Digital Commons Network^™

Uncovering Neurodevelopmental Risk In A Pediatric Intestinal Failure Population, Lindsay R. Groh, Jennifer V. Schurman, Bri Schuler, William O. San Pablo Jr, Dana M. Bakula

Research Showcase

Introduction: Intestinal failure (IF) is the need for total parenteral nutrition (TPN; nutrition through an IV) for longer than 60 days due to intestinal disease, surgical intervention, or dysfunction. Children with IF are at increased risk for developmental and mental/behavioral health concerns, due to anesthesia and prolonged hospitalizations during sensitive developmental periods, interruptions to the brain-gut axis, and exposure to medical trauma. However, psychosocial research on this population is limited and the prevalence of developmental and mental/behavioral health conditions in children with IF is unknown. We sought to assess the prevalence of developmental, mental, and behavioral health concerns in children …

Cheers! Exploring Consumer Perceptions Of No And Low-Alcohol Beer Messaging, Brian R. Kinard

Atlantic Marketing Association Proceedings

No abstract provided.

The Association Between Sarcopenia And Functional Outcomes After Bipolar Hemiarthroplasty In Elderly Patients With Displaced Femoral Neck Fracture. Structural Equation Modeling., Sanzhar Artykbay, Stephen J. Kerr, Saran Tantavisut

Chulalongkorn Medical Journal

Background: Sarcopenia is an underrecognized condition that may impair recovery after hip fracture surgery in older adults.

Objectives: This study aimed to assess the impact of sarcopenia on functional outcomes and hip muscle strength in elderly individuals with femoral neck fractures while accounting for other potential confounding factors through a structural equation model (SEM).

Methods: Between January 2023 and October 2024, a prospective cohort study at a tertiary university hospital enrolled patients aged 60 and older undergoing bipolar hemiarthroplasty for displaced femoral neck fractures. Functional recovery was evaluated at 3-months follow-up using the Barthel Index (BI), Short Physical Performance Battery …

Discharge Rates From Pediatric Emergency Departments Against Medical Advice Can Be Reduced By Improving Service Quality, Sounira Mehri, Josef Finsterer

Saudi Medical Journal

No abstract provided.

Prevalence And Antimicrobial Susceptibility Patterns Of Nosocomial Bacteria Across Different Units At King Faisal Complex Hospital, Taif, Kingdom Of Saudi Arabia, Nahed Hawsawi, Renad N. Al-Jaiud, Layal L. Khyyat, Kholoud Alsulimany, Manhal Shabat

Saudi Medical Journal

Objectives: Nosocomial infections significantly impact patient morbidity, mortality, and healthcare costs. To determine the prevalence, bacteriological profiles, antimicrobial susceptibility patterns, and resistance distribution of pathogens causing nosocomial infections at King Faisal Medical Complex, Taif, Kingdom of Saudi Arabia. Methods: This cross-sectional study was conducted between September 2023 and March 2024 at different hospital units following ethical approval. Samples (n = 667) were collected from patients (both genders; all ages) exhibiting infection symptoms ≥ 48 h post-admission and pre-antibiotic administration. Bacterial identification involved culture, Gram staining, and biochemical tests. Antimicrobial susceptibility was tested using the Phoenix100 system. Results: Of 667 patients, …

A Retrospective Cohort Study Of Uterine Cancer Epidemiological Analysis And Age-Based Disparities In Saudi Arabian Population Across 32 Years, Sallwa M. Alshehre, Mohammad A. Althubiti

Saudi Medical Journal

Objectives: To investigate the burden of uterine tumour in Saudi Arabia during the past 32 years (1990–2021), with an emphasize on the prevalence, incidence, mortality, and disability-adjusted life years (DALYs). Knowing these patterns strengthen the national aims of cancer control under Kingdom of Saudi Arabia (KSA) Vision 2030. Methods: A retrospective study was performed using data retrieved from the Global Burden of Disease (GBD) database. The work included population from Saudi Arabia between 1990 and 2021 and tested standardization age-specific metrics, involving uterine tumour incidence, prevalence, mortality, and DALYs. Results: Uterine tumour cases raised from 507 in 1990 to 6,366 …

Seroprevalence Of Hepatitis B And Hepatitis C In Patients Hospitalized In Palliative Care Service, Meryem Betos Koçak, Burcu Güler

Saudi Medical Journal

Objectives: Patients receiving palliative care often have complex comorbidities and frequent healthcare exposure, which may place them at risk for blood-borne infections such as hepatitis B virus (HBV) and hepatitis C virus (HCV). However, data on the seroprevalence and prognostic impact of these infections in palliative populations remain limited. This study aimed to determine the seroprevalence of HBV and HCV markers in patients hospitalized in a palliative care unit and to assess their association with mortality. Methods: This retrospective study conducted on 545 adult patients a tertiary palliative care unit between 2018 and 2024. Demographic characteristics, comorbidities, nutritional support, mobility, …

Artificial Intelligence In Dialysis Therapies: Applications In Hemodialysis And Peritoneal Dialysis For Managing Infectious Diseases And Complications, Waleed H. Mahallawi

Saudi Medical Journal

This narrative review synthesizes evidence from a systematic literature search (2019–2025) on artificial intelligence (AI) applications in hemodialysis and peritoneal dialysis for managing infections and complications. Dialysis patients face infection rates 100-fold higher than the general population and sepsis mortality exceeding 35%. The AI, utilizing machine learning algorithms such as XGBoost, deep neural networks, and explainable AI tools, revolutionizes care through precise diagnostics, prognostics, and therapeutics. Key models demonstrate high accuracy in predicting bloodstream infections (area under the curve [AUC] 0.914), classifying peritonitis (F1 0.93), detecting SARS-CoV-2 (AUROC 0.82), and forecasting mortality (AUC 0.979). Therapeutically, AI guides antibiotic stewardship, reducing …

Contribution Of Interleukin-6 (Il-6) To Body Defense And Healing In Pulmonary Tuberculosis, Hasrah Junaidi, Annis C. Adi, Soedarsono Soedarsono, Soetjipto Soetjipto, Chatarina U. Wahyuni, Fariani Syahrul, Mahmudah Mahmudah, Zakiyuddin Zakiyuddin, Iskandar Arfan, Abdullah A. Mamun, Rubia Sari

Saudi Medical Journal

Objective: To examine the contribution of IL-6 to host defense and healing in pulmonary tuberculosis (TB). Pulmonary tuberculosis continues to pose a significant global health challenge, with disease outcomes determined by complex host–pathogen interactions. Interleukin-6 (IL-6), a multifunctional cytokine, has been implicated in immune regulation and tissue recovery during TB, but its specific role is not fully established. This review aimed to examine the contribution of IL-6 to host defense and healing in pulmonary TB. Methods: A comprehensive literature search was performed across PubMed, Scopus, Web of Science, ScienceDirect, and Medline following PRISMA guidelines, covering publications from 2015 to 2025. …

Linguistic Analysis Of Translating Food Product Labels From English To Arabic In Saudi Arabian Market, Majdah M. Aseeri

UB Journal for Humanities

This study examines the interpretations of eight English-Arabic labels for food products available in the Saudi market. The analysis of translations focuses on the translation methods employed within Venuti’s frameworks of domestication and foreignization. The study analyzes explicitly prevalent translation procedures used for food product labels and evaluates their alignment with Venuti’s favored approach of foreignization. Moreover, it examines whether these procedures have resulted in any modification of the original message. This study performs a quantitative analysis that contrasts different aspects. Calculations are performed on the frequencies and percentages of procedures identified to achieve precise statistical outcomes. While transliteration, borrowing, …

The Effects Of Food Insecurity And Child Health On Educational Achievement In Virginia Counties, Peyton T. Randall

Honors Projects

This study examines the relationship between county-level socioeconomic and demographic factors and student performance on Virginia Standards of Learning (SOL) math and reading assessments in 2023. Using data from 127 of Virginia’s 133 independent counties and cities, this study conducts an ordinary least squares (OLS) regression. The analysis shows a strong negative association between food insecurity, measured by the Identified Student Percentage eligible for free school lunch (ISP), and chronic absenteeism with SOL pass rates. These findings show food insecurity and absenteeism as key drivers for achievement disparities, suggesting a need for further interventions and broader research using school-level and …

Overweight And Obesity Among Southeastern Nigerian Lecturers And Its Association With Absenteeism And Presenteeism, Ezenwa Victor Ejikem

Walden Dissertations and Doctoral Studies

No abstract provided.

Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams

Educational Specialist, 2020-current

The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …

Psychometric Framework For Coexistence With Large Carnivores, Benjamin Ghasemi, Gerard Kyle, Tara Teel, Rebeca Niemiec, Kevin Crooks, Jenny Anne Glikman, Neil H. Carter, John A. Vucetich, Michelle L. Lute, Stewart Breck, Beatrice Frank, Dana Hoag, Jonathan Salerno, Lily M. Van Eeden, Jeremy T. Bruskotter

Michigan Tech Publications

Human–carnivore coexistence is essential for biodiversity conservation, yet measuring the attitudes and behaviors that support it remains methodologically challenging. We developed psychometric scales to assess willingness to coexist with carnivores and the underlying beliefs of this coexistence through an iterative expert elicitation process grounded in risk perception theory and moral psychology to ensure strong content validity. The scales measure willingness to coexist and encompass individual and collective behaviors and their cognitive antecedents: perceived positive consequences, perceived negative consequences, and ethical considerations. We validated the scales based on three representative samples of Colorado residents (n = 434, 442, 433) focused on …

From Evidence To Practice: Improving Diabetic Patient Outcomes By Increasing Statin Utilization, Elizabeth Mcfalls

Evidence-Based Practice Project Reports

Cardiovascular disease (CVD) prevention in patients with diabetes is essential, as heart disease remains the leading cause of death within this population (American Diabetes Association, n.d.). The purpose of this evidence-based project is to improve patient outcomes by enhancing adherence to statin therapy. A thorough literature review yielded 246 pieces of moderate-to-high-quality evidence; of these, eight articles were appraised in detail and selected for project inclusion. The strongest evidence identified four meaningful interventions. Thus, a multimodal approach was indicated for this project. This included addressing barriers to therapy, creating practice nudges, implementing a shared decision-making (SDM) tool, and utilizing clinical …

Mindset Versus Circumstance: How Fatalism And Food Insecurity Shape Sugar-Sweetened Beverage Consumption In Young Adult Latinas, Mi Zhou, Elba Nohely Vidal, Giselle Pignotti, A. Susana Ramírez

Faculty Research, Scholarly, and Creative Activity

This study examined the association between fatalism and sugar-sweetened beverage (SSB) consumption among young adult Latinas, with food insecurity as a moderating factor. A cross-sectional online survey was conducted with 829 Latina women aged 18–29. Measures included fatalism, food insecurity, daily SSB intake, education, and income. Moderation analyses showed that fatalism was positively associated with SSB consumption (β = 5.22, p = 0.002), as was food insecurity (β = 20.40, p = 0.010). A significant interaction between fatalism and food insecurity (β = −4.85, p = 0.024) showed that fatalism predicted higher SSB intake among food-secure participants but not among …

Be Prepared For Your Nurse Practitioner Clinical Readiness Exam, Elizabeth Heavey, Renee Biedlingmaier, Colleen Burgoyne, Carnel C. Jackson

Milne Open Textbooks

This text contains case studies and review questions for nurse practitioner students; focusing on the 3Ps of nurse practitioner education (Pharmacology, Pathophysiology, and Physical (Health) Assessment) to help NP students prepare for their clinical courses and pass their clinical readiness exam.  It includes cases commonly seen in entry-level NP practice.  In addition to the three individual sections of the text that focus on cases applying content from each of the distinct courses (Pathophysiology, Pharmacology, and Physical Assessment), we included summative case studies at the end of the book that connect all three areas in a single case. Because these three …

Exploring Play: Counselor Education Strategies, Online Community Fantasy Play, And Sexuality In The Counseling Space, Nattalie Wolff-Tseng

Dissertations, 2020-current

This dissertation examines the ways that play is constructed and understood in a variety of settings. Using Relational Cultural Theory as a guiding theoretical influence, each portion examines how play influences relationships and how engagement in play and conversations about play can enhance student–teacher relationships, social connection, and the therapeutic relationship. The first section of this dissertation, the conceptual article, explores how play can support counselor education as it encourages creative engagement and discourages perfectionism, which is often noticeable in novice counselors. Play may take many forms in the classroom and offers counselor educators the opportunity to tailor activity to …

Novel Paradigm For Assessing Vestibular Perception In Children, Nicole Kirk

Dissertations, 2020-current

While objective vestibular reflexive testing has been heavily researched, there are few studies analyzing subjective vestibular perception and to date no progress has been reported on motion perception in children. It is unknown if children perceive motion like adults creating a need for research comparing these age groups for thorough clinical profiles. This study adapted an adult psychophysics protocol for school-aged children and collected data on ten typically developing children and ten healthy adults. Participants rotated at various peak velocities and frequencies in a rotary chair and were asked to report their spatial orientation (i.e., how far around they rotated) …

The Culinary History Of Korean Immigrants 1903-2025, Eun Soo Han

Masters Theses, 2020-current

This paper is an exploration into the role that Korean dishes like Kalbi, Korean marinated or grilled meat, and Kimchi, a fermented vegetable or fruit dish played in the development of the Korean Immigrant community and the cultivation of cultural identity of Korean immigrants. This paper offers a brief overview into the history some of the major dishes that forms the core of the three sections of this article with Kalbi being the main theme for the section on Korean immigration to Hawaii in 1903 and Kimchi being the main dish discussed in the second to third section that explores …

Wendy Repovich Oral History Interview, Wendy Repovich, Carter Burson

Eastern Washington University Staff and Faculty Oral Histories

Professor Wendy Repovich taught Exercise Science at Eastern Washington University (EWU) from 1990-2016.

In this interview, Repovich discusses her role as one of EWU's early professors of Exercise Science. Repovich discusses her mentorship of prospective graduate students, the growth of the Exercise Science program, changes to campus during her time there, and the importance of hands-on education in the Exercise Science program.

The transcript has been reviewed by the interviewee and corrections have been made for the purposes of clarity and accuracy. The original recordings have been preserved and are available upon request.

Carter Burson interviewed Wendy Repovich in Spring …

Stimulant Medications And Bone Health, Christine M Swanson, Julie H Wolfe, Chadi A Calarge

Faculty, Staff and Students Publications

Purpose of review: This review summarizes the potential impact of stimulant medications on bone health, to raise awareness and optimize their safe use.

Recent findings: Stimulant medications can impair bone health through inadequate nutrient/calorie intake and stimulation of the sympathetic nervous system, which regulates bone metabolism. However, their use decreases fracture risk in younger populations ([Formula: see text]25 years old) with attention deficit/hyperactivity disorder (ADHD), likely through reductions in impulsivity and injury. Special care may be needed when fractures occur while using these medications, as recent data suggest psychostimulants are associated with impaired fracture healing. Prescription and non-prescription use of …

There’S Just Something Special About Wise, Devon Bortz

Virginia Dental Journal

No abstract provided.

Making A Difference For The Homeless, Danny Rubin

Virginia Dental Journal

No abstract provided.

The Effectiveness Of An Educational Program On Young Swimmers Water Consumption And Dry Land Exercises, Maria Thibodeaux, Shelby Bay, Maddie Hoyt, Elizabeth Starns, Elizabeth Nix

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE/CONTEXT Although shown to improve performance, many young swimmers are reluctant to participate in dry land exercises.¹ They are also more likely to become dehydrated than their non-swimming counterparts, suggesting they are not adequately hydrating during activity and throughout their day.² Therefore, this study aimed to evaluate the impact of a four-week educational program on dry land exercises and water consumption.

Behavioral Science Applications In Collegiate Athlete Nutrition And Sleep: A Scoping Review, Maryam Yuhas, Katherine M. Kidwell, Olivia Moskuna, Rajib Mandal, Jessica L. Garay

Nutrition - All Scholarship

Nutrition and sleep are key health behaviors supporting athletic performance. Collegiate athletes in the United States (U.S.) are at high risk of insufficient dietary intake and nightly sleep given the competing demands of elite sports and academics. Researchers have developed interventions to improve collegiate athletes’ sleep and nutrition, either individually or collectively. However, progress in understanding how best to create sustained behavior change in this population has been slow. This may be due to the lack of application of behavioral science principles such as lack of a guiding theory, effective strategies, and consideration of implementation contexts. This scoping review takes …

Dying To Be Heard: The Power Of Words In The Lived Experience Of “Severe And Enduring Anorexia Nervosa”, Limor Weinstein

ETD Collection

Anorexia nervosa, especially when it lasts for several years, is one of the most challenging illnesses to treat and has a high mortality rate. Despite advancements in treatment and care, over 25% of individuals with severe and enduring anorexia nervosa do not fully recover, with many continuing to live with the illness for many years, often facing serious consequences such as disability, early death, or suicide. This Heideggerian phenomenological study explores the lived experiences of individuals who have been diagnosed with anorexia nervosa for over seven years, with a specific focus on communication and messages received, related to the illness …

Preparation And Characterization Of Walnut Polypeptide Liposomes With Bilayer Polysaccharide Modification, Chen Rui, Wang Fengjun, Zhang Guohong, Jin Feng, Peng Hongchun

Food and Machinery

[Objective] To improve the physicochemical stability of walnut polypeptide liposomes (WP-L), delay walnut polypeptide (WP) release, and conduct bilayer polysaccharide modification on the WP-L using sodium alginate (SA) and chitosan (CS). [Methods] The effects of modifications by CS and SA in different mass fractions on the physicochemical properties of WP-L are investigated. Then, the structural morphology of the liposomes is characterized by transmission electron microscopy (TEM) and Fourier transform infrared (FTIR) spectroscopy. Additionally, liposome stability under long-term storage conditions is examined. Finally, polypeptide release rates, release behavior, sustained-release characteristics, alongside bioactivity changes before and after digestion are evaluated via in …

Analysis And Identification Of Chromogenic Components In Lotus Root Powder, Zhang Yuhan, Xin Xiaobin, Yang Cheng, Min Rui, Shi Liangman

Food and Machinery

[Objective] To analyze and identify the coloring components in lotus root powder, clarify the reasons for the different colors of lotus root powder, and analyze the color variation patterns during brewing. [Methods] Five commercially available lotus root powder samples are analyzed. Acid-base chromogenic reactions and ultraviolet-visible (UV-Vis) spectroscopy are employed to preliminarily identify the chromogenic components. Ultra-high performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF-MS) and Fourier transform infrared spectroscopy (FT-IR) are used to determine their composition and structural units. [Results] The chromogenic components in lotus root powder are identified as proanthocyanidins, primarily oligomeric proanthocyanidins composed of catechins …

Foaming Properties And Structural Characterization Of Wheat Germ Albumin-Galacto-Oligosaccharide Covalent Complexes, Zhang Gensheng, Su Wenwen, Huang Xinyu, Du Yinan, Na Zhiguo, Fei Yingmin

Food and Machinery

[Objective] To improve the foaming properties of wheat germ albumin (WGA). [Methods] WGA was modified by wet glycosylation with galacto-oligosaccharides (GOS). The foaming capacity and foam stability of the wheat germ albumin-galacto-oligosaccharide covalent complex (WGA-GOS) were investigated, and its structure was characterized. [Results] Compared with WGA, the foaming capacity and foam stability of the WGA-GOS increased by 41.7% and 7.9%, respectively. Fourier transform infrared spectroscopy, circular dichroism, intrinsic fluorescence spectroscopy, and scanning electron microscopy analyses showed that the introduction of GOS altered the spatial structure of WGA, confirming the formation of covalent bonds between WGA and GOS. After modification, the …