Digital Commons Network^™

Geauxhealth.Org: A Technological Approach To Community Resources In New Orleans, Madelin Mlynczak

Journal of the Louisiana Public Health Association

Background: Connecting patients to appropriate community resources remains a significant challenge for healthcare providers in New Orleans. Existing resource guides have limitations in clinical workflows, highlighting the need for a tool tailored to healthcare professionals. The primary objective of this study was to evaluate the effectiveness of the GeauxHealth.org website in improving medical residents’ and fellows’ knowledge of community resources and decreasing perceived struggle in referring patients to community resources. Methods: We conducted a pre- and post-intervention survey among residents and fellows at two academic institutions in New Orleans. Participants were introduced to GeauxHealth.org, a locally developed and searchable online …

Circulating Metabolites Associated With Protection Against Mycobacterium Tuberculosis Infection And Inhibition Of Mycobacterial Growth, Todia P Setiabudiawan, Lika Apriani, Julian Avila-Pacheco, Edwin Ardiansyah, Vinod Kumar, Bachti Alisjahbana, Ayesha J Verrall, Andrew R Dinardo, Agnes R Indrati, Vera P Mourits, L Charlotte J De Bree, Simone J C F M Moorlag, Clary B Clish, Leo A B Joosten, Arjan Van Laarhoven, Krista E Van Meijgaarden, Mihai G Netea, Simone A Joosten, Valerie A C M Koeken, Philip C Hill, Reinout Van Crevel

Faculty, Staff and Students Publications

A significant proportion of individuals who are heavily exposed to infectious tuberculosis patients do not acquire Mycobacterium tuberculosis (Mtb) infection, as detected by an interferon gamma release assay (IGRA). We examined circulating metabolite profiles and metabolic genotypes in 199 heavily exposed IGRA-negative tuberculosis household contacts in Indonesia. Based on differentially abundant metabolites, activity of several pathways including arachidonic acid, arginine and proline, glutathione, and tryptophan metabolism, correlated with a negative IGRA at three months. SNPs near PRODH (involved in arginine and proline metabolism) were associated with circulating proline concentrations and persistently negative IGRA results, while SNPstudys near AFMID (involved in …

Looking Around The Corner On Oral Health Care Delivery, David C. Sarrett Dmd

Virginia Dental Journal

No abstract provided.

Impact Of Age On Growth, Readmission, And Malnutrition After Pediatric Feeding Tube Weaning, Minh H. Tran, Saiyara Baset, Lindsay R. Groh, Sarah T. Edwards, Kristina Nash, Amy Ricketts, Julianne Brogren, Ryan M. Thompson, Sarah Bullard, Rachel Graham, Janelle R. Noel-Macdonnell Phd, Lori A. Erickson, Dana Bakula

Research Showcase

Background:

Feeding tube dependence in medically complex children is associated with feeding aversion, caregiver burden and stress, and increased healthcare utilization. Feeding tube weaning is an essential component of care for children who are tube-fed. The literature indicates that tube weaning protocols are largely successful, and younger children have the highest rate of success. However, there are few long-term studies of how well children can sustain their growth and avoid adverse events like hospitalizations following tube weaning. It is critical to understand long term risk following tube wean and identify which patients may need additional monitoring and support following successful …

Community-Based Participatory Research In Developing Online Nutrition Tools: A Pathway To Relevance And Engagement, Laura Justice, Stacy Phillips

EFNEP

This article explains how Community-Based Participatory Research (CBPR) can strengthen the design of digital nutrition tools by ensuring they are culturally relevant, accessible, and grounded in community needs. By engaging participants as equal partners, CBPR enhances trust, usability, and long-term impact. The approach aligns with EFNEP’s mission to deliver inclusive, community-driven nutrition education and provides a framework for developing sustainable, adaptable tools that reflect the lived experiences of the families Extension serves.

Beyond Stabilization: Biological Healing, Structural Exclusion, And The Recovery Gap After Border-Fall Trauma At The U.S.-Mexico Border, Julia Robinson

Undergraduate Honors Theses

This honors thesis examines the biochemical, ethical, and public health consequences of insufficient post-operative follow-up care for undocumented immigrants injured in border falls. Discussing pathways of inflammation resolution, wound healing, and bone remodeling, this thesis argues that recovery depends on tightly regulated molecular and cellular processes that are highly vulnerable to disruption without continued monitoring and rehabilitation (Loi et al., 2016; Maruyama et al., 2020). When follow-up care is absent, these processes can be predicted to derail, leading to infection, impaired healing, and permanent disability (Chung & Sohn, 2025; Howard et al., 2020; Kruidenier et al., 2018). Framed through principles …

Return To Nicu Follow-Up: A Multiple Factor Analysis, Jenna Saviano

ETD Collection

Neonatal Intensive Care Unit (NICU) follow-up programs are critical for monitoring the developmental outcomes of preterm and medically fragile infants. If deemed necessary, these programs may also provide referrals to various intervention modalities; however, loss to continued follow-up remains a concern in pediatric health care. To increase the understanding of how infants can be retained in medical and developmental follow-up programs, this study examined socio-demographic, caregiver, medical, and attendance-related predictors of loss to follow-up among infants enrolled in the NYU Langone Medical Center’s Neonatal Comprehensive Care Program (NCCP). The sample included 193 preterm infants who received neurodevelopmental follow-up between 2021 …

Improving A1c Levels Through An Individualized Diabetes Education Among Patients Living With Type 2 Diabetes, David W. Cardona Jr.

Doctor of Nursing Practice Final Manuscripts

Type 2 diabetes mellitus (T2DM) represents an increasing global health, social, and financial burdens. Nutrition, among other diabetes self-management topics, is a foundational aspect in managing T2DM. Significant knowledge gaps persist among patients regarding the impact of mindful eating habits in relation to euglycemia. Individualized diabetes education focused on healthy eating habits offers a promising strategy to address this gap. The quality improvement (QI) project aimed to evaluate the impact of diabetes education, focused on nutritional awareness, and mindful eating habits on hemoglobin (A1c) levels, weight, and diabetes self-management questionnaire scores (DSMQ-R) were assessed among adults living with T2DM. The …

Reassessing Skeletal Stress Indicators: Implications For Changing Population Health In The Freedman’S Cemetery, Dallas, Tx, Samantha M. Mccrane, Megan Fry, Siobhan A.E. Summers

Human Biology Open Access Pre-Prints

Inferring biological stress from stature and skeletal pathological conditions is common practice in bioarchaeology. Interpretations of these data can greatly enrich knowledge about past peoples’ lifestyles, cultural practices, and socio-political constraints and shifts. However, interpretations are not always clear, are often drawn from a single skeletal indicator of stress and not always subjected to statistical testing. In this study, we reanalyze archaeological data from 742 individuals buried at Freedman’s Cemetery in Dallas, Texas. We focus on four commonly used skeletal measures of ‘stress,’ broadly defined (stature, linear enamel hypoplasia, porotic cranial lesions [e.g., cribra orbitalia & porotic hyperostosis], and bone …

Early Chemical Markers Of Spoilage In Thermally Processed Tomato Paste: A Rapid Approach For Shelf-Stable Foods, Hussein Ali Shaghati, Rawia Mahmood Yousif

Al-Nisour Journal for Medical Sciences

This study aims to reduce the incubation period (commercial sterility test) of tomato paste cans before the bacteriological inspection in quality control laboratories. 62 cans of tomato paste were incubated under temperatures (mesophilic 25,37°C and thermophilic 55°C) to accelerate potential spoilage. Chemical indicators(pH, titratable acidity, and lactic acid) and microbial indicators (Total plate count and yeast/molds) were monitored daily to identify the earliest reliable spoilage signals. Incubation at elevated temperatures accelerated acid buildup. D+L lactic acid levels measured using a rapid enzyme assay increased with titratable acidity, while pH decreased. Meanwhile, total platelet counts remained at very low levels, while …

Effect Of Different Methods Of Smoking On Serum Level Of Vitamin D Among University Students In Baghdad, Sabiha Aljubory, Usama Salman Altimari

Al-Nisour Journal for Medical Sciences

Vitamin D has different biological actions in the body. Vitamin D has pleiotropic effects in multiple organ systems. Vitamin D deficiency has been found to have an inverse relationship with tobacco smoking. The objective of this study was to identify the prevalence of Vitamin D level and its correlates with tobacco smoking among University student male and female. Volunteer was conducted on a sample of university student, both males and females Iraq, during the period from January to December 2020. A pretested questionnaire was used for data collection adopted from previous standard national surveys and studies, and the questionnaire included …

When Stress Cardiomyopathy Meets Iron Deficiency: A Retrospective Cohort Study, Emmanuel Olumuyide Md, Alfredo Toll Md, Lukan Abdulraheem Md

Scientific Day

Background/Significance:

Iron-deficiency anemia (IDA) commonly complicates cardiovascular disease, but its association with outcomes in stress cardiomyopathy (SC) is not well defined.

Purpose:

We examined whether IDA in SC is associated with higher in-hospital mortality and greater resource utilization.

Methods:

Using the National Inpatient Sample (2016–2022), we identified adult SC hospitalizations and stratified admissions by IDA status. Survey-weighted multivariable logistic regression evaluated the association of IDA with in-hospital mortality (primary outcome).Key secondary outcomes—cardiogenic shock (CS), mechanical circulatory support (MCS), acute kidney injury (AKI), vasopressor use, length of stay (LOS), and total hospital charges (THC)—adjusting for demographics, comorbidities, and hospital characteristics.

Results: …

Music Therapy For The Treatment Of Body Image Dissatisfaction: Implications For Future Practice, Elizabeth Hope Vance

Honors Projects

Body image dissatisfaction has become a growing concern in recent decades. Negative body image has been linked to anxiety, depression, elevated stress, eating disorders, and relational problems (Smith et al, 2024). Body image can negatively affect a wide variety of populations such as cancer survivors, people diagnosed with eating disorders, and adolescents. Fortunately, recent studies have investigated ways to improve body image perceptions among those affected.  Common treatments for body image dissatisfaction include Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and alternative therapies (Peng & Xie, 2021).  Despite social efforts to reduce negative body …

When Metabolism Meets Mind: The Diagnostic Challenges Behind Late-Onset Otc Deficiency, Rebecca Hoshaw Do, Lauren Amendola Do, Faap, Catherine Raquel Bs, Mallory Logsdon Do, Faap

Scientific Day

Introduction/Background:

Ornithine transcarbamylase deficiency (OTCD) is the most prevalent urea cycle disorder (UCD), affecting ~1 in 60,000 people. As an X-linked condition, it was historically associated with severe neonatal disease in males. However, newer data shows females often present postnatally with highly variable symptoms and age of onset, frequently causing mis- or delayed diagnosis.

Description:

We report a case of a 10-year-old female with cyclic vomiting syndrome, attention deficit/hyperactivity disorder, and recent orthopedic surgery who presented with acute onset altered mental status, lethargy, and visual hallucinations without focal neurologic deficits on exam. Initial labs were notable for normal glucose and …

A Unique Complication Of Roux-En-Y Gastric Bypass: Relapse Of Atypical Anorexia Leading To Persistent Hypoglycemia In A Transgender Patient, Syed Basit Haider Md, Sameen Hassan Md

Scientific Day

Introduction/Background:

Post-bariatric hypoglycemia is a known complication of Roux-en-Y gastric bypass (RYGB), often due to dumping syndrome or, rarely, noninsulinoma pancreatogenous hypoglycemia syndrome (NIPHS), characterized by hyperinsulinemic postprandial hypoglycemia from pancreatic β-cell hyperplasia. Eating disorders, including anorexia, are prevalent in bariatric candidates (up to 17-19% with binge eating or depression per meta-analyses). Though anorexia nervosa relapse, post-surgery is uncommon and underreported. Current guidelines (AACE/TOS/ASMBS 2020) recommend preoperative mental health evaluation but do not view eating disorders as absolute contraindications unless active and untreated.

Description:

A 37-year-old transgender woman (MtF) with prior type 2 diabetes and morbid obesity (>270 lbs) …

Pfas Exposure And Gastrointestinal Cancer: A Population-Based Exploratory Study, Ashley Robinson Do, Eli D. Ehrenpreis Md, Agaf, Facg, Ethan Anderson Do

Scientific Day

Background/ Significance:

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental pollutants known as “forever chemicals.” PFAS accumulate in human tissue and have potential for carcinogenesis. Prior studies have examined the effects of environmental exposure to PFAS on human disease and suggest a link between PFAS exposure and breast and thyroid cancer, but associations with gastrointestinal (GI) malignancies have not been assessed.

Purpose:

We conducted a geographic ecological analysis to examine correlations between PFAS concentrations and the incidence of GI and other cancers across the United States.

Methods:

County-level cancer incidence rates for multiple cancers were merged with maximum PFAS drinking …

Elucidating The Potential Impact Of Solute Carrier Family2 (Glut4) In Newly Diagnosed Dm-2 Patients, Marwa Ghanim Hashim, Zahra'a Abdul Al-Aziz Yousif, Farah A. Al-Waeely, Raya Khalel Ibrahem

Al-Nisour Journal for Medical Sciences

Background: Diabetes mellitus is a progressive metabolic condition marked by hyperglycemia due to irregularities in insulin production or activity, leading to poor carbohydrate, protein, and fat metabolism. Dysfunctional glucose transporter-4 (GLUT4) activity, characterized by insufficient expression or poor redistribution to the cell membrane, is a critical element in the pathogenesis of type 2 diabetes mellitus (T2DM). This defect limits cellular glucose uptake, leading to energy deficits and elevated blood glucose levels. Objective: What is the clinical diagnostic potential of serum GLUT4 levels in newly identified type 2 diabetic people, and how do these levels correspond with established metabolic parameters? Materials …

Unpacking Barriers And Enablers To Quality Early Childhood Education And Care In Lebanon: A Multi-Level Perspective, Rana Bassaj, Caroline Floccia

School of Psychology

This article investigates the barriers and enablers to quality early childhood education and care (ECEC) in Lebanon’s complex and multilingual context. In this qualitative study, 56 stakeholders—ministry representatives, NGOs, educators, parents, and healthcare professionals—were interviewed. The study reveals a fragmented governance structure and inequitable funding that impact the quality and equitable access to ECEC provision. Despite the value placed on ECEC and OL, systemic weaknesses, including inadequate staff compensation and donor-driven priorities, constrain progress. Findings also highlight grassroots resilience, with committed educators and NGOs adapting to meet local needs. Using Kagan’s system-level framework and Torii et al.’s (2017) quality domains …

From Chronic Constipation To Abdominal Compartment Syndrome: A Pediatric Gi Perspective, Umar Aker Do, Paula Gamero Kubota Md, Tiffany Patton Md

Scientific Day

Background/Significance:

Chronic constipation is one of the most common pediatric complaints and accounts for 1/4 of pediatric GI consults. It affects approximately 12-18% of individuals between 0 to 18 years of age. Although outcomes are generally positive with appropriate management including dietary changes, laxatives, and medications such as linaclotide, undiagnosed or inadequately treated constipation could have detrimental results. Abdominal compartment syndrome (ACS) due to fecal impaction is a considerably rare complication of constipation. We present the exceptional case of an adolescent who developed ACS secondary to severe constipation and required prolonged intensive care admission.

Description:

A 17-year-old male with a …

A Heart-Stopping Decision: An Ethical Dilemma Involving Pacemaker Deactivation At End Of Life, Hailee Grannan Md, Nora Badi Md, Kavita Sharma Md

Scientific Day

Introduction/Background:

Pacemaker deactivation at the end of life presents complex ethical and logistical challenges. While Heart Rhythm Society affirms a patient’s right to withdraw life-sustaining treatments, clinicians often experience moral distress when patients are pacemaker-dependent. Unlike defibrillators, pacemakers are perceived as integral to the body rather than external interventions, leading to concerns regarding hastening of death with pacemaker deactivation. In this case, we highlight how device manufacturer procedural requirements can also create obstacles to deactivation, resulting in unintended prolonged suffering and increased distress for the patient and family.

Description:

A 74-year-old male with metastatic renal cell carcinoma developed third-degree heart …

Balancing Safety And Quality With End-Of-Life Realities: A Single Inpatient Hospice Facility Review, Hailee Grannan Md, Sarah Riutta Phd, Kavita Sharma Md

Scientific Day

Background/Significance:

Patient safety in hospice care requires balancing traditional safety metrics with individualized, comfort-focused goals at the end of life. Inpatient hospice units manage complex symptoms, high-risk medications, and dynamic family preferences, yet limited literature characterizing safety events in this setting. Despite routine event reporting, no comprehensive evaluation of safety incidents has been conducted at Zilber Family Hospice (ZFH).

Purpose:

The purpose of this project was to characterize and analyze patient safety incidents at ZFH to identify patterns, clarify event categorization, and inform hospice-specific safety practices and staff education that support comfort and harm reduction.

Methods:

Safety incidents at ZFH …

An Analysis Of Professional Development Preferences, Needs, And Engagement Among Family And Consumer Sciences Teachers In Illinois, Sally E. Arnett

Journal of Research in Technical Careers

The purpose of this study was to identify the professional development preferences, needs, and engagement of family and consumer sciences (FCS) teachers in Illinois. Signature pedagogy and its three theoretical elements served as a foundational framework for structuring respondents' professional development considerations. Using a descriptive research design, data were collected through an online survey completed by 45 (42%) Illinois FCS teachers. Findings indicated that teachers preferred professional development that was offered in person, located within geographical proximity, and scheduled during contracted working hours. Respondents identified discipline-specific FCS content, effective lab management, and the integration of AI in an FCS classroom …

Workplace Health: Blood Pressure Education And Self-Monitoring At The Worksite, Pamela E. Carver

DNP and Student Works

Hypertension (HTN) is the most common diagnosis in the United States and one of the 10 most expensive health conditions for employers. Poorly managed and undiagnosed HTN increases health care costs and contributes to lost employee productivity. The literature strongly supports self-monitoring as key to blood pressure (BP) control, especially when paired with additional interventions such as education. Although much has been done to review various worksite health promotion programs over the last 20 years to 30 years, specific evidence regarding the potential impact of providing BP self-monitoring equipment at the worksite is lacking. The purpose of this study was …

“We Are Physically Alive But Mentally Dead”: The International Community Must Take Action To Ensure Women’S Right To Education In Afghanistan, Solveig J. Clifford

BYU Law Review

International treaties recognize the right to education as a fundamental human right. The Taliban, which currently act as the government as Afghanistan, are legally bound by treaty obligations to respect the right to education. The Taliban have banned women and girls from receiving education past the sixth grade, which is illegal under international law. During the Taliban’s previous regime in Afghanistan, they implemented a similar policy, which had disastrous results for an entire generation of Afghan women. Once again, the education ban is causing severe harm to the women and girls of Afghanistan. The international community has failed to take …

Human Service Professionals’ Perspectives Of Family Reunification Programs, Tasha Tolbert

Walden Dissertations and Doctoral Studies

No abstract provided.

Impact Of Adverse Childhood Experiences On Chosen Career And Job Fitness, Grace Corinne Jennings

Doctoral Dissertations and Projects

This quantitative correlational study examined how experiences of abuse and neglect influenced career choice and whether individuals perceived their chosen careers as a good fit. Data were collected through an electronically distributed survey shared via social media, resulting in a sample of 542 participants. Analyses explored relationships between ACE scores, career field, job fit, and demographic variables including age and sex. Findings indicated that there was no statistically significant relationship between ACE scores and perceived job fit. Additionally, there were no statistically significant differences between men and women in reported levels of job fit, nor between sex and highest level …

Self-Care Professional Development On Preschool Teachers’ Mindful Self-Care And Burnout: A Quantitative Research Study, Tiffany Gibby

Doctoral Dissertations and Projects

The purpose of this quantitative, experimental, pretest-posttest control-group design study with random assignment is to determine if self-care training changes mindful self-care and burnout scores of preschool teachers. The study fills the gap in the literature on whether an ongoing professional development approach to self-care is effective. The issue is more research is needed to determine if there is a difference in self-care activity and burnout scores between preschool teachers who receive self-care training and those who do not receive self-care training, when controlling for pre-test scores. The sample was 125 full-time, preschool teachers working in childcare centers drawn from …

Faith And Flourishing: Describing The Lived Experiences Of Christian Counselors Who Integrate Christian Faith Into Their Wellness, Angela Joy Stanley

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experience of counselors who integrate Christian faith into their wellness. The basis for this study was rooted in the work of Myers and Sweeney’s (2004) model of the indivisible self and the spiritual framework of coping for optimal health as introduced by Walker et al. (2015). Both models provide a holistic approach to wellness that recognizes the complexities of wellbeing which require the integration of multiple dimensions. Further, each model points to spirituality as an essential part of wellness. The research questions that guided this study were as follows: …

Heat Shock Factor 1 Signaling: A Novel Pathway Implicated In Rett Syndrome Pathophysiology, Sonia Gonzalez

Dissertations

Rett syndrome (RTT) is a severe neurodevelopmental disorder that is associated with loss-of-function mutations in the methyl-CPG binding protein 2 (MECP2) gene. There are limited therapeutic options to address the wide range of social, cognitive, motor, and respiratory symptoms that patients experience throughout their lifetime. To identify novel therapeutic targets, we leveraged a rare form of RTT known as MeCP2-mutation-negative or atypical RTT. Traditionally, RTT is first diagnosed clinically and then confirmed through the identification of mutations in the MECP2 gene. However, ~5% of RTT patients are found to be MeCP2-mutation-negative (atypical), despite sharing overlapping symptomology with typical RTT. We …

Silent Invaders: Stopping The Spread Of The Spotted Lanternfly, Sloane Z. Hall

Masters Theses

The Spotted Lanternfly, an invasive insect originating from China, has rapidly spread across the United States, harming agriculture, forestry, and surrounding ecosystems. It’s destructive feeding behavior severely impacts grapevines, fruit trees, and hardwoods, which directly affects wine production, farm communities, and local environments. The aim of this research was to investigate the biological, ecological, and economic stakes of the infestation, as well as the methods currently used to monitor and control its spread. Specifically, it examines how communication frameworks, design practices, and extension approaches influence producers’ adoption of recommended Integrated Pest Management (IPM) protocols. Through the research, a literature review, …