Digital Commons Network^™

Delayed And Misdiagnosed Endometriosis, Teresa Doyle

Nursing | Senior Theses

Aim: This research investigates whether targeted education can improve the early diagnosis of endometriosis, a chronic condition affecting around 10% of women of reproductive age. Unfortunately, endometriosis is often misdiagnosed, delaying treatment, prolonging discomfort, and lowering quality of life. Healthcare practitioners' knowledge gap is addressed by this study, which examines whether organized training promotes awareness and diagnostic accuracy. This research proposal evaluates an educational intervention developed to improve gynecological experts' knowledge and diagnostic skills. The main research issue is whether the intervention reduces misdiagnosis and improves patient outcomes. A quasi-experimental design will examine participants' knowledge and diagnosis accuracy before and …

Understanding Avoidant Restrictive Food Intake Disorder (Arfid) In Autistic Children Through Parent’S Lens, Lisette Oviedo

Nursing | Senior Theses

This research reviews and proposes a study to assess parents' knowledge about their children with a dual diagnosis of autism and Avoidant-Restrictive Food Intake Disorder (ARFID) with the intent to develop future care strategies that are both person-centered and family-centered.

Silent Chains: Family And Religious Systems As Foundations Of Child Slavery And Labor In Ghana (1775-1956), Patricia Esi Quainoo

Master's Theses or Doctor of Nursing Practice

This study explores the often-overlooked role of children in slavery and forced labor in Ghana, emphasizing their exploitation in domestic service, agriculture, and other labor sectors. While existing scholarship often subsumes children within broader narratives of slavery, this research highlights their distinct experiences and their crucial role in sustaining Indigenous slavery. It argues that child slavery in Ghana was reinforced by familial practices such as the pawnship system, religious obligations like the trokosi system, and the reliance on family farms, where children served as producers and carriers of cocoa. Additionally, missionaries employed children as laborers in mission stations, schools, and …

Resource Map Of Expenditures For Tennessee Children And Youth, Annual Report To The Legislature 2025, Tennessee. Commission On Children And Youth.

Resource Map Report

No abstract provided.

High-Dose Beta-Alanine Supplementation For Two Weeks Did Not Enhance Intermittent Endurance Or Sprint Performance In Trained Futsal Players, Hossein Miraftabi, Erfan Berjisian, Marzieh Nouri Dizicheh, Alireza Naderi, Masoud Bodaghi, Majid Koozehchian, Fatemeh Shabkhiz, Alvaro Lopez-Samanes

Research, Publications & Creative Work

Background: This study aimed to investigate the effects of a high-dose beta-alanine (BA) supplementation on physical performance, blood lactate concentration, and ratings of perceived exertion (RPE) in trained futsal players. Methods: Sixteen trained futsal players participated in a randomized, parallel, double- blind experiment, completing a two-week supplementation period with either 12 g/day of BA (n = 8; age: 19 ± 2 years; height: 1.78 ± 0.03 m; body mass: 68.5 ± 5.4 kg) or a placebo (PLA) (n = 8; age: 18 ± 1 years; height: 1.74 ± 0.08 m; body mass: 65.6 ± 6.4 kg). Athletes completed the futsal …

Dose–Response Effects Of Short-Term Rhodiola Rosea (Golden Root Extract) Supplementation On Anaerobic Exercise Performance And Cognitive Function In Resistance-Trained Athletes: A Randomized, Crossover, Double-Blind, And Placebo-Controlled Study, Majid Koozehchian, Andrew T. Newton, Gina Mabrey, Faith M. Bonness, Rafaela Rafajlovska, Alireza Naderi

Research, Publications & Creative Work

Background: Rhodiola rosea (RR) is marketed as an adaptogen; however, evidence for acute/short-term effects—and especially dose–response effects—in trained adults across performance and cognition is limited.

Objective: Test whether RR improves resistance performance (strength, power) and executive function in resistance-trained adults using a randomized crossover with placebo and a capsule-free baseline.

Methods: In a randomized, double-blind, crossover trial with four conditions—no-capsule control (CON), placebo (PL), low-dose RR (LDRR), and high-dose RR (HDRR). Twenty-seven resistance-trained adults completed the conditions. Day-7 testing included bench press (BP) and leg press (LP) 1-repetition maximum (1RM); a third set to failure at 60% 1RM with set-3 …

Evaluating The Impact Of Orientation On Study Approaches Among First-Year Medical Students: A Quantitative Study In A Rural Us Medical School Using The Modified Assist Questionnaire, Kodjo Agbowou, Dmitry Tumin, Robert Lust, David Gilbert

Health Professions Education

This study explores the impact of medical school orientation on student’s adoption of deep and strategic study approaches. At our rural Southeastern US medical school, the 2023 orientation was redesigned to include comprehensive sessions on study resources, time management, and curriculum structure.

Method

To evaluate the changes in students' study approaches, we used the modified Approaches to Study Skills Inventory for Students (ASSIST) questionnaire before and after orientation. Thirty-seven students completed the pre-orientation survey, and 17 provided complete data for analysis.

Results

At baseline, students showed a stronger preference for the strategic learning approach (median score: 26, IQR: 25–28) compared …

Acceptability, Facilitators And Barriers To Video-Based Learning At A Community Health Officers’ Training School In Nigeria, Mobolanle Balogun, Babatunde Akodu, Tope Olubodun, Victoria Yesufu, Anirejuoritse Chima-Oduko, Olabisi Oderinu, Diane Shoemaker

Health Professions Education

Purpose: This study was conducted to assess the acceptability, facilitators and barriers to video-based learning (VBL) among community health officers (CHOs)-in-training and tutors in a Nigerian school, prior to the introduction of a video-based curriculum.

Methods: This was a mixed-methods cross-sectional study conducted among CHOs and tutors at the CHO training school of the Lagos University Teaching Hospital (LUTH). A survey assessed students’ acceptability of VBL using an adapted framework that integrated Diffusion of Innovation Theory and Technology Acceptance Model. Six key informant interviews and two focus group discussions were conducted among tutors and students respectively. Quantitative data was analysed …

Elevated Neutrophil-To-Lymphocyte Ratios In Schizophrenia: Insights From A Precision Medicine Cohort (Preprint), Alec J. Pupo, Connor J. Stinson, Chinwendu Madukwe, Stephanie H. Felgoise

Internal Medicine Resident Research

Systemic inflammation has been increasingly implicated in the pathophysiology of schizophrenia. The neutrophil-to-lymphocyte ratio (NLR), a readily available marker of systemic inflammation, has not been thoroughly investigated in large, demographically-matched schizophrenia cohorts. Using data from the All of Us Research Program, we analyzed participants with schizophrenia (n = 396) matched to controls (n = 396) by sex, race, and age. NLR was calculated as the ratio of each participant’s median neutrophil count to median lymphocyte count across all available measurements, excluding extreme values (NLR > 7). Distribution normality was assessed using the Shapiro–Wilk test, and group differences were evaluated with the …

Annual Reports Of The Selectboard And Other Town Officers, Charlestown, N.H., For The Year Ending December 31, 2024, Charlestown Town Representatives

Charlestown, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Southeast South Dakota Experiment Farm Annual Progress Report, 2025, Southeast South Dakota Research Farm

Agricultural Experiment Station and Research Farm Annual Reports

This is an annual report of the research program at the Southeast South Dakota Research Farm in cooperation with the South Dakota Agricultural Experiment Station and the SDSU College of Agriculture, Food, and Environmental Sciences and has special significance for those engaged in agriculture and the agriculturally related businesses in the ten-county area of Southeast South Dakota. The results shown are not necessarily complete or conclusive. Interpretations given are tentative because additional data resulting from the continuation of these experiments may result in conclusions different from those based on any one year.

Infant Health Equity In Oklahoma: A Mixed-Methods Exploration Of Personal, Organizational, Environmental, And Policy Factors Contributing To Black Infant Mortality, Ayesha M. Lampkins

West Chester University Doctoral Projects

Black women experience higher rates of adverse birth outcomes, including infant mortality. There is a gap in the literature on multilevel strategies to achieve infant health equity and engage Black women. This study is unique in that no others have looked at the views of Oklahoma Black women to inform and address infant health equity strategies and utilize these views to provide context to existing infant mortality data. The study research questions are: 1) What views on infant health equity and infant mortality are held by Black women in Oklahoma? 2) What differences exist between Black and White mothers in …

Screening For Relative Energy Deficiency In Sport (Reds) And The Female Athlete Triad In Female Undergraduate Collegiate Athletes: A Quality Improvement Project, Maria A. Marziano

West Chester University Doctoral Projects

This quality improvement (QI) project investigated female collegiate athletes’ knowledge and prevalence of Relative Energy Deficiency in Sport (REDs) and the Female Athlete Triad (Triad). The increase in female athletics brings a growing concern for performance-related health risks, including low energy availability (LEA), menstrual dysfunction, and low bone mineral density (BMD). This study assessed the effectiveness of education and self-screening in identifying at-risk athletes and encouraging resource application for intervention. A mixed-methods design was employed, utilizing retrospective data along with pre- and post-intervention surveys. The study involved 33 female collegiate athletes from lean endurance sports, assessing knowledge, risk factors, and …

Transforming Partnerships: Developing A Model For Experiential Learning In Honors, Grace Troupe, Tamy Burnett

National Collegiate Honors Council Monographs: Chapters

Although the collaboration between the University Honors Program (UHP) at the University of Nebraska-Lincoln (UNL) and UNL's Center for Transformative Teaching involves several elements, this essay focuses on one element with significant impact: the development of curricular components and co-curricular programming facilitating students’ engagement with experiential learning. Experience-based education is learning that occurs through direct, hands-on experiences such as internships, research, education abroad, and teaching practicums. When UNL moved toward requiring experiential learning for all undergraduate students, the partnership between UHP and CTT was transformational in facilitating UHP’s building on its existing framework for experiential learning and thus serving as …

Elementary School-Based Speech-Language Pathologists' Perspectives On The Management Of Pediatric Feeding And Swallowing Disorders, Kelsi L. Szakovits

Brehm Scholars Research

Speech-language pathologists (SLPs) frequently serve autistic students in the school setting. Research reveals a relationship between autism, sensory processing, and pediatric feeding disorder (PFD). As a result, autistic students may have compromised nutritional health and safety, which stands to impact their ability to access the curriculum. PFD is under the scope of the school-based speech-language pathologist’s practice. However, data has shown a perceived lack of confidence and a limited number of support and resources in the educational setting for SLPs to carry out interventions. This qualitative study will seek to understand the perspectives of elementary school-based SLPs regarding the implementation …

Access To Pharmacies: Implications For Theory, Outcomes, And Policy, Emily Gravlee

Electronic Theses and Dissertations

This dissertation achieved the following objectives: (1) developed a patient-centered access to pharmacies framework; (2) evaluated the impact of pharmacy closures on immunization rates among Medicare beneficiaries; and (3) examined the influence of state-level pharmacy benefit manager (PBM) regulations on rates of pharmacy closures.

For objective 1, a grounded theory methodology was used to identify a patient-centered access to pharmacies framework (PcAP). This framework asserts that patients determine whether they have access to a pharmacy through evaluation of their characteristics, the characteristics of pharmacies, and their own needs or values within the context of a health-related need. This evaluation of …

Exploring Aging And Bone Health In Normal Weight Obesity And The Prevalence Of Unhealthy Lean Phenotypes, Pouria Sefidmooye Azar

Electronic Theses and Dissertations

Obesity is a complex chronic condition characterized by the excessive accumulation of body fat. While numerous studies have highlighted the risks of adverse complications associated with obesity, limited research has explored the relationship of body composition phenotypes, more specifically normal weight obesity with aging, and bone health. Also, the prevalence of unhealthy lean phenotypes in adults in the U.S. is not clear. A secondary-data analysis of the National Health and Nutrition Examination Survey (NHANES) 1999-2002 were performed to further examine the relationship between body composition phenotypes—normal weight lean (NWL), overweight/obesity with normal body fat percentage (OBL), normal weight obesity (NWO), …

Exploring Commonalities Of Effective Elementary Teachers, Doneen Johnson

Doctor of Education Dissertations

Low performing schools have consistently faced challenges in narrowing the achievement gap and meeting the needs of diverse learners, especially those living in high poverty situations. Effective teaching can significantly influence student outcomes and positively shape students’ academic trajectories through the use of high-impact strategies and relationship-centered instruction. This convergent mixed-methods study aimed to define and understand the characteristics of effective teachers, investigate the perceptions of effective teachers about the reasons for their success, and identify the strategies effective teachers use to support students in low performing elementary schools in a North Carolina school district. Quantitative data sources included a …

Human Papillomavirus Knowledge, Beliefs, And Behaviors Among Community College Students: Why Should It Matter?, Eric Pittman

Electronic Theses and Dissertations

Background: Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States (U.S.). Approximately 42.5 million individuals in the U.S. are infected with disease-associated HPV, and 13 million new cases occur every year. It is estimated that 85% of sexually active adults will be infected with HPV at some point during their lifetime. Most individuals infected with HPV are asymptomatic and clear the virus without any complications. However, in some individuals, the virus persists. Prolonged HPV infection has been associated with six different types of cancer and genital warts. There are approximately 37,000 cases of HPV-associated cancers …

Beliefs And Factors That Influence Female College Students’ Decision To Consume Weight Loss Products, Cynthia Ummay Siddiqua

Electronic Theses and Dissertations

Background: Rising societal pressures, body image concerns, and the increasing accessibility of commercial weight loss products (WLPs) have led to heightened use among young women, particularly college students. Female undergraduates are especially vulnerable due to social media influence, peer comparison, and transitioning lifestyles. Despite the popularity of WLPs, concerns persist regarding their safety, efficacy, and the psychosocial beliefs driving their use. This study seeks to understand the beliefs and factors influencing WLP consumption among female college students using Social Cognitive Theory (SCT) and the Health Belief Model (HBM).

Methods: A cross-sectional, exploratory survey was conducted among female undergraduate students aged …

Validation Of Salivary Proteomic Biomarkers For Early Detection Of Oral Cancer In The Egyptian Population, Dalia Ghalwash, Ahmed M. Ammar, Ayman El-Gawish

Dentistry

Purpose: The present study evaluated the sensitivity and specificity of important proteomic salivary biomarkers; IL-6, IL-8, and sCD44 in the early detection of oral cancer, and any poss associations with risk factors of oral cancer in an Egyptian population Methods: The present investigation was conducted on 100 individuals; 25 healthy controls, 25 patients having oral potentially malignant disorders (OPMDs) with dysplasia; 25 patients having OPMDs without dysplasia, and 25 oral cancer patients. Demographic data modified gingival index, oral hygiene level, and salivary levels of the biomarkers were assessed. Results: Salivary levels of IL-6, IL-8, and sCD44 progressively increased with increased …

Acute Strength Training, Not Menstrual Cycle Phase, Increases Lipid Oxidation Rates Following Exercise In Well-Trained, Eumenorrheic Females., Alyssa L. Parten, Abbie E. Smith-Ryan, Eric K. O'Neal, T Scott Lyons, Hunter S. Waldman

Kinesiology

Previous research supports the role of 17-β-estradiol (E₂) and progesterone (P₄) in altering lipid oxidation (LOx) rates during aerobic exercise, but it has yet to be determined if LOx is altered between menstrual cycle (MC) phases following strength training (STR). This study examined post-exercise LOx rates in eumenorrheic females, following a bout of STR during the early-follicular phase (EFP) and mid-luteal phase (MLP). Twenty-two (age: 25.1 ± 5.7, BMI: 24.5 ± 2.7) well-trained females completed a repetition maximum (RM) test for the back squat, bench press, and deadlift. Five sets of 3 repetitions at 80-85% 1RM …

Cost-Effective Hierarchical Cobalt Nanostructured Laser-Induced Graphene For Enhanced Uric Acid Detection, Anju Joshi, Gymama Slaughter

Center for Bioelectronics Publications

This study presents an innovative, cost-effective strategy to develop a flexible, enzyme-free biosensor for the sensitive detection of uric acid (UA). Utilizing electrochemically modified cobalt nanostructured on laser-induced graphene electrodes (CoNCs/LIG), this approach surpasses traditional noble metal-based electrocatalysts in sensitivity and affordability. The one-step electrochemical modification method is efficient and straightforward, enabling the uniform deposition of hierarchical flower-like cobalt nanostructures. These structures synergistically enhance the performance of the LIG, resulting in a broad detection range of 5 to 700 µM with a sensitivity of 6.75 µA µM^-¹ cm^-² and a low detection limit of 3.66 µM for UA. …

Examining Exercise Self- Efficacy And Functional Mobility In Urban Law Enforcement Officers, Margo F. Jenkins

College of Graduate Studies: Theses & Dissertations

BACKGROUND: Law enforcement officers perform various physically demanding tasks, but much of their daily activities are sedentary or light intensity. Quality movement patterns are vital for fitness, reducing the risk of injuries, and contributing to motivation for physical activity. PURPOSE: This study examined the relationship between exercise self-efficacy (ESES) and functional mobility (FMS) among law enforcement officers. METHODS: 55 officers participated, with exercise self-efficacy measured using the ESES scale and movement patterns assessed with the Functional Movement Screening (FMS). Correlational analysis and linear regression were used to explore the relationships between FMS and ESES, years of service (YoS) and FMS, …

Raft-Based Polymer And Nanoparticle Materials For Traumatic Brain Injury Treatment And Diagnostics, Aaron Priester

Doctoral Dissertations

"Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Neurodegenerative diseases that develop post-TBI can be, in part, attributed to DNA and cell-damaging reactive oxygen species (ROS) and lipid peroxidation products (LPOx). This thesis focused on overcoming the limits of current TBI material treatment approaches by employing a RAFT (reversible-addition fragmentation chain transfer) polymer approach that incorporated novel therapeutic, diagnostic and peptide-targeting monomers. An improved nanoparticle synthesis approach was also developed. Thiol and thioether-containing monomers neutralize both ROS and LPOx while Gd-containing monomers with enhanced magnetic resonance imaging (MRI) contrast provide diagnostics and material tracking in …

The Relationship Between Nutrition Knowledge And Dietary Behavior Of Student-Athletes, Kerry A. Smith, Kathleen Fritch, James Rost, Amy Jo Riggs, Juliann Sergi Mcbrayer, Monika Krah

Georgia Educational Researcher

The purpose of this study was to examine the relationship between nutrition knowledge and dietary behavior while controlling for academic major, year, and gender among Division III student-athletes. Sufficient nutrition is essential for athletic performance, injury reduction, and overall health. However, student-athletes face unique challenges that can disrupt optimal nutrition, including poor nutrition knowledge and access to available resources. While several studies have examined the relationship between nutrition knowledge and dietary behavior, no known studies have addressed this among Division III student-athletes. This non-experimental correlational study examined dietary behavior using the Rapid Eating and Activity Assessment for Participants (REAP-S) and …

Emcreg-International Multidisciplinary Consensus Panel On Management Of Hyperkalemia In Chronic Kidney Disease And Heart Failure, Natalie Kreitzer, Nancy M. Albert, Alpesh N. Amin, Craig J. Beavers, Richard C. Becker, Gregg Fonarow, W. Brian Gibler, Katherine W. Kwon, Robert J. Mentz, Biff F. Palmer, Charles V. Pollack, Iliana L. Piña

Division of Cardiology Faculty Papers

BACKGROUND: Hyperkalemia, generally defined as serum potassium levels greater than 5.0 mEq/L, poses significant clinical risks, including cardiac toxicity and muscle weakness. Its prevalence and severity increase in patients with chronic kidney disease (CKD), diabetes mellitus, and heart failure (HF), particularly when compounded by medications like angiotensin converting inhibitors, angiotensin receptor blockers, and potassium sparing diuretics. Hyperkalemia arises from disruptions in potassium regulation involving intake, excretion, and intracellular-extracellular distribution. In CKD and acute kidney injury, these regulatory mechanisms are impaired, leading to heightened risk. The management of chronic hyperkalemia presents a challenge due to the necessity of balancing effective cardiovascular …

Do Food Planner Apps Enhance Responsible Food Consumption? The Impact Of Perceptual Antecedents And Moderating Effects On Usage Intention, Rajat Subhra Chatterjee, Irfan Hameed, Ranjan Chaudhuri, Demetris Vrontis, Sumana Chaudhuri, Sheshadri Chatterjee

Plymouth Business School

Purpose: A food planner app helps users to create meal plans and recipes to their preferences, dietary requirements and lifestyle needs. Many food planner apps also could assist with grocery lists, calorie tracking, food waste management and reminders to users. But there is less adoption of such apps. Limited studies examine reasons for non-adaptability, emphasizing the need for more research. This research addresses this gap by observing the effect of pertinent factors such as expectant outcome and openness to change on the extended technology acceptance model. Design/methodology/approach: Drawing on theories and extant literature, a theoretical model was developed. The model …

Potential Of Green Synthesis Of Silver And Gold Nanoparticles For The Management Of Metabolic Associated Steatotic Liver Disease: A Mini Review, Atiqah Suhaili, Ya Chee Lim, Mei Ann Lim, Lee Hoon Lim, Mohammad Mansoob Khan, Monowarul Mobin Siddique

ASEAN Journal on Science and Technology for Development

Metabolic-associated steatotic liver disease is a metabolic disorder with limited pharmacological treatment options and only one approved medication to date. MASLD can be asymptomatic in its earlier stage and hence, prevention of this disease progression is the most effective approach. Recently, green-synthesized nanoparticles, particularly silver (AgNPs) and gold nanoparticles (AuNPs), have gained interest due to their eco-friendly production, biocompatibility, and bioactive properties. This review highlights the biosynthesis of AgNPs and AuNPs using medicinal plant extracts and their reported biological effects relevant to MASLD management including anti-hyperlipidemic, anti-diabetic, antioxidant and anti-inflammatory activities. While findings are promising, further mechanistic studies and preclinical …

The Effect Of Blanching And Steaming Pretreatment On The Quality Of Durian (Durio Zibenthinus Murr.) Seed Flour, Nabilah Daniel, Rosnah Shamsudin, Mohd Sabri Pak Dek, Jhauharotul Muchlisyiyah, Masmunira Rambli

ASEAN Journal on Science and Technology for Development

Durian (Durio zibethinus Murr.), the "King of Fruits," has seeds that offer nutritional benefits, including high fiber for gut health and high protein for muscle growth. However, natural browning enzymes can limit its use in baking. This study investigates the comparative effects of blanching and steaming durations (5, 10, 15, 20, and 25 minutes) on the color and techno-functional properties of durian seed flour (DSF), providing an optimization-based approach rarely reported for this material.. Durian seeds were sourced from various stalls in Malaysia, washed, soaked in 0.6% sodium metabisulfite, and then blanched or steamed for for varying durations as …