Exploring Factors Influencing Health Promoting Behaviors Among Latino Immigrants, Martin J. Mikell

Dissertations

Latino immigrants may experience stress during acculturation to the U. S., which can influence their ability to engage in health-promoting behaviors, such as dietary intake and physical activity. Dietary intake and physical activity influence the prevention or development of pre-diabetes/Type 2 Diabetes (T2DM). The immigrant's ability to perform health-promoting behaviors can also be influenced by their perceptions of self-efficacy to engage in health-promoting behaviors. Limited information is available in the literature on effective strategies for decreasing stress during the acculturation process of Latino immigrants, while also increasing self-efficacy in health-promoting behaviors. The purpose of this study was to explore the …

Rheumatoid Arthritis Disease Activity Is Associated With Frailty In Veterans, Courtney N. Loecker

Theses & Dissertations

Frailty, a physiologic vulnerability to everyday stressors, affects approximately 30% of the 1.3 million Americans with rheumatoid arthritis (RA) and is associated with increased risk for adverse health outcomes. Active RA manifests as inflammation, pain, and joint damage leading to functional impairments and morbidity which cumulatively influences frailty. However, the relationship between RA disease activity and frailty is incompletely understood.

This study evaluated the relationship of RA disease activity and frailty at baseline and over up to five years in Veterans. A cohort study was performed using data from the Veterans Affairs Rheumatoid Arthritis registry. RA disease activity was measured …

Telehealth For Healthy Aging: A Multi-Level, Multi-Methods Approach, Vaibhavi Mone

Theses & Dissertations

Telehealth, rapidly adopted during the pandemic, has shown its usefulness and limitations, yet was not designed with older adults in mind. This dissertation encompasses three interconnected studies exploring telehealth utilization for Medicare Annual Wellness Visits (AWVs) among older adults, provider perspectives on telehealth AWVs, and the impact of teleconferencing on primary care providers' knowledge and confidence in geriatric care. The objectives are to determine patient characteristics using telehealth AWV (study 1), understand provider perspectives on telehealth AWV (study 2), and evaluate the effectiveness of geriatrics education through telehealth (study 3). Study 1 investigates the changes in AWV utilization among 18,405 …

Implementation Of Reintegration Program Before Discharge For Veteran Population, Abigail Ross, Zeida Gutierrez

Summer 2024 OTD Capstone Symposium

A poster about creating and implementing a Reintegration program for War Veterans so they can possess the skills to be reintegrated into the community after they are discharged from the long-term care facility.

Single-Caregiver Families: Using Lived Experiences To Build Effective Resilience And Protect Future Children Against Negative Outcomes, Andrew Chakalian

Master's Theses

Among many cited risk factors that disproportionately affect children who grow up in a single-caregiver family, adverse childhood experiences (ACEs) and related behavioral and health outcomes are some of the most significant. Comparatively, there has been a substantial gap in the research exploring protective factors that support healthy development for children with this family composition. The present study used a phenomenological methodology to explore how nine participants aged 18-25 viewed their childhood in a single-caregiver family. Through the use of semi-structured interviews, participants shared their experiences; analysis yielded four themes: (1) further dysfunction in the social system exacerbating the effects …

Overnight Rice Fermentation: An Analysis Of The Physicochemical Changes In White, Brown, And Enriched Rice Varieties, Kavin Sivakumar

Master's Theses

Fermentation refers to the activity of microorganisms breaking down substrates, resulting in changes to a food product. One fermented food practice from the Indian subcontinent is overnight fermented rice. The traditional preparation consists of covering cooled cooked rice in water and leaving it at room temperature to ferment overnight. The objective of this project was to investigate overnight rice fermentation through quantifying its physicochemical changes. The study utilized three types of rice: white, enriched white, and brown. Mixtures of cooked rice and water at a 1 gram: 2 milliliter ratio were fermented at 29 degrees Celsius and 60% humidity for …

Understanding The Role Of Malondialdehyde-Acetaldehyde Adducts (Maa) In Inflammatory Bowel Disease, Megan L. Otte

Theses & Dissertations

Inflammatory Bowel Disease (IBD) comprises autoimmune diseases of the gastrointestinal tract that greatly reduce the quality of life of patients and currently afflict up to 200 individuals per 100,000 Americans. Ulcerative colitis (UC) and Crohn’s Disease (CD), the two principal diseases comprising IBD, share symptoms and risk factors, however, precise etiology remains unclear. The diagnostics and clinical management of IBD have progressed greatly in recent years especially due to immune modulating therapies and biologics, however, IBD and its specific forms are still difficult to diagnose and cannot be cured with current treatments. The overarching mechanisms of IBD pathogenesis are known …

The Impact Of Minimally Processed High Fat Meals On Postprandial Glucose, Lipids And Metabolic Index In Pre-Diabetics, Oluwafemi Ayoola

Masters Theses, 2020-current

There is an increasing global prevalence of prediabetes, commonly diagnosed through increased fasting glucose (GLU). Elevated levels of GLU and triglycerides (TRG) have also been linked with more severe diabetes-related complications. Even a single high-fat meal (HFM) may result in adverse metabolic outcomes, in healthy individuals and prediabetics, which are a better predictor of disease risk than measuring fasting levels. Therefore, reducing these metabolic outcomes after a typical HFM often consumed in the Western diet is of critical importance to reduce chronic disease risk. The aim is to determine whether incorporating polyphenols and dietary fiber into an HFM would reduce …

Pharmacokinetics And Tissue Distribution Of A Lipid-Based Extended-Release Nano-Formulation Of Mo-Oh-Nap Tropolone To Enhance Pulmonary Delivery For The Treatment Of Pulmonary Metastatic Osteosarcoma, Wafaa N. Aldhafiri

Theses & Dissertations

Osteosarcoma is the most common primary bone tumor in children and adolescents. Metastasis is prevalent in 25% of patients, at diagnosis, with the lungs being the most common metastatic site. Pulmonary metastatic osteosarcoma is a significant therapeutic challenge with a 5-year survival rate of ≤30%. Patients with pulmonary metastatic disease at diagnosis receive the same standard of care as patients with local disease, which hasn’t changed over the past 30 years. The treatment and prevention of pulmonary metastatic osteosarcoma represents a significant critical and unmet need.

MO-OH-Nap tropolone is a novel small molecule with cytotoxic activity across multiple human osteosarcoma …

Delivery Of Small Molecule Using Polymeric Nanoparticles For The Treatment Of Alcoholic Liver Disease And Its Pharmacokinetics And Biodistribution In Mice, Jingyi Ma

Theses & Dissertations

Alcoholic liver disease is a challenging chronic disease worldwide. Alcohol abuse and subsequent inflammation, oxidative stress, and disordered lipid metabolism result in liver damage. This dissertation aims to develop a reliable therapeutic strategy for alcoholic liver disease treatment. We have employed polymeric nanoparticles as the delivery system to the liver and utilized PDE4B inhibitor as a novel approach for alcoholic liver disease treatment.

Chapter 1 is an overview of alcoholic liver disease, including the background, pathology, risk factors, and current treatment. In addition, the application of PDE4 inhibitors in alcoholic liver disease was discussed, suggesting a promising avenue for future …

Body Length Determines Flow Refuging For Rainbow Trout (Oncorhynchus Mykiss) Behind Wing Dams, Terry R. Dial, Laura A. Collins, James C. Liao, Bret W. Tobalske

Environment and Society Faculty Publications

Complex hydrodynamics abound in natural streams, yet the selective pressures these impose upon different size classes of fish are not well understood. Attached vortices are produced by relatively large objects that block freestream flow, which fish routinely utilize for flow refuging. To test how flow refuging and the potential harvesting of energy (as seen in Kármán gaiting) varies across size classes in rainbow trout (Oncorhynchus mykiss; fingerling, 8 cm; parr, 14 cm; adult, 21 cm; n = 4 per size class), we used a water flume (4,100 L; freestream flow at 65 cm s^-1) and created …

The Mental Effect Of Obesity On Active-Duty Service Members In The United States: A Phenomenological Approach, Tegan M. Quigley

Doctoral Dissertations and Projects

This phenomenological research was intended to explore the impact that obesity has on the mental health of soldiers in the U.S. military. The U.S. military has stringent physical fitness standards that must be met by each soldier regardless of sex. These standards can be challenging to maintain. Obesity is an increasing issue in the United States, and soldiers are not immune. Research regarding the physical issues that occur from obesity has been performed, but this study aimed to explore the behavioral or mental health effects that obesity can have within the military community. This study explored the following questions: In …

A Comparative Analysis Of Extant Oceanic Shark Species Using Trait-Based Ecology, Elizabeth A. Johnson

All HCAS Student Capstones, Theses, and Dissertations

Over the past few decades, scientists have been working together to mitigate human impacts on global shark populations, but deciding which species need the most immediate attention can be difficult. This study uses a newly emerging approach to ecology, trait-based ecology, to identify trends in trait expression with depth and determine which species have the most unique sets of traits. While trait-based ecology has already been applied to numerous fields, a trait-based approach to shark research is still in its infancy. A total of 15 traits across 337 oceanic shark species were examined to identify trends in trait expression and …

Post-Activation Potentiation In Sprint Speeds Of Collegiate Male Soccer Players, Ronald J. Goubeaux Jr

Doctoral Dissertations and Projects

Post-activation potentiation is important to the field of strength and conditioning and athletics due to the possibility to elicit an increase in performance of the sport/activity. The purpose of this research study was to assess the efficacy of eliciting post-activation potentiation following a conditioning activity on the maximal running speed of male collegiate soccer players. 21 NCAA division I male soccer players performed supra-maximal quarter-squats as a conditioning activity prior to 2 max-effort sprints on the soccer field. Running speeds were measured using Sport Performance Traka GPS devices. 3 separate measurements compared the participants’ speeds which included a control measurement, …

The Impact Of Bariatric Surgery On Glutathione Synthesis In Individuals With Severe Obesity, Hong Chang Tan, Jean W Hsu, E Shyong Tai, Shaji Chacko, Jean-Paul Kovalik, Farook Jahoor

Faculty, Staff and Students Publications

Glycine is deficient in individuals with obesity but improves following bariatric surgery. Glycine deficiency could impair glutathione (GSH) synthesis and worsen oxidative stress. We examined the impact of obesity-associated glycine deficiency and bariatric surgery on GSH synthesis. Twenty-one participants with severe obesity and twenty-one healthy weight controls were recruited. [1,2-13C2] glycine was infused to measure the erythrocyte (RBC) GSH synthesis rate. Participants with obesity underwent bariatric surgery, and 19 were restudied six months post-surgery. Compared to healthy weight controls, individuals with obesity had significantly lower concentrations of RBC GSH (2.43 ± 0.23 vs. 2.63 ± 0.26 mmol/L, p < 0.01). However, there were no differences in GSH fractional synthesis rate [78.0 (51.4–123.7) vs. 76.9 (49.3–110.1) % pool/day, p = …

Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero

Walden Dissertations and Doctoral Studies

HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …

Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds

Walden Dissertations and Doctoral Studies

During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …

Solar Photovoltaics As Climate Change Adaptations For Farmers In West Bengal, India: Barriers Within A Food-Water-Energy Nexus Approach, Emily Rochford

Capstone Collection

This capstone research project seeks to identify and address barriers to the use of solar photovoltaics (PV) as an adaptation method to climate change for farmers in West Bengal, India. These barriers are examined within the context of the food-water-energy nexus, particularly concerning the ability of many small holder farmers to produce their own food and sustain their livelihoods. Previous studies have examined both energy access and renewable energy development in West Bengal, and also the food-water-energy nexus in its application to climate change. However, there is minimal literature on how renewable energy development should be applied within the nexus …

Patient Experiences With An Mhealth App For Complex Chronic Disease Care: Connections Despite Lack Of Traditional Clinical Interactions, Jenney Lee, Melissa Cheyney, Michael A. May, Marit L. Bovbjerg

Patient Experience Journal

Chronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate patient experiences with using an mHealth app for complex chronic disease management, within a U.S. population of low-income patients. We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. Salient themes about the patient experience included: (1) Visibility …

Accompanying People Affected By Cancer In Their Return To Life After Treatment: A Report On An Experiment Conducted In Canada, Christine Arsenault, Saskia Hazout, John Calogerinis, Françoise Poirier, Louise Normandin, Cécile Vialaron, Monica Iliescu Nelea, Marie-Pascale Pomey

Patient Experience Journal

This study aims to assess family doctors' perceived needs for improved patient follow-up post-acute treatment in oncology departments, specifically focusing on the Patient Oriented Discharge Summary (PODS) for individuals living with cancer. A cross-sectional quantitative survey targeted family doctors, and a before/after exploratory study was conducted with patients to measure their needs pre- and post-PODS implementation. Twenty-one out of 42 family doctors participated in the survey (50%). Patient data was collected at three points in time: prior to PODS implementation (T1, n = 20/30; 77%), one month later (T2, n = 20/26; 77%), and six months later (T3, n = …

Investigating The Perceived Impact Of Surgeons' Burnout On Surgical Physician Associates' Wellness In United States Ambulatory Surgery Centers, Rhionna J. Smith, Lihua Dishman, John W. Fick, Kathleen M. Thomas

Patient Experience Journal

Surgeons are the de facto leaders of surgical teams with surgical physician associates (SPAs) as integral members who function in all areas of the peri-operative environment. Surgeons often supervise SPAs. Ambulatory surgery centers (ASCs) provide patients with same-day diagnostic and preventive procedures as more convenient alternatives to hospital-based outpatient procedures. This qualitative, national, and cross-sectional study explored the perceived impact of surgeons' burnout on SPAs' wellness in U.S. ASCs during global health crises. Primary demographic and qualitative data were collected using a self-developed, three-section survey instrument: (1) information regarding informed consent; (2) 10 short demographic questions; and (3) two open-ended …

Building Resilience: Food And Nutritional Insecurity Among University Students In Buenos Aires, Argentina Amidst Inflation And Escalating Poverty, Kyoka Miura

Capstone Collection

This paper examines how university students (aged 18 and older) in Buenos Aires, Argentina, navigate the challenges of escalating food insecurity amidst food price inflation and poverty. Utilizing a resilience framework, the research explores the coping strategies of these students. The study integrates semi-structured qualitative interviews and questionnaires. The findings reveal that university students in Buenos Aires are affected by food and nutritional insecurity, impacting their ability to manage their academic responsibilities, and leading some students to question their ability to complete their education. To cope, students adopt various strategies: price comparison, reducing out-of-home expenses, altering food purchasing habits, compromising …

Community Health Worker Training In The Occupied Palestinian Territories: A Program Reflection, Jill Lyn Ridling, Jill Lyn Ridling

Capstone Collection

ABSTRACT

There exist many challenges concerning public health practices in the Occupied Palestinian Territories (oPt) as the Israeli occupation has created literal and metaphorical roadblocks preventing Palestinians from accessing needed health services outside their towns and villages. Trained Community Health Workers assist in bridging this crucial health service need throughout the oPt. This qualitative study evaluates the Palestinian Medical Relief Society’s (PMRS) Community Health Worker Program (CHWP) in the West Bank of occupied Palestine. The research explores three facets of Community Health Worker (CHW) training and their roles in Palestinian society. The first question addresses the CHWP training goals, curriculum, …

Occupational Therapy’S Role In The Success And Positive Outcomes Of Youth Within The Foster System, Cassidy Solomon

Student Capstone Papers

This capstone paper will discuss the development of an occupational therapy program to support the needs of youth within the foster system and prepare this population to live independently. Background information including statistics, the need for occupational therapy, and the program specifics such as rationale, significance, and objective are discussed. The development of an occupational therapy program to aid in the success of children within the foster care system helps close a gap in research that will contribute to this population's success and positive outcomes. The purpose of this capstone was to develop a program for children in the foster …

Issue 449: August 8-22, 2024, The Local Voice

The Local Voice

No abstract provided.

Preventing Hospitalization-Associated Disability, Elizabeth M. White

Master's Projects and Capstones

Problem: Hospital-associated disability (HAD) affects one-third of hospitalized adults, diminishing post-discharge independence and contributing to high mortality rates. Identifying at-risk patients through early assessment of nutritional and functional status upon admission is critical to personalizing care and improving discharge outcomes.

Context: A 24-bed adult medical-surgical unit in a 173-bed suburban hospital in Northern California is part of a large not-for-profit healthcare organization. Interventions: Nursing staff received education on the Enhanced Recovery Medicine (ERM) pathway designed to prevent HAD. A visual display board, maintained and updated by unit champions, gave staff performance feedback. Nursing leadership reviewed admission assessments and addressed barriers …

Growth Response Of Tomatoes To Application Of Bacterial-Coated Npk Fertilizer In A Pot Experiment, Reginawanti Hindersah, Ruhnayati Kaffah, Ayu Siti Aisyah, Mieke Rochimi Setiawati, Mahfud Arifin

Jurnal Kultivasi

Nitrogen-fixer and phosphate-solubilizer bacteria increase the chemical-fertilizer efficiency and soil health. Bacterial-coated NPK fertilizer is a novel approach for intensifying biofertilizer application in vegetable production. The study aimed to observe the compatibility between two Azotobacter species and two Bacillus species, their population on two formulations of bacterial-coated NPK fertilizer (BCN), and the effect of BCN dose on growth, N and P content, and their uptake in tomato shoots. The compatibility test was performed using the streak method. The population of Azotobacter and Bacillus were counted for two formulations of NPK fertilizer coated by solid biofertilizer (5% and 10%) and zeolite …

Case Study On Sasha Skochilenko: Anti-War Russian Political Prisoner, Sofia Semenova

GHEA21 Open Educational Resources

Sasha Skochilenko was incarcerated in a Russian prison for more than two years for the act of placing anti-war leaflets, disguised as price tags, on goods in a grocery store in St. Petersburg, Russia. This case study, prepared by Sofia Semenova, documents the harsh conditions of Skochilenko’s imprisonment and its effects on her physical and mental health. It also examines the questionable evidence and processes used to prosecute her case, arguing that during Skochilenko’s trial, the principles of adversarial process and equality between the prosecution and the defense were constantly violated.

Growth Improvement Of Immature Quinine By Applying Coffee Husk Compost And Biofertilizer, Yudithia Maxiselly, Dinda Rachmatis Sa'adah, Mira Ariyanti, Muhammad Khais Prayoga, Heri Syahrian Khomaeni

Jurnal Kultivasi

The growth of immature Cinchona ledgeriana can be optimized by applying fertilizers to fill the nutritional needs of plants. Nutrients can be provided through the help of microorganisms derived from organic fertilizers and biofertilizers. This study aims to evaluate the effect of applying coffee husk compost and biofertilizer consortium on the growth of immature quinine plants. This research was conducted from November 2023 – January 2024 at Gambung Tea and Cinchona Research Center, Pasir Jambu District, Bandung Regency, West Java. The research used a randomized block design with four replications and six treatments, namely control (Urea 17 g.plant-1 + SP36 …

Sedation For Gi Endoscopy In The Morbidly Obese: Challenges And Possible Solutions, Lalitha Sundararaman, Basavana Goudra

Department of Anesthesiology Faculty Papers

With the increasing prevalence of obesity and morbid obesity, this subgroup's contribution to patients presenting for elective procedures requiring sedation is significant. Gastrointestinal (GI) procedures clearly form the largest group of such procedures. These procedures may be intended to treat obesity such as the insertion of an intragastric balloon or one or more unrelated procedures such as a screening colonoscopy and (or) diagnostic/therapeutic endoscopy. Regardless of the procedure, these patients pose significant challenges in terms of choice of sedatives, dosing, airway management, ventilation, and oxygenation. An understanding of dissimilarity in the handling of different groups of medications used by an …