Digital Commons Network^™

Baby-Friendly Hospital Initiative: Becoming Baby-Friendly Designated, Joann Chu Zheng

Master's Projects and Capstones

Problem Global breastfeeding rates remain low despite numerous breastfeeding benefits, which poses significant challenges and contributes to adverse infant health outcomes. In response, the Baby-Friendly Hospital Initiative (BFHI) was established to advocate, defend, and uphold breastfeeding encouraging healthy infant development from birth through early childhood. Context Hospital A is in the East Bay with a perinatal unit seeking BFHI certification. A microsystem assessment identified the need to ensure that postpartum nurses deliver accurate and consistent BFHI-aligned education to meet designation requirements. Intervention A standardized patient checklist conforming to baby-appropriate education guidelines was developed to improve the quality and thoroughness of …

Implementation Of A Food Security Program To Reduce Hypertension At A Primary Care Clinic, Maribel Ballesteros

Master's Projects and Capstones

The food security program aims to reduce hypertension and food insecurity by increasing access to fresh fruits and vegetables. Although food insecurity is a growing public health issue, the food security program experienced significantly low enrollment compared to projected values. The quality improvement project was conducted in an adult medicine department in a primary care clinic in San Francisco serving the Latinx community. To address the issue of low program enrollment, a comprehensive educational food security program flyer was developed containing program information, including frequently asked questions. The flyer aimed to increase program enrollments by increasing program education. Fifty flyers …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Climate- And Land-Use Change Impacts On Ecosystem Services Provided By Prairie Pothole Wetlands, Alina Mullins

Master's Projects and Capstones

Prairie pothole wetlands are a type of depressional, isolated wetland that can be found in the glaciated landscape of the mid-central United States and portions of southern Canada, also referred to as the Prairie Pothole Region (PPR). The region is consistently recognized for its historic production and support of migratory waterfowl populations among other types of mammals and invertebrates largely due to the variability in pothole wetlands water levels and vegetative structure. Isolated from other waterbodies and lacking surface water connections, the hydrology of prairie pothole wetlands is influenced by the region’s continental climate. Historically, the region receives much of …

Food Security And Its Impact On Hypertension In Urban Communities, Lauren M. Nobriga

Master's Projects and Capstones

The Quality Improvement Team proposed an intervention to increase enrollment in the Food Security Program, a six-month initiative that provides vouchers redeemable for fruits and vegetables. Long-term impacts of this Program include an improved food economy and enhanced patient disease management autonomy. This project aimed to increase the percentage of eligible adult medicine clinic patients enrolled in the Food Security Program by 25%, or 11 patients per month, based on the mean enrollment for the first four months of the Program (May to August) of nine patients. The intervention was based on bi-monthly performance reports, making the goal include enrolling …

Understanding The Correlation Between Socioeconomic Status And Student Achievement Amongst High School Students In Rural Mississippi, Aiesha L. Brooks-Hodges

Theses and Dissertations

This study examines the relationship between socioeconomic status (SES) and student achievement among high school students in rural Mississippi. By using a mixed-methods approach that combines quantitative data from the Mississippi Department of Education’s Accountability Report Card with qualitative data from student surveys and teacher interviews, this paper explores how SES factors such as parental income and education affect academic outcomes in rural settings. The study highlights the significant disparities between low-SES and high-SES students in terms of standardized test scores, graduation rates, and access to educational resources. The findings suggest that addressing these disparities will require targeted interventions at …

A Correlation Study Between Soil Selenium Levels And Diabetes Prevalence Across U.S. Regions: An Archival Data Analysis (2012-2018), Baoshan Wu

Theses and Dissertations

This study investigates the correlation between soil selenium levels and Type 2 diabetes (T2D) prevalence across U.S. regions between 2012 to 2018. Selenium, an essential trace element, plays an important role in antioxidant defense and metabolism. While appropriate selenium intake may protect against diabetes by improving insulin sensitivity and reducing oxidative stress, excessive intake can have adverse effects. This research analyzed the most recent data, from the Centers for Disease Control and Prevention (CDC) and the U.S. Geological Survey (USGS), for over 3,000 counties in the U.S. A correlation analysis model was used to determine the relationship between soil selenium …

Effects Of A Snap-Ed Social Marketing Campaign On Behavior Change, Andrew Beall Cole

Theses and Dissertations

Introduction: This research studied the use of a social marketing campaign to address chronic diseases in the U.S., such as obesity, diabetes, hypertension and other cardiovascular diseases by assessing audience self-reported actions and evaluating message framing effects on participant intentions to change nutrition behavior and daily physical activity. Approach: Evaluate a social marketing campaign for effects on SNAP-Ed eligible clients and research message framing effects on audience’s intention to change health behaviors. Discussion: The HappyHealthy social marketing campaign launched in 2018 by Mississippi State University Extension. Outcome evaluation data (collected 2023) reported multiple correlations between core messages recalled and increased …

Fisheries Management In Mississippi State-Operated Fishing Lakes: A Review And Look To The Future, Hayden Gregory Funk

Theses and Dissertations

The Mississippi Department of Wildlife, Fisheries and Parks currently manages 18 State Lakes and 17 State Park Lakes to provide public fishing opportunities. My goal was to conduct a comprehensive analysis of monitoring and management activities in State Lakes to enhance understanding of lake dynamics, further develop existing management initiatives, and identify alternative avenues for effective management. To achieve this objective, I have undertaken a comprehensive examination and synthesis of the historical background pertaining to State Lakes and conducted an analysis of pertinent data regarding lake characteristics such as the physical and chemical attributes of the lakes, the features of …

Changing Attitudes And Increasing Fruit And Vegetable Intake Of Elementary-Aged Children Through School Gardens, Hayley Rae Meriwether

Theses and Dissertations

Fruit and vegetable consumption is critical for children’s health, yet many fail to meet recommended intake levels. School gardens have the potential to increase consumption and improve attitudes toward fruits and vegetables. This study examined the impact of a school gardening program on children’s attitudes and consumption of fruits and vegetables using a pre- and post-test design. While most children reported enjoying gardening and trying new produce, no significant changes were observed in overall attitudes or consumption patterns after the intervention. However, increased consumption of apples and green beans was noted. The findings suggest that while school gardens can spark …

Effects Of Eugenol And Carvacrol In Combination Against Salmonella In Hummus, Lauryn Ashley Heidelberg

Theses and Dissertations

Hummus consumption has risen but multiple foodborne outbreaks due to Salmonella contamination have been reported. Essential oils (EOs) eugenol and carvacrol have been found to inhibit the growth and survival of Salmonella in food products. The objective was to evaluate antibacterial properties of various concentrations of eugenol (EU) and carvacrol (CA), alone or in combination (EUCA) against Salmonella in vitro and in hummus. Eugenol demonstrated a MIC of 0.125 mg/mL and an MBC of 0.25 mg/mL, while carvacrol showed a MIC of 0.0625 mg/mL and an MBC of 0.125 mg/mL. In the hummus study, 2% EUCA was the most effective …

Identification Of Bacterial Species Composition And Diversity Of Chicken Breast Meat During Processing., Lizzie Raquel Zaldivar

Theses and Dissertations

Understanding the bacterial profile of chicken during processing is essential to identify spoilage-related bacteria. Using advanced methods like Oxford Nanopore sequencing, specific bacterial species on chicken meat can be identified. This study aimed to characterize bacterial composition and diversity on chicken breast during processing. Results showed a reduction in aerobic bacteria, E. coli, coliform, and lactic acid bacteria counts. However, three thermophilic bacteria, Anoxybacillus contaminants, Neobacillus thermocopriae, and Anoxybacillus flavithermus, dominated across processing steps. Notably, Pseudomonas species were undetected by conventional plating but identified via Nanopore sequencing, highlighting the need for molecular detection methods. Although antimicrobial interventions significantly reduced bacterial …

Description And Influence Of Diseases On The East Mississippi Catfish Industry, And The Role Of Clay Minerals, Iron, And Aluminum Salts In The Susceptibility Of Channel Catfish To Aeromonas Hydrophila And Edwardsiella Ictaluri, Mark Alan Peterman

Theses and Dissertations

In 2014, a virulent clonal group of Aeromonas hydrophila (VAH) was the predominant disease impacting the east Mississippi (EMS) commercial catfish industry. The EMS aquatic ambulatory service observed an area not prone to VAH outbreaks. In addition, frequent underestimations of the scope and economic impact of the EMS catfish industry and its diseases warranted a descriptive effort. Therefore, the EMS catfish industry, its economic impact, the diseases of this region and their economic impact were described. Further, differences in water and geological chemistry of the area not prone to VAH outbreaks, and the sensitivity of VAH and Edwardsiella ictaluri to …

Development And Changes Over Time Of A Granola Bar Formulated With Sweet Potatoes, Meredith Kate Maynard

Theses and Dissertations

Sweet potatoes are a worldwide staple crop and granola bars are popular with consumers. This study aims to create a granola bar utilizing sweet potatoes and to assess its changes over time. Initial formulations tested minimum and maximum concentration of sweet potato (SP) puree, formulations, cooking type and time/temperature, humectants and preservatives. Bars containing 30 and 45% SP butter were chosen. Changes over time and descriptive sensory evaluation were conducted every 14d for 70d, with four treatments: a control bar and a bar with a preservative, each held at 25°C and 47°C. Water activity and moisture decreased by 0.05 and …

Reclaiming The Journey: A Phenomenological Study Of Black Lactation Professionals, Deandra Monet Kees

Theses and Dissertations

This study examined Black lactation professionals’ lived experiences navigating the human lactation workforce. Grounded in hermeneutic phenomenology and guided by Black feminist thought and critical race theory, this research unveiled the impact of various barriers that play a role in human lactation. While evidence cites the importance of human milk feeding, the voices of Black lactation professionals are often overlooked and marginalized, resulting in limited representation of Black lactation training practices. This study aimed to address a critical gap in the literature by centering the voices of Black lactation professionals. This research was conducted utilizing semi-structured interviews and a focus …

Evaluation Of Soybean (Glycine Max L.) Seed Inoculation With Bradyrhizobium Japonicum And Bacillus Subtilis On Yield And Root System Architecture: A Herbicide Carryover Perspective, Ncomiwe Andile Maphalala

Theses and Dissertations

Reducing herbicide carryover in soybean production is imperative to sustain future soybean cropping systems in Mississippi and the rest of the world. This research was conducted to determine the response of inoculated soybean to corn (Zea mays L.) residual herbicides. The herbicide treatments included aatrex (atrazine), callisto (mesotrione), lexar (atrazine+mesotrione+s-metolachlor), and steadfast (nicosulfuron+rimsulfuron) at 100%, 75%, 50%, and 25% of the total label rate. Inoculant treatments were Bradyrhizobium japonicum, Bacillus subtilis, and no inoculant. Bacterial inoculants positively impacted most shoot and root growth parameters, significantly increasing depending on the herbicide x inoculant treatment combination and its rate. B.japonicum alone and …

Innovative Methyl Bromide Alternatives: Efficacy Of Acetic Acid Coated Ham Nets And Carboxymethyl Cellulose Films In Inhibiting Mite Infestations On Dry-Cured Ham, Sawyer Wyatt Smith

Theses and Dissertations

Dry-cured hams may become infested with Tyrophagus putrescentiae (ham mites) during the aging process. Traditionally, methyl bromide (MB) fumigation has been used to control these infestations, but its phase-out due to environmental concerns has prompted the need for alternative methods. This study evaluated the effectiveness of acetic acid-coated ham nets and carboxymethyl cellulose (CMC)-based edible films with propylene glycol (PG) in mitigating mite infestations. Laboratory trials assessed the impact of these treatments on mite orientation, reproduction, infestation rates, and sensory quality. Results indicate that CMC films were effective at controlling mite growth and reproduction with minimal sensory impact. In contrast, …

Evaluation And Characterization Of Two Capacitive Sensors For Cotton Moisture Measurement In Static And Dynamic Modes For Real-Time Use In Cotton Gin, Sushma Perati

Theses and Dissertations

Two capacitive sensors, a commercial FP-32C and a custom design capacitor plate were evaluated for real-time cotton moisture content (MC%) measurement in ginning environment. The sensors were able to measure MC ranges of 3.56%–19.7% and 4.56%–21.04% MC for FP-32C and custom capacitor pate, respectively. In dynamic mode, the ranges were 4.9%–14.5% and 4.9%–14.7% respectively. Results showed that measurements of both sensors had strong correlations with results obtained from oven method. A comparison of moisture content measurement methods using a moisture balance (M5 Thermo 163M,) and oven method was conducted with the result showing that Lint-Only samples were the most closely …

Compassion Fatigue And Satisfaction Among Nurses At A State Psychiatric Hospital: An Opportunity To Educate, Santhi Avula

Dissertations

This Doctor of Nursing Practice (DNP) project aims to bring awareness to psychiatric nurses at NOPH about CF and burnout and educate them on ways to improve resiliency and compassion satisfaction as professional nurses.

PICOT: How do psychiatric nurses at NOPH (P) who are at increased risk for CF benefit from a webinar-based educational intervention (I) to identify and reduce symptoms of CF and improve compassion satisfaction (O) one month after intervention (T) compared to preintervention (C)?

Assessing The Reach Of Health Access Resources In Indianapolis For Populations With Low Income, Kyler A. Casbon, Kai J. Gatting, Simran Nadig, Isabella K. Peckinpaugh, Alexandre A. Sauquet, Kourtney A. D. Byrd, Megan E. Conklin, Gicella Garcia, Mitchell L. Struewing, Omolola A. Adeoye-Olatunde

Purdue Journal of Service-Learning and International Engagement

Two public health crises that the United States are contending with are diabetes and the prevalence of opioid overdoses, both of which have a significant impact on communities nationwide. Inequities in social conditions contribute to health disparities amidst these diabetes and opioid overdose public health crises nationally and locally. To address these health inequities in Indianapolis, Indiana, the the Purdue University Center for Health Excellence, Quality and Innovation (CHEQI) shaped relationships through their CHAMP (Community Health Access Model Partnerships) services with local food pantries and homeless shelters, providing Indianapolis residents pre-diabetes screening and resources and convenient access to and education …

Jovial Family Farm Facilitates Intergenerational Learning Opportunities Through Urban Farming, Maera Williams

Purdue Journal of Service-Learning and International Engagement

Maera Williams is a sophomore in Environmental and Ecological Engineering at Purdue University. She joined the Engineering Projects in Community Service (EPICS) Urban Farming team as a freshman and now serves as project manager of ten undergraduate students collaborating with Jovial Family Farm to design and develop three indoor hydroponics systems for a laboratory space on their property in Broad Ripple, IN. Jovial Family Farm is a nonprofit organization founded by Drs. Bobbie and Brian Jellison with the mission to provide senior citizens, their families, and their communities with meaningful engagement opportunities on an intergenerational scale through urban agricultural activities. …

The Effects Of The Brain Training Program On Cognition Among The Older Adults In Thailand, Chutima Thongwachira, Vilaivan Thongcharoen, Usa Khemthong, Natnarun Kleawklong

Journal of Health Research

Background: Dementia is typically found in older adults, and negatively impacts cognitive function. The current study examined the effects of brain training programs with learning activities on cognitive function in older adults.

Methods: We conducted a two-arm quasi-experimental study with participants who were over 60 years old and had Montreal Cognitive Assessment (MoCA) scores < 25 (n=66). The intervention group (n=33) performed a brain training program with learning activities based on social cognitive theory. MoCA scores were evaluated at baseline, immediately after activities were completed at Week 9, and 3 months after the activities were completed.

Results: Sixty-six participants showed low MoCA. Mean MoCA scores at baseline in the control group (CG) and intervention group (IG) were 20.09 (SD = 2.89) and 19.82 (SD = 2.33), respectively; whereas MoCA scores immediately after activities were completed (Week 9) were 19.15 (SD = 2.06) …

Measuring Parental Attitudes In Four Thai Provinces: Adaptation And Validation Of The Parental Attitudes Towards Their Child’S Outdoor Recreation (Pacor) Questionnaire, Kannika Permpoonputtana, Chayanuch Nakkongkam, Peeradech Thichanpiang, Anuchart Kaunnil, Kerry Lee, Xiaozi Gao, Chutikorn Nopparat, Sarun Kunwittaya

Journal of Health Research

Background: Parental attitudes toward children's outdoor recreation are vital for holistic child development. This study aimed to translate and validate the Parental Attitudes Towards Their Child’s Outdoor Recreation (PACOR) questionnaire in Thai among parents of preschoolers.

Methods: The PACOR was translated into Thai through forward and back-translation, then culturally adapted for Thai parents. A final Thai-PACOR was formed by an expert committee. Content validity was assessed using Item-Objective Congruence values while internal consistency and test-retest reliability were evaluated. Construct validity was determined via factor analysis and comparison of parental attitudes based on children's sex.

Results: The Thai-PACOR demonstrated robust psychometric …

Anemia And Adherence To Weekly Iron-Folic Acid Supplementation Among Adolescent Girls In A Stunting Locus Of Ambon City, Indonesia, Yudhie D. Tando, Christiana R. Titaley, Ritha Tahitu, Elpira Asmin, Liyani S. Sara

Journal of Health Research

Background: Anemia remains a major public health concern among adolescent girls in Indonesia. To address this, weekly iron-folic acid (IFA) supplementation has been implemented nationwide. This study examined factors associated with anemia and adherence to IFA supplementation among adolescent girls in three senior high schools within the Poka-Rumah Tiga Health Centers' catchment area in Ambon City, Indonesia.

Methods: A cross-sectional survey was conducted in August 2022 involving 522 female students from three senior high schools in Ambon City. Factors associated with anemia and adherence to weekly IFA supplementation were examined using logistic regression.

Results: A high prevalence of anemia (49.23%) …

Closed Domain Question Answering With Language Models: Application Of Retrieval-Augmented Generation And Parameter Efficient Fine-Tuning In Healthcare, Aaron Cummings

Master's Theses

Dementia care presents significant challenges for informal caregivers, particularly in managing behavioral symptoms that affect over 90% of individuals with Alzheimer’s Disease and Related Dementias (ADRD) during the moderate-to-severe stages. These symptoms, including agitation, wandering, and repetitive activities, impose emotional and physical burdens on caregivers, often exacerbated by a lack of reliable, accessible, and personalized resources. Non-pharmacological interventions, while evidence-based, are underutilized due to knowledge gaps and the inefficiency of traditional training and information retrieval methods.

This research explores the adaptation of large language models (LLMs) to address these challenges by developing a framework for closed-domain Question Answering (QA) systems, …

Personalized And Culturally Tailored Features Of Mobile Apps For Gestational Diabetes Mellitus And Their Impact On Patient Self-Management: Scoping Review, Catherine Jones, Yi Cui, Ruth Jeminiwa, Elina Bajracharya, Katie Chang, Tony Ma

College of Pharmacy Faculty Papers

BACKGROUND: Gestational diabetes mellitus (GDM) is an increasingly common high-risk pregnancy condition requiring intensive daily self-management, placing the burden of care directly on the patient. Understanding personal and cultural differences among patients is critical for delivering optimal support for GDM self-management, particularly in high-risk populations. Although mobile apps for GDM self-management are being used, limited research has been done on the personalized and culturally tailored features of these apps and their impact on patient self-management.

OBJECTIVE: This scoping review aims to explore the extent to which published studies report the integration and effectiveness of personalized and culturally tailored features in …

Book Review: Across The Aisle: Why Bipartisanship Works For America, Elizabeth Gingerich

The Journal of Values-Based Leadership

No abstract provided.

Review Exploring Sperm Morphological: World Health Organization Vs. Kruger Strict Criteria, Talal Z. Al-Darawsha

Al-Ameed Journal for Medical Research and Health Sciences

Sperm morphology, the study of the size, shape, and appearance of sperm cells, is vital in evaluating male fertility. This assessment has evolved through decades of research, beginning in the 1930s with foundational classification systems by Cary and Moench.

A significant advancement came in the late 1980s with the Kruger strict criteria, which standardized sperm morphology evaluation using high-magnification microscopy and advanced staining, supported by the WHO.

This standardization is crucial in diagnosing male infertility and optimizing treatment strategies. In assisted reproduction technologies like IVF and ICSI, normal sperm morphology is essential for predicting fertilization potential and successful pregnancy outcomes. …

In Re Caulk: A Prisoner's Right To Die—The Factor Of Intent, Laurence H. Leavitt

Maine Law Review

In prisons throughout the United States, prisoners commonly use hunger strikes as an avenue of protest to make personal demands, to call attention to poor prison conditions, or to make various political statements. Prisoners typically choose this route because they view their own bodies as one of the few things over which they actually have control and because the extreme slowness of a hunger strike gives others the chance to meet their political or personal demands. When confronted with such attempts at starvation, prison officials almost invariably have resorted to force-feeding the hunger strikers, although in recent years some prison …