Digital Commons Network^™

A Storm Within: Anti-Nmda Receptor Encephalitis Mimicking Anxiety In A Young Woman, Izma Khaliq, Omar Sami Abdelhai, Angela Ishaq, Emmanuel Meram, Anointing Onuoha, Ahmed Jabri, William Dillon

Conference Presentation Abstracts

Case Description: A 21-year-old female with a history of asthma presented to the emergency department (ED) with restlessness, anxiety, and loss of appetite shortly after returning from a trip to France, where she and her boyfriend ended their relationship. Her initial evaluation, including unremarkable laboratory results, led to the attribution of her symptoms to anxiety from life stressors. She was treated with supportive measures in the ED and prescribed Xanax by her primary care physician at follow-up. Six days later, the patient returned to the ED with hallucinations and panic attacks. Again, laboratory results were unremarkable, and she was diagnosed …

Marathon Miles And Melena: Unmasking Acute Gastrointestinal Bleeding In An Endurance Athlete, Usman Bin Hameed, Mujtaba Moazzam, Nathanial Bartosek, Fady Banno, Naveen Reddy

Conference Presentation Abstracts

Gastrointestinal bleeding (GIB) is a recognized complication of endurance sports, particularly long-distance running. While most cases are mild and self-limited, studies indicate that up to 12% of ultramarathon participants experience occult bleeding. Severe or life-threatening GIB, such as ischemic colitis requiring surgery, has been reported but remains rare. Despite its potential significance, exercise-induced GIB remains poorly understood, with limited organized data on its prevalence and mechanisms. A 38-year-old male presented with a three-day history of melena following a recent marathon. Symptoms began with loose stools, progressing to tarry stools, accompanied by fatigue, exertional dyspnea, dizziness, and mild generalized abdominal discomfort. …

A Complex Case Of Tracheoesophageal Fistula Following Chemoradiation And Esophagectomy, Mujtaba Moazzam, Usman Bin Hameed, Fady Banno, Rocco Sbrocca, Ramona M. Berghea

Conference Presentation Abstracts

Tracheoesophageal fistula (TEF) is a pathological connection between the trachea and esophagus. It is a rare but serious complication following esophagectomy, particularly in patients who have undergone concurrent radiation therapy, with rates of 5-15%. TEFs often manifest with severe complications such as malnutrition, infections, and life-threatening bleeding, making them exceptionally difficult to manage. This case report highlights a rare presentation of TEF in a patient with esophageal adenocarcinoma treated with multimodal therapy. A 45-year-old male with stage III esophageal adenocarcinoma underwent concurrent chemoradiation, esophagectomy, and immunotherapy. Subsequent oligometastatic disease required further treatment, including radiofrequency ablation and Keytruda maintenance. The patient …

Time And Location: Physical Activity Trends In Parents And Children In A Rural Region During Covid-19, Brooke C. Towner, Robert Broce, Rebecca A. Battista

Journal of Appalachian Health

Introduction: COVID-19 restrictions altered the structure of the school and workday for families with children and led to changes in active transportation. Continued restrictions impacted access to many community locations and led to changes in physical activity (PA) behavior.

Purpose: The objectives of the study were to describe the changes in the 1) amount of PA time per day, 2) frequency of PA, and 3) sitting time. Information about how PA changed for parents and children during the COVID-19 pandemic will have potential implications for education, public health, and recreation management.

Methods: This cross-sectional study enlisted participants via an online …

The Relationship Between Food Allergies And Intolerances And The Development Of Disordered Eating Patterns, Lucy M. Scholma

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Food allergies and food intolerances are becoming an increasingly more prevalent issue in the Unites States. To mitigate adverse reactions, these individuals often eliminate food or food groups from their diets and the ramifications of these lifestyle changes may result in disordered eating patterns. In regard to food allergies and intolerances and eating disorders, it is reasonable to suggest that the overlapping lifestyle choices and physical, social, and emotional ramifications may lead to a correlation between the two phenomena. This study explores the relationship between food allergic and food intolerant individuals and disordered eating habits among college students. Survey results …

Excess Fructose In High-Fructose Corn Syrup Reduces Cell Viability & Promotes Nitric Oxide Release In Raw 264.7 Macrophages, Renzo F. Galarza, Edward L. Villegas

Research and Creativity Symposium

High-fructose corn syrup (HFCS) is an artificial sweetener that contains slightly higher concentrations of fructose compared to standard sucrose. It has been linked to an increased risk of obesity, type 2 diabetes, cardiovascular disease, and fatty liver disease. While both HFCS and sucrose are widely used sweeteners, growing evidence suggests they may differ in their inflammatory potential. We sought to understand the effects of elevated fructose on RAW 264.7 macrophages. To investigate these effects, we treated the cells with either a sucrose solution or a
solution designed to mimic high-fructose corn syrup. Lipopolysaccharide (LPS) stimulation was used to model innate …

Longevity And Cardiovascular Health: Lessons From The Mediterranean Blue Zones, Lyndsay Bancroft, Miranda Daley, Hitomi Tanizawa

NURS 464: Evidence-Based Nursing Capstone

Cardiovascular diseases are the leading cause of death globally, and poor diet is a leading risk factor for adverse cardiac events (Ahmed et al., 2023). The Mediterranean diet provides protection against coronary heart disease, regardless of the common risk factors for cardiovascular diseases like smoking, hypertension, diabetes, etc (Legrand et al., 2019). Those living in the blue zones of Greece and Italy have far fewer deaths from cardiovascular disease than populations living in other parts of the world (Legrand et al., 2021). This project aims to investigate how the Mediterranean diet has influenced the rates of cardiovascular disease amongst the …

Unraveling The Impact Of Oxidative Stress On Sperm Quality, Nicole Macasa, Olivia Mcmahon, Mónica Vidal-Franco

NURS 464: Evidence-Based Nursing Capstone

A substantial body of scientific research has identified oxidative stress (OS) as a main culprit in the development of male infertility. OS is mediated by free radicals, which can result from lifestyle, environmental factors, endocrine imbalances, and infection (Skoracka et al., 2020). Free radicals are unstable molecules with an unpaired electron in their outer shell, making them highly reactive and prone to causing OS damage to other molecules in the body (Łakoma et al., 2023). Spermatozoa are particularly vulnerable to oxidative damage due to their lack of robust cytoplasmic enzyme systems that repair damaged DNA (Saleh & Agarwal, 2002). This …

The Relationship Between Social Media Marketing And Social Comparison On Pre-Adolescent Self-Esteem And Consumer Identity, Madison Kruse

CSB and SJU Distinguished Thesis

The current study aimed to address gaps in the literature regarding pre-adolescent social media usage by examining whether gender, social media marketing, and social comparison predict U.S. pre-adolescent (ages 8-12) self-esteem and consumer identity. A paper survey was administered to participants (N=43) through on-site and flyer recruitment methods. The survey consisted of questions regarding pre-adolescent social media usage time and preferences, self-esteem, social comparison, and consumer identity. Scales used were adaptations of The Child Rosenberg Self-Esteem scale (CRSES), The Social Media Comparison of Ability Scale (SCO-Ability), and the Consumer-Company Identification Scale. Results showed that pre-adolescents (ages 8-12) are exposed to …

Pancreatic Ascites: Update On Diagnosis And Management, Lefika Bathobakae, Heba Farhan, Derya Mücahit, Dina Rohira, Kashyap Chauhan, Yana Cavanagh, Walid Baddoura, Derick J Christian

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Pancreatic ascites is a rare condition characterized by the accumulation of high-amylase ascitic fluid in the peritoneal cavity. This condition is often associated with chronic pancreatitis, pancreatic trauma, or pseudocyst rupture. Because of its rarity and ill-defined clinical presentation, pancreatic ascites is often a diagnostic and therapeutic challenge in clinical practice. The current diagnostic criteria include an amylase level >1000 mg/dL, a protein level >3 g/dL, and a serum ascites albumin gradient < 1.1 g/dL. The clinical features vary, but may include progressive abdominal distension, diffuse abdominal pain, weight loss and peritonitis. The management of pancreatic ascites remains controversial, and there is no consensus regarding the optimal approach. Conservative medical management, which includes nutritional support, pain control, therapeutic paracentesis and the use of somatostatin analogs, has been associated with a high failure rate and significant morbidity. Interventional therapies, such as surgery and endoscopic transpapillary stenting, have shown more promising outcomes. However, the choice between these methods is still debated, with some advocating for endoscopic approaches, because of their minimally invasive nature and reduced morbidity compared with surgical options. Endoscopic approaches remain underutilized in practice, probably because of the need for repeated interventions, the potential risks associated with endoscopic retrograde cholangiopancreatography, or a lack of skilled personnel. Although they show significant perioperative morbidity and mortality, surgical options provide definitive resolution of pancreatic ascites. Herein, we provide an updated review of pancreatic ascites, highlighting advances in diagnostic techniques and therapeutic approaches, and summarizing insights from recent clinical cases and retrospective studies.

Exploring Healthcare Barriers: Perspectives Of Immigrants And Providers, Nazanin Zaer

University Scholar Projects

Immigrants in the United States face significant barriers when accessing healthcare, despite healthcare being recognized as a fundamental human right. This literature review explores six key barriers: language difficulties, discrimination, cost, cultural differences, transportation issues, and challenges navigating a new healthcare system. Through the analysis of 23 peer-reviewed articles, this review identifies how each barrier affects healthcare access, quality, and outcomes for immigrant populations. Language barriers interfere with effective communication and trust, while discrimination—rooted in race, ethnicity, nationality, and immigration status—reduces the likelihood of seeking care. Financial constraints, including lack of insurance and high out-of-pocket costs, prevent timely medical intervention. …

Breaking Barriers: Exploring The Impact Of Social Media On Women's Behaviors, Attitudes, And Barriers In The Free-Weights Room, Kate Jensen

Master's Theses

The purpose of this study was to determine social media’s impact on women’s habits and attitudes on the weight-room area of a college recreation center. Using non-experimental quantitative methods, the frequency and type of weightroom use by women was measured, as well as the type and frequency of fitness-focused social media use.

Challenges Of The Novice Elementary Principal: A Framework For Elementary Principal Onboarding, Casey Stansifer

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this qualitative, multisite phenomenological study has two main foci. First, the study seeks to understand the unanticipated pain points each participant felt in the first two years of his or her principalship. The study inquires not into what the novice principals thought would hurt prior to their first two years on the job, but rather what they could not see coming even after having spent a considerable amount of time focusing on the principalship in their principal preparation programs. Second, the study seeks to understand what supports would be helpful to the novice principal in addressing these …

Dairy Digest, Legan...Dairy 2024-2025, Department Of Dairy And Food Science

Dairy Digest

This is the 2025 Dairy Club Digest. The Diary Club Digest is published annually by the South Dakota State University Dairy Club.
The Digest contains information and news about the activities and members of the SDSU Dairy Club for the academic year 2023 - 2024.

"Feeding The World Without Devouring The Planet:" African Indigenous Cosmologies Informing Christian Environmental Ethics, Elvis Nche Fru

Jesuit School of Theology Dissertations

Christian social ethics is at the crossroads of its most significant challenges, the environmental crisis which embraces almost every aspect of life: religion, politics, economics and the human person. At a time when global food insecurity is on the rise and calling for an urgent increase in food production, so too is our common home being threatened by our very global food system. In this thesis, l present the African Indigenous cosmologies, more precisely the Shona cosmology, as a complex web of life, within which is embedded Indigenous food systems that can reasonably respond to the ever-alarming food insecurity worsened …

Menstruation Cycles And The Impact On A Female Athlete's Performance And Perception Of Performance, Mckenzie Mcaloon

Honors Projects in Biological and Biomedical Sciences

This two-part study investigates the impact of menstrual cycle hormone levels on performances and perception of performance among division I athletes. A survey was given to the captains of all Bryant University female sports teams for the dispersal amongst their teams. Each of the 13 female sports teams participated and contributed. A total of 107 survey responses were collected. Data regarding the perception of menstrual cycle on specific aspects of their athletic lives were collected, as well as whether they were on contraception, their age of menarche and heaviness of flow. The results indicate that 83% of athletes surveyed believe …

Running The Summer@Icerm Program, Amanda Harsy, Iris Horng, Adam Schultze, Brittany Stephenson

ACMS Conference Proceedings 2024

No abstract provided.

Challenges Threatening The Sustainability Of School Meal Programs, Anca Tughin

Master of Public Administration

The sustainability of school meal programs is increasingly threatened by procurement challenges, including regulatory constraints, supply chain disruptions, and budgetary pressures. This capstone project examines how values-based procurement (VBP)—which prioritizes local, sustainable, and nutritionally rich food—can be integrated into school meal programs despite these challenges. Worcester Public Schools (WPS) serves as a case study to illustrate the obstacles districts face in implementing VBP and the opportunities available for improving procurement models.

Key findings from this research highlight the following:
• Regulatory Constraints: Federal procurement policies, while intended to ensure fairness, often create barriers for schools trying to source locally or …

Creating The 15-Minute City: Public Engagement Strategies To Move People Away From Cars And Towards A More Walkable Worcester, Sarah Mount

Master of Public Administration

The study of urban planning there has recently been a resurgence in the idea of a 15-minute city. A 15-minute city is a city where vital destinations are within a 15- minute walk or cycle from any resident. These cities flip the current car-centric method of transportation planning on its head, and instead ask planners to prioritize pedestrians and cyclists when designing streets. Previous studies show that 15-minute cities don’t just exist, they will take planning, infrastructure implementation, and possibly most importantly, resident buy-in. It is hard to achieve change in cities without having the support of your residents. Becoming …

Examining Sustainable And Regenerative Viticultural Practices In The Rheinhessen Wine Region Of Germany, Claire Hoffmann

CISLA Senior Integrative Projects

No abstract provided.

How To Message Plant-Based Diets And Products In Southeast Asia: A Social Media Analysis, Audrey Tsen, Thomas Manandhar-Richardson, Allison Troy Phd, Andie Thompkins Phd

Diet

This study will employ social listening analysis to identify key beliefs and misconceptions for South East Asians around plant-based diets and alternative proteins. It will use this rich understanding to recommend messaging strategies to address current misconceptions and inspire diet change. The details of the preregistration are provided in an uploaded PDF. It was adapted from the standard OSF Pre-registration template, which does not apply well to qualitative research.

Key Diagnostic Factors In Steatotic Liver Disease And Their Longitudinal Impact On Overall Mortality, Do Han Kim Md, Donghyun Ko Md, Pojsakorn Danpanichkul, Meena B. Bensal Md, Mazen Noureddin, Karn Wijarnpreecha, Mark Muthiah

Posters

This study evaluates the effect of diagnostic criteria on overall mortality across the SLD spectrum.

"Beyond The Display:" How Exhibits In Museums Can Be Used To Educate Public Visitors, Ryder Wynn

Honors Theses

Museums are institutions that can be found outside of a classroom setting, where visitors can educate themselves about a certain topic presented in the exhibits that the museums display. They can do this by creating engaging environments where visitors can become invested into the story and information of the exhibits, making them want to learn more about the information provided. A good exhibit can do this in at least one of three ways: developing critical thinking skills, which can involve visual models or "learning through play," creating memorable experiences or using collective memory to teach about historical events or using …

Usm Franco-American Collection Newsletter May 2025, Franco-American Collection

Franco-American Collection Newsletters

The May issue features news, updates and information on LOTS of events in the Franco-American community.

Beef 20/20, Christina Bakker, Amanda Blair, Keith Underwood, Judson Grubbs, Julie Walker, Rosemarie Nold, Warren Rusche, Erin Dehaan

Animal Science Research Report 2025

No abstract provided.

Adopt A Cow: Beef Education For 3-5 Grade, Madison Kovarna, Christine Wood, Audra Scheel

Animal Science Research Report 2025

No abstract provided.

Real-Time Use Of Precision Livestock Technology To Facilitate Livestock And Equipment Monitoring And Management, Ira Parsons, Jameson Brennan, Hector Menendez Iii

Animal Science Research Report 2025

No abstract provided.

Modern Concepts Of Health And Disease: An Introduction For Public Health Students, Rose Grace Grose

Open Course Materials

This course outline for Modern Concepts of Health and Disease provides a comprehensive framework for teaching foundational public health concepts to undergraduate students in an in-person setting, with flexibility for adaptation to online or hybrid formats. This outline is specifically designed to reduce financial barriers for students using Open Educational Resources (OER) and other free-to-students materials, ensuring equitable access to high-quality learning materials without the cost of traditional textbooks. The course is designed for a 15-week semester, divided into seven Modules. The course syllabus is available on request.

The assigned readings and videos were carefully curated to reflect diverse, evidence-based …

Evaluation Of High-Moisture Ear Corn As A Roughage Source In Finishing Diets Fed To Beef Steers, Riley Leeson, Zachary Smith, Forest Francis, Becca Grimes Francis, Justin Delver, Grace Olinger, Warren Rusche

Animal Science Research Report 2025

No abstract provided.

Collaborative Leadership Approaches’ Impact On Student Athlete Participation, Jacob Ledger

Leadership Education Capstones

The purpose of this study is to identify reasons for the decline in student athletes participating in high school football within the Big Nine Conference. The research is intended to identify several key reasons for the decline in youth sports, which contributes to high school sports, and ultimately football programs in the conference. The study also identifies two specific coaching and leadership styles and how they impact sports participation. Collaborative leadership and coaching styles compared to authoritative leadership and coaching styles. Using a qualitative research method using surveys and document review themes of sport specialization, Technology, burnout, Culture, and Feedback …