Digital Commons Network^™

Long-Term Cardiometabolic Effects Of Preconceptional And Prenatal Opioid Exposure In The Adult Offspring, Nermin Hassan Mohamed Selim Ahmed

Theses and Dissertations--Pharmacology and Nutritional Sciences

Opioid use disorder (OUD), one of the greatest public health threats in the US, requires urgent attention. In 2022, the CDC reported 107,941 overdose deaths, over 70% attributed to synthetic opioids such as fentanyl (FEN). An alarming increase in opioid use disorder (OUD) diagnoses in pregnant people resulted in a 5-fold rise in cases of neonatal opioid withdrawal syndrome (NOWS). This condition elicits sympathetic overactivity, neural hyperexcitability, and a stress reaction characterized by tachycardia and hypertension. Whether prenatal exposure to fentanyl induces cardiovascular dysfunction in the offspring remains undetermined, impeding the timely development of strategies to mitigate OUD-related health risks …

Building Sustainable Community-Academic Partnerships While Implementing A Nutrition-Based Blackberry Garden Program At A Senior Center, Dawn Brewer, Annie Koempel, Abbey L. Moellering, Tammy Stephenson, Amy Kostelic, Julie Plasencia, Alexis Sheffield, Ben Guerrant, Alethia Price

UK CARES Faculty Publications

Due to limited access to and low consumption of fruits and vege- tables, older adults are at increased risk of worsening or developing chronic diseases. This paper describes a community-academic partnership that provides a sustainable source of blackberries to attendees of a rural senior center. Qualitative research evaluated the partnership following implementation of a blackberry program. Focus groups and interviews included partners from a senior cen- ter, Cooperative Extension Service, and a detention center. Main themes: group power dynamics influenced communication between research and community leadership teams; unexpected project barriers emerged; and community leadership team sug- gested strategies to promote …

Feeding Systems And Fresh Lamb Color Stability, Koushik Mondal

Theses and Dissertations--Animal and Food Sciences

Consumers consider the surface color of fresh lamb as the indicator of freshness and wholesomeness, which affects their purchase decisions. The redox chemistry of myoglobin (Mb) determines the color of fresh lamb. Artificial raising on milk replacer (a pre-weaning strategy) as well as red clover supplementation are management strategies used in lamb production. This thesis focuses on the effects of artificial raising on milk replacer and red clover supplementation on the color and oxidative stability of fresh lamb.

In the first experiment, the effect of pre-weaning with milk replacer on the carcass attributes, color stability and lipid oxidation of lamb …

Beer, Robert Yokel

Aluminum in Beverages and Foods: A Compilation

No abstract provided.

Sunnyside Packaging, Julia Tyras

Student Research Design & Innovation Symposium

Sunnyside Farms Packaging was a comprehensive design project aimed at designing the visual identity and packaging for a range of dairy products, including milk, eggs, and other dairy items. The objective was to create a cohesive and appealing packaging design for a farm-to-table brand that not only communicated the brand's commitment to quality, but also stood out on store shelves. The project began with extensive market research to understand consumer preferences, industry trends, and competitor packaging strategies. I then crafted a versatile and visually engaging packaging concept, incorporating elements that conveyed freshness, sustainability, and the wholesome nature of Sunnyside Farms …

Redefining Public Benefits, Naomi Cahn, June R. Carbone

Articles

This Article considers the interaction between marriage, households, and public welfare-type benefits. In light of constant cultural and media attention to “the two-parent privilege,” the article argues that the very purpose of public benefits in the modern era is up for redefinition. The information age, much like the industrial revolution before it, has remade the preconditions for entry into the middle class and contributed to new middle-class family strategies geared to the changing labor market realities. This new era, which has increased income instability and employment insecurity, has increased economic inequality and eroded what were once secure pathways into middle-class …

How Do Different Amounts Of Limestone Affect Plant Growth Of Radishes On A Green Roof?, Lauren A. Merrill, Chloe E. Sebaugh, Tytionne C. Bellamy, Madison L. Keller

Science University Research Symposium (SURS)

Limestone has been known to stimulate vegetative growth by neutralizing acidic soils and raising pH. In hopes of preserving plants that hold nutritional, cultural, and medicinal significance, such as radishes, green roofs are also becoming increasingly important resources. To maximize plant growth and space efficiency, this study examined the effects of varying amounts of limestone on radishes grown in a green roof environment. Radish seeds were planted in a variety of limestone conditions including 0 grams, 90.718 grams, 181.437 grams, and 272.156 grams of limestone. After two months, radishes were harvested and weighed to check for growth. The results suggest …

Athletic Trainers' Perceptions Of Salary Negotiation Decision-Making During The Hiring Process, Julie M. Cavallario, Kim Detwiler, Leanne Jones, Indigo White, Cailee E. Welch

Rehabilitation Sciences Faculty Publications

Context: Appropriate salaries for athletic trainers (ATs) have been a contentious topic for decades. While professional advocacy efforts to increase ATs' salaries have gained traction, little is known about ATs' experiences with negotiation during the hiring process.

Objective: To explore the reasons, influences, and factors influencing ATs' negotiation decisions.

Design: Qualitative study.

Setting: Individual video interviews.

Patients or other participants: 28 ATs who participated in a previous study and indicated a willingness to participate in the qualitative follow-up were interviewed (17 women, 10 men, 1 non-binary individual; age = 37.8±8.9 years; athletic training experience = 15.1±8.3 years). Of the 28 …

Assessments Used By Athletic Trainers To Decide Return-To-Activity Readiness In Patients With An Ankle Sprain, Ryan S. Mccann, Cailee E. Welch Bacon, Ashley M. B. Suttmiller, Phillip A. Gribble, Julie M. Cavallario

Rehabilitation Sciences Faculty Publications

Context: Athletic trainers (ATs) often care for patients with ankle sprains. Expert consensus has been established for rehabilitation-oriented assessments (ROASTs) that should be included in ankle-sprain evaluations. However, the methods ATs use to determine return-to-activity readiness after an ankle sprain are unknown.

Objectives: To identify ATs' methods for determining patients' return-to-activity readiness after an ankle sprain and demographic characteristics of the ATs and their methods.

Setting: Online survey.

Design: Cross-sectional study.

Patients or Other Participants: We recruited 10 000 clinically practicing ATs. A total of 676 accessed the survey, 574 submitted responses (85% completion rate), and 541 respondents met the …

Effect Of Family-Centered Care Interventions On Well-Being Of Caregivers Of Children With Cerebral Palsy: A Systematic Review, Deepalaxmi Paresh Poojari, Shashikiran Umakanth, G. Arun Maiya, Bhamini Krishna Rao, Sonia Khurana, Senthil Kumaran D., Radhika Attal, Marie Brien

Rehabilitation Sciences Faculty Publications

Background: Caring for a child with long-term functional limitations can have a negative impact on the physical and psychological well-being of the caregiver. Family-centered care (FCC) interventions have the potential to empower caregivers and contribute to their well-being. This systematic review aimed to synthesize existing evidence on the effectiveness of FCC interventions in improving the well-being of caregivers of children with cerebral palsy (CP), and identify the key components of such interventions that are most commonly practiced and deemed effective.

Methods: This review systematically searched seven databases for randomized controlled trials that evaluated the effectiveness of any FCC intervention on …

Disparities In Low Birthweight And The Influence Of Access To Food, Maternity Care, And Medicaid Coverage Of Doula Services, Marissa Ann Beldon

Graduate Research Theses & Dissertations

This dissertation explores the ways in which access acts as both a barrier and facilitator to healthy birth outcomes. In particular, access to food, maternity care, and Medicaid coverage of doula services are explored alongside low birthweight in this dissertation through both population health and health disparity lenses. Low birthweight is a leading cause of infant mortality and thought to reflect nations’ long-term public health problems such as maternal malnutrition and inadequate receipt of maternity care. As such, sufficient access to healthy food and maternity care is essential for healthy birth outcomes.

Chapter 1 of this dissertation contains an introduction …

Step Squad Bundle In Older Adults With Multiple Myeloma Hospitalized For An Autologous Stem Cell Transplant, Nadya Panjwani

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Multiple Myeloma (MM) is a hematological malignancy with demographic disparities. MM is a debilitating cancer mainly affecting older adults, with 66% over the age of 70. Additionally, 33% of older patients with MM are frail with weakness, fatigue, slow gait, weight loss, and malnutrition.

PICOTS: The purpose of this Doctor of Nursing (DNP) scholarly project is to implement an evidence-based practice (EBP) change consisting of a Step Squad Bundle that will identify frailty in older patients with MM hospitalized for an Autologous Stem Cell Transplant (ASCT) to reduce morbidity and mortality and increase the chances of a quality of …

The Influence Of Intracellular Photosymbiosis On The Evolution And Function Of Cnidarian Immunity, Madison A. Emery

Biology Dissertations - Archive

Intracellular photosymbiosis with Symbiodiniaceae is facilitated by cnidarian immunity as it is required for symbiont recognition and is subsequently suppressed to maintain stable intracellular symbiosis. To date, it is unclear how the cnidarian-Symbiodiniaceae symbiosis influences immune gene repertoires, immune gene expression, and disease pathology across its independent evolutions. To address these knowledge gaps, my dissertation approaches studying the cnidarian-Symbiodiniaceae symbiosis through a comparative lens to determine how it shapes immune gene evolution and immune responses in divergent symbiotic cnidarian species. In chapter two I survey eight non-symbiotic and seven symbiotic cnidarians proteomes for four families of pattern recognition receptors (PRRs) …

Guideline For Breastfeeding Difficulty, Collin Naugher

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

The American Academy of Pediatrics recommends exclusive breastfeeding for all infants until six months of age. In the United States, the exclusive breastfeeding rate is 52%, with a goal of 73% by Healthy People 2030 at six weeks of age. Breastfeeding difficulty will occur 70% of the time in mother-baby dyads, requiring some intervention by the primary care provider during the breastfeeding course. This study aims to build a clinical practice guideline that can guide interventions to improve successful breastfeeding rates in a birthing center.

Methods

The literature search was performed and condensed to an evidence table where studies …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Applying The Evidence: Taste Manipulation As A Dysphagia Management Strategy, Ross M. Westemeyer, Angela M. Dietsch, Rachel W. Mulheren

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This narrative review aims to summarize the evidence regarding taste manipulation as a dysphagia management strategy within the evidence-based practice framework, with a focus on clinical application for speech-language pathologists.

Method: First, we present background information on the physiology of taste and swallowing. A summary of research evidence on the effect of taste on swallowing is presented, followed by suggested methods for incorporating taste into swallowing evaluation and intervention. An overview of individual factors that can impact taste perception is provided. Finally, we discuss methods of clinical application and future directions for clinicians.

Conclusions: Although taste …

Feeding The Future: Reducing Food Insecurity In Southeast Dc, Kimaya Davis, Brooke Oliver, Noam Procunier, Kateryn Rivera, Anthony Ventura

DC Health and Academic Prep Program (DC HAPP)

A food desert is a region where people have limited access to healthful or affordable food usually due to low income and low vehicle access. Food insecurity also has to do with food deserts as food insecurity is a lack of safe and nutritious food for normal growth and development to live a healthy life. Food deserts are relevant because without access to healthy foods people living in food deserts might be at a higher risk of diet related conditions like obesity, diabetes, and cardiovascular disease. Research from the American Board of Physician Specialities suggests that eating local can help …

Fxr Agonism With Bile Acid Mimetic Reduces Pre-Clinical Triple-Negative Breast Cancer Burden, Sydney Joseph, Samson Eugin Simon, Margaret S. Bohm, Minjeong Kim, Madeline E. Pye, Boston W. Simmons, Dillon G. Graves, Stacey M. Thomas-Gooch, Ubaid A. Tanveer, Jeremiah R. Holt, Suriyan Ponnusamy, Laura M. Sipe, Et Al.

Biological Sciences Research

Bariatric surgery is associated with improved outcomes for several cancers, including breast cancer (BC), although the mechanisms mediating this protection are unknown. We hypothesized that elevated bile acid pools detected after bariatric surgery may be factors that contribute to improved BC outcomes. Patients with greater expression of the bile acid receptor FXR displayed improved survival in specific aggressive BC subtypes. FXR is a nuclear hormone receptor activated by primary bile acids. Therefore, we posited that activating FXR using an established FDA-approved agonist would induce anticancer effects. Using in vivo and in vitro approaches, we determined the anti-tumor potential of bile …

Sensory Regulation And Avoidant Restrictive Food Intake Disorder: Education And Resources For Providers, Kylie Bugbee

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

No abstract provided.

Exploring The Impact Of Diabetes On Feet: Analysis Of Foot Ulcers With A Focus On Eczema-Related Considerations, Namlhun Jachung

Pitzer Senior Theses

Diabetes mellitus, a chronic metabolic disorder, has far-reaching consequences on various organ systems, with the lower extremities being particularly susceptible to complications. This study delves into the profound effects of diabetes on the feet, specifically examining the interplay between diabetes-induced foot ulcers, and potential complications arising from coexisting eczema. Two distinct experiments were designed to investigate critical aspects of this complex relationship.

The first experiment aims to compare Transepidermal Water Loss (TEWL) levels among diabetic patients with and without eczema. The study involves a cohort of diabetic patients, stratified based on the presence or absence of eczema, and measured TEWL …

Whs Guidelines For The Treatment Of Pressure Ulcers: 2023 Update, Lisa J. Gould, Jenny Alderden, Rummana Aslam, Adrian Barbul, Kath M. Bogie, Mohamed El Masry, Letitia Y. Graves, E. Foy White-Chu, Amany Ahmed, Kerriann Boanca, Jessica Brash, Katie R. Brooks, Wendy Cockron, Susan M. Kennerly, Aaron K. Livingston, Jeni Page, Catherine Stephens, Velena West, Tracey L. Yap

Nursing Faculty Publications and Presentations

The major populations at risk for developing pressure ulcers are older adults who have multiple risk factors that increase their vulnerability, people who are critically ill and those with spinal cord injury/disease. The reported prevalence of pressure ulcers in the United States is 2.5 million. However, this estimate is derived from acute care facilities and does not include people who are living at home or in nursing facilities. Despite the implementation of hospital and facility-based preventive measures, the incidence of pressure ulcers has not decreased in decades. In addition to the burden of pain, infection and death, it is estimated …

Household Chaos Relates To Cortisol Levels For Children In Head Start Preschool, Mary Ann Blumenthal

West Chester University Doctoral Projects

Poverty and related stressors have been demonstrated to negatively impact child development. Few studies to date have investigated the relationship between one such poverty related stressor, household chaos, and its impact on cortisol levels-a biomarker for stress- throughout the day. The present study investigated the relationship between household chaos and cortisol in a diverse sample of 288 children attending Head Start preschool. Household chaos was measured by a standardized parent report measure of chaos in the home. Salivary cortisol samples were obtained during four time points across the preschool day on two days at the beginning of the preschool year. …

Safeguarding Sleep: A Comparative Analysis Of A Non-Pharmacological Sleep Protocol In The Icu To Prevent Delirium, Rebecca Walsh

West Chester University Doctoral Projects

This quality improvement project was implemented to determine non-pharmacological sleep interventions' impact on delirium incidence in a medical/surgical intensive care unit (ICU). The Confusion Assessment Method-ICU (CAM-ICU), a validated tool used to detect delirium, was used to assess patient mental status both before and after project implementation. This tool is utilized in the electronic medical record as a daily documentation tool for delirium tracking but has not been used to facilitate interventions for delirium. The literature has shown that through the use of non-pharmacologic sleep promotion and interventions, delirium diagnosis can be delayed or avoided. This can lead to decreased …

Salary Report, 2025 January, Eastern Michigan University

EMU Salary Reports

No abstract provided.

Annual Report 2024, Tennessee. Department Of Human Services

Annual Reports

This annual report highlights the accomplishments of the Department of Human Services for the fiscal year.

Integrated Pest Management Of Maple (Acer) In Midwest Nursery Production, Darcey Hickey

Department of Entomology: Distance Master of Science Projects

Introduction

In all agricultural settings, damage from arthropod pests is inevitable. Integrated Pest Management (IPM) was introduced in the 1970’s as a response to increased public awareness of the hazardous effects of pesticides in the environment (Frazier, 2010). Ornamental nursery production is an important sector of US agriculture. In ornamental nurseries, pest damage is the leading cause of revenue loss (Braman et al., 2015). IPM has primarily been implemented for agricultural settings and as IPM is specific to each environment, it is important to explore the use of IPM practices in nursery production. As nurseries are found across the United …

Evolution Of The Largest Insect Orders: A Comprehensive Literature Review, Jason Thompson

Department of Entomology: Distance Master of Science Projects

Introduction

Insects are regarded by many to be among the most successful organisms on earth, displaying remarkable diversity, resilience, and adaptations, allowing them the ability to inhabit and exploit a wide array of niche environments. If sheer numbers are utilized as a yardstick by which to measure success, it has been estimated that there may be as many as 10 quintillion insects alive and active at any given time (Sabrosky, 1952). In terms of species diversity, estimates have ranged from as many as 30 million based on research and collections in tropical forest canopies (Erwin, 1982) to more recent, conservative …

Field Guide To Common Forensically Important Insects Of Oregon, Dakota Hufford

Department of Entomology: Distance Master of Science Projects

Purpose, Scope and Structure of the Guide

This guide aims to serve as a semi-comprehensive resource for anyone interested in forensic entomology within the state of Oregon in the United States. This resource is intended to fill a gap in existing available forensic entomology educational materials by providing identifying information on the primary groups of insects involved in decomposition processes and forensic investigations in Oregon. It is useful for a diverse group of people including students, educators, forensic professionals, and laypeople with an interest in entomology. Therefore, the intended audience ranges from interested amateurs and curious observers, to educators and …

Estimation Of Probability Of Habitat Use Of Roosevelt Elk On The Olympic Peninsula, Vincent Michael Gugliotti

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Estimating the probability of habitat use for a particular species is crucial to the direct management and conservation of that species. Without knowledge of habitat preferences, managers cannot effectively focus efforts on vital resources or landscape types. However, modelling probability of habitat use can be done in several ways which leaves room for variation and uncertainty in the estimates produced by each method. This study is an examination of the variation between two estimates of probability of habitat use while focusing on a particular subspecies of elk that inhabits a unique ecosystem relative to other elk subspecies. I modeled elk …

Anti-Patents, Roy Baharad, Stuart Minor Benjamin, Ehud Guttel

University of Chicago Law Review

Conventional wisdom has long perceived the patent and tort systems as separate legal entities, each tasked with a starkly different mission. Patent law rewards novel ideas; tort law deters harmful conduct. Against this backdrop, this Essay uncovers the opposing effects of patent and tort law on innovation, introducing the “injurer-innovator problem.” Patent law incentivizes injurers—often uniquely positioned to make technological breakthroughs—by allowing them to profit from licensing their inventions to competitors. Yet tort law, by imposing liability for failures to invest in care, forces injurers to incur the cost of implementing their own inventions. When the cost of self-implementation exceeds …