleep, Nutrition And Physical Activity Resources For Young Shiftworkers—Novel Implementation And Evaluation, Alexandra E. Shriane, Sally A. Ferguson, Gabrielle Rigney, Charlotte C. Gupta, Tracy Kolbe-Alexander, Madeline Sprajcer, Cassie Hilditch, Robert Stanton, Matthew J.W. Thomas, Jessica L. Paterson, Jamie Marino, Grace E. Vincent

Faculty Research, Scholarly, and Creative Activity

Introduction: The increasing prevalence of shiftwork among young adults poses significant health risks, primarily due to its disruptive effects on sleep, nutrition and physical activity. Addressing these risks necessitates the development of tailored, evidence-based resources to support these key health behaviours. Participatory research approaches, engaging those with relevant lived experience (i.e., co-design) are a novel and effective approach in developing these resources. As such, the aim of the present study was to explore whether sleep, nutrition and physical activity resources for young shiftworkers could be developed using participatory, co-design approaches and how co-designers would rate both the approaches used and …

Sequential Early-Life Viral Infections Modulate The Microbiota And Adaptive Immune Responses To Systemic And Mucosal Vaccination, Yuhao Li, Jerome M. Molleston, Crystal Lovato, Jasmine Wright, Isabel Erickson, Duyen Bui, Andrew H. Kim, Harshad Ingle, Somya Aggarwal, Lila S Nolan, Ahmed O. Hassan, Lynne Foster, Michael S. Diamond, Megan T. Baldridge

2020-Current year OA Pubs

Increasing evidence points to the microbial exposome as a critical factor in maturing and shaping the host immune system, thereby influencing responses to immune challenges such as infections or vaccines. To investigate the effect of early-life viral exposures on immune development and vaccine responses, we inoculated mice with six distinct viral pathogens in sequence beginning in the neonatal period, and then evaluated their immune signatures before and after intramuscular or intranasal vaccination against SARS-CoV-2. Sequential viral infection drove profound changes in all aspects of the immune system, including increasing circulating leukocytes, altering innate and adaptive immune cell lineages in tissues, …

Accessibility Of And Barriers To Long-Term Follow-Up Care For Childhood Cancer Survivors, Jiaoyang Cai, Sara Malone, Nickhill Bhakta, Ching-Hon Pui, Jing Chen, Shaoyan Hu, Hui Jiang, Xiuli Ju, Fen Zhou, Melissa M Hudson, Yin Ting Cheung

2020-Current year OA Pubs

IMPORTANCE: Childhood cancer survivorship programs and long-term follow-up (LTFU) practices are inadequate in most regions of China.

OBJECTIVE: To understand the clinician and caregiver perceptions of LTFU care and to identify barriers to adherence to LTFU care in mainland China.

DESIGN, SETTING, AND PARTICIPANTS: This survey study had a 2-phase sequential mixed-methods approach, consisting of a cross-sectional survey followed by semistructured interviews. Participants included oncology clinicians recruited through an educational seminar on LTFU and caregivers recruited through convenience sampling. Data were collected from November 2022 to September 2023.

MAIN OUTCOMES AND MEASURES: The clinician survey and interview focused on the …

Body Mass Index And Postacute Sequelae Of Sars-Cov-2 Infection In Children And Young Adults, Ting Zhou, Chongliang Luo, Et Al.

2020-Current year OA Pubs

IMPORTANCE: Obesity is associated with increased severity of COVID-19. Whether obesity is associated with an increased risk of post-acute sequelae of SARS-CoV-2 infection (PASC) among pediatric populations, independent of its association with acute infection severity, is unclear.

OBJECTIVE: To quantify the association of body mass index (BMI) status before SARS-CoV-2 infection with pediatric PASC risk, controlling for acute infection severity.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study occurred at 26 US children's hospitals from March 2020 to May 2023 with a minimum follow-up of 179 days. Eligible participants included children and young adults aged 5 to 20 years with …

Rehabilitation Transition Program To Improve Community Participation Among Stroke Survivors: A Randomized Clinical Trial, Rebecca M Bollinger, Melissa J Krauss, Emily K Somerville, Brianna M Holden, Gabrielle Blenden, Holly Hollingsworth, Audrey A Keleman, Alexandre Carter, Timothy D Mcbride, Abigail R Barker, Yan Yan, Susan L Stark

2020-Current year OA Pubs

IMPORTANCE: Interventions are needed to support the long-term needs of stroke survivors when they transition from inpatient rehabilitation to home, where they face new home and community environmental barriers.

OBJECTIVE: To compare the efficacy of a novel, enhanced rehabilitation transition program with attentional control to improve community participation and activity of daily living (ADL) performance and to reduce environmental barriers in the home and community after stroke.

DESIGN, SETTING, AND PARTICIPANTS: This phase 2b, parallel randomized clinical trial assessed patients 50 years or older who had experienced an acute ischemic stroke or intracerebral hemorrhage, were independent in ADLs before stroke, …

The Dallas Donation After Circulatory Death Transplantation Summit: Expanding Donation After Circulatory Death Procedures Through Process Improvement, Broader Utilization, And Innovation, Michele Finotti, William C. Chapman, Et Al.

2020-Current year OA Pubs

Despite a significant increase in utilization over the past decade, the number of donation after circulatory death (DCD) organs that are procured and transplanted in the United States (US) remains well below its potential. There is still room for expansion, as utilizing DCD organs to the fullest extent is currently the most viable solution to the persistent mismatch between supply and demand in transplantation. We convened a multidisciplinary transplantation summit to examine various aspects of DCD, with faculty members from around the world with clinical and academic interest in DCD donation and transplantation, including abdominal and cardiothoracic surgeons, organ procurement …

Ambrosia Beetle (Coleoptera: Curculionidae: Scolytinae) Responses To Ice Storm Damage In Mesic, Mixed Deciduous Forests In Southeast Ohio, United States, Christopher J. Hayes, Richard M. Turcotte

The Great Lakes Entomologist

In the eastern United States abiotic forest disturbances are common and cause extensive tree damage. Freshly broken trees and tree branches attract bark and ambrosia beetles that utilize inner bark and xylem of damaged branches and trees to fill requisite habitat needs. An ice storm in February 2003 on the Wayne National Forest presented an opportunity to study the local ambrosia beetle species and their reaction to this storm event. Ethanol baited Lindgren traps were deployed from 2003-2006 starting in the summer after the storm. Eight native and introduced Scolytinae ambrosia beetle species were trapped in large numbers (>500 …

Phenology And Host Choice Among Common Yet Little Understood Wood Borers (Coleoptera: Bostrichidae) In A Midwestern Savanna, Noah I. Finney, Derek W. Rosenberger

The Great Lakes Entomologist

Horned powder-post beetles (Coleoptera: Bostrichidae) are a geographically widespread family of wood-boring beetles. While members of this family represent important grain pests, are often intercepted in ports, and may play an important role in ecosystem processes, little work has investigated bostrichid life history in their native ranges. This gap limits our ability to assess ecosystem services and invasiveness. Three native species, Amphicerus bicaudatus (Say), Scobicia bidentata (Horn), and Xylobiops basilaris (Say), are commonly found in savannas in Northern Illinois. Although little is currently known about the life history of S. bidentata, A. bicaudatus and X. basilaris can be minor pests …

Blend Feeding Broilers To Daily Nutrient Requirements, J.T. Pope

Proceedings of the Arkansas Nutrition Conference

Broiler producers and nutritionists have used phase feeding as a practical means to define broiler feeding programs. Each feed phase has discreet nutrient definitions intended to be fed for a defined number of days based on a feed mass delivered per broiler. A typical broiler feeding program would consist of three to five feed phases over the production cycle that intend to address the changing nutrient requirements as broilers age. Phase feeding programs are easily defined, practical to manage, and provide a predictable cost structure for broiler producers. Despite the practicality of phase feeding, there are inherent flaws that will …

Current Trends And Experiences From A Contract Research Organization Perspective, Dan Moore

Proceedings of the Arkansas Nutrition Conference

The primary goal of this presentation is to provide an update on the trends of research observed at a contract research organization (CRO) in recent years as it relates to species, study design type and products tested, as well as, challenge models used and products that have shown benefits in various study designs. The information in the presentation is based off of studies conducted from 2014-2024 at one CRO, Colorado Quality Research (CQR), and represents the experiences at CQR. Many of the parameters discussed will be from 2014-2019 and 2020-2024 to observe trends from over 5 years ago and more …

Importance Of A Rooster Feed In Broiler Breeder Production, Alex Corzo, Marcelo Silva

Proceedings of the Arkansas Nutrition Conference

Of all feed phases in poultry production, rooster feeding is arguably the least studied. During the rear phase, there is general agreement that male and female broiler breeders can be provided a common feed program, only differing on feed amounts provided, that results in growth targets reached for each sex. It is during the production phase that there is some disagreement on the best way to support the nutritional needs of the adult rooster. A considerable segment of the world does employ a rooster feed as a way to better support the nutritional needs of working males. Other poultry operations …

Vitamin Update And Sustainability, Edgar Orlando Oviedo-Rondón

Proceedings of the Arkansas Nutrition Conference

This presentation addressed the status of research on vitamin nutrition in poultry species and current recommended levels. The economic, environmental, and socio-political aspects of sustainability are addressed. Most of the information presented is described in detail in the book Optimum Vitamin Nutrition for More Sustainable Poultry Farming (Oviedo-Rondon et al., 2023). However, this presentation also used more recent publications and news of the latest events related to scientific recommendations and the worldwide vitamin market. The objective is to provide a brief overview of scientific findings to aid nutritionists in the decision-making process when selecting optimum levels for poultry nutrition. …

Every Day Feeding Of Broiler Breeder Pullets, David Brandt

Proceedings of the Arkansas Nutrition Conference

Broiler breeders are characterized by their fast growth and sensitivity to light stimuli. Unlike commercial layers, they have a lower egg production rate and are kept on the floor during rearing and laying periods. Fertile eggs are the primary objective, necessitating careful management of their egg-laying properties, while controlling their body weights. Unrestricted feeding leads to early laying with poor peak and persistency in egg production. Therefore, nutrient intake must be restricted to achieve target body weights at light stimulation (22 weeks). This involves both quantitative and qualitative feed restrictions. Quantitative feed restriction can lead to issues such as poor …

Integration Of Commercial Broiler Data Into A Broiler Growth Model, David Brandt

Proceedings of the Arkansas Nutrition Conference

This study explores the alignment of theoretical broiler growth models with practical farm conditions, emphasizing the value of integrating commercial data into simulation models. The EFG Broiler Growth Model, developed by Emmens, Fisher and Gous, is highlighted for its mechanistic approach, predicting growth based on feed intake. While empirical models are useful, they are limited by changes in genetics. Both mechanistic and empirical models struggle to predict how broilers will respond to feed under the challenging conditions typically experienced in commercial operations. The study also discusses the development of empirical models to determine broiler responses to balanced protein and energy, …

Cost-Effectiveness Analysis: Automated Auditory Brainstem Response (Aabr) Diagnostic Test Compared To Transient Evoked Otoacoustic Emission Screening (Teoae) For Universal Newborn Hearing Screenings (Unhs) In High-Risk Neonates, Teresa Anthony, Troy Quast, Sarah Warren

Journal of Early Hearing Detection and Intervention

Purpose: Comorbidities and ototoxic medications increase risk of hearing loss (HL) in infants admitted to neonatal intensive care units (NICU; 6 per 1000 births) compared to well-babies (1.7 per 1000 births). For newborn hearing screening (NBHS), transient evoked otoacoustic emissions (TEOAE) testing is more efficient and less costly. Automated auditory brainstem response (aABR) testing yields higher sensitivity and specificity. This study will identify if aABR is cost-effective compared with TEOAE for NBHS in high-risk neonates.

Methodology: Cost-effectiveness analysis was conducted from a healthcare system perspective. Prevalence and outcomes data for aABR, TEOAE, and auditory brainstem response (ABR) were obtained …

Dietary Inflammatory Index, Physical Activity, Body Composition, And High Sensitivity C-Reactive Protein Levels In Adolescent Athletes In Central Java, Trioni Widyastuti, Hardhono Susanto, Etika Ratna Noer, Muflihatul Muniroh, Nyoman Suci Widyastiti

Jurnal Keolahragaan

Inflammation is the body's response to tissue damage and infection. Prolonged inflammation can increase the risk of non-communicable diseases, including cardiovascular disease. Some factors that can trigger inflammation are dietary patterns, high physical activity, and body composition. This study examined the correlation between dietary inflammatory index (DII), physical activity, body composition, and high sensitivity C-reactive protein (hs-CRP) levels. It examined differences in characteristics based on gender. This study was a cross-sectional design of 55 adolescent athletes at the Student Sports Education and Training Center in Central Java. The exclusion criteria were an athlete who had a physical injury (did not …

Sarkopenia Sebagai Faktor Risiko Varises Esofagus Risiko Tinggi Berdasarkan Stratifikasi Child-Pugh Pasien Sirosis Hati, Iwandheny Sepmeitutu, Juferdy Kurniawan, Hasan Maulahela, Ikhwan Rinaldi, Hamzah Shatri, Triyanta Yuli Pramana, Dadang Makmun, Cosmas Rinaldi A Lesmana, Rudy Hidayat, Purwita Wijaya Laksmi, Diana Sunardi

Jurnal Penyakit Dalam Indonesia

Background The high prevalence of sarcopenia in chronic liver disease negatively impacts the quality of life and increases the risk of various complications of cirrhosis, one of which is the development of esophageal varices. The aim of this study was to determine the prevalence of sarcopenia in cirrhosis patients based on the severity of liver cirrhosis and to explore the association of sarcopenia with high-risk esophageal varices stratified by Child-Pugh. Methods This observational cross-sectional study involved patients with liver cirrhosis at Cipto Mangunkusumo Hospital between January and September 2023. Sarcopenia was defined as a reduction in muscle mass accompanied by …

Adoption Of Mobile Money Services In Sub-Saharan Africa/Ethiopia, Amare Tesfaye Alemu

Walden Dissertations and Doctoral Studies

In Sub-Saharan Africa/Ethiopia, information and communication technology (ICT) managers need to understand the correlates of mobile money systems (MMS) to improve economic conditions for low-income families. ICT managers are concerned about the community's economic development and need to understand these correlates because failure to adopt MMS could stunt economic growth in Sub-Saharan Africa. Grounded in the technology acceptance model (TAM), the purpose of this quantitative correlation study was to examine the relationship between perceived ease of use, perceived use, and the behavioral intention to adopt MMS. The participants were 55 ICT managers from Addis Ababa who filled out a survey …

Correlation Between Screen Time And Physical Activity To Student’S Physical Fitness, Anang Bagus Prakoso, Nur Ahmad Arief, Abd Muin, Nurul Kusuma Wardani

Jurnal Keolahragaan

The development of electronic media may increase screen time (ST) duration, cause students to develop sedentary habits, and decrease their physical activity (PA). Lately, this has been thought to be the cause of the problem of low physical fitness (PF) among students. This study aimed to analyze the correlation between screen time, physical activity, and students' physical fitness. The design of this study was correlational, with a total of 88 subjects in grades 4 and 5 at Primary Laboratoy School (Labschool) Unesa 1. The sampling technique was simple random sampling. Nusantara students' physical fitness test (TKPN) was employed to assessed …

Body Weight Training Versus Series 7 Diabetes Dance: Their Influence On Glucose Levels In Patients With Type 2 Diabetes Mellitus, Dikri Muhammad, Sumarjo Sumarjo, Bm Wara Kushartanti, Fatemeh Nourzad

Jurnal Keolahragaan

Managing blood glucose levels is critical for preventing complications associated with type 2 diabetes mellitus (T2DM). Physical activity has been shown to be an effective strategy for glucose control, with various forms of exercise yielding different results. This research aims to explore the effects of body weight training and series 7 diabetes dance on reducing blood glucose levels in patients with T2DM, and to compare the efficacy of these two interventions in achieving glucose control. The type of research was a quasi-experiment with a two groups pre-test post-test design. The series 7 diabetes dance group performed the exercise 4 times …

Digital Education On Hospital Nutrition Diets: What Do Patients Want To Know?, Neha Gutta, Som Singh, Dharti Patel, Aleena Jamal, Fawad Qureshi

SKMC Student Presentations and Publications

INTRODUCTION: Therapeutic nutrition plays an imperative role during a patient's hospital course. There is a tremendous body of literature that emphasizes the systematic delivery of information regarding hospital nutrition diets. A major component of delivering healthcare information is the principle of providing quality healthcare information, but this has not yet been investigated on hospital nutrition diets. This study aimed to evaluate the comprehension and readability of patient education materials regarding therapeutic hospital diets.

METHODOLOGY: The methodology employed the use of publicly available questions regarding hospital nutrition diets and categorized them per Rothwell's Classification of Questions. Additionally, the questions were extracted …

Nongenetic And Genetic Factors Associated With White Matter Brain Aging: Exposome-Wide And Genome-Wide Association Study, Li Feng, Halley S Milleson, Zhenyao Ye, Travis Canida, Hongjie Ke, Menglu Liang, Si Gao, Shuo Chen, L Elliot Hong, Peter Kochunov, David K Y Lei, Tianzhou Ma

Faculty, Staff and Student Publications

BACKGROUND/OBJECTIVES: Human brain aging is a complex process that affects various aspects of brain function and structure, increasing susceptibility to neurological and psychiatric disorders. A number of nongenetic (e.g., environmental and lifestyle) and genetic risk factors are found to contribute to the varying rates at which the brain ages among individuals.

METHODS: In this paper, we conducted both an exposome-wide association study (XWAS) and a genome-wide association study (GWAS) on white matter brain aging in the UK Biobank, revealing the multifactorial nature of brain aging. We applied a machine learning algorithm and leveraged fractional anisotropy tract measurements from diffusion tensor …

Implementation Of Sugar-Sweetened Beverages Excise Policy And Its Implications In Various Countries: Literature Review, Roissiana Khotami, Vetty Yulianty, Ratih Oktarina

Journal of Indonesian Health Policy and Administration

The prevalence of diabetes in the world is projected to continue to increase to 643 million in 2030. Indonesia is ranked 7th with the highest number of diabetes mellitus sufferers and the only one in Southeast Asia with a total of 10.7 million sufferers. Consumption of sweetened drinks is the most dominant factor in the incidence of diabetes mellitus in Indonesia. Indonesia ranks third highest in Southeast Asia in sweetened drink consumption. Excise on sweetened drinks is an effective intervention to reduce consumption of sweetened drinks, but Indonesia has not yet implemented it. This research aims to determine the implementation …

Emancipation From Disabling Perplexities Towards Church Resilience: The Tale Of Quiapo Church, George Vincent Gamayo

Asia-Pacific Social Science Review

The Philippines ranks as one of the topmost vulnerable countries to climate change, prompting the government to harmonize proactive disaster risk reduction and management (DRRM) efforts across private, public, and non-governmental organizations. However, many Catholic parishes in the country are still more active in responding to, restoring, and recovering from disasters, which is commendable but not preventive. Using a Filipino social research framework Alfonso (1992) developed called socially shared inquiry (SSI), this study investigates Quiapo Church’s issues in DRRM and how its volunteers and parishioners find solutions. The self-reflexive approach utilized in this study enabled the reframing of disabling cognitions …

The Effect Of Some Special Exercises For The Explosive Ability Of The Distinct Leg, Which Is Developing The Accuracy Of Performing The Pressing Skill In Football Tennis, Zahraa Ahmed Breesim, Sahar Hurr Majeed

Modern Sport

The importance of the research came from using special exercises in learning the pressing skill for football tennis, the level of performance of some physical abilities and defensive rules for the research sample. The problem of the research lies in knowing the effect of special exercises in learning the skill of pressing football tennis because of the working muscles during the performance stage and because of the lack of use of modern training aids and tools in learning. After the two researchers redownloaded the sources and references, it was proven that there is a problem in the skill of pressing …

High Fat, High Sucrose Diet Promotes Increased Expression Of Ace2 Receptor In The Siv-Infected Host: Implications For Sars-Cov-2 Infection, Elizabeth C. Delery, Danielle E. Levitt, Angela M. Amedee, Patricia E. Molina, Liz Simon

School of Graduate Studies Faculty Publications

Introduction: People with pre-existing conditions, including metabolic comorbidities, are at greater risk for complications of SARS-CoV-2 infection and expression of machinery required for viral entry into host cells may be a contributing factor. This study tested the hypothesis that high fat, high sucrose diet (HFSD) and alcohol use increase expression of angiotensin converting enzyme 2 (ACE2) receptor and transmembrane serine protease 2 (TMPRSS2) in tissues isolated from simian immunodeficiency virus (SIV) infected macaques, the most clinically relevant model for the study of HIV. Methods: Biospecimens obtained from a longitudinal study of SIV-infected, antiretroviral therapy (ART)-treated female rhesus macaques (Macaca mulatta) …

The Effect Of The High Repetitions Method On Developing Strength Endurance In The Arms And Some Basic Wheelchair Basketball Skills For Youth, Zuhair Salim Abdul-Razzaq

Modern Sport

The importance of the research is evident in raising the level of muscular strength endurance in the arms for wheelchair basketball players for the purpose of achieving better results in the match by providing the important and basic physical requirement for this game, in addition to delivering scientific information to basketball coaches about the method of high-repetition training and its role in developing muscular strength endurance. And offensive skill performance in wheelchair basketball. The most important objectives of the research were: identifying the effect of the high-repetition method on developing strength endurance in the arms and some basic wheelchair basketball …

Unconditional Cash Transfer Policy As An Effort To Prevent Stunting: A Study On Jember, East Java, Allen Pranata Putra, Sri Juni Woro Astuti, Kabiru Hannafi Ibrahim

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

This study evaluates the impact of the Unconditional Cash Transfer (UCT) policy in preventing stunting in Jember, East Java. Stunting, a result of chronic malnutrition, remains a significant public health challenge in Indonesia, with Jember exhibiting higher prevalence rates than the national average. The UCT policy aims to improve the welfare of low-income families by providing direct financial assistance, allowing them to meet basic needs, including nutrition. This research utilizes a qualitative approach through case studies and interviews with relevant stakeholders to assess the effectiveness of UCT in enhancing children's nutrition and health. The findings indicate that while UCT has …