Digital Commons Network^™

A Cross-Sectional Survey Of Caregiver Knowledge, Attitudes, And Practices Related To Interoception And Feeding Responses Among Children With Adhd, Paige Mehlberg

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Background: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disability that impacts attention, impulse control, and self-regulation, which may also influence eating behaviors and nutrition status. Children with ADHD are more likely to experience feeding challenges, including selective eating, inconsistent appetite, emotional eating, and difficulty recognizing hunger and fullness cues. These challenges may be partially explained by deficits in interoception, or the ability to perceive internal body signals. Caregivers play a key role in shaping feeding behaviors. However, limited research has examined caregiver knowledge and practices related to interoception in this population. 
Objective: To examine caregiver knowledge, attitudes, and practices related …

Effectiveness Of A Six-Week Nutrition And Cooking Education Program On Nutrition Knowledge And Cooking Skills In Unhoused Families, Lucy Mehlhaff

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Objective: establish a nutrition and cooking education program at a transitional housing facility in Sioux Falls, SD and evaluate its effect on both nutrition knowledge and cooking skills in participants.
Methods: Using the nutrition education curriculum “Families Eating Smart and Moving More” (FESMM), we conducted a 6-week nutrition and cooking education program at the transitional housing facility, Bishop Dudley Center for Families (BDCFF), in Sioux Falls, South Dakota. Participants attended didactic sessions led by a master’s student in nutrition and dietetics that encouraged healthy and cost-effective eating, as well as took part in hands on cooking lessons with assistance from …

Parental Knowledge, Attitudes, And Practices Related To Interoception And Feeding Behaviors In Children With Adhd: A Cross-Sectional Survey, Hayleigh Young

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Objective: Children with attention-deficit/hyperactivity disorder (ADHD) often experience challenges related to interoceptive awareness, which can impact feeding behaviors and overall nutrition. Parents play a critical role in supporting the development of these skills, however limited research has examined parental knowledge and practices related to interoception and child feeding behaviors. Therefore, this study aimed to examine the association between parental knowledge, attitudes, and practices related to interoception and child feeding behaviors in children with ADHD to help inform the development of parent-focused educational resources.
Methods: A cross-sectional survey was developed based on a targeted review of literature examining ADHD, interoception, and …

Health Disparities In Cardiovascular Care: The Impact Of Diabetes Education And Post-Discharge Interventions For African American Adults At Risk For And After Myocardial Infarction, Trinity L. Billingsley

Nursing | Senior Theses

Background: Cardiovascular disease is the leading cause of death in the United States, affecting African American adults at higher rates compared to other racial and ethnic groups. Diabetes as a comorbidity is one of the risk factors of experiencing a myocardial infarction, remaining one of the leading causes of death among individuals with diabetes. Objective: To examine the effectiveness of structured diabetes education tailored to African American adults who are at risk for and after a myocardial infarction. Additionally assessing the complications of a myocardial infarction, the outcomes associated with structured education will be compared to the outcomes of …

Human Milk Feeding And Its Impact On The Incidence Of Necrotizing Enterocolitis, Maya C. Kern

Nursing | Senior Theses

One of the leading causes of morbidity and death for preterm and very low birth weight (VLBW) newborns is still necrotizing enterocolitis (NEC). Existing literature consistently shows that the bioactive, anti-inflammatory, and microbiome-supporting components of human breast milk, including donor human milk, significantly lower the incidence of NEC. However, a lot of infants are forced to rely on formula and nutrient fortifiers because they cannot obtain maternal or donor milk. A critical gap persists regarding whether human milk derived fortifiers offer greater NEC protection than bovine derived fortifiers in infants who must receive formula. This thesis examines three interconnected themes; …

High Expectations? Minnesota’S Cannabis Social Equity Statute Falters, Claire Cavanagh

Minnesota Journal of Law & Inequality

No abstract provided.

Central Office Dining Support Staff, Housing & Dining

Central Staff

No abstract provided.

The Law’S Failure To Protect Our Drinking Water From Pfas, Emily Levine

Indiana Law Journal

How did per- and polyfluoroalkyl substances (PFAS), the forever chemicals known to harm human health and appear in most Americans’ blood, spread so widely in drinking water? Why didn’t someone with the power and knowledge to stop this crisis step in sooner? Simply imposing limits on PFAS levels in public water systems is the bare minimum to protect American drinking water—a necessary step but only the starting point of a long path toward creating a regulatory framework that can withstand the whims of changing presidential administrations and political influences.

     It is too easy for the EPA Administrator, either out of …

The Association Between The Degree Of Social Vulnerability And Maternal Anemia And Other Adverse Perinatal Outcomes, Rubymel J. Knupp, Christina T. Blanchard, Ariann Nassel, Ashley Shea, Lindsay S. Robbins, Jeff M. Szychowski, Ashley N. Battarbee, Akila Subramaniam

Department of Obstetrics & Gynecology Faculty Publications

Objective

Maternal anemia in pregnancy is associated with many adverse maternal, fetal, and neonatal outcomes. The role of social determinants of health (SDOH) in the development of maternal anemia and other adverse outcomes is continually evolving. One such newer tool, the Social Vulnerability Index (SVI), measures an individual's community-level SDOH, with higher SVI denoting higher vulnerability. Our objective was to evaluate the association between SVI, maternal anemia, and other adverse perinatal outcomes.

Methods

Retrospective cohort study of pregnant individuals delivering singletons at a gestational age ≥23 weeks at a single center from 2014 to 2018. Patients with sickle cell disease, …

Evaluating The Mediating Role Of Gestational Phthalate And Replacement Biomarkers In The Associations Between Race/Ethnicity And Birthweight, Amir J. Lueth, Danielle R. Stevens, Sarahna A. Moyd, Elena Sinkovskaya, Ann Przybylska, Antonia M. Calafat, Julianne C. Botelho, George Saade, Alfred Abuhamad, Kelly K. Ferguson

Department of Obstetrics & Gynecology Faculty Publications

Background

Gestational exposure to phthalates is higher among non-Hispanic black (NHB) women than non-Hispanic white (NHW) women and may contribute to racial/ethnic differences in birthweight z-scores.

Objective

We aimed to investigate whether gestational phthalate and replacement biomarkers mediate the association between race/ethnicity and birthweight z-scores.

Methods

We analyzed data from 271 pregnancies in the Human Placenta and Phthalates study, a prospective cohort recruited from 2017 to 2020. Urinary phthalate metabolite concentrations were measured at up to eight time points during pregnancy and averaged to represent gestational exposure. Metabolites were grouped by parent compound. Linear regression models estimated associations in phthalate …

Mapping Climate Risks & Building Resilience: A Participatory Approach To Harvester Safety In Kakisa, Nwt., Susan Kerubo Ombwori

Theses and Dissertations (Comprehensive)

The Ka’a’gee Tu First Nation (KTFN) community in the Northwest Territories is experiencing rapid environmental changes which are driven by climate change. These changes are threatening the community’s food security. The community is seeing a disruption to its traditional land-based food systems due to increasing climate risks such as unpredictable weather, thawing permafrost, wildfires, and flooding. These changes are reducing access to traditional foods and intensifying threats to harvester safety. Building on the existing relationship with the community through previous projects, this thesis examines the impacts of climate risks on the availability and access of the KTFN’s on the land …

Healthcare Students' Perspective On The Clinical Placement Learning Environment: A Cross-Sectional Study Of Third- And Fourth-Year Students At A College Of Health Sciences In The Uae., Wuni Abdul Razak, Fatima Alrayssi, Arwa Alkarbi, Latifa Al Saedi, Suliman Salih, Ajnas Alkatheeri, Mohamed Hassaneen, Mohd Nazmi Nordin, Mbambo Collen, Emne Hammoud, Shaik Balkhis Banu, Monika Sachdeva, Noon Kamil

Health Professions Education

Purpose: This study evaluates the clinical placement learning environment from the standpoint of Year 3 and Year 4 healthcare students in the UAE. Methods: The perspectives of healthcare students on clinical learning environments were studied using the validated Undergraduate Clinical Education Environment Measure (UCEEM). Third- and fourth-year (fifth-year pharmacy students inclusive) undergraduate healthcare students (radiography and medical imaging, emergency health, midwifery, nursing, pharmacy, physiotherapy, and psychology) (n=647) at a United Arab Emirates university were invited to participate in the study. The UCEEM contains 25 items under two overarching aspects, experiential learning and social engagement, with four subscales: learning opportunities at …

Developing A Framework To Enhance Medical Student Well-Being: A Cross-Sectional Study Exploring The Interplay Between Stress, Resilience, And Quality Of Life, Omayma Hamed, Elshaimaa Ahmed, Lamiaa Mohsen, Patricia S. Sexton

Health Professions Education

Purpose: Medical training imposes significant stress on students, often leading to burnout, anxiety, and/or diminished quality of life (QoL). Resilience has been identified as a critical factor in mitigating these challenges. However, there is limited research examining how stress and resilience interact to shape QoL in undergraduate medical students. This study expands upon Lazarus and Folkman’s Transactional Model of Stress and Coping by introducing a synthesized framework that integrates resilience as both a mediator and moderator of stress, advancing the understanding of these relationships.

Methods: A cross-sectional study was conducted among 194 first- and second-year medical students at a private …

Health Students’ Knowledge, Perceptions, And Willingness Toward Artificial Intelligence In Tackling Antimicrobial Resistance: A Cross-Sectional Study, Ikhwan Yuda Kusuma, Fauziah Fauziah, Afriza Pujiati, Dhiya Zulayta, Septi Nurkhasanah, Khamdiyah Indah Kurniasih

Health Professions Education

Background: Antimicrobial resistance (AMR) causes approximately 4.95 million deaths annually. Although artificial intelligence (AI) may enhance AMR detection, surveillance, and antimicrobial use, evidence remains limited regarding how health students’ knowledge, perception, and willingness influence AI adoption for AMR control.

Purpose: This study aimed to examine the direct and mediating relationships between health students’ knowledge, perception, and willingness toward AI-based approaches for combating antimicrobial resistance in Indonesia using structural equation modeling.

Methods: A cross-sectional study involving 4,369 health students across Indonesia was conducted using a validated questionnaire. Data on knowledge, perception, and willingness were analyzed using Structural Equation Modeling (SEM), SmartPLS, …

Dda Annual Report 2026, Tennessee. Department Of Disability And Aging

Annual Reports

This document is the annual report of the Department of Disability and Aging for the fiscal year.

Overcoming The Literacy Gap In K-5 Students From A District Perspective: A Qualitative Study, Sarah G. Boles

Doctor of Education Dissertations

The purpose of this qualitative study was to explore how district leaders respond to literacy gaps among kindergarten through fifth-grade students in a small, rural school district in Northwestern North Carolina. While previous research has focused specifically on classroom practices, less is known about the role of district leadership in shaping system-level approaches to literacy improvement. Using a qualitative research design, data were collected through semi-structured interviews with 18 participants, which included nine elementary lead classroom teachers and nine elementary school leaders (five principals, two assistant principals, and two instructional coaches). The culminating focus group included six teachers, three principals, …

Exploring The Landscape Of Historical Research In Thailand, 2013–2022, Tamthai Dilokvidhyarat

Manusya, Journal of Humanities

This article examines the landscape of historical research in Thailand between 2013 and 2022 by analyzing academic articles, research projects, and theses that employ historical approaches. The study identifies three defining characteristics: a continued emphasis on Thai history, the increasing prominence of cultural history, and the significant influence of domestic contexts on research agendas. To explore ways of enhancing scholarly engagement, it conducts a comparative analysis of how leading international history journals frame research questions, engage with literature, and structure arguments. While not advocating direct emulation, the comparison highlights strategies for increasing the relevance and visibility of Thai historiography. These …

53rd Annual Food Science And Technology Conference, Leonard Koolman, Elena-Alexandra Alexa, Jesus Maria Frias

Books/Book Chapters/ Proceedings

53rd IFSTI Annual Food Science and Technology Conference on 22nd and 23rd of January 2026. Theme is 'Global Food Resilience, its challenges and strategic approaches'.

A Conserved Ethylene-Triggered Cell Death Mechanism May Underlie Hollow Stem Formation Across Plant Species, Mengxiao Yan, Weijuan Fan, Yinghui Meng, Jiamin Zhao, Wei Yang, Ziyin Xu, Yusen Gao, Haiyan Zhuang, Wuyu Zhou, Yuqin Wang, Qingjun Huang, Ling Yuan, Hongxia Wang, Jun Yang

Plant and Soil Sciences Faculty Publications

Hollow stems have independently evolved multiple times across the plant kingdom and play crucial roles in plant development and various environmental adaptations. However, the mechanisms underlying stem hollowness remain poorly understood. Water spinach (Ipomoea aquatica) is one of the few hollow-stemmed plants in the Convolvulaceae family (eudicot: asterid), and its hollow stems are essential for thriving in aquatic environments. Using histochemical staining and transcriptome analysis, we found that programmed cell death (PCD) is involved in cavity formation at water spinach shoot tips. Single-cell and spatial transcriptome analyses further revealed that ethylene and reactive oxygen species (ROS) likely drive …

Safety And Efficacy Findings From A Phase Ib/Ii Study Of Asp-1929 Photoimmunotherapy With Pembrolizumab In Recurrent And/Or Metastatic Head And Neck Squamous Cell Carcinoma, David M. Cognetti, Joseph M. Curry, Jennifer Johnson, Michael Kwon, Shirley Y. Su, Francisco Civantos, Coral Olazagasti, Joseph Valentino, Susanne Arnold, R. Bryan Bell, Michael K. Gibson, Kyle Mannion, Kathryn M. Van Abel, Katharine A. Price, Haiying Dong, Amy H. Thorne, Toshiaki Suzuki, Ann M. Gillenwater

Otolaryngology--Head & Neck Surgery Faculty Publications

Background: ASP-1929 photoimmunotherapy—cetuximab conjugated to IRDye 700DX and red light (690 nm) for localized drug activation—results in rapid, selective cell killing.

Methods: This phase Ib/II open-label study evaluated ASP-1929 photoimmunotherapy plus pembrolizumab in patients with recurrent/metastatic HNSCC (≥ 1 accessible lesion, PD-L1 combined positive score ≥ 1, ineligible for standard locoregional ther- apy). Primary objectives were safety/tolerability and objective response rate (ORR). Secondary objectives included overall sur- vival (OS) and progression-free survival (PFS).

Results: Eighteen patients (median age 63 years, 74% male) comprised the photoimmunotherapy-evaluable population. The confirmed ORR was 27.8% (95% CI 9.7–53.5); four of five responders had complete …

Dorchester Food Co-Op: Member Survey: Examining Food Insecurity And Grocery Shopping Frequency, Amrith Fernandes Prabhu, Weichun Yan, Beimnet Kebede, Hina Khurshid, Susan R. Crandall

Center for Social Policy Publications

This report presents selected highlights of the membership survey findings for the Dorchester Food Cooperative’s (the Co-op) first year. The Co-op is a community-owned grocery store that aims to increase access to healthy food, provide opportunities for employment, and reinvest in the local economy. To assess progress towards increasing food access during the Co-op’s first year of operation, the member survey examined access to high quality and nutritious food and member perceptions of their shopping experience.

Crab And Lobster Shell Meal Taste Preferences Of Dairy Heifer Calves, Summer R. Pescinski, Peter S. Erickson

Honors Theses and Capstones

Objective: This preference study was conducted to evaluate the palatability of crab shell meal (CM) and lobster shell meal (LM) when added to calf starter for post-weaned dairy heifer calves.

Materials and methods: Six calves were used for a sequential elimination experiment to rank their taste preferences when offered control calf starter, calf starter mixed with 50 g of CM, and calf starter mixed with 50 g of LM.  The calves were kept on the study for a total of 5-d split into two feeding segments.  Preference was determined by calculating the total intake of each treatment …

Enhancing Nursing Education To Improve Care For Women Experiencing A Substance Use Disorder During Pregnancy, Sadie Caddell

Honors Theses and Capstones

Introduction: Nursing education prepares students to care for patient populations by enhancing knowledge of clinical pathophysiology and applying foundational nursing skills to tailor to the unique care requirements of each patient. When analyzing the nursing course curriculums as guides for what is included in nursing education, it is essential to consider relevant patient populations to ensure adequate representation in lectures. Inclusivity of relevant patient populations within curriculums equips students to encounter a variety of patients in a clinical setting. Perinatal substance use has prevalence in the local community of this university, with 6% of all births in New Hampshire in …

Metabarcoding Ixodes Scapularis To Characterize Feeding Behavior In Comparison To Pathogen Carriage And Geospatial Distribution, Adrianna Kate George

Honors Theses and Capstones

No abstract provided.

Effects Of Perching Behavior In Broilers On Welfare And Production Benefits, Natalie G. Bunn

Honors Theses and Capstones

Broiler chickens are bred for feed efficiency, rapid growth rate, and muscle development. Conventional broiler farms utilize fast-growing breeds that reach market weight rapidly and present welfare concerns. Primarily raised indoors with little enrichment, the genetics and husbandry practices of broilers encourage inactivity and perpetuate health problems such as skeletal deformities, lameness, and pododermatitis. Despite the commonness of these issues, there is little research on the reduction of such health complications through production management. This study investigated methods to promote perching behavior and the effects of riser perch and platform perch utilization in broilers. A mixed flock of slow-growing Gray …

Differential Effects Of Growing-Season Climate Anomalies On New England Crop Yields: A 1990-2024 Comparative Analysis Of Heat-Tolerant And Heat-Sensitive Crops, Rhea Shirodkar

Honors Theses and Capstones

As rising temperatures and variable precipitation effects are becoming increasingly prevalent in New England, as does the need to consider how these climate change-induced weather patterns affect the region's agricultural productivity and food system stability. Using annual crop yield data from the United States Department of Agriculture’s National Agricultural Statistics Service (USDA NASS) and growing-season climate anomaly data from NOAA’s National Centers for Environmental Information (NCEI), this study examines how growing-season temperature and precipitation anomalies affect seven major New England crop yields (tomatoes, potatoes, sweet corn, cranberries, carrots, lettuce (head), and apples) over a 34-year period from 1990 to 2024. …

Does Volunteering Give An Extra Health Boost? Volunteering And Hypertension Risk Among Insured And Uninsured U.S. Adults In Late Midlife, Byeongju Ryu, Seoyoun Kim, Koichiro Shiba, Cal J. Halvorsen

Brown School Faculty Publications

Introduction: Hypertension is a major predictor of cardiovascular disease, a leading cause of death in the U.S. Growing evidence suggests that formal volunteering in later life may reduce hypertension risk; however, it remains unclear whether these benefits extend to adults in late midlife and whether they differ by health insurance status.

Methods: This prospective cohort study analyzed data from the 2012–2018 Health and Retirement Study. The analytic sample included 4,169 respondents between the ages of 50 and 64. Because blood pressure was measured in half the sample in alternating waves, data were pooled across waves. To address selection into volunteering, …

Technology, Capabilities, And Power In The Indian Political Economy: A History Of Growth Without Development, Apremeya Sudarshan

Student Scholarship

No abstract provided.

Food Sovereignty In Urban And Ex-Urban Communities, Ravyn Jones

Student Scholarship

No abstract provided.

How Oregon School District Staffing Allocation Proportions Relate To Student Achievement As Measured By Essa-Aligned Key Indicators On The Oregon School Report Cards, David M. Wallace

Doctor of Education (EdD)

Grounded in the Educational Production Function framework and Oregon’s ESSA-aligned accountability system, this study examined the relationship between district-level staffing allocation proportions and student achievement outcomes. Within the constrained, zero-sum context of school district budgeting, the study examined whether the proportional distribution of personnel expenditures among certified, classified, and administrative staff was associated with differences in third grade English Language Arts (ELA) proficiency, eighth grade mathematics proficiency, attendance, and on-time graduation. Using an unbalanced panel of 519 district-year observations from Oregon public school districts (2021–2024), multiple regression models controlled for student poverty, disability status, and English learner enrollment. The findings …