Digital Commons Network^™

Incidence Of Peripheral Intravenous Cannula Complications And Associated Factors Among Paediatric Patients At A Tertiary-Care Referral Hospital, Vanessa Minsari Ogega

Master of Medicine in Paediatrics and Child Health

Introduction: Peripheral intravenous catheters (PIVCs) are widely used in clinical practice and are a major source of procedure-related pain in children. Their use is associated with complications including occlusion, dislodgement, infiltration, extravasation, phlebitis, and, rarely, bloodstream infections.

Objectives: To determine the incidence and risk factors associated with PIVC complications among paediatric patients aged 1 day to 18 years at Aga Khan University Hospital, Nairobi. The study also assessed the average survival time of PIVCs.

Methods: A prospective cohort study was conducted on 320 PIVCs among 192 children admitted between August and October 2024. Data collected included patient demographics, clinical characteristics, …

Kenyan Dietitians’ Knowledge Of Ketogenic Dietary Therapies For Drug-Resistant Epilepsy, Pauline Samia, Violet Naanyu, Perry Ndila, Helen Cross, Richard Idro, Paul Boon, Jo Wilmshurst, Stanley Luchters

Paediatrics and Child Health, East Africa

Background: Ketogenic dietary therapy (KDT) has been proven to be efficacious for people with drug-resistant epilepsy. However, it is rarely utilized in low-resource settings. Due to the complexity of implementation, dietitians play a crucial role in managing KDT.

Methods: We conducted a cross-sectional survey of 253 out of the 1,000 registered dietitians. We assessed their knowledge of and interest in further training in KDT.

Results: Most participants were female (78%), with a median age of 33 years (IQR=28–38). A total of 171 (67.6%) reported knowledge of KDT. However, only 13 respondents (7.6%) answered all five knowledge-specific questions correctly. A …

The Social Dimensions Of Aquaculture: Food Sovereignty And Indigenous Rights In Ketchikan, Alaska, Morgan J. Davis

Capstone Collection

This research project asks how the growing commercial aquaculture industry in Ketchikan, Alaska, functions to alleviate or exacerbate local food insecurity; reinforce or undermine food sovereignty among Indigenous communities, and enhance or restrict community participation in the control of marine resources. Global initiatives have responded to food insecurity through agricultural inputs and technology to create higher yields; however, conventional agricultural production has contributed to and is increasingly vulnerable to climate change. To address higher demands for food, government agencies and development experts have looked towards Blue Growth and aquaculture as a solution for food insecurity and environmental concerns. While aquaculture …

Cbl Regulation Of C-Met Signaling In Corneal Epithelial Cells., Kate Elise Tarvestad Laise

Electronic Theses and Dissertations

The cornea is the most anterior portion of the eye and permits light passage through to retina, allowing formation of a clear image as long as it remains healthy. If the cornea sustains damage, it creates and entrance for foreign body invasion, infection, and ultimately blindness in the immunocompromised eye. Healing the corneal tissue is critical for vision restoration and pain alleviation, as it is the most densely innervated tissue in the body. Growth factors and their cognate receptors are currently under investigation as tools to restore proper corneal physiology. We hypothesize that manipulating the hepatocyte growth factor (HGF) /c-Met …

The Influence Of Psychological, Biological, And Social Determinants On Disordered Eating Behaviors Among U.S. Young Adults: Evidence From Nhanes 2015-2018., Samantha Kaye Gerbine

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs) are influenced by biological, social, and psychological factors, yet research often narrowly focuses on White, college-aged women. This study assessed the predictors and prevalence of DEBs in a nationally representative sample of U.S. young adults using data from the 2015–2018 National Health and Nutrition Examination Survey (NHANES). Survey weights were applied to generate national estimates. Descriptive statistics characterized the sample, and logistic regressions tested biological, social, and psychological predictors of DEBs. A composite risk score was developed using variables retained in the final model. The unweighted sample (n = 1,062) represented 64 million U.S. young adults. …

"That’S Not A Meal, Bestie”: Humor, Identity, & Feminized Consumption In “Girl Dinner”., Claire Tudor

Electronic Theses and Dissertations

This thesis examines the viral “Girl Dinner” trend as a case study in how gendered consumption, digital identity, and feminist humor intersect in digital spaces. Using “Girl Dinner” as a rhetorical artifact, this thesis explores how women use gendered trends to navigate visibility, labor, and autonomy in online spaces. Through thematic analysis of TikTok content, media coverage, and branded adaptations, the research traces the evolution of the trend from a lighthearted joke to a site of cultural negotiation. This study reveals that while “Girl Dinner” may appear empowering and relatable on the surface, it often reinforces traditional gender expectations under …

Rhetorical Analysis Of Kristen Bell's Articulation Of Imperfect Motherhood On Armchair Expert., Sarah J. Neff

Electronic Theses and Dissertations

This thesis explores how Kristen Bell’s articulation of imperfect motherhood, as heard on the popular podcast Armchair Expert, contributes to broader social discourses surrounding motherhood, empowering some mothers while inadvertently constraining others. Using rhetorical analysis grounded in Goffman’s dramaturgical approach, facework theory, and McGee’s theory of fragments, this study explores Bell’s discourse and performance of motherhood within the podcast medium. The podcasting medium provides a rich source for rhetorical analysis due to the long form interview content, and emotionally nuanced content, leading to a stronger connection with the audience. This is evident with the new headlines that follow Bell’s appearance …

Improving Antipsychotic Compliance By Addressing Client Experience Of Metabolic Syndrome, Lurinda N. Paulsen

Doctor of Nursing Practice

Abstract

Purpose: This project was undertaken to increase medication adherence in clients diagnosed with mental illnesses that necessitate the use of antipsychotic (second generation, atypical or first generation, typical) medications.

Background: Medication compliance in the treatment of schizophrenia, schizoaffective disorder, and bipolar disorder is essential to ensure consistent medication levels and symptom stabilization. There are many reasons clients stop taking their medications, and symptoms of metabolic syndrome are often a cause for self-discontinuation. Metabolic syndrome is a cluster of symptoms including obesity, hypertension, hyperglycemia, hypoalphalipoproteinemia, and/or hypertriglyceridemia, which increases risk for cardiovascular disease and diabetes.

Methods: This project was completed …

The Effects Of Hunger, Starvation, And Famine On Certain Eating Habits: A Cross-Cultural Study, Robert Dirks

Faculty Publications – Sociology and Anthropology

This paper examines the impact of starvation and famine on certain eating habits. These include commensal relations within households, dispositions towards eating with strangers and modes of appetite expression. It tests the proposition that much of the variation seen in these aspects of eating behavior worldwide can be explained by societal experiences with hunger. The study analyzes data from 124 societies and finds significant associations between episodes of food insufficiency and non-inclusive, uncongenial eating practices. This research contributes to the understanding of how food supply and nutritional circumstances shape cultural arrangements and offers insights into the broader implications of food …

Life Cycle Assessment Of Sustainable Wastewater Systems - Algae-Based Wastewater Treatment, Harish Lakshmi Srinivasan

All Theses

This thesis studies the integration of an algae-based membrane bioreactor (MBR) and photobioreactor system into a domestic wastewater treatment facility, using the Clemson University WWTP as a reference plant. The proposed system replaces the conventional sequencing batch reactor and aerobic digester with a microalgae-bacteria symbiosis process, coupled with submerged ceramic membranes, an algal photobioreactor and anaerobic digestion for enhanced nutrient and energy recovery, which paves the way for water reuse and increased biological capacity in the future.

The study shows that overall energy consumption is reduced by approximately 18% compared to the existing conventional configuration. Further, methane production from anaerobic …

Delusional Parasitosis With Depression, Hypertension And Migraine, Mouli Mandal, M Kishor, Mr Murali

Digital Journal of Clinical Medicine

Delusional Parasitosis (DP) , also known as Ekbom Syndrome, is a psychiatric disorder characterised by the unshakeable belief of infestation by parasites, insects or other organisms, despite the absence of objective medical evidence.
This case report presents a 49 year old female with a history of chronic headaches, progressively worsening insect crawling sensations. She was initiated on treatment and supportive psychotherapy.
This case highlights the importance of a thorough multidisciplinary approach in managing Delusional Parasitosis, emphasising the need to differentiate between primary and secondary forms, address the potential medical and psychiatric comorbidities, and implement appropriate pharmacological and psychotherapeutic interventions.

The Molecular And Behavioral Characterization Of The Murine Cre – Loxp Skeletal Muscle Synthesized Bdnf Knockout Model, Asha E. Rustad

All NMU Master's Theses

Brain derived neurotrophic factor (BDNF) is a neurotrophin essential for supporting the growth, differentiation, and health of neurons within the central and peripheral nervous systems. BDNF is also a member of the myokine family, where muscle synthesized-BDNF (msBDNF) is thought to facilitate the crucial bi-directional communication between the motor neuron and the muscle fibers it innervates. Since 2008, the Ottem Laboratory has investigated the role of msBDNF by employing Cre/LoxP recombinase technology to selectively delete the BDNF coding region within skeletal muscle of mice. This approach generates animals with either heterozygous or homozygous deletions of msBDNF, as well as BDNF …

Tracking Impact: Leveraging Pre-Existing Monitoring Tools For Assessing Indonesia’S Free Nutritious Meal (Makan Bergizi Gratis) Programme, Putu Geniki Lavinia Natih

Economics and Finance in Indonesia

Indonesia’s Makan Bergizi Gratis (MBG) programme is among the largest school feeding initiatives globally, yet its rapid scale-up has outpaced the development of a robust monitoring, evaluation, and learning (MEL) framework capable of assessing welfare-relevant outcomes. This paper examines whether pre-existing national survey instruments can be leveraged to strengthen outcome monitoring in the absence of MBG-specific microdata. Focusing on the Food Insecurity Experience Scale (FIES) collected through Indonesia’s National Socio-Economic Survey (Susenas), the study first situates experiential food insecurity within Indonesia’s broader food security landscape. It then applies a propensity score matching framework using participation in the Bantuan Pangan Non-Tunai …

Low Dietary Folate Increases Developmental Delays In The Litters Of, Karen E Christensen, Marie-Lou Faquette, Vafa Keser, Alaina M Reagan, Aaron T Gebert, Teodoro Bottiglieri, Gareth R Howell, Rima Rozen

Faculty Research 2025

Background/Objectives: Low folate intake before and during pregnancy increases the risk of neural tube defects and other adverse outcomes. Gene variants such as MTHFR 677C>T (rs1801133) may increase risks associated with suboptimal folate intake. Our objective was to use BALB/cJ Mthfr^677C>T mice to evaluate the effects of the TT genotype and low folate diets on embryonic development and MTHFR protein expression in pregnant mice. Methods: Female 677CC (mCC) and 677TT (mTT) mice were fed control (2 mg folic acid/kg (2D)), 1 mg folic acid/kg (1D) and 0.3 mg folic acid/kg (0.3D) diets before and during …

Icipe Monthly Digest – Volume 1, Issue 8, August 2025, International Centre Of Insect Physiology And Ecology (Icipe)

icipe Newsletters

No abstract provided.

Community Directed-Based Approaches To Promote Uptake Of Sulfadoxine-Pyrimethamine For Intermittent Preventive Treatment Of Malaria In Pregnancy: Endline Findings From Kisumu And Migori Counties, Dennis Matanda, Zoe Nakuya, Stephen Kizito, Francis Obare

Sexual and Reproductive Health, Rights, and Choices

No abstract provided.

Sexual And Reproductive Health Is Inadequately Addressed In Climate Change Actions In Sub-Saharan Africa, Jacinter Amadi, George Odwe

Sexual and Reproductive Health, Rights, and Choices

No abstract provided.

Raptors As Secondary Dispersers Of Mycorrhizal Fungal Spores, Joseph Anderson

Electronic Theses and Dissertations

Animals aid fungal dispersal by consuming fruiting bodies (e.g., truffles) and depositing spores elsewhere. Predators can act as secondary dispersers by preying on small mammals that eat truffles, although it is unclear how this dispersal may vary among species of raptors (hawks and owls) and fungal taxa. We experimentally fed four truffle taxa (with spores varying in size and wall thickness) to six raptor species (with differing gut morphology and acidity) to assess how spore viability and retention time may change between raptor casts and feces. Viability in smaller spores was more negatively affected by acidity compared to larger spores …

Uni Impact: Faculty/Staff Scholarly Publications And Featured Awards Newsletter, V3i2, 2024, Rod Library. Research & Sponsored Programs. Uni Foundation. University Of Northern Iowa.

UNI Impact: Faculty/Staff Scholarly Publications and Featured Awards Newsletter

Highlights the scholarship, research, and other scholarly work produced by University of Northern Iowa faculty, students, and staff.

This issue covers the period of July - December 2024.

A Moderation Analysis Of The Relationships Between Burnout, Internalizing Symptoms, And Self-Care, Alexandra Mccorkle Ryan

Dissertations

Amidst growing awareness of burnout among school psychologists, self-care has been suggested as an essential practice for managing the emotionally and psychologically taxing elements of the job. Indeed, self-care has been included in the American Psychological Association’s list of professional competencies for health service psychologists (HSPs) in training. Mitigating burnout is an important objective, however, the current conceptualization of burnout as a problem that can be managed by an individual alone is inaccurate. Rather, burnout is a product of an occupational system in which job demands outweigh job resources. Furthermore, burnout can exacerbate symptoms of anxiety and depression. While self-care …

Integrating Diversity, Equity, And Inclusion Into An Undergraduate Sport And Exercise Science Program: A Holistic Case Study Utilizing Social Justice Education, Genevieve R. Altomare

Dissertations

It has been recommended by many scholars to integrate diversity, equity, and inclusion (DEI) content into higher education curricula across disciplines; however, several institutions have yet to do so. The ongoing discourse surrounding social justice continues to influence the careers of future professionals, especially in the fields of sport and exercise science. Yet, there remains a limited understanding of the perceptions and experiences of students who have participated in a college course centered on DEI topics. Therefore, the purpose of this holistic case study was to provide an in-depth examination of a newly developed DEI course by exploring the authentic …

Use Of Infrared Spectroscopy In Animal Studies: Aspects Of Health Science, Brian Manzanares

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Non-invasive imaging technologies, such as infrared thermography (IRT), near-infrared spectroscopy (NIRS), and fourier-transform infrared spectroscopy (FTIR) are revolutionizing the field of animal research by enabling real-time, stress-free assessment of physiological conditions. Such methods like these are align with the ethical standards of the 3Rs, replacement, reduction, and refinement-by reducing the need of invasive procedures while enhancing data quality and animal welfare. These methods can also provide critical insight into animal health, behavior, and stress responses without the need for invasive procedures or restraint, thereby minimizing harm and distress. This literature review will explore the practical applications of IRT, NIRS, and …

Cell Death Helps To Stabilize Populations Of Prochlorococcus, P. Wang, E. A. Laws, C. Liang, X. Liu, J. Chen, Y. Zhong, C. Li, B. Huang

Faculty Publications

Prochlorococcus is one of the dominant phytoplankton species in tropical and subtropical pelagic marine ecosystems. To maintain its population equilibrium in oligotrophic waters, the dominant species Prochlorococcus requires high loss rates to offset its high abundance and growth rates. While theoretical frameworks recognize multiple loss processes for Prochlorococcus (viral lysis, environmental stress, programmed cell death), prevailing population studies attribute main mortality to grazing. This oversight stems from in situ data gaps of non-grazing mortality processes. In this study, we firstly formulated simple differential equations that took account of population losses due to both grazing and cell death. We then used …

Intergenerational Transmission Of Health: Evidence From Indonesia, Fatima Khan

Theses and Dissertations

This study estimates the causal transmission of health from mothers to their children. Intergenerational associations in health and other human capital outcomes are well established, but those associations may not be causal due to common unobserved factors between a mother and her child. This study employs two-stage least squares, using weather variation as an instrument, to causally identify the relationship between maternal health and child health outcomes in five dimensions: height-for-age, self-reported health, blood pressure, lung capacity, and hemoglobin levels. The data are from the Indonesian Family Life Survey (1993--2014), a longitudinal survey that provides a 21-year look into the …

Application Of Machine Learning In Early Childhood Development Research: A Scoping Review, Faith Benson, Daisy Chelangat, Willie Brink, Patrick Mwangala, Akbar Waljee, Cheryl Moyer, Amina Abubakar

Institute for Human Development, East Africa

Background: Early childhood development (ECD) lays the foundation for lifelong health, academic success and social well-being, yet over 250 million children in low- and middle-income countries are at risk of not reaching their developmental potential. Traditional measures fail to fully capture the risks associated with a child’s development outcomes. Artificial intelligence techniques, particularly machine learning (ML), offer an innovative approach by analysing complex datasets to detect subtle developmental patterns.

Objective: To map the existing literature on the use of ML in ECD research, including its geographical distribution, to identify research gaps and inform future directions. The review focuses on …

Empowering Rural Smallholder Farmers: Access To Maize Postharvest Handling Information For Sustainable Food Security In Uganda, Jackline Estomihi Kiwelu, Patrick Ngulube

Libraries

This paper presents a model for improving access to scientifically researched information on maize postharvest handling among rural smallholder farmers in Uganda. The model was developed from a study that examined the influence of evidence-based information practices (EBIPs) on farmers’ ability to access and use such information effectively. A convergent mixed-methods design was employed, combining both qualitative and quantitative approaches. Data were collected through interviews with 22 agricultural extension officers, four information officers, and 312 rural smallholder farmers, as well as focus group discussions and analysis of relevant government documents. The study found that access to verified information was intermittent. …

Commodity Diversification, Technological Innovation, And Market Dynamics: Insights Into Beef Cattle Production And Feeder Cattle Basis In The United States, Nik Berg

All Theses

The beef cattle industry plays an important role in the agricultural economy, contributing to both domestic food supply and global trade. The United States is one of the world's largest producers of beef, with production systems varying widely across regions largely due to differences in available resources and market structures. Market conditions, technological advancements, and policy interventions shape the way producers operate, making research into these factors essential for both industry stakeholders and policymakers.

Producers are continuously adapting to changing economic conditions, environmental challenges, and evolving consumer preferences. By analyzing these factors, researchers can provide insights to support informed decision-making …

The Effects Of National Elite Signaling On Ranked Choice Voting In Utah, Mathew Woodman

All Graduate Reports and Creative Projects, Fall 2023 to Present

Ranked-Choice Voting (RCV) is a voting method used in few cities in the United States. There has recently been an increase in interest in adoption of the voting method in other cities using pilot programs, much like the one introduced in Utah. Ranked-Choice Voting has become a topic of contention with strong disapproval coming from opponents of the voting system. The questions are why there is disdain for Ranked-Choice Voting, and why such disdain seems to exist more heavily in Republican camps. Public opinion polling from “likely and confirmed Utah voters” in Salt Lake, Utah, and Grand Counties, conducted by …

Evaluating What Works: A Comparison Of Five Diabetes Prevention Programs For Latino Children, Ruchi Patel

Doctor of Nursing Practice Final Project Abstract

Background: Children in the Rio Grande Valley (RGV) are at increased risk of diabetes due to limited access to effective, culturally appropriate prevention programs. Existing programs are often time-intensive, require transportation, and lack cultural relevance, reducing participation and impacting outcomes. This project aimed to evaluate diabetes prevention programs (DPPs) in the literature and identify five that may benefit children in the RGV by reducing diabetes risk.

Methodology: The Eightfold Path policy analysis approach guided this project. A literature review identified DPPs for children, and the Critical Appraisal Skills Programme (CASP) was used to assess study quality. Limitations included difficulty finding …

An Examination Of The Lived Experiences Of Community College Students Of Color Who Utilize On-Campus Food Pantries, Maria Luisa Marte

Theses, Dissertations and Culminating Projects

In this dissertation, I present the findings of a descriptive phenomenological study I conducted focused on examining the experiences of community college students of color who utilize on-campus food pantries, aiming to understand how these resources impact their well-being. Through in-depth interviews, two central themes emerged. The first theme, Introduction to the On-Campus Food Pantry, highlights the accessibility of the service, with participants emphasizing the simplicity and efficiency of the registration process as a key factor in their initial engagement. The second theme, Experiences Using the Pantry, reveals that students found the pantry environment to be welcoming and non-stigmatizing, fostering …