Digital Commons Network^™

Medicaid Eligibility Loss Among Dual-Eligible Beneficiaries Before And During Covid-19 Public Health Emergency, Yanlei Ma, Eric T Roberts, Kenton J Johnston, E John Orav, Jose F Figueroa

2020-Current year OA Pubs

IMPORTANCE: Medicaid coverage loss can substantially compromise access to and affordability of health care for dual-eligible beneficiaries. The extent to which this population lost Medicaid coverage before and during the COVID-19 public health emergency (PHE) and the characteristics of beneficiaries more at risk for coverage loss are currently not well known.

OBJECTIVE: To assess the loss of Medicaid coverage among dual-eligible beneficiaries before and during the first year of the PHE, and to examine beneficiary-level and plan-level factors associated with heightened likelihood of losing Medicaid.

DESIGN, SETTING, AND PARTICIPANTS: This repeated cross-sectional study used national Medicare data to estimate annual …

A Dietitian-Led Low-Fodmap Diet Webinar: A Pre-Post Study Evaluating Its Impact On Symptoms Of Irritable Bowel Syndrome, Aisling Colgan, Katie Digby, Tanefa Apekey, Iona Elborough-Whitehouse, Leah Seamark, Olivia Radcliffe, Marianne Williams, Mary Hickson

School of Health Professions

Background: Evidence suggests that the low fermentable oligo-, di-, mono-saccharides, and polyols (FODMAP) diet improves irritable bowel syndrome (IBS) symptoms when delivered by a dietitian. However, demand for dietetic appointments exceeds supply. Prerecorded webinars are acceptable and cost-effective for delivering first-line IBS dietary advice. Methodology: This study, using a pre–post design, aimed to evaluate the effectiveness of a low-FODMAP diet restriction phase webinar at improving IBS symptoms. Participants with self-reported IBS symptoms were asked to report their IBS symptoms, stool frequency, stool consistency and IBS medication use, before and 8 weeks postwebinar via an online questionnaire. The presence and severity …

Periods Of Technological Change In Higher Education, Miguel Casillas Alvarado, Alberto Ramirez Martinell, Rosbenraver Lopez-Olivera Lopez

Journal of Comparative & International Higher Education

Special Issue

The Effect Of Sample Grinding On Color-Based Predictions Of Soil Organic Carbon, Mason Rutgers

Honors Program: Senior Projects (Public)

Measurements of soil color are widely accessible and can be used as indirect measures of soil organic carbon (SOC). Sensor-based soil color measurements, frequently used in quantitative studies to predict SOC, often use ground and sieved soil samples for color analysis. However, it is unknown whether the extra steps of drying, crushing, and sieving a sample improve the quantitative relationship between color and SOC. This study was conducted to evaluate color-based predictions of SOC using intact, sieved (<2 mm), and fine-ground soil samples from northwest Oklahoma. Moist soil color was measured using Munsell color charts (MCCs) and a Nix Mini 3™ portable color sensor (PCS). The color of the soil samples was measured before processing, after crushing to pass through a 2-mm sieve, and after mechanical grinding to less than 0.25-mm. Using Munsell value (from the MCC) and CIEL* (from the PCS) as predictor variables, regression analyses were conducted to develop SOC predictive functions for each physical state. The resulting coefficients of determination (R2) and root mean squared errors (RMSE) were used to assess model fits for predicting SOC. Model contrasts were calculated to evaluate significant differences between each predictive model. All models exhibited strong relationships (0.56 < R2 < 0.70, 0.20 < RMSE < 0.25) between soil lightness and predicted SOC. Models built using aggregated samples measured with both MCCs (R2= 0.70, RMSE= 0.20) and the PCS (R2= 0.69, RMSE= 0.21) produced the best results. Models built using intact samples measured using the PCS did perform significantly better on samples dark in color (CIEL* < 30). These results suggest that grinding soil samples does not improve color-based predictions of SOC using MCCs and the PCS.

The Association Between Diet Quality And Glycemic Outcomes Among People With Type 1 Diabetes, Melanie B. Gillingham, Martin Chase Marak, Michael C. Riddell, Peter Calhoun, Robin L. Gal, Susana R. Patton, Peter G. Jacobs, Jessica R. Castle, Mark A. Clements, Francis J. Doyle, Michael R. Rickels, Corby K. Martin

Clinical Research Faculty Publications

Background: The amount and type of food consumed impacts the glycemic response and insulin needs of people with type 1 diabetes mellitus (T1DM). Daily variability in consumption, reflected in diet quality, may acutely impact glycemic levels and insulin needs. Objective: Type 1 Diabetes Exercise Initiative (T1DEXI) data were examined to evaluate the impact of daily diet quality on near-term glycemic control and interaction with exercise. Methods: Using the Remote Food Photography Method, ≤8 d of dietary intake data were analyzed per participant. Diet quality was quantified with the Healthy Eating Index-2015 (HEI), where a score of 100 indicates the highest-quality …

The Lawyer: Spring 2024, Seattle University School Of Law

Lawyer

No abstract provided.

Reducing 30-Day Hospital Readmission Rates By Addressing Social Determinants Of Health In The Home Health Care Setting, Kelly-Ann Federle Reilly

Doctor of Nursing Practice Projects

Background: In 2013, Medicare penalties for high hospital readmission rates spurred initiatives to reduce these figures. Despite efforts, 25% of elderly patients are readmitted within 30 days post-discharge, often due to unaddressed Social Determinants of Health (SDoH) like food, housing, and medication access.

Objectives: The project aimed to assess the effectiveness of interventions targeting SDoH for patients over 65 receiving home care services. It specifically sought to evaluate the impact of these interventions on 30-day readmission rates, focusing on addressing food, housing, and medication insecurities.

Methods: This project evaluated interventions targeting SDoH in-home care among patients over 65 to reduce …

Mindfulness-Based Intervention To Improve Caregiver Well-Being, Mary Tanner

Doctor of Nursing Practice Projects

Background: Burnout among healthcare workers is one of the most complex and costly challenges in healthcare and has adverse effects on individuals’ well-being. Mindfulness-Based Interventions (MBI) are one evidence-based method organizations have used to promote self- care and improve well-being.

Objectives: The purpose of this project was to develop, implement, and evaluate the effectiveness of a four-week MBI at a senior care organization to improve caregiver well-being and mindful self-care.

Methods: A pretest and posttest design was utilized for data collection and analysis. All current employees were recruited to complete the Well-Being Index (WBI) and Mindful Self-Care …

Mindfulness-Based Intervention To Improve Caregiver Well-Being, Mary Tanner Msn, Fnp-Bc, Karen Whitt Phd, Agn-Bc, Fnp-C, Faanp, Stacie Hunsaker Dnp, Rn, Cen, Cpen, Cne, Chse, Laurie Posey Edd

GW Research Showcase 2021-2026

No abstract provided.

Young Adults With Elevated Inflammation Demonstrate Mostly Normal Blood Glucose Homeostasis And Glucose Tolerance, Lauren Skoglund, Nicholas Foreman, Sahil Rajwade, Audrey Letts, Jaiden Bluth, Loretta Dipietro, Matthew Barberio

GW Research Showcase 2021-2026

No abstract provided.

Understanding Factors That Influence Parents' Provision Of Beverages To Their Children: A Qualitative Evidence Synthesis, Adam Dawer, Natalie Vallone, Morgan Drake, Rachel Brill, Allison C. Sylvetsky

GW Research Showcase 2021-2026

No abstract provided.

Birth Weight As A Risk Factor For Type 2 Diabetes And Gestational Diabetes Mellitus Among South Asian Women Living In The Us, Anisa Amiji, Nitasha Nagaraj, Amita Vyas

GW Research Showcase 2021-2026

No abstract provided.

Metabolic Health Is Associated With Fat Oxidation During Exercise In Young Adults, Eleanor Flacke, Sahil Rajwade, Audrey Letts, Lauren Skoglund, Jaiden Bluth, Loretta Dipietro, Nicholas Foreman, Matthew Barberio

GW Research Showcase 2021-2026

No abstract provided.

Development And Process Evaluation Of Gw Nutrition Tips: A Nutrition Message Program For Parents Of Preschoolers, Maria V. Hayes-Navas, Amelia Morgan, Anthony Derosa, Karina R. Lora

GW Research Showcase 2021-2026

No abstract provided.

Characterizing The First 6-Year Hospital Data For Sarcopenia Using Its First International Classification Of Diseases (Icd-10-Cm) Diagnosis Code, Laura F. Goodfield, Amy Tsurumi

GW Research Showcase 2021-2026

No abstract provided.

Longitudinal Evaluation Of Vitamin D Concentrations In Relation To The Onset Of Type 2 Diabetes In American Adults: A Secondary Data Analysis, Kathryn Michelle Schurr

Dissertations

Background: Prior research has suggested that low levels of Vitamin D may have negative effects on various biological functions, including Type 2 diabetes. The relationship between Vitamin D and the risk of Type 2 Diabetes has not yet been fully investigated. The objective of this research is to examine patients’ laboratory test data longitudinally to determine how vitamin D and other covariates of interest affect Type 2 diabetes status over time.

Methods: This study used retrospective data review from Quest Diagnostics from January 1, 2010, through December 31, 2022. Patients included in the study were required to have consecutive test …

Clonal Selection In Mincane Hazelnut (Coryllus Avellana L.) Cultivar In Akçakoca District Of Düzce Province, Hülya Ünver

Turkish Journal of Agriculture and Forestry

Türkiye has dominated world hazelnut production for a long time and one of the most important hazelnut growing areas in the Black Sea region is Düzce province. Agriculture plays an important role in Düzce economy and hazelnut orchards occupy 45% of total agricultural areas. Mincane hazelnut cultivar widely grown in Akçakoca and shows variability particularly for nut characteristics. Thus, this study was aimed to select promising clones with superior features from the population of the Mincane hazelnut cultivar. In the selection study, some important nut characteristics were examined. According to a modified weighted ranking method results, 7 Mincane hazelnut clones …

Intelligent Food Packaging Design Based On Visual Communication And Multimedia Technology, Yumian Liu, Zekun Wang

Turkish Journal of Agriculture and Forestry

Intelligent food packaging has labels that cover a vast amount of information, but some labels may pop up a lot of information after scanning, which can easily cause interface confusion, and there may be a lack of single display channels, resulting in long search times for consumers. The aim of smart food packaging design research based on visual communication and multimedia technologies is to explore and develop innovative methods to improve the attractiveness, functionality and interaction with consumers of food packaging. These all can directly affect consumers’ purchasing intention. This article was based on visual communication and multimedia technology for …

Chitosan Application Improves Yield And Quality Of Rocket (Eruca Sativa), Ayşe Özkan, Hali̇me Ünlü

Turkish Journal of Agriculture and Forestry

The present study aimed to investigate the effects of chitosan application on the yield and quality of rockets. “Bengi” rocket variety was used as a plant material and chitosan was applied to leaves at four different doses (0 (control)–75–150–300 ppm). The results revealed that the yield values varied between 1691–1914 g m-2, plant height between 24.33–27.92 cm, and leaf width between 4.56–5.71 cm among the applications. The total dry matter, chlorophyll, total phenolics, vitamin C, and antiradical activity values were determined to range between 7.71% and 8.68%, 34.15 and 36.68 SPAD, 104.67 and 180.84 mg 100 g–1, 126.63 and 143.51 …

Meeting The Challenge Of Controlling Viral Immunopathology, Engin Berber, Sachin Mulik, Barry T. Rouse

School of Medicine Faculty Publications and Presentations

The mission of this review is to identify immune-damaging participants involved in antiviral immunoinflammatory lesions. We argue these could be targeted and their activity changed selectively by maneuvers that, at the same time, may not diminish the impact of components that help resolve lesions. Ideally, we need to identify therapeutic approaches that can reverse ongoing lesions that lack unwanted side effects and are affordable to use. By understanding the delicate balance between immune responses that cause tissue damage and those that aid in resolution, novel strategies can be developed to target detrimental immune components while preserving the beneficial ones. Some …

Child Development Homes, Play-Based Learning, And Academic And Social-Emotional Skills, Hollie Fairholm

Master's Theses & Capstone Projects

This action research study was based on my own need to discern if children who attend child development homes, also known as family childcare homes, are effective spaces for children to learn academic and social-emotional skills using play-based learning. In this action research child development home, family childcare and play-based learning were defined, with a review of how children learn. My study was conducted in my own child development home family childcare program with chilren ranging in age from 12 months to 4 years old. In total, nine children attend my program Monday to Friday from 7 a.m. to 5 …

Mediating Effect Of Bmi On The Association Of Economic Status And Coexistence Of Hypertension And Diabetes In Bangladesh: A Counterfactual Framework-Based Weighting Approach, Foyez , Md. Jamal Hossain Ahmmed, Md. Jamal Hossain, Md Tareq Ferdous Khan, Muhammad Mahabub Rahaman Manik, Saimon Shahriar, Dulal Chandra Nandi, Md Parvej Hussain

Mathematics and Statistics Faculty Publications

Background and Aims

Non-communicable diseases such as hypertension and diabetes are matters of huge concern worldwide, with an increasing trend in prevalence over the previous decade. First of all, this study aimed to evaluate the association between economic status (ES) and body mass index (BMI), ES and comorbidity of hypertension and diabetes, and BMI and comorbidity independently. Second, it explored the mediating role of BMI in the association between ES and comorbidity of hypertension and diabetes. Finally, it investigated whether the mediating effect differs with the place of residence, gender, and education levels.

Methods

A total of 11,291 complete cases …

Exs 2000 Exercise, Energy Balance, And Weight Management Oer Syllabus, Shannon Caravello

Open Educational Resources

Concepts and principles of energy balance, body composition, weight management, and physical activity as they relate to personal health. Examines the causes of obesity, and its impact on human health and explores weight loss and diet options for the individual from a holistic perspective, including social, emotional, and physical dimensions of human health. Students will complete a lifestyle and nutritional analysis, develop nutritionally sound dietary plans, and design a specialized exercise program tailored to address their personalized weight management goals.

Due Process In Anti-Doping Proceedings Within The International Olympic Committee And Professional Tennis Associations, Katherine Jakeway

The International Law Review Association Student Forum

Today, professional athletes across the globe are subjected to rigorous drug testing in an attempt to eradicate the use of performance enhancing substances in sports. Many professional sports tours, including tennis, work closely with the International Olympic Committee and World Anti-Doping Agency to monitor and address doping violations. Although anti-doping rules are important to the safety of professional athletes, the current enforcement of anti-doping rules creates due process concerns for athletes that test positive for banned substances. This article specifically argues that the strict scrutiny sanction which bans athletes from professional play for even an unknowing or accidental doping violation …

Implementation Of A Human Trafficking Screening Tool In An Immigrant Services Organization, Cassandra Cooper

DNP Projects

Background

Human trafficking (HT) is a public health problem that advances the spread of disease and mental health issues and affects vulnerable populations including immigrants. HT screening tools are more reliable than clinical judgment in identifying HT victims, as even victims themselves are sometimes unaware of their own victimhood. To reduce the instances of victims being missed, HT screening tools have been validated to identify victims without the influence of personal bias.

Project Goals

1. Choose and implement a HT education module for staff.

2. Implement the AHTST for all new arrivals and from the months of November 2023 through …

Identifying The Effects Of Environmental Conditions On Listeria Monocytogenes Fitness And Pathogenesis Modified By Transcription Factor Cody, Elizabeth K. Herr

Honors Theses

Listeria monocytogenes is a pathogen with the capability of causing severe illness in individuals who consume contaminated foods. Many foods have been found to harbor the bacterium, but dairy products, produce, and other prepackaged foods are particularly susceptible to contamination. Contaminated foods are exposed to a variety of environmental conditions during packaging, processing, consumption, and digestion, all of which play an essential role in modulating the survival and pathogenesis of L. monocytogenes. Conditions of particular interest include cold storage, presence of food additives, and activity of antimicrobial enzymes such as lysozyme. My honors thesis research has focused on elucidating how …

Improving The Market For Homeowners Insurance, Jay M. Feinman

Connecticut Insurance Law Journal

Markets need information, and better information produces better markets. Consumers need information about products’ features, price, and quality to shop effectively. When they have that information, their buying choices spur competition that produces better products with desirable features at lower prices. The market for homeowners insurance provides reasonable information on price but lacks basic information about the features of policies and company quality. Consumers have little access to information about the coverage terms of policies being offered or the quality of companies that are offering them, so they often make poor choices in purchasing homeowners insurance. The results can be …

Regulating Food Waste Management In Indonesia: Do We Need An Omnibus Law (Again)?, Ni Gusti Ayu Dyah Satyawati, I Nyoman Suyatna, Putu Gede Arya Sumerta Yasa, I Dewa Gede Palguna, Nadeeka Rajaratnam

Indonesia Law Review

Indonesia was regarded to be the world's second-largest food loss and waste-producing country. Food waste contributes the most significant amount in Indonesia compared to other types of waste. This paper aims to discuss three legal issues. First, it identifies, in descriptive-normative means, the legal framework regulating food waste, which is the intersection of two legal regimes: 'the food management' and 'the waste and environmental management”. Second, it presents a comparative study by exploring the more advanced food waste legal frameworks, which take examples from Europe. The third objective is to recommend legal, institutional, and policy steps to mainstream food waste …

Exercise-Induced Myc As An Epigenetic Reprogramming Factor That Combats Skeletal Muscle Aging, Ronald G. Jones Iii, Ferdinand Von Walden, Kevin A. Murach

Health, Human Performance and Recreation Faculty Publications and Presentations

Of the “Yamanaka factors” Oct3/4, Sox2, Klf4, and c-Myc (OSKM), the transcription factor c-Myc (Myc) is the most responsive to exercise in skeletal muscle and is enriched within the muscle fiber. We hypothesize that the pulsatile induction of MYC protein after bouts of exercise can serve to epigenetically reprogram skeletal muscle toward a more resilient and functional state.

Outcomes Of Virtual Diabetes Cook Along Classes, April Litchford, Jenna Dyckman, Cindy Jenkins, Andrea Schmutz, Carrie Durward

Outcomes and Impact Quarterly

USU Extension Diabetes Cook Along classes provide diabetes education to the public while removing barriers to participation. These classes teach relevant topics through hands-on activities to increase participants’ ability to effectively self-manage their diabetes symptoms. Evaluation results show that participants experienced high satisfaction (86%) and substantial knowledge gain (92%) after the classes.