Digital Commons Network^™

Benefits Of Animal Assisted Therapy In Pediatric Inpatient Units: A Literature Review, Logan M. Shiflett

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The purpose of this systematic review of literature was to establish if animal assisted therapy (AAT) is helpful in the reduction of stress for patients on pediatric inpatient floors. The PICOT question that led this review was: In pediatric patients, how does animal assisted therapy affect patient outcomes related to increased hospitalizations? The EBSCOhost database, as well as the Web of Science and CINAHL Complete information sources, were used to find relevant studies for this review that assessed the benefits and contraindications for AAT. Key terms such as “animal assisted therapy,” “pediatrics,” and “inpatient” were used to narrow down the …

The Dangers Of Ai In Academia -- Amalia Jiva, Ai In The Human World, College Writing Program, Sebastian Quesada, Jordan Barber, Aiden Needles

First Year Seminars in Project-Based Learning

No abstract provided.

A Comparison Of Cultural Aspects Of Breastfeeding In The United States Vs Italy, Madison P. Wallace

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Healthcare systems internationally differ from policies, funding and resources available, and it is evident when comparing the United States and Italy. Participation in the Nursing Across the Lifespan study abroad program at the University of Arkansas Rome Center and Tiny Tusk Breastfeeding and Infant Support internship inspired a comparative exploration of breastfeeding practices in the United States versus. Italy. The United States has a mixed public- private insurance system, workplace policies and government assistance, while Italy has a universal healthcare system with a mandated maternal work paid leave to support breastfeeding mothers. Italy's program supports education and physical care needed …

Exploring Differences In Outcomes For Boys Vs. Girls In Parent-Child Interaction Therapy With Toddlers: Results From A Community Sample, Reese Norbie

Psychological Science Undergraduate Honors Theses

Parent-Child Interaction Therapy with Toddlers (PCIT-T) is an early intervention designed to address behavioral and emotional dysregulation in very young children by strengthening caregiver-child relationships and improving parenting strategies. Although previous research has identified sex differences in childhood behavioral and emotional presentations, little research has examined whether boys and girls differ in outcomes following PCIT-T treatment, especially with it being relatively new. The current study explored demographic differences, protective factors, and treatment outcomes among boys and girls receiving PCIT-T in a United States community sample. Participants included toddlers and caregivers receiving services from trained PCIT-T clinicians across the United States. …

National Security And Farmland Ownership: Livin’ Afida Loca, Jennifer Zwagerman

Buffalo Law Review

The brutal history of conflict over land demonstrates its importance for national security. Farmland in particular is in short supply and has appropriately been designated as “critical infrastructure.” However, the Committee on Foreign Investment in the United States (CFIUS) reviews foreign investment in farmland only if the farmland’s location is close to military or other sensitive sites. The United States Department of Agriculture (USDA) gathers information on specific types of foreign farmland investment yet is wholly removed from any type of national security review. While it might seem like a ban on foreign investment in farmland is an easy solution …

Suspending The Truancy Paradigm, Barbara Fedders, Lucy Carlson, Max Parker

Buffalo Law Review

In the aftermath of the COVID-19 pandemic, school absences have skyrocketed. While racially minoritized, disabled, and low-income students have historically been, and remain, most likely to experience absence, white and affluent students’ rates of attendance have also declined. To respond to this new universality of student absenteeism, some policymakers have begun to seek alternatives to what we term “the truancy paradigm.”

We define the truancy paradigm as the range of coercive and often punitive interventions deployed by states and school districts to enforce compulsory attendance statutes. This paradigm, we argue, wrongly assumes (a) that strict enforcement of compulsory attendance laws …

Presumed Guilt: Epistemic Closure In Pregnancy Prosecutions, M. Eve Hanan

Buffalo Law Review

Criminal law and reproductive justice scholars are calling attention to the increase in prosecutions for pregnancy outcomes in the United States. Trace amounts of controlled substances in newborns are prosecuted as child abuse. Miscarriages are prosecuted as illegal abortions or homicides. This area of criminal law existed side-by-side with Roe v. Wade for late-term pregnancy outcomes. The Dobbs decision has further emboldened these prosecutions by removing the protections of the Due Process Clause from the pre-viability phase of the pregnancy.

Using a case study of a woman who was pressured to plead guilty to manslaughter and sentenced to eight years …

Exercise As A Treatment For Depression And Anxiety Symptoms In College Students, Ashley J. Fountain

ATU Honors Projects

Anxiety and depression have become increasingly prevalent among college students, with rates rising to levels that demand urgent and accessible treatment alternatives. Traditional interventions such as psychotherapy and pharmacological treatments, while effective for many, present limitations including high cost, side effects, and barriers to access. This paper examines exercise as a holistic, evidence-based treatment modality for reducing symptoms of depression and anxiety in college students. Recent research demonstrates that aerobic exercise, resistance training, and yoga each produce meaningful physiological and psychological benefits through mechanisms involving neurotransmitter regulation, reduced cortisol levels, and enhanced self-esteem. Studies comparing exercise with antidepressant medications show …

Incidence And Management Of Adverse Events Associated With Tebentafusp Treatment In Metastatic Uveal Melanoma: Pooled Safety Analysis Of 410 Patients, Takami Sato, Marcus O. Butler, Sophie Piperno-Neumann, Jessica C. Hassel, Paul Nathan, Alexander N. Shoushtari, Piotr Rutkowski, Richard D. Carvajal, Jean-Francois Baurain, Max Schlaak, Josep M. Piulats, Ryan J. Sullivan, Sebastian Ochsenreither, Reinhard Dummer, John M. Kirkwood, Alexandra Ikeguchi, Anthony M. Joshua, Mark R. Middleton, Ramakrishna Edukulla, Constance Pfeiffer, Joseph J. Sacco

Kimmel Cancer Center Papers, Presentations, and Grand Rounds

PURPOSE: We conducted an integrated safety analysis from three clinical studies of tebentafusp, a first-in-class ImmTAC bispecific T-cell engager, which can redirect T cells to target glycoprotein 100-positive cells, in metastatic uveal melanoma.

EXPERIMENTAL DESIGN: HLA-A*02:01-positive patients with unresectable or metastatic uveal melanoma enrolled in three clinical trials (IMCgp100-01, IMCgp100-102, and IMCgp100-202) who received ≥1 dose of tebentafusp were included. Safety data were pooled to evaluate the profile, onset, and management of treatment-related adverse events (TRAE). Adverse events of special interest included cytokine release syndrome (CRS), acute skin reactions (ASR), and liver function test elevations. Primary prophylaxis with medications was …

Effects Of Maternal Overnutrition And Metabolic Challenge In Adult Life On The Histological Integrity Of The Liver And Intestinal Epithelium In Rabbits, Lucía Carolina Cano, Erika Navarrete, Pedro Medina, Juan Pablo Ochoa-Romo, Georgina Díaz, Rodrigo Montúfar-Chaveznava, Rosa María Vigueras-Villaseñor, Ivette Caldelas

Artículos científicos

Introduction: Maternal overnutrition during critical stages of embryonic development has been implicated as a major determinant of developmental and metabolic disturbances in offspring. Current data concerning how perinatal exposure to high-fat and high-carbohydrate diets, followed by re-exposure in adulthood (metabolic challenge), affects the metabolic regulation and structural integrity of the liver and small intestine, key organs of the gut–liver axis (GLA), are limited. Methods: Female rabbits were fed either a standard diet (SD) or a high-fat and high-carbohydrate diet (HFCD) before mating and during gestation. The offspring on postnatal day 440 were challenged with an HFCD or SD for 30 …

Modelling The Balance Axiom In Flow Theory: A Physiological And Computational Approach In Steam Education, David Antonio Rosas, Natalia Padilla-Zea, Daniel Burgos

Artículos científicos

This paper addresses the axiom of balance in Flow Theory from a physiological-and-groupbased approach by a quasi-experimental study using mixed methods across two action– research cycles, each divided into pre-test, intervention, and post-test phases. The study involved 56 students in two control and two experimental groups attending robotics and design STEAM courses in natural settings, wearing Polar H10 bands. Each group participated in nine one-hour sessions, with the same instructor. While flow in control groups was measured with intuition-based teacher actions, in experimental groups the teacher received support from a synchronous physiological flow advisory system. Data from these groups were …

Issue 477 December 2025, The Local Voice

The Local Voice

Featured Articles: "Proud Larry’s Owners Support Southern Culture."; "Families Anonymous Established in Water Valley."; "The View From The Balcony: The Worst Christmas Ever."

When Strength Becomes Stress: The Strong Black Woman Schema And Burnout Among Black Women In Community And Social Services, Portia D. Gordon

LSU New Orleans Theses and Dissertations

This quantitative study explores the relationship between the Strong Black Woman Schema (SBWS) and burnout among Black women in community and social service roles. It uses Black feminist theory (Collins, 1990), intersectionality frameworks (Crenshaw, 1989), and the racial identity development theory (Cross, 1991). Data from 217 women who work or volunteer in community and social services, collected through the Oldenburg Burnout Inventory (OLBI), Social Issues Advocacy Scale-2 (SAIS-2), Activism Orientation Scale (AOS), and Stereotypic Roles for Black Women Scale (SRBWS), along with demographic details, assessed SBWS endorsement, advocacy involvement, and burnout levels. Responses were analyzed across ethnic groups and levels …

Uab Libraries News, 12 2025, Uab Libraries

UAB Libraries News

No abstract provided.

Gender Differences In Psychological Strengths Among Rural Adolescents, Angela Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler

Nursing Faculty Publications and Presentations

Purpose: Rural adolescents often lack access to mental health care along with increased rates of depression and suicide completion. While psychological strengths have been associated with positive outcomes globally, little is known regarding the prevalence of these indicators (hope, self‐efficacy, resilience, optimism, and gratitude) among adolescents living in rural Texas. The purpose of this study was to describe how rural adolescents report their psychological strengths and examine the data for potential gender differences.

Design and Methods: A secondary analysis of cross‐sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics. Results: There were 425 …

Pilot Study Of The Barriers To Exercise Adherence And Motivation (Beam) Questionnaire For Adults With Osteoarthritis, Haley Ciara Hughes

Dissertations

Osteoarthritis (OA) is a chronic condition affecting over 33 million adults in the United States (Center for Disease Control and Prevention [CDC], 2024). While exercise is one of the leading, non-pharmacological treatments for OA (Zhang et al., 2008), patients often struggle to meet physical activity guidelines, increasing their risk of lifelong disability, falls, and dependence (Wallis et al., 2013). Researchers in physiotherapy have struggled to identify effective, individualized treatments to improve exercise adherence for patients with OA that maintain long-term effects (Ezzat et al., 2015); an area behavior analysts could offer insight and guidance. Behavior analysts have developed indirect functional …

Understanding Hepatitis C Risk And Harm Reduction Needs Among People Who Smoke Drugs: A Client-Centered Qualitative Inquiry, Maxwell Gustin

Anthropology

The spread of Hepatitis C virus (HCV) via non-injectable equipment is plausible, making people who smoke drugs (PWSD) at-risk for possible infection and transmission. While much research has been conducted into injection drug use (IDU), likely due to the rising opioid epidemic, limited studies focus on the risks PWSD face. Currently, state-funded syringe service programs (SSPs) provide harm reduction education and materials to combat these risks. Safer smoking initiatives have been created and are widely used by PWSD, and have access to SSPs. To gain better insight into the HCV and non-HCV-related risks and burdens PWSD face, a qualitative study …

Assessing Patient Experiences And Priorities In Traumatic Brain Injury Health Care, Temitayo R. Okusanya, Madeline D. Furie, Sergey Tarima, Courtney O. Barry, Terri Deroon-Cassini, Yuka Kobayashi, Michael A. Mccrea, Kathleen S. Williams, Staci A. Young, Lindsay D. Nelson

Biostatistics Faculty Publications

Improving patient experiences and outcomes of traumatic brain injury (TBI) will require understanding patient perspectives of current care systems. Experts have called for building more integrated, patient-centered systems of care to better support patients through stages of TBI recovery. Informed by an earlier qualitative study, we conducted a survey to quantify patient perspectives on discharge and post-discharge experiences across seven hospitals in a single southeastern Wisconsin health system. Eligible participants were English or Spanish speakers and received TBI care between February 2023 and June 2024 at one level I trauma center emergency department (ED) and inpatient unit, two level III …

A Bioinformatic Survey Of Rna Isoform Diversity And Expression Across 9 Gtex Tissues Using Long-Read Sequencing Data, Madeline L. Page, Bernardo Aguzzoli Heberle, J. Anthony Brandon, Mark E. Wadsworth, Lacey A. Gordon, Kayla A. Nations, David W. Fardo, Mark T.W. Ebbert

Biostatistics Faculty Publications

Background: Even though alternative RNA splicing was discovered nearly 50 years ago (1977), we still understand very little about most isoforms arising from a single gene, including in which tissues they are expressed and if their functions differ. Human gene annotations suggest remarkable transcriptional complexity, with approximately 252,798 distinct RNA isoform annotations from 62,710 gene bodies (Ensembl v109; 2023), emphasizing the need to understand their biological effects. For example, 256 gene bodies have ≥ 50 annotated isoforms, and 30 have ≥ 100, where one protein-coding gene (MAPK10) even has 192 distinct RNA isoform annotations. Whether such isoform diversity results from …

Association Of Genetic Scores Related To Insulin Resistance With Neurological Outcomes In Ancestrally Diverse Cohorts From The Trans-Omics For Precision Medicine (Topmed) Program, Chloé Sarnowski, Yixin Zhang, Farah Ammous, Lincoln M.P. Shade, Daniel Dicorpo, Xueqiu Jian, Donna K. Arnett, Thomas R. Austin, Alexa Beiser, Joshua C. Bis, John Blangero, Eric Boerwinkle, Jan Bressler, Joanne E. Curran, Charles S. Decarli, Harsha Doddapaneni, Josée Dupuis, David W. Fardo, Jose C. Florez, Stacey Gabriel, Richard A. Gibbs, David C. Glahn, Namrata Gupta, Hector M. González

Biostatistics Faculty Publications

To better characterize the potential biological mechanisms underlying insulin resistance (IR) and dementia, we derive cross-population and population specific polygenic scores [PSs] for fasting insulin and IR-related partitioned PSs [pPSs]. We conduct a cross-sectional study of the associations of these genetic scores with neurological outcomes in >17k participants (36% men, mean age 55 yrs) from the Trans-Omics for Precision Medicine (TOPMed) program (50% Non-Hispanic White, 23% Black/African American, 21% Hispanic/Latino American, and 4% Asian American). We report significant negative associations (P < 0.002) of the cross-population (P = 1.3 × 10^-5) and European (P_EA = 3.0 × 10^-8) fasting insulin PSs with total cranial volume, …

Do Communities Implementing The Communities That Heal Intervention Have Significantly Lower Rates Of High-Risk Opioid Prescribing And Dispensing?, Frances R. Levin, Douglas R. Oyler, Denise C. Babineau, Jennifer Villani, Redonna K. Chandler, Patricia R. Freeman, Daniel P. Alford, Naleef Fareed, Nicole Mack, Trang Q. Nguyen, Daniel M. Walker, Joella Adams, Trevor J. Baker, Donna Beers, Shoshana N. Benjamin, Jennifer Bhuiyan, Derek Blevins, James L. David, Netrali Dalvi, Lauren D'Costa, Daniel J. Feaster, La Shawn Glasgow, Dawn A. Goddard-Eckrich, Yi Han, Mallory Harris, Timothy Hunt, Charles Knott, Adrienne Matson

Biostatistics Faculty Publications

Introduction: Prescription opioids can contribute to risk for opioid use disorder and overdoses. Improving prescription opioid safety is a critical component in reducing opioid risks. This report aims to determine whether communities randomized to the Communities That HEAL (CTH) intervention have significantly different rates of prescription opioid safety measures. Study Design: A multisite, 2-arm, community-level, cluster randomized, unblinded, wait-list controlled comparison trial designed to assess the effectiveness of the CTH intervention in reducing opioid-related overdose deaths among community residents 18 years of age or older (adults). Setting/Participants: Sixty-seven (67) communities in Kentucky, Massachusetts, New York, and Ohio. “Participants” were communities …

Drug Overdose Deaths In Kentucky, 2019–2024, Aaron P. Smith, Juan Lang, Carmen Canedo, Patricia R. Freeman, Lindsey R. Hammerslag, Daniel R. Harris, Amber Kizewski, Peter Rock, Nima M. Seyedtalebi, Philip M. Westgate, Jeffery Talbert, Sharon L. Walsh, Svetla Slavova

Biostatistics Faculty Publications

Background: Kentucky has historically experienced a high burden of drug overdose deaths. During the first years of the COVID-19 pandemic, the state saw a 45% increase in overdose deaths in 2020, followed by an additional 15% increase in 2021. However, drug overdose deaths declined in 2023 and 2024. This study used electronic death certificate records from the Kentucky Office of Vital Statistics (2019–2024) to evaluate whether Kentucky’s 2024 drug overdose death rates have declined to pre-pandemic levels and if declines were observed across all demographic groups. The results from Poisson regressions are reported as rate ratios (RRs) and their 95% …

Quantifying Nuanced Differences In Hand Dexterity Between The Dominant And Nondominant Hands Of Healthy, Right-Handed, Young Adults, Brian J. Conway, Léon Taquet, Timothy F. Boerger, Kaitlin Goetschel, Kate B. Krucoff, Sergey Tarima, Brian D. Schmit, Max O. Krucoff

Biostatistics Faculty Publications

When individuals present with hand injuries, clinicians often use the contralateral hand as an internal control. However, subtle differences in baseline dexterous abilities between the dominant and nondominant hands are poorly understood. To address this gap, here we quantified such differences, measured as independence (individuation) and smoothness of finger movements. A cohort of 47 right-hand-dominant healthy adults (22 males and 25 females) moved each finger independently 10 times, while joint angle data were tracked with a dataglove (CyberGlove III, CyberGlove Systems, San Jose, CA). Each finger’s performance was compared with its counterpart on the opposite hand using Wilcoxon-signed rank tests. …

Using An Intersectional Framework To Explore Cannabis And Tobacco Co-Use Patterns, Bethany Shorey Fennell, Cherell Cottrell-Daniels, Kory Heier, Kristen Mcquerry

Biostatistics Faculty Publications

Cannabis and tobacco co-use is an emerging public health concern linked to increased dependence and reduced cessation success for both substances. However, little is known about how co-use patterns vary by product type, motivation, and demographic characteristics. This protocol outlines a cross-sectional study designed to characterize the frequency, type, and context of cannabis and tobacco co-use among U.S. adult tobacco users using an intersectional framework. A national sample of adults who used tobacco in the past 30 days (N = 3777) were recruited via CloudResearch Prime Panels. Participants completed detailed measures of tobacco and cannabis use, co-use behaviors, motivations, expectancies, …

Radon And Tobacco Risk Counseling During Lung Cancer Screening Shared Decision-Making, Stacy R. Stanifer, Kathy Rademacher, Whitney Sedio, Naomi Cheek, Amanda Thaxton Wiggins, Mary Kay Rayens, Ellen J. Hahn

Biostatistics Faculty Publications

Objective: Examine frequency of tobacco and radon risk counseling during lung cancer screening shared decision making among qualified health care providers and the relationship between radon beliefs, tobacco and radon counseling self-efficacy, and related tobacco and radon risk counseling among providers. Methods: Cross-sectional, observational study design employing a mailed self-report survey sent to a stratified random sample of 1,000 qualified health care providers in Kentucky. Regression analyses to examine the association among sociodemographic characteristics, radon beliefs, self-efficacy, familiarity with lung cancer screening guidelines, and tobacco or radon risk reduction counseling during lung cancer screening shared decision making. Results: In all, …

Pfos And Lung Injury: A Review Of Human And Experimental Evidence, Farzana Hakim

Theses and Dissertations

Human epidemiological research has shown the adverse health consequences of long-term accumulation of per- and polyfluoroalkyl substances (PFAS) in human tissue. Specifically, this review will examine the relationship between PFAS exposure, impaired immune system functioning, and an elevated risk of respiratory disease using both human and experimental data. Research on human populations indicates that children exposed to PFAS have lower levels of antibodies to vaccines; those children prenatally exposed to PFAS are more susceptible to upper respiratory infections; and that adult humans have a higher incidence of chronic obstructive pulmonary disease (COPD). Additionally, experimental studies demonstrate that PFOS and PFOA …

Leveraging Virtual Reality In Nursing Education To Enhance Confidence And Knowledge, Kerry Vaccaro, Amanda Bodinet, Concetta Zak

Biennial Convention (CONV)

Blood transfusion reactions can be life threatening and are rarely encountered by nursing students in clinicals. Simulation has been shown to have a positive impact on transfusion-related competence in nursing students (Brown, C. & Brown, M., 2023). BSN nursing students faced challenges in recognizing and responding to blood transfusion reactions. A Virtual Reality (VR) simulation was introduced as an innovative teaching modality. Virtual Reality provides learners with a more life-like experience that is standardized and safe (Kiegaldie & Shaw, 2023). The purpose of this study was to evaluate whether VR simulation, compared to traditional lecture, improves senior-level BSN students' confidence …

Advanced Practice Provider (App) Midline Training Initiative, Al-Zada Aguilar, Sarah D. Maute

Biennial Convention (CONV)

Temporary, non-tunneled central venous catheters (CVCs) are commonly used for vascular access in patients with vesicant infusion needs or difficult intravenous access (DIVA). However, CVCs are associated with primary bloodstream infections (BSIs), contributing to significant morbidity, mortality, and financial burdens. At our institution, central line-associated bloodstream infection (CLABSI) rates and central utilization ratios have steadily increased since 2023, rising from 0.43 to 0.75 and 0.17 to 0.21, respectively, despite system-wide infection prevention initiatives. Recognizing the limitations of current approaches, particularly for DIVA patients, midlines emerged as an alternative to both CVCs and ultrasound-guided peripheral IVs (USG-PIVs).

In response, a multimodal …

Faculty Perceptions Of Student Mental Health And Real-World Readiness, Allison A. Maloney, Meghan Pontz

Biennial Convention (CONV)

The mental health of students is a cornerstone for achieving global goals of quality education & good health and well-being. These priorities are urgent calls to action for educators and policymakers to foster sustainable economic development. The COVID-19 pandemic has magnified the vulnerabilities of educational and health systems worldwide, redefining how students are educated and prepared for the workforce. This challenge is pertinent in higher education, where faculty play a role in equipping students for professional environments while addressing their mental health needs—a determinant of future workforce resilience and productivity.

This study examines faculty perceptions of student mental health and …

Integrating Telehealth Innovation To Advance Emergency Department Flow And Nursing-Led Care, Patrice Callagy, Maria Cheung

Biennial Convention (CONV)

Purpose: Efficient patient flow is critical for managing capacity and delivering timely, equitable care in emergency departments (EDs). As patient acuity and census increased at Stanford Health Care (SHC), traditional Fast Track spaces were reassigned to higher-acuity patients, leaving lower-acuity patients with prolonged lengths of stay (LOS). Prolonged LOS increases the risk of patients leaving without treatment, impacting care outcomes. To address this, SHC’s Digital Health team and Emergency Services leadership developed an innovative Virtual Fast Track care framework using telehealth technology and multidisciplinary workflows.

Methods: This novel approach applies an "inverted telemedicine" model in which care is provided within …