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April 2, 2026, James Madison University

The Breeze, 2020-

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.

Effects Of Static Ankle Stretching On Balance And Gait: The Roles Of Age And Parkinson's Disease, Taylor M. Gauss

LSU Doctoral Dissertations

The focus of this dissertation involves the effects of static ankle stretching on balance and gait in adults of different ages and with Parkinson’s disease (PD). A brief introduction in Chapter 1 precedes a detailed literature review in Chapter 2, in which we identify gaps in research on balance and gait following ankle stretching and explain why ankle stretching may serve as a predominant strategy for improving motor performance in aging and PD populations. In Chapter 3, we present the first study identifying whether muscle group selection or stretch duration influences balance in young adults. Results showed that longer durations …

Beyond Therapy Culture: Solutions For Our Digital Hubris, Spiritual Bankruptcy, And The Moral Imperative Of Humility, Giancarlo Newsome, Andrew Bibb, Merrick Davis

Helms School of Government Spring Public Policy Conference

No abstract provided.

The Association Between Ultra-Processed Foods And Inadequate Sleep In Us Adults From Nhanes, 2005-2018, Seema Rajper

Undergraduate Student Symposium

Ultra-processed food (UPF), rich in sugar and fat, could affect sleep quality due to inflammation and hormonal imbalance. However, the population level data is scarce, and the findings are mixed, especially in adult populations. We examined associations between UPF consumption and odds of inadequate sleep (characterized by sleep difficulty and/or inadequate sleep duration: short sleep (<7h) or long sleep (≥9 hours)) among U.S. non-pregnant, non-lactating adults using National Health and Nutrition Examination Survey (NHANES) with a 14-year span. We assessed 33,156 adults (aged ≥ 20 y) using up to two 24-hour diet recalls from the NHANES (2005 to 2018). UPF intake was calculated using the NOVA classification system, and inadequate sleep (specifically sleep difficulty, short sleep, long sleep) was ascertained from the self-reported sleep disorder survey. Odds of inadequate sleep (aORs) were compared across the quartile intakes of UPF using population weights-adjusted multivariable general logistic regression. Of the 33,156 adult participants, 34.9% had short sleep (n=11,576), 11.9% had long sleep (n-3,937), and 24.7% had sleep difficulty (n=8,199). We also found that the highest quartile of UPF, relative to the lowest quartile, is significantly associated with 23% increased odds of short sleep (aOR=1.23, 95% CI: 1.07-1.41; p=0.023), after adjusting for all covariates. The dose-response relationships between higher UPF intake and higher risk of short or long sleep were determined, respectively (both p <0.05). However, no association was found with sleep difficulty (aOR = 1.09, 95% CI: 0.95-1.26; p =0.6185). We found the dose-response relationship between higher UPF intakes and higher risk for inadequat sleep …

Distance-Based Clustering For Identifying Patterns In Lifetime Smoking Trajectories, Maryam Eghbalizarch, Niloufar Eghbali

Artificial Super Intelligence (ASI) Conference

Cigarette smoking remains a major public health issue in the United States, causing more than 480,000 deaths annually and leading to significant healthcare and economic costs. Understanding smoking behavior over the life course is important for developing effective public health interventions. In this study, the Cancer Intervention and Surveillance Modeling Network (CISNET) Smoking History Generator (SHG), which simulates individual life histories of smoking and mortality in the United States, was used to generate the smoking trajectories. A total of 200,000 individuals (100,000 males and 100,000 females) from the 1960 birth cohort were simulated. An unsupervised distance-based clustering (k-means) algorithm was …

Innovator - Fall 2025

Innovator

06 - Message From the President

08 - Time Machine

10 - News

24 - Nureed Saeed ‘99

28 - Cell Mates

32 - Robert C. Sergott, MD

36 - Working Smarter

42 - Question & Innovate

44 - Alumni Impact

48 - Leeor Gal ‘19

50 - Class Notes

56 - In Memory

58 - Trivia

Innovator - Winter 2025

Innovator

06 - Message from the President

08 - Time Machine

10 - News

14 - New Leader for a New Century

18 - Fashion’s Fairy Godmother

22 - Diploma School of Nursing

26 - Question & Innovate

28 - Alumni Impact

30 - Ram Roundup

32 - From the Washington Ballet to Wimbledon

36 - Homecoming 2024 and Alumni Awards

42 - JCLS Alumni Day

44 - Class Notes

50 - Love Train

52 - In Memory

54 - Trivia

Innovator - Summer 2024

Innovator

06 - A Message from the President

10 - Time Machine

16 - The Nexus

32 - Our History

38 - Weaving a Legacy of Excellence

40 - Bridging the Gaps

44 - Harnessing the Qualities That Create Healthcare Heroes

48 - Question & Innovate

52 - Alumni Impact

54 - Ram Roundup

58 - Be Kind

62 - Class Notes

68 - In Memory

70 - Trivia

Innovator - Fall 2023

Innovator

06 - Get to Know Jefferson's Interim President

08 - Leadership Announcements

10 - Time Machine

14 - The Nexus

22 - Climate Change on Your Block

30 - Humana and Jefferson

34 - Question & Innovate

38 - Caffeinated Creativity

42 - Alumni Impact

46 - Ram RoundUp

50 - Brotherhood's Enduring Legacy

56 - Class Notes

60 - In Memory

62 - Trivia

Bridging Economic Growth And Literacy: Mediation–Moderation Pathways Linking Agriculture, Environment, And Poverty Reduction Across Asian Economies, Muhammad Abubakar, Wasim Abbas Shaheen, Umair Umer

Business Review

In the framework of reducing poverty, this study explores the numerous connections between economic, environmental, and agricultural aspects, paying particular attention to the moderating role of literacy. The Study aims to assess how agricultural employment, arable land, forest area, fertilizer usage, and ecological resources shape poverty outcomes in Asia. Utilizing panel data from 46 nations between 2000 to 2023, sourced from the World Development Indicators, the analysis applies advanced econometrics such as FMOLS and DOLS, alongside a panel co-integration framework validated through panel unit root and cointegration tests. Results indicate that agricultural employment significantly reduces poverty, arable land has mixed …

Implementation Of A Human Donor Breastmilk Education Program On The Usage Rates Of Pasteurized Human Donor Breastmilk For Supplementation Of Breastfed Infants In The Well-Baby Nursery, Nicole Sadorra

Doctor of Nursing Practice Projects

Background: Exclusive breastfeeding provides significant health benefits for infants and lactating individuals; however, national rates remain below Healthy People 2030 targets. Evidence suggests that infants supplemented with pasteurized human donor breast milk (HDBM) during postpartum hospitalization have higher exclusive breastfeeding rates at discharge and at six months. At a suburban Maryland hospital, formal HDBM education was not routinely provided, contributing to low utilization and stagnant breastfeeding rates.

Purpose: To determine whether implementing a structured HDBM education program for postpartum parents increases HDBM supplementation among breastfed infants and improves exclusive breastfeeding rates at discharge.

Methods: This pre-/post-test quality improvement project was …

When The Weeds Strike Back: Rethinking Aphis's Regulation Of Genetically Engineered Plants Post-National Family Farm Coalition V. Vilsack, Reagan Powers

Celebrating WCL Student Authors

No abstract provided.

Toute(S) Proportion(S) Gardée(S) ?, Anthony Lupo

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

Entomo-Composting Of Plantain Stems Using Black Soldier Fly Larvae, Kl Njoku, Cj Okonkwo, Cd Okoye

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

Food safety and security are major global concerns. Given the growing global population and limited available resources, a sustainable and stable food supply is essential. An environmentally friendly soil amendment (compost) is required to improve soil fertility and food security. This study investigated the use compost of Black Soldier fly larvae as natural substitutes for artificial fertilizers. The research was conducted by feeding different proportions of Black Soldier Fly larvae either plantain stem or a mixture of plantain stem and with plantain stem and plantain stem mixed with cow dung for 21 days. The amount of nutrients in the compost …

Feeding The Mind: Dietary Consumption And Neural Aging, Bhavani Tuppale

Senior Theses

Neural aging is the process of physiological decline in the brain and increased vulnerability to neurodegenerative diseases. Neurodegenerative diseases such as Alzheimer’s disease are associated with aging and the interaction of genetics and lifestyle choices. Previous research studies have connected Alzheimer’s disease with dysfunction in the metabolic system. To combat age-associated dysfunctions in the metabolic system, research studies propose using the ketogenic diet, which utilizes ketone bodies as an energy source instead of glucose. The thesis analyzes literature on the effect of neural aging on various model organisms, how a ketogenic diet affects aging model organisms, and how aging and …

Evaluating The Impact Of Social Determinants Of Health On Outcomes Of Type Ii Diabetes In South Carolina, Alexander G. Downs

Senior Theses

Type II diabetes mellitus (T2DM) represents a significant public health burden in South Carolina, where 13.5% of adults are affected, surpassing the national rate of 12%. This integrative literature review examines the social determinants of health most strongly associated with T2DM morbidity and mortality in South Carolina, including race and ethnicity, socioeconomic status, rural or urban residence, educational attainment, healthcare access, and food insecurity. Evidence drawn from peer-reviewed studies, epidemiological reports, and state health data reveals that African American, rural, and low-income populations bear a disproportionate share of the diabetes burden in the state. These disparities arise through multilevel mechanisms …

When Should Breach Of Good Faith Beget Punitive Damages?, Krish Maharaj

Dalhousie Law Journal

This article highlights a recent trend towards claimants seeking, and courts awarding, punitive damages in contract cases predicated on a breach of contract in conjunction with an “independent actionable wrong”—a requirement since the Supreme Court’s decision in Whiten v. Pilot Insurance—in the form of a breach of the duty of honest performance (DHP) or the duty to exercise contractual discretion in good faith (DCDGF). The article considers when and whether a claim for breach of DHP or DCDGF should in fact be actionable, and thus when such a claim should be said to satisfy the independent actionable wrong requirement for …

Paws And Practice: Overcoming Barriers To Mindfulness, Hazel Norris

2026 Awards for Excellence in Student Research and Creative Activity - Documents & Media

With the rise in chronic illnesses, healthcare professionals have sought to improve habits and behaviors to extend longevity and quality of life. However, for many people, unhealthy habits, such as smoking or binge eating, may develop as a way of coping with life stressors, which can make behavior changes harder to implement. Recently, there has been an increase in new research on whether improving mindfulness could be used to combat this problem. If mindfulness does encourage more engagement in health-promoting behaviors while protecting against risky behaviors, mindfulness-based behavior interventions could be very valuable for improving the health of college students …

Association Between Caffeine Consumption And Academic Performance In Gwu Undergraduate Students, Elden Badua, Leslie Davidson

GW Research Showcase 2021-2026

No abstract provided.

Association Between Cardiovascular Fitness And Strength Fitness Status Across Distinct Phenotypes In Exercising Women, Gianna Filippou, Jordyn Walters, Andrea Osorio, Felipe Cabello, Allie Chetta, Clara De Torres Ensenat, Karla Cordero-Ortega, Shery Kamel, Carmen P. Ortega-Santos

GW Research Showcase 2021-2026

No abstract provided.

Exploring The Impact Of Cat Nutrition On Consumer Purchases: An Examination On Feline Microbiome, Health, And Owner Responses, Cassidy Curry

Honors College Theses

The gastrointestinal (GI) microbiome plays a critical role in feline health, influencing conditions such as inflammatory bowel disease (IBD), kidney disease, and other digestive disorders. Diet is a major factor affecting microbial balance, yet many cat owners lack sufficient knowledge of feline nutrition. This may lead to suboptimal feeding practices that negatively impact microbiome stability. This study aimed to evaluate the relationship between an owner’s nutritional knowledge and their pet food purchasing decisions. Specifically, it examined feeding schedule, food type and consistency, supplement use, and veterinary engagement. A 13- question survey was administered to 84 Murray State University Honors College …

Outdoor Learning In Rural Schools: Lessons From A Positive Outlier Case Study, Lauren E. Jacobs, Christiaan G. Abildso, Adam J. Daigneault, Jessica E. Leahy, Christopher J. Nightingale

The Rural Educator

This study explored the barriers and facilitators to outdoor learning and outdoor activities in a small K–12 case school in rural Maine. The case school was a positive outlier (PO), providing significant outdoor learning and activity opportunities to all students during the school day. Outdoor learning and outdoor pursuits in school settings can increase student physical activity, provide opportunities for students to reap the mental and emotional benefits from time in nature, and help them make important connections to local culture. The positive outlier methodological approach sought to uncover reasons for the case school’s PO status and find practical strategies …

The Significance Of Vaccine Education In Vaccination Status, Emma Webb

Honors College Theses

In recent years, more of the general population of the United States has become skeptical about vaccines and overall vaccination numbers have declined. Since the Covid-19 pandemic, vaccines have become somewhat of a controversial topic due to varying opinions about the adverse reactions and effectiveness of vaccines. The purpose of this study was to determine if there is a correlation between a person’s overall knowledge of vaccinations and a person’s vaccination status by asking a series of questions about the science used in vaccines and identifying the participant’s vaccination status in regards to influenza and Covid-19. This study also asked …

The Highs And Lows Of Life In A Valley: Topographic Controls On Tundra Vegetation In A Warming Arctic, Ruth S. Dunlap

Biology Honors Projects

Topographic heterogeneity structures Arctic plant communities, impacting broader ecosystem responses to climate change. The role of topography in shaping leaf physiological, nutritional, and structural traits in the Arctic is important, yet not well characterized across diverse tundra landscapes. To address these controls, we examined plant community composition and measured leaf traits in a few representative species along a heath-slope-valley gradient in Varanger, Norway. Our results indicated that valleys are more biodiverse, driven by forb and graminoid dominance, whereas slopes and heaths had less diversity with high shrub abundance. Leaf physiology and structural traits did not vary across topographic positions, though …

Experiences That Influence Nurse Educators To Stay, Dana L. Crowder

PhD in Education

By 2030, the World Health Organization (WHO) predicts a worldwide RN shortage of nearly 5.7 million (Poole & Spies, 2022; WHO, 2024a). The need for more RNs necessitates the need for more students to graduate nursing programs; however, in 2024, almost 66,000 qualified applicants were not accepted into nursing programs because of limited space due to a shortage of nurse educators (AACN, 2024b; Welch et al., 2023). A nurse educator shortage exacerbates the national nursing shortage, ultimately decreasing the quality of patient care and positive patient health outcomes. The purpose of this phenomenological, qualitative study was to understand why nurse …

Unpacking Developmental Programming: A Conceptual And Historical Analysis In The Context Of Dohad, Andrea Gretchev, Heide S. Temples, Gillian England-Mason, Deborah Dewey, Sara M. Sarasua, Christopher Farrell, Vivian Haley-Zitlin

Publications

The Developmental Origins of Health and Disease (DOHaD) paradigm posits that early environmental factors may influence a child’s development and long-term health outcomes. Developmental programming (DP) is central to this paradigm, whereby specific early life exposures during critical periods of development are associated with changes to physiological and metabolic pathways, potentially predisposing individuals to disease. However, no standard definition of DP exists, and various terms have been used to describe similar processes. This analysis aimed to develop a conceptual definition for DP to inform interdisciplinary research, education, and practice. Walker and Avant’s eight-step method was employed to analyze the literature, …

Testing The Effectiveness Of Integrating Family Planning Information And Counselling Services In Food Distribution Programmes In Refugee Settings In Ethiopia, Yohannes Dibaba Wado, Bonnie Wandera, Yadeta Bacha, Francis Obare, George Odwe, Dagim Habteyesus, Peter Kisaakye, Stephen Kizito, Stella Muthuri, Gloria Seruwagi, Hellen Akinyi, M. Alemayehu, M. Girma, M. Enjamo, Caroline W. Kabiru, Chi-Chi Undie

Humanitarian Task Force

Humanitarian crises expose women and girls to heightened risk of unintended pregnancy due to increased risk of sexual violence as well as disruption in access to and provision of sexual and reproductive health and rights (SRHR) services. Unintended pregnancies in turn result in unplanned births and, in contexts with restrictive abortion laws, maternal morbidity and mortality due to unsafe abortion or miscarriage. This makes innovative, evidence-informed solutions to address unintended pregnancy that take into account the unique circumstances of women and girls in humanitarian settings critical. Evidence-informed solutions should consider how best to reach women and girls with SRHR services …

Spectrum, Volume 56, Issue 8, Sacred Heart University

Newspapers (Obelisk & Spectrum)

Highlights include: Student Voices Heard with the Biannual Climate Survey -- Human Cadaver Lab at the CHE -- Campus Comes Together to Pack Over 20,000 Meals -- One Goal Short of History -- New Division 1 Acrobatics and Tumbling Team

Comparison Of Levels Of Bmi, Stress, And Depression Of Women During The Prenatal Period Relative To Their Activity Levels, Kalayna King

Honors Theses

This study aimed to analyze the relationships between activity levels, Body Mass Index (BMI), stress levels, and depression symptoms in obese pregnant women in Arkansas. Two separate exercise intervention studies were combined in this analysis to ultimately give a sample size of 293 pregnant women who were randomized into standard of care group (control) and an exercise group (treatment/experimental) (n = 115 and n = 178, respectively). Women in the control groups were instructed to independently continue to follow the physical activity guidelines recommended by their gynecologist, whereas the experimental groups participated in a combination of aerobic and resistance exercise …

Patients' Attitudes Towards Deprescribing And Associations With Patient-Related Factors Across Two Hospital Settings, Louise Westberg Strejby Christensen, Iman El Gamah, Amina Osman Ismail Barre, Daniela Claudia Moga, Anissa Aharaz, Olivia Bornæs, Rikke Lundsgaard Nielsen, Aino Leegaard Andersen, Esben Iversen, Kim Peder Dalhoff, Ove Andersen, Helle Gybel Juul-Larsen, Morten Baltzer Houlind

Epidemiology and Environmental Health Faculty Publications

Medication deprescribing is a targeted strategy to reduce inappropriate polypharmacy. Patients in primary care settings have reported high willingness to discontinue medications, but this phenomenon is less well studied in hospital settings. In this explorative post hoc analysis of two previously described clinical trials, we assessed patients' attitudes towards deprescribing in two hospital-based cohorts: acutely admitted older medical patients (≥ 65 years) in the emergency department at Copenhagen University Hospital Hvidovre (October 2018–April 2021) and multimorbid patients (≥ 18 years) referred to an outpatient clinic at Copenhagen University Hospital Amager (March 2019–December 2019). Among 104 and 72 patients in each …