Digital Commons Network^™

Implementing An Early Lactation Support Workflow To Decrease Missed Lactation Care And Increase Exclusive Breastfeeding Rates, Juleen Johnson

Doctor of Nursing Practice Projects

Background: There are life-saving health benefits associated with breastfeeding. The receipt of early and consistent lactation support improves breastfeeding outcomes. However, for C-section patients at this site, breastfeeding rates are low, initial lactation consults are delayed, and follow-up consults are sometimes not received.

Aims: This project aimed to implement an early lactation support workflow to decrease missed lactation care and increase exclusive breastfeeding rates among C-section patients on a postpartum unit. Evaluation outcomes were: (1) the receipt of initial consults within 24 hours of delivery, (2) the receipt and timing of follow-up consults, (3) exclusive breastfeeding rates, and (4) staff …

Effects Of “Zero Sugar” Energy Drinks On Microbial Proliferation In Relation To The Gastrointestinal Microbiome, Madison Hines

Honors Theses

Energy drinks have rapidly increased in popularity and availability in recent years. With the rise of high-caffeine beverages, complications due to caffeine consumption have become more common in younger populations. The aim of this study was to use controlled laboratory methods to determine the effect of energy drinks on a variety of organisms commonly found in the gastrointestinal (GI) tract. The diverse and dynamic nature of microbes in the gut makes conditions of the GI tract difficult to replicate in a laboratory setting. As an alternative, isolates of bacteria commonly found as normal flora in the GI tract were plated …

Rural Health In Pike County: A Richard & Magnolia Community Health Needs Assessment, Victoria Bracey

Honors Theses

Rural communities across the United States suffer from poor health outcomes due to lack of resources and other compounding factors that make access to quality healthcare difficult. Mississippi is a predominantly rural state, and in the southwestern region of Mississippi lies the community of Magnolia and the community of Richard within Pike County. To better understand the health needs of Pike County, a community health needs assessment was conducted. This study aimed to assess the needs of Pike County in southwest Mississippi through the use of a community health needs assessment using focus groups. Two focus groups, with a total …

Detection And Quantification Of Allergen Cross-Contact In Shared Frying Oil Using Targeted Mass Spectrometry, Francisca Asigri

Department of Food Science and Technology: Dissertations, Theses, and Student Research

Cow’s milk and egg allergies are prevalent IgE-mediated food allergies that pose significant public health concerns worldwide. Although strict avoidance remains the primary management strategy, unintended exposure can still occur through allergen cross-contact, particularly in commercial and industrial food operations that utilize shared frying oils. The objective of this study was to identify and quantify allergen transfer in shared frying oil and assess the robustness of existing targeted mass spectrometry methods (LC-MS/MS) for detecting milk and egg proteins in heated oil matrices.

Heated oil spikes were developed by incorporating non-fat dry milk (NFDM) and whole egg powder (WEP) into oil …

Navigating End-Of-Life Decisions: Cultural Considerations For Latine Patients, Michelle Carbajal Hernandez

Honors Capstones

Healthcare professionals face many challenges when communicating terminal illness prognoses for individuals. This responsibility to address a terminal prognosis is further complicated when communicating with Latine patients who may face multiple barriers within the healthcare system and whose cultural preferences influence end-of-life care planning (Carrion, 2010). For example, Latines are less likely to enroll in end-of-life (EOL) care services (e.g., hospice) (Barragan-Carrillo et al., 2022). As well as engage in end-of-life care planning than White Non-Latines (Shen et al., 2016). To understand this hesitancy towards EOL care options, this literature review aims to explore how terminally ill Latine and …

Start With What They Know: Using Motivational Interviewing To Create A Cooking Class, A Culinary Intervention For Teens (Autistic And Non-Autistic), Gwendolyn S. Tedder

LEND Trainee Presentations

Autistic teens are at greater risk for having heart disease and diabetes as adults. Food particularity, sensory issues, fixed mindset, and anxiety over trying new things can slow down their interest in preparing food for themselves. Nurturing basic cooking skills and gently encouraging trying new foods would provide more nutritional options to teens as they move into adulthood. A cooking class preceded by Motivational Interviewing (MI) developed further interest in preparing food afterward in teens, both autistic and non-autistic, and in trying new foods for autistic teens with food concerns.

Proportionate To What?, Anthony Lupo

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

Production Of Black And Navy Beans In Virginia, Harbans L. Bhardwaj, Satya S. S. Narina Ph.D.

Virginia Journal of Science

An urgent need exists in Virginia and adjoining states to identify crops to replace declining tobacco acreage. Although not traditionally grown in the region, dry beans (Phaseolus vulgaris L.) have considerable potential as alternative summer crops due to their nutritional benefits and increasing consumer demand. Information on the production potential of these crops in Virginia, however, is not yet available. To remedy this situation, replicated field trials were conducted over three years with six black and four navy bean varieties to characterize grain yields following three row spacings and three planting times. Black beans significantly out-yielded navy beans (2095 …

Enhancing Urban Garden Capacity By Linking Biodiversity And Ecosystem Function, Mary T. Nguyen, Carleen Rauh, Shelby Gresch, Charlotte Correiro, Heidi Elmendorf, Adriane Fugh-Berman, Gina Wimp, Alexandra L. Decandia

Virginia Journal of Science

Urban agriculture broadly describes food and plant cultivation in metropolitan areas. While biodiversity is thought to support ecosystem health and resilience, the relationship between above-ground and below-ground diversity has been understudied in urban green spaces. This study examines plant, animal, bacterial, and fungal diversity across three distinct urban habitats: a turf lawn, a forb garden, and a farming space. Using bacterial 16S rRNA and fungal ITS2 sequencing, soil nutrient analyses, and surveys of vegetation and wildlife, we connect diverse philosophies in urban agriculture to their role in advancing community diversity and ecosystem function. We found that different urban gardens support …

Prevalence Profile Perceived Stress And Impact On Quality Of Life For Recurrent Aphthous Ulcers: A Cross-Sectional Epidemiological Study In Egypt, Dalia Ghalwash

Dentistry

Recurrent Aphthous Ulcerations (RAU) are among the most frequent oral ulcers with unknown etiology and multiple risk factors. This study assessed the prevalence profile of aphthous ulcers, risk factors, levels of perceived stress, and their impact on quality of life in an Egyptian sample. This study involved screening 4100 individuals from the outpatient clinic, Faculty of Dentistry, The British University in Egypt, and several Egyptian governorates. Patients were subjected to clinical examination and patient interviews for accurate diagnosis and collection of data. The Perceived Stress Scale (PSS) was used to assess levels of perceived stress, and the Oral Health Impact …

Interspecific Overlap In Seabird Diet Throughout The Breeding Season, Alexis V. Berkey

Student Publications

Seabirds are central-place foragers that breed in multi-species colonies, providing an opportunity to study species coexistence. I quantified interspecific competition among four seabird species (common terns Sterna hirundo, Arctic terns Sterna paradisaea, Atlantic puffins Fratercula arctica, black guillemots Cepphus grylle) breeding in the Gulf of Maine in 2022, 2024, and 2025. I hypothesized that, throughout the breeding season, 1) seabird diet would change and 2) interspecific overlap in diet would increase. I compared diets across species and time using direct observation of prey feeds and stable isotope values of seabird egg membranes and blood, which provide …

The Effects Of Intermittent Fasting On Cognitive Function In College Students, Necla Cubukcu

GW Research Showcase 2021-2026

No abstract provided.

Children's Evaluation Of Gw George Reads, A Food And Nutrition Literacy Experiential Learning Program, For Preschoolers, Lisbeth Vargas Ramos, Karina R. Lora

GW Research Showcase 2021-2026

No abstract provided.

Mapping Alignment Of National Community Health Worker Programs With Who Guidelines: A Document Analysis Across 137 Countries, Molly Lauria, Madeleine Ballard, Lennie Bazira, Jordan Downey, Zuhrat Inam, James O'Donovan

GW Research Showcase 2021-2026

No abstract provided.

Patients As Stakeholders, Isaac D. Buck

William & Mary Law Review

Once a provider of public support and charity, the American hospital is now a source of dividends for private actors. Profit interests have encroached on, and increasingly replaced, the publicly minded heroism of the American hospital, the central hub of a complex and disordered health care system. This new profit-first posture creates ill effects for the people who rely on health care delivery: those who work within it, those who are treated within it, and those who pay for it. When hospitals need to deliver for their corporate shareholders, legitimate questions arise about how much they are delivering for patients …

Life Line Spring 2026, Jonathan Atwood

Life Line - The Biology Department Newsletter

In This Issue:

Greetings and Farewell: Part Deux; Signs for Trees; Passing of Dr. Mary Gahbauer: a Beloved Friend and Colleague; Dr. Lisa Marr Retires; The Department Welcomes Dr. Ann Feke; Dr. Kevin Svitana Retires; Ms. Donna Rhodeback Retires; Tucker Adds Swan Specimen to Otterbein's Collection; An UnbeLEAFable Year for the Otterbein Chapter of Botanical Society of America; Field Geology Course Visits Death Valley and Beyond; Agar Art: An Unexpected Canvas; Dr. Kevin Svitana Wins the Anderson Award for Outstanding Contribution to Groundwater Research; Introducing Opi: A New Face for Zoo and Conservation Ambassador Work; Michael Hoggarth, Professor Emeritus, Wins …

Open Repository @ Binghamton Monthly Additions And Top Downloads - March 2026, Caitlin Holton

Library Created Resources

Newly added work in the Open Repository @ Binghamton (ORB) from 3/1/2026-3/31/2026. Top downloads from same time frame.

Branding Through Semiotics, Minimalism, & Branding Psychology: The Eurekafit Brand, Torri Salem

Theses

This paper examines how the combination of minimalism, semiotics, and branding psychology work seamlessly together to create an inclusive brand with an emotionally resonate visual identity system-- a brand that is cohesive and bridges the sub-brands of EurekaFit and Eureka CrossFit. What initially started as a logo redesign of Eureka CrossFit has now expanded into this dual-branding visual system, that communicates approachability, a sense of belonging and fitness, without being intimated, to its audience. This study investigates visual signifiers like color, typography and imagery, through a semiotic analysis and approach. I reduced clutter and visual noise and was able to …

Petals Of The Mind: A Digital Floral Interpretation Of Mental States, Corine D. Arrington

Theses

Petals of the Mind is an applied studio art project that explores the use of symbolic floral imagery to visually represent internal emotional states, specifically depression, anxiety, and ADHD. This project consists of six large format digital posters created in Procreate. Each emotional category is represented by a pair of flowers selected for their symbolic and structural characteristics: Blue Poppy and Black Rose for depression, Tulip and Aster for anxiety, and Honeysuckle and Wildflower Mix for ADHD. These flowers are intentionally deconstructed through layering, fragmentation, and motion cues to mirror common internal experiences such as emotional heaviness, vigilance, cognitive scattering, …

Occupational Therapy’S Role In Supporting Caregivers Of Children And Adolescents With Type 1 Diabetes, Ania G. Millan

Student Capstone Papers

Caregivers of children and adolescents with Type 1 Diabetes (T1D) often experience increased stress, occupational imbalance, and challenges related to maintaining their own health and wellness while managing their child’s complex daily care needs. Despite the significant impact caregiving responsibilities may have on daily routines, self-care, and overall quality of life, occupational therapy’s (OT) role in supporting caregivers within endocrinology settings remains underrecognized. The purpose of this capstone project was to explore caregivers’ perceptions of their health and wellness and examine the differences and similarities between caregivers’ and occupational therapy practitioners’ (OTPs) perspectives regarding OT’s role in supporting caregivers of …

The Effects Of Body Mass Index On Fertility And In Vitro Fertilization, Morgan R. Kidd

Honors College Theses

In-vitro fertilization (IVF) is the most widely used type of assisted reproductive technology for treating infertility arising from a number of conditions. As obesity rates continue to climb in the United States, infertility has been discovered to have a direct correlation. Individuals that fall below or above the healthy body mass index range are found to have disrupted regulation of the hypothalamic-pituitary-gonadal axis, resulting in diminished reproductive health. Those that are diagnosed as infertile due to conditions caused by the effects of low body mass index or high body mass index may seek assisted reproductive technologies to intervene in achieving …

Cardiac Medication Use In Action For Duchenne Muscular Dystrophy Cardiomyopathy., Carol A. Wittlieb-Weber, Brian Birnbaum, Chesney D. Castleberry, Tyler W. Cunningham, Paul Esteso, Katheryn E. Gambetta, Emily A. Hayes, Daphne T. Hsu, Beth D. Kaufman, Benjamin Kroslowitz, Ashwin K. Lal, Angela Lorts, Hugo Martinez, Deepa Mokshagundam, Deipanjan Nandi, John J. Parent, Frank Raucci, Nelia Soares, Jonathan H. Soslow, Renata Shih, Svetlana Shugh, Chet R. Villa, Sarah J. Wilkens, Bethany L. Wisotzkey, Jennifer Conway

Manuscripts, Articles, Book Chapters and Other Papers

This study seeks to understand cardiac medication use in a large cohort of males with Duchenne Muscular Dystrophy (DMD) followed prospectively with focus on current practices and adherence to consensus directed medical therapy (CDMT). DMD patients have been enrolled in the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) Dystrophinopathy Registry since 2021. Cardiac medication use was analyzed at enrollment and most recent follow-up. CDMT was defined as concurrent use of angiotensin-converting-enzyme inhibitor (ACEi)/angiotensin II receptor blocker (ARB) /angiotensin receptor-neprilysin inhibitor (ARNI) plus beta-blocker (BB) plus mineralocorticoid receptor antagonist (MRA). Two hundred sixty-five males with DMD (median age 17.5 (IQR 14.5-21.5) …

Proximal And Distal Factors Associated With Obesity In Childhood: An Exploratory Structural Equation Model., Joseph A. Skelton, Erinn T. Rhodes, Sarah Hampl, Ihuoma Eneli, Edward H. Ip, Sit Study Research Group

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Obesity in childhood is complex; structural equation modeling (SEM) offers an approach to ascertain complicated relationships between weight and proximal (health behaviors, child health) and distal (family/household, community) variables. The objective of the study was to use SEM to map the influence of different etiological clusters on obesity in childhood.

METHODS: Secondary analysis of baseline data from patients and parents enrolled in a multi-site study of pediatric weight management was conducted. The primary outcome was weight status (utilizing percentage above the 95th percentile BMI, %95BMI). SEM was used to evaluate the influences of variables proximal and distal to child …

Understanding Atomoxetine Exposure Variability In Children And Adolescents With Adhd Through Population Pharmacokinetics., Kevin V. Tobin, Addison M. Pritchett Ms, J Steven Leeder, Joga Gobburu, Allison Dunn

Manuscripts, Articles, Book Chapters and Other Papers

Atomoxetine, a selective norepinephrine reuptake inhibitor, is a nonstimulant alternative to treat attention-deficit/hyperactivity disorder in children and adolescents. Atomoxetine exposure is highly variable due to cytochrome P450 polymorphism; however, the impact of these genetic variations has not been adequately characterized in the pediatric population. A population pharmacokinetic (PK) model was developed to evaluate steady-state atomoxetine exposures after oral administration in a large, heterogeneous population of children and adolescents with different metabolic phenotypes. Due to the highly variable and complex absorption between subjects and occasions, a two-stage approach was implemented, treating each participant/occasion as a separate individual. First, the individual atomoxetine …

Cd8 Trm-Like T Cells Expressing Perforin And Ifn-Γ Define A Pediatric Activated T-Cell Acute Liver Failure Endotype., Tamir Diamond, Catherine A. Chapin, Caroline J. Diorio, Sarah Mccuaig, Michelle Lau, Niansheng Chu, Nora M. Gibson, Portia A. Kreiger, Simon Horslen, Kathleen M. Loomes, Anna M. Banc-Husu, Jaime Chu, M Kyle Jensen, Daniel H. Leung, Amrita Narang, Beth A. Carter, Scott Elisofon, Ryan T. Fischer, Steven J. Lobritto, Mike Leonis, Anna L. Peters, Norberto Rodriguez-Baez, Rene Romero, Philip Rosenthal, David Rudnick, James Squires, Shikha Sundaram, Kyla M. Tolliver, Pamela Valentino, Valerie Durkalski, Estella M. Alonso, Edward M. Behrens

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Activated T-cell pediatric acute liver failure (TC-PALF) is the most common cause of non-acetaminophen PALF, with poor transplant-free survival. Livers in TC-PALF are infiltrated by effector cytotoxic T lymphocytes with markers of tissue-resident memory function (CD8 Trm) and an interferon gamma (IFNγ) transcriptional signature. The PALF-Immune Response Network (PALF-IRN) and the prospective TReatment for ImmUne-Mediated PathopHysiology (TRIUMPH) clinical trial (NCT04862221) aim to characterize the TC-PALF immune pathology and utility of T-cell directed therapy to improve transplant-free survival.

METHODS: TRIUMPH patients with TC-PALF were compared with healthy children and disease controls utilizing multiparameter flow cytometry and 3' single-cell RNA sequencing …

Ten Tips On How To Optimize Nutrition In Children With Chronic Kidney Disease Or On Dialysis., Nonnie Polderman, Vanessa Shaw, Caroline E. Anderson, An Desloovere, Louise Mcalister, Christina L. Nelms, Fabio Paglialonga, Pearl Pugh, Leila Qizalbash, Evelien Snauwaert, José Renken-Terhaerdt, Jetta Tuokkola, Larry A. Greenbaum, Rukshana Shroff

Manuscripts, Articles, Book Chapters and Other Papers

Optimal nutrition is central to growth and development in all children, and is particularly relevant in those with chronic illnesses. This document provides 10 practical, evidence-informed tips on the assessment and management of the nutritional prescription in children with chronic kidney disease (CKD) and those receiving dialysis. The 10 tips synthesize work of the Paediatric Renal Nutrition Taskforce, an international team of pediatric renal dietitians and pediatric nephrologists who develop clinical practice recommendations for the nutritional management of children with kidney diseases. We describe a comprehensive, three-dimensional nutritional assessment (anthropometry, dietary intake, biochemical markers) and regular monitoring tailored to age, …

Protocol For Non-Invasive Assessment Of Skeletal Muscle Structure And Function In Adolescents With Single Ventricle Heart Disease: A Cross-Sectional, Case-Control Study., Tyler A. Fick, Trent J. Herda, Emily Cramer, David A. White, Daniel Forsha

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Congenital heart disease (CHD) is the most common congenital malformation, and the most severe type, single ventricle (SV) heart disease, requires the Fontan surgical palliation. Fontan palliation minimizes hypoxemia and volume overload by separating systemic and pulmonary circulations, resulting in the absence of a sub-pulmonary pump. Skeletal muscle health may have a greater relative contribution to overall functional capacity of those with SV physiology, via the skeletal muscle (SkM) pump mechanism and oxidative capacity. The purpose of this study is to comprehensively evaluate multiple domains of SkM in this population compared to those with normal cardiac anatomy.

METHODS: Forty …

The Introduction Of Tailored Nurse-Led Lifestyle Education To Improve Quality Of Life For Adolescent Dermatology Patients With Or At-Risk For Pcos: Dnp Project Final Paper, Molly Donovan

Doctor of Nursing Practice Projects

Background: Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder affecting reproductive-age females, with symptoms often emerging in adolescence. Lifestyle modifications have been shown in evidence-based research trials to improve PCOS-related symptoms and patient quality of life, yet structured evaluation and education on comprehensive disease management is often lacking in specialty settings.

Objectives: The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to evaluate the impact of individualized lifestyle-focused nursing education on body image concerns, emotional well-being, health-related quality of life (HRQoL), and confidence in disease management among adolescent females diagnosed with or at risk for …

Antitrust, Vampires And Bloody Acquisitions, Theodosia Stavroulaki

Fordham Law Review

Private equity has rapidly seized control of large swaths of the U.S. healthcare system. This Essay argues that its takeover is not a story of efficiency or innovation but one of extraction. Drawing on a substantial body of research, it shows that private equity acquisitions are associated with rising healthcare costs, inferior care, reduced access to essential services, and deteriorating working conditions for physicians and nurses—harms that fall most heavily on marginalized communities.

These outcomes are not accidental. They stem from the private equity business model, which relies on leveraged buyouts, aggressive cost cutting, and roll-up strategies designed to generate …

Institutional Food Systems And Student Food Security: Evaluating Meal Plan Policy At An Urban University, Chrestiane Tekola, Leslie Davidson

GW Research Showcase 2021-2026

No abstract provided.