Digital Commons Network^™

Land Grant Report 2023-2024, Tennessee. Higher Education Commission.

Land Grant Funding Report

No abstract provided.

State Of The States: Blueprints For Building Age-Friendly Futures, Megan Stubbs-Richardson, Lauren E. Etheredge, Tockie V. Hemphill, Zaccheus J. Ahonle, Danielle K. Nadorff

Publications

Executive Summary:

Mississippi’s aging population growth mirrors national trends and suggests a need to establish equitable and sustainable age-friendly policies and programs. This report offers an overview of the best practices from age-friendly states, which can be adapted to meet unique challenges and opportunities for Mississippi’s aging population. We highlight five age-friendly policy areas that can improve Mississippi’s livability.

• Aging in Place: Best practices from California, Florida, and Massachusetts can be adapted to promote aging in place through structural changes to homes via universal design and home modifications, or through supportive housing programs and home care.

• Cross-Sector Collaboration: …

2024-2025 Ucf Center For Community Schools Progression Data, Ucf Center For Community Schools

Community Partnership Schools Annual Progression Data

No abstract provided.

Little Lives, Big Challenges: The Nicu's Role In Infant Brain Development, Gerardo Martinez

Scientific Kenyon: The Neuroscience Edition

No abstract provided.

Wound Care 101, Kristen Delarosa, Katelyn Moore, Lauren Rossi, Marissa Yorita

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

No abstract provided.

Camino A La Salud: Culturally Tailored Diabetes Education For Hispanic Older Adults In Stockton, California, Alondra Aldaba, Alexis Irvine, Jazmyn Monares, Marissa Doblados-Wood

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

AIM: Camino a la Salud addresses diabetes in one of the most affected populations in San Joaquin County, older Hispanic adults and their caregivers. This project aims to increase diabetes knowledge, confidence, and self-management among older adults in Stockton through culturally tailored education and hands-on learning. The project also provided glucometers and visual teaching tools to support skill development and improve diabetes awareness and prevention in this community.

METHODS: This project included three weekly bilingual diabetes education sessions held at El Concilio during their senior food distribution program. Each session covered a different topic: diabetes risks and complications, understanding glucose …

Urobilin Derived From Bilirubin Bioconversion Binds Albumin And May Interfere With Bilirubin Interacting With Albumin: Implications For Disease Pathology, Kevin I. Williams, Priyanka Suryadevara, Chang-Guo Zhan, Terry D. Hinds Jr., Zachary A. Kipp

Markey Cancer Center Faculty Publications

Background/Objectives: Bilirubin is a hydrophobic molecule that binds the carrier protein albumin for transport through systemic circulation. Bilirubin is cleared from the body through the liver and excreted into the intestines, where the microbiota modifies the chemical structure, forming urobilin, which can be reabsorbed into circulation by the hepatic portal vein. Urobilin has no known function. It is also unknown whether urobilin binds albumin for transport in circulation. We hypothesized that because of the likeness of their chemical structures, urobilin would also bind albumin like bilirubin does. Methods: First, we used in silico docking to predict if urobilin would bind …

Heme Oxygenase, Biliverdin Reductase, And Bilirubin Pathways Regulate Oxidative Stress And Insulin Resistance: A Focus On Diabetes And Therapeutics, Wang-Hsin Lee, Zachary A. Kipp, Sally Pauss, Genesee J. Martinez, Evelyn A. Bates, Olufunto O. Badmus, David E. Stec, Terry D. Hinds Jr.

Markey Cancer Center Faculty Publications

Metabolic and insulin-resistant diseases, such as type 2 diabetes mellitus (T2DM), have become major health issues worldwide. The prevalence of insulin resistance in the general population ranges from 15.5% to 44.6%. Shockingly, the global T2DM population is anticipated to double by 2050 compared with 2021. Prior studies indicate that oxidative stress and inflammation are instrumental in causing insulin resistance and instigating metabolic diseases. Numerous methods and drugs have been designed to combat insulin resistance, including metformin, thiazolidinediones (TZDs), sodium-glucose cotransporter 2 inhibitors (SGLT2i), glucagon-like peptide 1 receptor agonists (GLP1RA), and dipeptidyl peptidase 4 inhibitors (DPP4i). Bilirubin is an antioxidant with …

Association Between Education And Allostatic Load With Risk Of Cancer Mortality Among Hispanic Women, Melissa Lopez-Pentecost, Cynthia Li, Marlo Vernon, Sydney P. Howard, Jessica Amezcua, Justin Xavier Moore

Markey Cancer Center Faculty Publications

Purpose: Cancer remains the leading cause of death among Hispanics in the US. While social determinants of health, such as educational attainment, have been linked to negative health outcomes, their biological mechanisms remain poorly understood. We evaluated the association between educational attainment and allostatic load (AL), a measure of chronic physiologic stress, with risk of cancer mortality in Hispanic women from the National Health and Nutrition Examination Survey (NHANES).

Methods: We performed a retrospective analysis among 5637 Hispanic women in NHANES from 1988 to 2010 with follow-up data through 2019. Educational attainment was categorized into a two-level variable: less than …

Capturing Community Perspectives In A Statewide Cancer Needs Assessment: Online Focus Group Study, Jessica R. Thompson, Keeghan Francis, Caree R. Mcafee, Madeline Brown, Todd Burus, Melinda Rogers, Connie L. Sorrell, Elizabeth A. Westbrook, Lovoria B. Williams, Jennifer Redmond Knight, Elaine Russell, Natalie P. Wilhite, Pamela C. Hull

Markey Cancer Center Faculty Publications

Background: Kentucky has the highest all-site cancer incidence and mortality rates in the United States. Conducting needs assessments in a large geographic area, such as an entire state, poses challenges in collecting qualitative data from diverse rural and urban contexts. In 2021, a steering committee was formed to drive a multimethod, statewide cancer needs assessment (CNA) to identify the future priorities for all cancer-related care in Kentucky.

Objective: We aimed to report on the online focus group component of the CNA by documenting existing community resources and perceived needs across the cancer care continuum. In addition, we aimed to explore …

Examining Associations Between Sociodemographic Characteristics And Ever Breastfed Children, Nhanes 1999–2020, Jessica Amezcua, Lindsey M. West, Camelia Malkami, Marlo M. Vernon, Elinita Pollard, Justin X. Moore

Markey Cancer Center Faculty Publications

Although breastfeeding provides health benefits to both mother and child, this study aimed to explore whether disparities in breastfeeding continue to exist, particularly among non-Hispanic Black (NHB) mothers and children. We performed a cross-sectional analysis among 19,830 children in the United States (US) using the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2020. Breastfeeding initiation and duration rates increased overall from 1999 to 2020. Children who were ever breastfed were more likely to have higher body weight, older mothers, mothers who did not smoke during pregnancy, a higher family poverty–income ratio (PIR), food security, mothers in …

Identifying Risk Factors For Adverse Lung Health Outcomes Among Rural Appalachian Women, Jessica R. Thompson, Courtney J. Walker, John C. Flunker, W. Jay Christian, Wayne T. Sanderson, Nancy E. Schoenberg, Steven R. Browning

Markey Cancer Center Faculty Publications

Purpose: Despite high rates of lung disease and lung cancer among women, few studies have focused on adverse lung health risk factors among rural Appalachian women. We aim to describe the prevalence of demographic, behavioral, and economic characteristics among a cohort of rural Appalachian women and ascertain the association between these risk factors and lung function.

Methods: Through a cross-sectional study in two rural Appalachian Kentucky counties (2015–2017), we collected demographics, health history/behaviors, and lung function via pulmonary function tests. Restricting to female participants with interpretable pulmonary function tests (N = 456), we estimated prevalence ratios of the association …

Development Of Genome-Scale Technologies For Writing And Recoding Cyanobacteria, Laura Beth Quinto

Yale Graduate School of Arts and Sciences Dissertations

Diverse microorganisms have delivered unique solutions in medicine, food, energy, and nutrient cycling through atmospheric gas fixation. Yet despite tremendous progress in model organisms like E. coli and S. cerevisiae, tools for editing and predictably manipulating undomesticated species – which comprise the vast majority of microbes1 – remain scarce. Cyanobacteria, with their light- and CO₂-powered metabolism, hold particular promise for bioproduction, bioremediation, and in situ fertilization, but have been difficult to engineer. Furthermore, many of the most valuable applications of cyanobacteria would involve implementation in an open system. Such strains require two critical safeguards: biocontainment to ensure that their propagation …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …

The Effect Of Woc Nurse Rounding On At-Risk Patients In The Icu In Reducing Hapis: An Integrative Review, Sydney Conrad, Ayoka Allen, Abby Fitzpatrick, Raquel Luague, Emily Lindall

Master's Projects

Hospital-acquired pressure Injuries (HAPIs) are a “never event” and a nursing quality indicator closely monitored by hospitals. Pressure injury prevention strategies have been widely researched and used to reduce HAPI rates; however, despite this research, HAPI rates, especially in the intensive care unit (ICU), remain high. Prevention is a complex, individualized process that requires nursing understanding and application. Wound, Ostomy, and Continence nurses (WOC nurses) are specially trained and certified in wound management and can provide tremendous clinical insight into risk and prevention factors. This integrative review examines whether WOC nurse rounding in the ICU reduces HAPI rates.

Strafford County 2024 Annual Report Of The Commissioners, Treasurer, Other County Officers, And The Strafford County Delegation For The Year Ending December 31, 2024, Strafford County Representatives

Strafford County, NH Annual Reports

This is an annual report containing vital statistics for 2024 for Strafford County in the state of New Hampshire.

Fnes 722 Exercise, Energy Balance, And Body Composition, Bridget Mcfadden

Open Educational Resources

This course focuses on the interrelationships between exercise energetics, energy balance, and body composition. There are four major goals for students in this course. Each student will be expected to acquire and demonstrate knowledge in the following areas: macro- and micro- nutrient requirements and the role they play in physiological function; energy expenditure and body composition assessments; nutrition and exercise considerations for physique and sport; ability to evaluate the scientific evidence on nutritional ergogenic aids and diets.

Agility In Professional Associations: Using Improvement Science To Align Nirsa’S Communication Strategy With Member Needs, Stephanie L. Hart, Kimberly A. Bradley, Lisa M. Gwyn, Joanna A. Liebelt, Denise K. Miller

Doctor of Education Capstones

This intrinsic case study delved into how NIRSA, a leading Association for Campus Recreation, and its members could effectively engage with one another to best support the members' needs. Leveraging the principles of improvement science, we rigorously assessed the root causes of misalignments between NIRSA and its members. This process allowed us to develop a theory of change that supports organizational alignment and engagement and satisfies members' needs. We found that change concepts like agility to pivot, in addition to inclusive and responsive communication strategies, would support members in navigating the evolving landscape of the campus recreation industry and amplify …

A Comprehensive Labeling Framework For Artificial Intelligence (Ai)/Machine Learning (Ml)-Based Medical Devices: From Ai Facts Labels To A Front-Of-Package Ai Labeling System — Lessons Learned From Food Labeling, Sara Gerke

Emory Law Journal

Medical Artificial Intelligence (AI) is rapidly transforming healthcare. The U.S. Food and Drug Administration (FDA) has already authorized the marketing of over one thousand AI/Machine Learning (ML)-based medical devices, and many more products are in the development pipeline. However, despite this fast development, the regulatory framework for AI/ML-based medical devices could be improved. This Article focuses on the labeling for AI/ML-based medical devices, a crucial topic that needs to receive more attention in the legal literature and from regulators like the FDA. The current lack of labeling standards tailored explicitly to AI/ML-based medical devices is an obstacle to transparency in …

Uri Undergraduate And Graduate Course Catalog 2025-2026, University Of Rhode Island

URI Course Catalogs Archive

This is a downloadable PDF version of the University of Rhode Island course catalog.

Examining Cognitive Functioning And Digital Technology Engagement, Kylie Fraga

Clinical Psychology Dissertations

Using technology to complete instrumental activities of daily living (T-IADLs) reflects adaptive technology use, while absentminded smartphone use (AMSU) reflects maladaptive technology use. Examining the link between cognitive functioning and distinct forms of technology use can inform clinical strategies for optimizing technology use for individuals with cognitive difficulties and assist in digital design recommendations that align with diverse cognitive needs. This study examined associations between cognitive functioning (objective and subjective) and distinct forms of technology behaviors (T-IADLs and AMSU) within a sample of 93 adults (Mage = 52.6, SD = 16.93; 62% female) recruited from neuropsychology private practice clinics in …

Integrated Pest Management: State Infrastructure Status After 50 Yr Of Federal Support (1973 To 2023), Daren S. Mueller, Laura C. Iles, Carol L. Pilcher, Adam J. Sisson, Roger Magarey, Ryan Adams, Wanda I. Almodovar, Diane Alston, Patrick Beauzay, Ricardo Bessin, Mandy Bish, Mary Burrows, Alejandro Calixto, Rakesh Chandran, Jed B. Colquhoun, Mary Concklin, Amy J. Dreves, Peter C. Ellsworth, Paul D. Esker, James J. Farrar, Alfred Fournier, Daniel Frank, Kelly Hamby, George Hamilton, Anthony Hanson, Ann Hazelrigg, Natalie Hein-Ferris, David Held, James Jasinski, Heather M. Kelly, David Kerns, Miranda Kersten, Lauren Kerzicnik, Janet Knodel, Glen Koehler, Heidi Kratsch, Christian H. Krupke, Norman C. Leppla, Erin Lizotte, Casey Matney, Rebecca A. Melanson, Frannie Miller, Marion Murray, David Owens, Diane Plewa, Francis P. F. Reay-Jones, Silvia I. Rondon, Tom A. Royer, Philip A. Rozeboom, Hilary A. Sandler, Scott P. Schell, Marissa Schuh, Timothy Seipel, Danesha Seth Carley, Ashfaq Sial, Raghuwinder Singh, Damon L. Smith, Tim Stock, Glenn Studebaker, Adrianna Szczepaniec, Lisa Tewksbury, John Tooker, Adam J. Varenhorst, Amber Vinchesi-Vahl, Doug Walsh, Desiree Wickwar, Robert J, Wright, Simon Zebelo

Department of Entomology: Faculty Publications

Integrated pest management uses a variety of tools coupled with historical, current, and projected information for economical pest protection of crops and other resources while accounting for risk to humans and the environment. Following the 1972 US Federal IPM Policy, funding for integrated pest management programming has continued for 50+ years. However, multifaceted changes during this time have significantly affected state-level integrated pest management infrastructure, prompting a comprehensive survey to assess conditions, limitations, and growth potential of US integrated pest management programs. A survey was sent to 50 US states and 3 territories with integrated pest management programs in November …

Preventive Health Care Information Seeking Behaviors Among Baby Boomers In Taiwan, Alexander N. Chen, Michael J. Rubach, Tracy Suter, Hsin Ke Lu, Mark E. Mcmurtrey

Journal of International Technology and Information Management

Preventive health care is widely acknowledged as one of the most effective ways to reduce medical costs and enhance people's health. Preventive health care information (PHCI) is a crucial component. This study examines the PHCI-seeking behaviors of Taiwanese baby boomers. The study found some support for the idea that the preferred media used influenced the likelihood of Information seeking behavior. People with good health conditions were found to be more likely to seek PHCI, while people with greater health care needs sought out PHCI less frequently. The study examined social influences, which were found to be important. Three different types …

Addressing Food Security In Cameroon, Stacy A. Adams, Ruth Abunaw Besong

Department of Agronomy and Horticulture: Faculty Publications

Cameroon Africa has experience a period of nearly a decade of unrest as militants fight for independence for two Anglophone regions within a predominantly Francophone country. The English-speaking minority have felt aggrieved for continued erosion of rights by the central government. Protests have rapidly spread since 2016, causing closure of schools, businesses, and medical facilities. People have lost homes and been displaced, negatively affecting food production and crop availability. The United States Department of State leads an effort of diplomacy beyond emergency food relief through the Mandela Washington Fellowship that connects American professionals to innovative and impactful young African leaders. …

Oncological Surgical Outcomes For Colorectal Cancer Surgery With Loco-Regional Anesthesia: A Feasibility Study, Hüseyin Fahri Martlı, Eda Şahingöz, Emre Şimşek, Ayça Tuba Özcan, Efnan Aşık, Sadettin Er, Erdinç Çetinkaya

Saudi Medical Journal

Objectives: To evaluate the pathological outcomes of colorectal cancer (CRC) patients who were unsuitable for general anesthesia and underwent regional anesthesia in terms of their suitability for oncological surgery. Methods: A total of 53 patients who underwent mesocolicormesorectal surgery under regional anesthesia at Ankara Bilkent City Hospital, Ankara, Turkey, between May 2019 and May 2023 were retrospectively examined. The negative margins of the proximal, distal, and circumferential margins of specimens, as well as the number of lymph nodes removed, were analyzed. Results: All the patients had clear proximal, distal, and circumferential surgical margins. The median number of lymph nodes removed …

Predictors Of Hypoglycemia Among Children Admitted In The Emergency Pediatric Unit Of The University Of Maiduguri Teaching Hospital, Maiduguri, Nigeria, Ruqayyatu A. Imam, Hassan A. Elechi, Hauwa Y. Musa, Adamu I. Rabasa, Habiba B. Bakari

Saudi Medical Journal

Objectives: To determine the prevalence and pattern of hypoglycemia among children admitted to the Emergency Pediatric Unit (EPU) at the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria. Methods: A cross-sectional study was conducted between February and September 2020. Blood glucose, along with other relevant laboratory investigations, was measured for each patient upon admission to the EPU using a point-of-care test glucometer (ACCU-CHEK with strips). Results: Of the 340 children recruited for the study, 54 patients had hypoglycemia (<2.2 mmol/L), giving a prevalence rate of 15.9%. Thirty-six (66.7%) of the children with hypoglycemia were under the age of 5 years (odds ratio [OR]: 6.218 [1.077–35.912], p =0.041) and 26 (48.1%) were severely underweight (OR: 3.692 [1.266–10.971], p =0.017). Factors such as not having eaten for at least 16 h, weakness, and coma at presentation all independently predicted hypoglycemia (OR: 5.696 [1.768–18.352], 6.556 [1.730–24.850], 9.479 [3.092–29.059], p =0.004, 0.006 and <0.001) respectively. Severe malaria was also independently related to hypoglycemia (OR: 2.720 [0.554–13.365], p =0.021). Conclusion: Hypoglycemia is a common occurrence among children admitted to the EPU. Factors such as being under five years old, in a coma, weakness, severe malaria, and prolonged fasting were all identified as independent predictors of hypoglycemia. Therefore, routine blood glucose monitoring of children admitted to the EPU, specifically those at higher risk, is recommended.

The Relationship Between Mothers With Careers In Higher Education And Child Development In Indonesia, Zakiyah Yasin, Ahmad Nawawi, Shrimarti R. Devy, Siti R. Nadhiroh

Saudi Medical Journal

Objectives: To identify the association of mothers with a career in higher educati--on and their children’s growth and development. Methods: This was an analytical study with a cross-sectional design carried out at Wiraraja University, Sumenep, Indonesia, from March to August 2023. The samples were female lecturers at Wiraraja University. A total of 107 mothers were selected using total sampling. The mother’s career was identified using a questionnaire and their child’s growth and development were measured using child development pre-screening questionnaire. This study used Spearman’s test data analysis. Results: The correlation coefficient was 0.512 indicating a moderately strong relationship between working …

Access To And Utilization Of Dental Care Services By Older Adults In Nigeria: Barriers And Facilitators, Sunkanmi Folorunsho, Victor Ajayi, Munirat Sanmori, Medinah Suleiman, Raji Abdullateef, Abdulazeez Abdulganiyu

Department of Sociology: Faculty Publications

Aims: Nigeria’s rapidly aging population presents urgent challenges for the healthcare system, particularly in oral health, which remains an overlooked aspect of well-being. While older adults are especially vulnerable to dental issues such as tooth loss, periodontal disease, and oral pain, access to care remains limited due to systemic, economic, and cultural barriers. This qualitative study explored the lived experiences of older Nigerians in accessing and utilizing dental care, with the goal of identifying key barriers, facilitators, and policy-relevant insights.

Methods: Fifteen participants aged 50–83 years were purposively selected from urban and peri-urban areas of Ilorin, North- Central …

Characterization Of Multispecies Microbial Communities At Beef And Pork Processing Plants And Their Impact On Pathogen Stress Tolerance, Rong Wang, Sapna Chitlapilly Dass, Vignesh Palanisamy, You Zhou, Tatum Katz, Joseph M. Bosilevac

Nebraska Center for Biotechnology: Faculty and Staff Publications

Escherichia coli O157:H7 and Salmonella enterica are major foodborne pathogens. Biofilm formation may potentially contribute to product contamination by these pathogens at meat processing facilities. Further, pathogen stress tolerance may vary significantly due to the interactions with the multispecies microbial community at meat plants, which may be affected by processing activity, animal species, and the local selective pressure caused by sanitization practices.

We characterized natural microorganisms collected from floor drains at various areas at three beef plants and two pork plants and analyzed their impact on pathogen sanitizer tolerance.

The pathogen strains were able to integrate efficiently into the multispecies …

Archaeoparasitology Of The Colorado Plateau, Karl J. Reinhard, Morgana Caacho

Karl Reinhard Publications

Archaeoparasitology has been conducted in the Southwest for 57 years. In the first decade of the period, two pictures of parasitism emerged. Analysis of compressed organic sediments from a latrine at Elden Pueblo presented a spectrum of geohelminths not different from medieval Europe. These findings contrast pronouncedly with an analysis of coprolites from all other studies that show consistent pinworm parasitism at other sites in the Southwest. We summarize the paleoepidemiological bases for these contrasting phenomena.