Digital Commons Network^™

Ultrasound-Guided Injection In Meralgia Paresthetica: A Narrative Review, Jia-Chi Ko, Tyng-Guey Wang, Shaw-Gang Shyu

Rehabilitation Practice and Science

Meralgia paresthetica (MP) is a neuropathic pain syndrome resulting from compression or irritation of the lateral femoral cutaneous nerve (LFCN). Traditional diagnostic approaches rely on clinical assessments and electrodiagnostic testing. Ultrasound has emerged as a non-invasive, cost-effective modality for detailed visualization of the LFCN and guiding treatment interventions.

This review explores the anatomical considerations of the LFCN, its common etiological factors, clinical presentation, current management strategies, and ultrasound-guided injection techniques. While LFCN exhibits notable anatomical variability, and it is susceptible to external compression near the inguinal ligament. Some potential causes reveal as obesity, diabetes mellitus, or surgical interventions. Patients typically …

Guideline Of Pulmonary Rehabilitation In Patients With Interstitial Lung Disease, Chia-Ho Lin, Seong-Woong Kang, Ming-Lung Chuang, Pin-Kuei Fu, Chin-Ming Chen, Ko-Long Lin, Ssu-Yuan Chen, Li-Wei Chou, Kuan-Cheng Chen, Yuan-Yang Cheng

Rehabilitation Practice and Science

Interstitial lung disease (ILD) includes a group of chronic respiratory disorders characterized by pulmonary inflammation and fibrosis, often resulting in dyspnea, exercise intolerance, and reduced quality of life. Although pulmonary rehabilitation (PR) is effective in managing these symptoms, no guideline has comprehensively summarized its principles, components, and supporting evidence in ILD. This guideline provides an evidence-based framework for designing and implementing PR tailored to ILD patients. Core recommendations include individualized exercise prescription following the FITT principle, aerobic and resistance training, breathing exercises, supplemental oxygen use, and disease-specific self-management strategies. The guideline also presents validated assessment tools to aid clinical application …

Inactivity In Ambulatory Hemodialysis Patients: A Multidimensional Health Assessment, Guan-Yi Huang, Ji-Tseng Fang, Ching-Chung Hsiao, Shu-Chun Huang

Rehabilitation Practice and Science

Background: Sedentary lifestyles and poor fitness are prevalent among patients undergoing maintenance hemodialysis (HD). However, no study has comprehensively evaluated multiple dimensions of physical fitness using gold-standard methods in ambulatory chronic HD patients, who represent approximately 60% of the HD population. In this study, a multidimensional health assessment -including standardized evaluations of fitness—was conducted to examine its association with physical activity levels.

Methods: This cross-sectional study assessed patients receiving maintenance hemodialysis at dialysis centers within a tertiary medical center and a regional hospital, using a comprehensive battery of evaluations. These included cardiopulmonary exercise testing, isokinetic dynamometry, dual-energy X-ray absorptiometry …

Persistent Oropharyngeal Dysphagia Caused By Systemic Light Chain Amyloidosis Despite Hematologic Response: A Case Report, Haw-Wen Jeng, Tyng-Guey Wang, Kuo-Chang Wei

Rehabilitation Practice and Science

We report a case of a 44-year-old woman who developed progressive dysphagia and shoulder stiffness, ultimately leading to a diagnosis of multiple myeloma (MM) with systemic light-chain (AL) amyloidosis. Despite intensive systemic therapy for MM with good serological response and nine months of comprehensive swallowing rehabilitation, her tongue mobility remained severely restricted, with only minimal improvement in laryngeal elevation. Videofluoroscopic swallowing study (VFSS) confirmed poor tongue control, reduced laryngeal elevation, and penetration of thin liquids. She ultimately passed away despite hematologic control. This case underscores the profound impact of amyloid deposition on swallowing function, even in the context of medically …

Dictyostelids: The Second Major Group Of Slime Molds, P. Liu, Z.J. Zhang, J.H. Ge, Y. Zou, Z. Li, S. Li, Y. Li, S.L. Stephenson

Biological Sciences Faculty Publications and Presentations

The dictyostelids (also called cellular slime molds or social amoebae) are among the more abundant and widespread groups of microorganisms in terrestrial ecosystems. Despite this fact, they are totally unknown to most people, who sometimes confuse the dictyostelids with myxomycetes (or plasmodial slime molds). The first dictyostelid (Dictyostelium mucoroides) was described by the German Oskar Brefeld in 1869. More than 180 species are now known, and these organisms have been recorded from the high arctic to the subantarctic. The primary microhabitat for dictyostelids is the soil/humus layer on a forest floor, but they also occur in a number of other …

Buyer Be Aware: An Underutilized Tool In The Public Health Protection Toolkit, Padde Musa, Jacob Gakpo, Samuel T. Opoku, Bettye A. Apenteng

Eagles Talking About the Public’s Health

No abstract provided.

Breaking The Plateau: Why Nutrition Must Be The Next Frontier In Maternal And Newborn Health, Tamah Kamlem, Ana M. Palacios, Kelly Sullivan, Ousainou Gomez

Eagles Talking About the Public’s Health

No abstract provided.

Beyond The Latch: Supporting Maternal Health During Breastfeeding, Emmanuela Nwaonumah, Amenah Qotineh, Hadeer Hegazy, Logan Cowan, Joanne Chopak-Foss

Eagles Talking About the Public’s Health

No abstract provided.

Breastfeeding Education In Peripartum Women, Kristen Chassner

Doctor of Nursing Practice Projects

Breastfeeding is nature’s medicine. Though it is considered a natural experience between a mother and a child, it does not always come easy. Education is imperative for peripartum women to learn more about breastfeeding in general, its benefits to the mother and the child, identifying improper latching, and resources to seek help. The purpose of this project was to provide introductory breastfeeding education to peripartum women at a government-funded public health facility in Cleveland County, North Carolina, to increase breastfeeding knowledge, self-efficacy, and the intention to breastfeed for the baby’s first 6-months of life in 100% of the participants. Though …

The Use Of Music Therapy And Various Mechanisms Of Diversion To Aid Caregivers Of Those With Alzheimer’S Disease And Dementia, Sarah Elizabeth Kane

Doctor of Nursing Practice Projects

Background: Alzheimer’s Disease and Dementia inhabit an increasingly alarming number of individuals within the United States with the majority of their caregivers being loved ones with limited to no healthcare education. This DNP project was designed to specifically educate caregivers of those with Alzheimer’s Disease and Dementia. The goal of this project was to increase the knowledge of the disease while also increasing the ability and confidence to better care for their loved ones. In using the resources outlined in this project, such as music therapy and diversional tools, the caregiver would see a decrease in emotional outbursts and …

Teaching With Confidence: Strengthening Nurse Education On Heart Failure Using The Teach-Back Method, Melany Boyd

Doctor of Nursing Practice Projects

Heart failure remains one of the leading causes of hospital readmissions, often due to poor patient understanding of self-care instructions provided at discharge. Nurses play a critical role in patient education, yet many lack confidence and competence in delivering effective education. Additionally, inconsistencies and discharge materials, such as outdated or excessive documentation, can overwhelm patients and hinder their ability to retain vital information. Standardized education enhances the learning experience and ensures consistent messaging across the healthcare system. This project aimed to improve nurses’ confidence and competence in educating heart failure patients at discharge by 10% through the implementation of the …

Type 2 Diabetes Education And Knowledge In The Adult Hmong Community, Sheng Yang

Doctor of Nursing Practice Projects

Type 2 Diabetes is a chronic health condition that affects many individuals, but specifically has been found to significantly affect minority population groups. There has been very limited research regarding understanding the etiology of the disease in the Hmong community that migrated to the United States from Southeast Asia. The purpose of this project was to design and implement an evidence-based, culturally appropriate educational intervention in the Hmong language to increase knowledge of Type 2 Diabetes among the adult Hmong community in Burke County and Catawba County, NC areas. The intervention was delivered to a total of 30 participants who …

Assessment Of The Level Of Relevancy Of Theological Education In The Chinese Context, Jacky Yeung

Dissertations

Problem

The contextualization of theological education has been a topic of academic discussion for many years with scholars exploring various angles related to this subject. Despite the ongoing need for contextualized theological education, an assessment of its relevancy in the Chinese setting has not been extensively studied. This dissertation aims to fill this research gap by assessing the relevancy of Adventist theological education in China and providing recommendations for improvement.

Method

The study employs a mixed-method approach, combining both quantitative and qualitative research methods to gain a comprehensive understanding of the issue. The quantitative stage involves a survey administered to …

The Central Role For Troponin C Amino-Terminal ⍺-Helix In Vertebrate Thin Filiment Ca²⁺-Activation, Yun Shi, Lauren A. Blackwell, Ryan K. Schroy, B. Max Cleland, Cristina M. Risi, Michelle S. Parvatiyar, Jose R. Pinto, Vitold E. Galkin, P. Bryant Chase

Department of Biomedical and Translational Sciences Faculty Publications

Troponin C (TnC) is the Ca²⁺-sensing subunit of troponin that is responsible for activating thin filaments in striated muscle, and, in turn, for regulating the systolic and diastolic contractile function of cardiac muscle. The secondary structure of vertebrate TnC is mainly composed of α-helices, with nine helices named sequentially, starting from the amino terminus, from N to A–H. The N-helix is a 12-residue-long α-helix located at the extreme amino terminus of the protein and is the only helical structure that does not participate in forming Ca²⁺-binding EF-hands. Evolutionarily, the N-helix is found only in TnC from mammalian species and most …

Reduced Slow Wave Sleep Is Associated With Increased Risk Of Short Stature In Children: A Cross-Sectional Study, Zhaohua Chen, Yuan Shi, Fei Lei, Xujun Feng, Lu Tan, Taomei Li, Junying Zhou, Yuanfeng Sun, Jiamin Liao, Yun Li, Zhoulong Yu, Jian Jiao, Yanyan Wang, Larry D. Sanford, Michael V. Vitiello, Ye Zhang, Rong Ren, Xiangdong Tang

Department of Biomedical and Translational Sciences Faculty Publications

Objective: Although growth hormone was shown to be specifically released during slow wave sleep (SWS), no population-based evidence has demonstrated the association between sleep quality and childhood height. To address this gap, our study aims to investigate the relationship between SWS and height of children.

Methods: We analyzed polysomnography data and z-scores for height in 2527 suspected obstructive sleep apnea (OSA) children (537 non-OSA children and 1990 OSA children) collected over the past 16 years. Different grades of z-scores for height and SWS were classified by the quartile method, and the lowest z-scores for height quartile defined short stature as …

Phenotype Specific Nuclear Lamina Remodeling In Hipsc Derived Cardiomyocytes Bearing Tnnt2 Sarcomeric Variants, Isabella Leite Coscarella, Olalekan H. Usman, Lili Wang, Maicon Landim-Vieira, Lillian Wirstiuk, Amber N. Brown, Diego A. R. Zorio, Brian K. Washburn, Cynthia Vied, Bjorn C. Knollmann, Christopher Solís, Vitold E. Galkin, P. Bryant Chase, J. Travis Hinson, Jerome Irianto, Jose Renato Pinto

Department of Biomedical and Translational Sciences Faculty Publications

[Summary] Cardiomyocytes endure physical stress from the myocardium environment while generating their own mechanical strains. The force generated by sarcomeres is transmitted both longitudinally to adjacent sarcomeres and laterally to the cytoskeleton via intermediate filaments. This mechanical stimulus impacts other organelles, including the nucleus, thus playing a vital role in sensing and signaling nuclear adaptations. However, there is limited understanding of how changes in cardiac contractility affect nuclear mechanics. Here, we sought to investigate the effects of hyper- and hypo-contractility in nuclei of human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) bearing TNNT2 pathogenic variants associated with hypertrophic (HCM) or dilated …

Stigma Of Obesity And Healthcare Utilization, Moya A. O'Leary

Antioch University Dissertations & Theses

The impact of personal factors on healthcare utilization is an essential area of research to improve overall health outcomes among the population. This study explored the relationship between perceived stigma and healthcare avoidance among men and evaluated the relationship between self-reported body mass index (BMI) and avoidance of healthcare appointments due to weight-related stigma and other reasons. This study found no significant relationship between BMI and avoidance of preventive medical appointments due to perceived stigma. However, men from all weight categories endorsed avoiding preventive healthcare appointments due to weight-related reasons and for other reasons. This study explored the reported reasons …

An Autoethnographic Analysis Of Cultic Elements In Education As I'Ve Known It: For Critical Democratic Pedagogies, Kayla Gwin

Antioch University Dissertations & Theses

While there is existing research surrounding the democratic potentials of the United States educational system and the vegan movement, two spaces of personal belonging for the author, there is a limited body of work discussing how these spaces may operate with specific characteristics that have been attributed to cult-like groups. Using Dr. Steven Hassan’s BITE (Behavior, Information, Thought, and Emotional Control) Model of Cultic Influence, as well as the lens of critical pedagogy, this autoethnography explores possible authoritarian tendencies within the larger educational system and the vegan movement respectively. The purpose of this study is to delve into and reflect …

Understanding Detroit’S Local Food And Urban Agricultural Policy Subsystem Using The Advocacy Coalition Framework, Joann Marie Hennessey Ph.D.

Antioch University Dissertations & Theses

This explanatory qualitative case study applied the Advocacy Coalition Framework (ACF) to study Detroit’s local food policy changes from 2000 to 2022. The research question and sub-questions were framed using three ACF hypotheses that addressed advocacy coalitions, collective action, and policy change. My research showed how actors in the policy subsystem worked to promote policy change during the study period. Using this Advocacy Coalition Framework approach, I explored local food policy change in the context of community resilience and system changes. Since 2000, the local food movement in Detroit attempted system changes by experimenting with ways to provide local residents …

Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy

Antioch University Dissertations & Theses

The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …

Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva

Antioch University Dissertations & Theses

This dissertation builds on historical and scientific assertions that Former Soviet Union immigrants survived distinct political traumas, resulting in unique, culturally adaptive behaviors and beliefs. Using constructivist grounded theory, it examined how these behaviors manifest in the evangelical Slavic community (ESC) of former Soviet Union Refugees (FSURs) in the U.S. The researcher asserts that (a) adaptations are generationally preserved in the ESC through a “cycle of authoritarianism,” and (b) survival strategies became maladaptive in new social environments. Narratives from eight young adults raised in the ESC were analyzed alongside a literature review and lived experience. Findings show that coping strategies …

Becoming And Belonging: Exploring Teachers’ Insights On Community Interest And Engagement In Waldorf Middle School Students, Monica Laurent

Antioch University Dissertations & Theses

This research explores how Waldorf middle school teachers experience, perceive, and support the development of community interest, engagement, and belonging among the early adolescence years of middle school. Adolescence, particularly ages 11 to 14, is a period of profound developmental transition characterized by intense emotionality, evolving identity, increased peer influence, and growing social complexity. Rudolf Steiner’s philosophical and pedagogical framework positions this stage as a time that leads to the birth of the astral or feeling body, contributing to new levels of self-awareness and the emergence of individuality, the beginning of critical thinking, and moral judgment. This period is also …

Beyond Strong: A Phenomenology Of Women Executives And The Connection Between Leadership And Fitness, Nozomi Bullock

Antioch University Dissertations & Theses

Senior-level executive leaders’ work in a dynamic, competitive, 24/7 business environment can be physically rigorous, mentally demanding, and emotionally isolating. The same holds true for women pursuing senior-level leadership roles in corporate America. Women who achieve and succeed in such roles remain the minority: Outsiders in elite spaces who are held to higher standards and overly scrutinized. Among senior-level executive women leaders, those committed to a fitness and training regimen including weightlifting constitute an even smaller minority. Senior-level executive roles require stamina, resilience, and courage—qualities that make up the foundation of the mindset of fitness and strength training (Foyster et …

Repositioning Traditional Authority To Fight Illegal Gold Mining In Dunkwa-Offin In The Upper Denkyira East Municipal District Of The Central Region Of Ghana, Manaseh Mawufemor Mintah

Antioch University Dissertations & Theses

Ghana is endowed with valuable mineral resources, including gold, diamonds, and manganese. However, the country has struggled to manage these resources in a way that benefits the broader population. Illegal mining, commonly referred to as galamsey, has become a persistent national concern. This practice involves the unauthorized extraction of mineral ore by individuals and groups operating without formal government authorization. The town of Dunkwa-Offin exemplifies the severe social and ecological consequences of galamsey, where livelihoods, public health, and environmental sustainability are increasingly compromised. This study examines the potential role of traditional authorities in Dunkwa-Offin in combating illegal small-scale mining, also …

How Can University-Community Partnerships Strengthen Food Literacy To Improve Food Access And Food System Resilience In Rhode Island?, Jocelyn Furtado

Student Publications

Nearly two out of every five households in Rhode Island experience difficulties accessing adequate and nutritious food, falling into the category of food insecure. While it is not the responsibility of a sole organization to reverse this complex systemic issue, collaborative efforts are a step toward combating food insecurity and systems resilience through improving food literacy. When accomplished within a community, adequate food literacy can combat food insecurity. To the same effect, food insecurity may cause a lack of food literacy.

To hone in on the relationship of food literacy as it relates to food insecurity and food systems resilience, …

Enhancing Patient Safety By Increasing Daily Weight Measurement For Intensive Care Through Nursing Education: A Quality Improvement Project, Liz Prior

Master's Theses and Capstones

Background: For critically ill patients in the Intensive Care Unit (ICU), accurate daily weight measurements are crucial for monitoring fluid status and ensuring correct medication dosages. However, variations in measurement techniques, accuracy, and documentation can render this data unreliable. This often leads to a reliance on less accurate measures, which may contribute to longer treatment courses and suboptimal patient outcomes.

Local Problem: At a 3-bed ICU in a critical access hospital, staff interviews revealed inconsistencies among nurses in the daily measurement of patient weights. The lack of a standardized protocol created barriers to the usefulness of serial daily weight data. …

Tax Sheltering Death Care, Victoria J. Haneman

Scholarly Works

Death is not free. Funeral, burial, or cremation costs are the third largest category of expense over the lifetime of the average American, while poverty paradoxically remains the fourth leading cause of death. Many are unable to shoulder the often-exorbitant cost of death care without being forced to beg, borrow, or simply abandon human remains. Sufficient resources exist to ensure that everyone is laid to rest with dignity in the United States, but those resources are not evenly distributed. This is a conversation about affordable and humane disposition of remains as a right versus a privilege. It is a discussion …

Seaweed (Laminaria Digitata) And Honey Kombucha: A Fermented Antioxidant-Rich Beverage: Fermentation, Anastasia Karpova, Deborah Adesina, Furong Tian, Azza S. Naik

Research Outputs: 2025-Present

Kombucha is a sweetened tea infusion fermented using a symbiotic culture of bacteria and yeast (SCOBY). Recently, kombucha has gained popularity due to its potential health benefits, attributed to its high antioxidant and probiotic properties. The aim of this research was to formulate a novel antioxidant-rich beverage with symbiotic benefits by utilizing ingredients such as Laminaria digitata (brown seaweed), cinnamon, and lavender adjuncts, alongside alternative substrates like acacia honey and conventionally used ingredients such as ginger (Zingiber officinale Roscoe). This study comprehensively evaluated parameters including pH levels, acidity, alcohol content, color, and antioxidant potential of the beverages. All kombucha beverages …

Favorite Foods Participant Packet, Caitlin Wollack

UNH Cooperative Extension

No abstract provided.

Cheshire 4-H Presents 2026 Information Packet, Diane Dugray

UNH Cooperative Extension

No abstract provided.