Digital Commons Network^™

Referral Strategies For Recruitment And Engagement Of Community Adults Into Online Extension Health Programs, Cheryl L. Eschbach, Dawn A. Contreras, Holly B. Tiret

Journal of Human Sciences and Extension

This article shares details behind building organizational capacity to establish program referrals for statewide recruitment of community adults into Cooperative Extension’s online health programs. This study explores the role of intentional recruitment strategies (active and passive) to increase participant program enrollment into health education and shares examples from one state that has created a trained workforce that offers ongoing research- and evidence-based programs. After many years of trying paper, phone, and electronic medical record methods to increase program reach, Michigan State University Extension tried an electronic referral process via a QR code and web link, accompanied by program marketing, to …

Exploring The Educational Needs Of Family Caregivers For Patients With Dementia, Karen L. Franck, Janet Fox, Ann A. Berry, Kristen Johnson, Jessica Taylor, Matt Devereaux

Journal of Human Sciences and Extension

Family members who care for patients diagnosed with Alzheimer’s and dementia often face significant stressors and challenges that impact their quality of life. As part of a project to develop Extension educational materials and resources specifically for family caregivers, we conducted an online needs assessment survey with 196 adults in the U.S. Participants identified doctors, the internet, and caregiver support groups as top sources of information about dementia. They were interested in strategies to help them manage stress, address patient behavioral issues, and access locally available resources. Furthermore, they were interested in attending educational programs with other caregivers. These findings …

Reviving Civil Discourse: A Leadership Imperative In The Age Of Polarization, Katie Herritage

International Journal of Servant-Leadership

This paper examines the current erosion of civil discourse as a pressing leadership challenge in an era defined by polarization and distrust. Civil discourse, the respectful and constructive exchange of ideas, underpins democratic societies yet is increasingly undermined by hostile rhetoric and deepening societal divides. Drawing on servant-leadership and relational leadership theory, this study explores how leaders can counteract this decline by fostering trust, empathy, and open dialogue. The discussion is grounded in the philosophical contributions of bell hooks, Friedrich Nietzsche, Viktor Frankl, Mahatma Gandhi, and Martin Luther King, Jr., whose ideas illuminate pathways for revitalizing civil discourse through compassion, …

Globalizing The Factory Farm: International Organizations And The Spread Of Industrial Animal Agriculture, Zach Wulderk, Allison Troy Phd

General – Farm Animal Issues

This Faunalytics study explores the ways that development finance institutions, United Nations agencies, and others directly and indirectly support factory farming in low- and middle-income countries. With key insights from people working in and alongside these international organizations, advocates can ensure they are equipped with the most effective outreach strategies.

Globalizing The Factory Farm - International Organizations And The Spread Of Industrial Animal Agriculture, Zach Wulderk, Allison Troy Phd

General – Farm Animal Issues

This Faunalytics study explores the ways that development finance institutions, United Nations agencies, and others directly and indirectly support factory farming in low- and middle-income countries. With key insights from people working in and alongside these international organizations, advocates can ensure they are equipped with the most effective outreach strategies.

A Mixed-Methods Design-Based Research: Study Of Teacher Self-Efficacy And The Implementation Of Social Emotional Learning In The High School Classroom, Avia Brown

Dissertations

The escalating mental health crisis among adolescents, exacerbated by the COVID-19 pandemic, positioned schools as critical intervention sites for supporting student well-being (K. McNamara, 2020). However, teacher capacity and self-efficacy in implementing social-emotional learning (SEL) competencies remain significant barriers to effective, sustainable practice. This mixed-methods design-based research study examined the efficacy of professional development and instructional coaching in enhancing teacher self-efficacy and supporting the implementation of SEL competencies in high school classrooms.

The researcher employed a comprehensive, five-stage design thinking framework (empathize, define, ideate, prototype, test) to develop and evaluate a structured eight-week professional development and coaching intervention targeting SEL …

Full Issue, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Risk And Protective Factors For Suicidal Thoughts And Behaviors For Black Adolescent Males With Exposure To Adverse Experiences Post-Covid 19 Pandemic: Findings From The 2023 National Youth Risk Behavior Survey., Amanda Minogue

Electronic Theses and Dissertations

Suicide is the second leading cause of death among adolescents aged 10-24 in the United States. In 2022, 784 Black adolescent males died by suicide. Recent studies have found that traditionally common associations of risk factors of suicidal thoughts and behaviors are not experienced by Black adolescents, challenging how to determine and detect risk. This dissertation reviewed the variables in the national Youth Risk Behavior Survey that closely align with risk and protective factors of suicidal thoughts and behaviors, and the interaction between these and adverse experiences in Black adolescent males. Results of this study found that among the 9 …

The Role Of Fast-Food Consumption, Residential Fast-Food Exposures, And Urinary Essential Trace Heavy Metals In Colorectal Cancer (Crc) Outcomes., Jeevan Adhikari

Electronic Theses and Dissertations

Background: Colorectal cancer (CRC) is a public health concern. Within the United States (US), fast-food consumption and environmental exposure to heavy metals have increased. The impact of fast-food consumption frequency from fast-food restaurants, residential fast-food exposures, and urinary essential trace heavy metals in relation to CRC outcomes have not yet been rigorously evaluated in the US. Methods: Within the LEAPS-CRC study, we used geographic information systems (GIS) and logistic regression to study the association of fast-food consumption, residential proximity to a fast-food outlet, and urinary essential trace metals with CRC incidence. Additionally, within Kentucky Cancer Registry (KCR) CRC cases, the …

Residential Segregation And Breast Cancer In Louisville: Impact Of Race And Contextual Factors On Advanced-Stage Diagnosis, Delayed Treatment, And Disease-Specific Mortality., Toheeb Ajani Mustapha

Electronic Theses and Dissertations

Female breast cancer (BC) remains the most commonly diagnosed non-skin cancer and the second leading cause of cancer death among U.S. women. Despite advances in detection and treatment, substantial inequities in BC outcomes persist, driven in part by structural forces such as residential segregation. This dissertation examined the relationship between residential segregation, BC outcomes, and key contextual factors in Louisville, Kentucky. Using data from the Kentucky Cancer Registry, American Community Survey, CDC’s Population-Level Analyses and Community Estimates, and the National Neighborhood Data Archive, the study tested two hypotheses: (1) higher Black/low-income segregation is associated with elevated risks of adverse BC …

Increasing Histidyl Dipeptides In Skeletal Muscle Preserves Muscle Mass And Function In Heart Failure., Mamata Hiraman Chaudhari

Electronic Theses and Dissertations

Introduction: Heart failure is a systemic disease associated with multiple comorbidities, such as skeletal muscle wasting and cardiopulmonary disease. Muscle wasting in heart failure patients is a severe comorbidity associated with decreased exercise capacity and poor quality of life. Previous reports show that oxidative stress is increased in the skeletal muscle of heart failure patients, which can directly lead to muscle wasting. However, antioxidant intervention in these patients was unable to improve cardiac function and consequently had no effect on muscle wasting. Although oxidative stress is the primary driver of skeletal muscle atrophy, no attempt has been made to examine …

Further Characterization Of The Fungal Effector Mvlg-01732 In Planta And Heterologous Expression Of Fungal Effectors In Different Smut Fungi., Joseph Paul Ham

Electronic Theses and Dissertations

Host-pathogen interactions in smut fungi are characterized by effector proteins and their role in infection. The goal of this work is to better understand these interactions by further characterizing an effector from Microbotryum lychnidis-dioicae and heterologously expressing this and other effectors in heterologous species to see if the range of these effectors can play a role in pathogenicity when expressed in distantly and closely related fungal species. These effectors have been attuned over time to their host plant but have homologous interactors in other plant species. In this study, Microbotryum lychnidis-dioicae, Sporisorium reilianum, and Ustilago maydis, were all used …

Articulator Volume 31, Issue 4

Metro Denver Dental Society Articulator Magazine

The 4^th Quarter 2025 of the MDDS Articulator Magazine offers a preview of the 2026 Rocky Mountain Dental Convention, taking place January 22–24 in Denver. The collection spotlights RMDC speakers and the future of dentistry, from the rise of AI and the shift toward integrated whole-health care to the hidden challenges of chronic illness, and a commitment to preserving natural dentition. The articles challenge dental professionals to rethink assumptions, embrace interdisciplinary collaboration and adopt more personalized and evidence-driven approaches to care.

Implementation Of The Modified Severity Assessment Scale (Msas) For Alcohol Withdrawal In An Inpatient Psychiatric Unit, Grace R. Lindsey

Doctor of Nursing Practice

Background: Alcohol withdrawal is a potentially life-threatening condition frequently seen in psychiatric inpatient settings, especially among individuals with co-occurring alcohol use disorder and mental illness. The Clinical Institute Withdrawal Assessment for Alcohol Scale-revised, while widely used, depends on patient self-report, making it less effective for individuals with altered mental status or psychosis.

Purpose: This quality improvement project implemented the Modified Severity Assessment Scale, an objective, observation-based alcohol withdrawal protocol, in an inpatient psychiatric setting to improve safety, treatment accuracy, and care standardization.

Objectives: The project focused on ensuring full staff adoption of the protocol, reducing intensive care unit transfers …

Exploring Speech-Language Pathology In The Age Of Ai, Charis Gray

Communication Studies

Speech-language pathologists (SLPs) constantly strive to find the balance between maintaining efficiency and high-quality therapeutic treatment. Now, with the rapid growth of artificial intelligence (AI), another layer is added into the mix. Many questions and concerns are being voiced about how these technologies will reshape the professional practice. Guided by two research questions, this project interviewed ten practicing SLPs regarding efficiency and the future of AI. Through thematic analysis, five central themes emerged: flexibility with unpredictability, AI’s usefulness for documentation and materials, ethical and professional concerns, commitment to lifelong learning, and the human element. Diffusion of Innovation Theory (DOI) can …

School Attendance In Southern Illinois: A Mixed Methods Analysis Of Trends And Implications, Mary Beth Goff

Ed.D. Capstone Reports

The purpose of the study was to examine the demographic data reported on the Illinois School Report Card within the four southernmost Regional Offices of Education to determine the rates of chronic absenteeism. Following the identification of chronic absenteeism numbers, this study sought to analyze the relationships between subgroups to determine correlations within data sets. In order to develop an understanding of potential interventions, interviews were conducted with districts that were both successfully addressing absenteeism and those not experiencing success within each of the Regional Offices of Education. The findings of the study aim to contribute insights for educators and …

Characterization Of Free Oxylipins In Extracellular Vesicles From Bovine Milk, Kai Filio

Food Science (MS) Theses

Background. Extracellular vesicles (EVs) are membrane-bound nanostructures released by human and bovine mammary epithelial cells that carry bioactive lipids and oxidized lipid metabolites. Found in bovine milk, EVs contribute to immune modulation, gut health, and cellular signaling. However, gaps remain in understanding the full composition of milk-derived EVs and how processing alters EV content. This research aimed to characterize the free oxylipin content of EVs from bovine milk treated by pasteurization and homogenization. The hypothesis was that EVs from raw bovine milk would retain higher oxylipin levels than processed milk. Methods. Raw milk was treated by high-temperature short time (HTST), …

Pathways To Progress: Understanding Gender Gaps Across Life Stages In The Asean Region, Debbie Wong, Jacqueline Cheng, Elizabeth Cassity, Jeaniene Spink, Payal Goundar, Jeffery H. Marshall

International Education Research

The ASEAN region continues to grapple with some of the world’s most pronounced disparities in educational outcomes. Addressing foundational learning gaps and promoting equity and inclusion for girls, women and marginalised groups remains a central priority in both educational improvement and labour market reform agendas regionally and internationally. This report presents new insights into the factors shaping human development outcomes for girls, women and marginalised groups in the ASEAN region. It supports the priorities under the Initiative for ASEAN Integration (IAI), which aims to reduce development disparities among ASEAN member states. Grounded in case studies from the newer ASEAN member …

Abortion On The Move: Navigating The Fractured Reproductive Healthcare Landscape, Claire Laurier Decoteau, Kim D. Ricardo

University of Baltimore Law Review

No abstract provided.

Child Development: A Developmentally Appropriate Practices Approach, Second Edition, D.R. Meece

Open Textbooks

The book follows a topical approach and covers children from prenatal to late childhood/early adolescence. The book follows a Developmentally Appropriate Practices approach, emphasizing that development results from the interaction of age-related expectations, culture and context, and individual child characteristics. The text is written for education majors, as well as others who will work with children and families in a variety of fields, including psychology, social work, nursing, and others.

Diabetes And Hypertension Frequencies And Trends In The Health Districts Of Sololá, Alejandro Cerón, Sophie Perfetto, Ana Textor, Sidona Alemayehu, Emilia Alvear Escobar, Adele Beard, Sarah Berson, Rachel Bryant, Jennifer Calzontzi, Rylee Castro, Eva Cress Palencia, Jake Czarnecki, Jordyn Epstein, Nikki Harris, Patience Hinojos, Max Hippisley, Erin House, Jackson Hullett, Nathan Johnson, Amelie King, Saule Lankelyte, Juan Loya, Ashley Mackenzie, Ilana Mighdoll, Molly Morrill, Maria De Jesus Ramos Jimenez, Lilly Teklemedhin, Joseph Trujillo, Lauren Verachtert, Nathan Verachtert, Violet Vreeland, Alex Welch, Jada Wright

Anthropology: Undergraduate Student Scholarship

This report was prepared by the students, Graduate Teaching Assistants, and instructor of “The Social Determination of Health” class taught in the fall of 2025 at the University of Denver. The report was prepared for Dr. Luis Pablo Méndez, of the Vice Ministry of Health Regulation, Surveillance and Control, of the Ministry of Public Health and Social Assistance of Guatemala. The work used the following guiding question: How can available data about service production can be used to inform the planning process for the implementation of the Global Hearts Initiative’s HEARTS technical package in the Distrito de Redes Integradas de …

Privacy Preserving-Based Artificial Intelligence For Precision Agriculture, Partha P. Sengupta

Dissertations

The research work finds a solution to precision agriculture of cotton cultivation using artificial intelligence (AI) models. Two sets of model performance based on the application are selected namely a low resource and a high resource setting. This is because using drone surveys to capture images identifying the classes of stressed and unstressed cotton plantation requires limited model architecture and CPU based computation. Thus, traditional AI models were selected for low resource settings. Again, for high computation intensive models like transfer learning-convolution neural network (CNN) based architectures were grouped into high resource settings. There was another issue of class imbalance …

Impact Of Community College Size And Meeting Types On Leader-Member Conversation Quality In Career And Technical Education (Cte) Leaders: A Mixed Methods Study, Kenneth Wayne Kirkland Jr.

Dissertations

Community colleges are complex institutions with the primary mission of workforce preparation and academic transfer. In many cases, community colleges produce the majority of their local workforces. Political influences upon workforce priorities, increased national calls for transparency in higher education training, complicated infrastructure, and technical expertise requirements for faculty have created substantial challenges for career and technical education (CTE) leaders. These complexities require the 21st-century CTE leader to be as externally focused as their presidents, highlighting the importance of communication effectiveness in both leaders.

The purpose of this mixed-methods study was to investigate the influence of community college enrollment levels …

Across The Pond, Across The Waistline: A Comparative Look At The Childhood Obesity Crisis In The United States And United Kingdom, Samantha N. Eales

Honors College Theses

Childhood obesity is no longer just a local concern; it’s a global epidemic shaping the health of future generations. This paper compares how two similar nations with drastically different healthcare systems, the United States and the United Kingdom, tackle this growing crisis. Although both countries struggle with fast food culture, sedentary lifestyles, and targeted marketing, their health policy strategies differ dramatically. The U.S. leans on community programs and education, while the U.K. enforces stronger national regulations and advertising restrictions. By examining nutrition, physical activity, and policy, this thesis explores what each country does well and where they fall short. It …

Metabolically Guided Walking And Plant-Based Nutrition Enhance Body Composition And Weight Loss Dataset, Harold Mayer, Gregory Heath, Chris S. Hansen, Lucas G. Valenca, Kristina Nelson Hall, Cassie J. White

Datasets

Dataset for research published in International Journal of Environmental Research and Public Health.

Nymc Synapse Issue 56, School Of Medicine Student Senate, New York Medical College

The Synapse

No abstract provided.

Issue 16: Pulmonary & Critical Care Insider, Bharat Bajantri Md, Sarah Ellsworth Mls

Critical Care & Pulmonary

Pulmonary & Critical Care Insider Issue 16

Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.

The Pulmonary & Critical Care Insider newsletter was created by Dr. Bharat Bajantri, MD and Sarah Ellsworth, MLS in 2023 as a form of current awareness for current practice at our hospital, Parkview Health.

Topics:

EVERDAC Trial: Do All Shock Patients Need Arterial Lines?

Beyond MAP: Redefining Perfusion Pressure in Septic Shock

ECG Findings You Cannot Miss in Acute Pulmonary Embolism

Food for Thought: When Private Equity Buys Hospitals, Who Pays …

Sustaining Community Health Through Impactful Snap-Ed Initiatives In Utah, Lacee Jimenez, Kristi Strongo, Lea Palmer, Lendel K. Narine, Heidi Leblanc

Outcomes and Impact Quarterly

Create Better Health (CBH), Utah’s SNAP-Ed program, addresses food insecurity and chronic disease prevention through nutrition education, policy, systems, and environmental (PSE) initiatives, and social media marketing. From 2024 to 2025, CBH reached over 13,500 Utahns through direct education and 81,000 through community interventions. Evaluation results showed significant improvements in nutrition behaviors, including increased fruit and vegetable intake, food resource management, and label use. Follow-up surveys showed sustained behavior change. CBH’s comprehensive approach demonstrates measurable public health impact and points to the importance of continued investment in nutrition education and food access programs to build healthier, food-secure communities.

Integration Of Oral Health Assessment In Medicare Visits: A Survey Of Primary Care Physicians In Montana And Their Role In Patients Aged 65+, Cheyenne R. Smith

Dental Hygiene ETDs

The integration of oral health assessments into primary care settings has been strongly advocated to enhance access to care for elderly individuals. Medical and dental professionals recognize the critical connection between oral health and systemic health. Physicians can play a key role in enhancing oral health care by incorporating an oral health assessment into routine general health appointments, such as the Medicare Annual Wellness Visit (AWV). Physicians in Montana were invited to participate in an anonymous study to gather their opinions on conducting oral health assessments in primary care settings, identify barriers to providing these assessments, and evaluate their knowledge …

Health Workforce Issues And Recommended Practices In The Implementation Of Universal Health Coverage In The Philippines: A Qualitative Study, Veincent Christian Pepito, Arianna Maever Loreche, Ruth Shane Legaspi, Ryan Camado Guinaran, Theo Prudencio Juhani Z. Capeding, Madeline Mae A. Ong, Manuel M. Dayrit

Ateneo School of Medicine and Public Health Publications

Background

The transition towards Universal Health Coverage (UHC) in a devolved healthcare system such as the Philippines is beset by health workforce issues considering that it is among the world’s leading source countries for health workers. This study aims to document health workforce issues and recommended practices in the implementation of UHC in the Philippines.

Methods

We conducted focus group discussions and key informant interviews with health policymakers and UHC implementers in the national, regional, and local levels. Participants included local chief executives, healthcare facility administrators, and healthcare providers at tertiary, secondary, and primary levels, as well as patients. We …