Digital Commons Network^™

Healthy Weight Intervention Effect On Weight Control Intention Among Overweight School-Aged Children, Pornthip Nawajongphun, Jumpee Granger, Dongruethai Buadong, Autchareeya Patoomwan

Journal of Health Research

Background: The incidence of overweight and obese children is rising all over the world. Various factors are involved, and those deficits affect these children's physical and mental health.

Methods: This study was a quasi-experimental research study to examine the effectiveness of a Healthy Weight Intervention (HWI) on weight control intention among overweight school-aged children using the theory of planned behavior. Participants were 9-12 years old, and there were 31 participants in each group. The study duration was six weeks for both groups. The data were collected using questionnaires on demographics, attitudes, subjective norms, perceived self-efficacy, and intention toward weight …

Intrapersonal, Interpersonal, And Environmental Factors Associated With Self-Directed Ageism Among Older Thai Adults, Jirawan Wittayanukorn, Piyawat Katewongsa, Yothin Sawangdee, Rossarin Gray, Tawanchai Jirapramukpitak

Journal of Health Research

Background: Self-directed ageism occurs when older adults internalize negative age-related stereotypes, a process that undermines self-esteem, reduces social participation, and leads to poorer health outcomes. Understanding the intrapersonal, interpersonal, and environmental factors that contribute to self-directed ageism is essential for developing more effective interventions to reduce it.

Method: Data were drawn from the Survey on Conditions of Society, Culture, and Mental Health (Thai Happiness) 2014, a nationally representative survey. Managed by checking for completeness, duplicates, and missingness, 8,998 people (aged 60 years and over) were included. Factors associated with self-directed ageism were analyzed using binary logistic regression analysis, taking into …

Association Of Abo Blood Groups With Dengue Fever And Its Severity: A Study In Surabaya, Indonesia, Sulistiawati Sulistiawati, Linda Dewanti, Ronald Pratama Adiwinoto, Raissa Manika Purwaningtias, Bilqis Inayatillah, Jan Nouwen

Journal of Health Research

Background: Indonesia, a dengue-endemic country, has high morbidity and mortality rates. Dengue infection manifestations vary from asymptomatic to mild to severe. One of the risk factors for infection that plays a role in this severity is blood type. A better understanding of the risk factors for dengue infection is required to prevent and control it.

Methods: This analytical observational cross-sectional study was conducted at three hospitals in Surabaya from March to May 2013. Consecutive sampling included 95 patients aged >12 years with confirmed dengue infection (IgM/IgG positive) and without comorbid severe illness. Data were collected using questionnaires, interviews, and checklists, …

Enhancing Topical Delivery Of N-Acetylcysteine And Collagen Via A Novel Electrospun Collagen/Pmma Nanofibrous Mats As Facial Mask Development: Nanofibers Optimization And In Vitro Experiments, Samar A. Salim, Galala University, King Faisal University, Badr University, National Research Centre, City Of Scientific Research And Technological Applications (Srta-City),, Badr University

Nanotechnology Research Centre

This study endeavours to craft a potent topical facial mask using electrospun nanofibers. The nanofibers were carefully fabricated based on loading of N-acetylcysteine (NAC) onto electrospun marine collagen (MC), and poly (methyl methacrylate) (PMMA) nanofibers. Through precise adjustments of electrospinning parameters, a uniform array of nanoscale fibres with a smooth surface was achieved. The morphology and chemical structure configuration of nanofibers (NFs) were examined using SEM, FTIR, and XRD analyses. Furthermore, the cytotoxic impact was assessed on a human normal fibroblast cell line (BJ1), while protein levels were gauged using the Bradford dye-binding assay (Coomassie assay). Also, the antioxidant potential …

Mental Health First Aid Certification's Impact On Filipino Nurses' Ability To Increase Personal Help-Seeking Behaviors, Self-Awareness Of Health Changes, And Improved Self-Connection, Maria Elena Holguin, Brenda Marshall, Faith Atte, Katherine J. Roberts

School of Nursing Faculty Scholarship and Creative Works

Background

Post COVID-19, almost 50% of nurses reported severe depression, and over 30% moderate to severe anxiety. Nurses from minority racial and ethnic backgrounds, including Filipino nurses, accounted for more than 54% of COVID-related deaths, despite comprising only 24.1% of the nursing workforce. Filipino nurses, making up only 1% of the U.S. population, comprise 4.5 % of the nursing workforce and face significant barriers to seeking mental health services, including stigma, a sense of shame, and adherence to cultural values that view mental illness as unacceptable.

Aim 

To assess the impact of Mental Health First Aid (MHFA) certification among Filipino …

Absolute Extraction: Utilizing Rural Critical Criminology To Examine Appalachia’S Toxic Dependence On Extractive Industries, Andrew Kennedy

The Mid-Southern Journal of Criminal Justice

Brought forth by common rhetoric, Appalachia is often viewed as the closest space to that of an empyrean domain. Separated from the sleepless city, its allure rests in its created identity of a quiet, green escape from the city, which offers serenity on all fronts. Although Appalachia can fulfill this profile, such an ascension ignores the burning yellow grass below. The purpose of this paper is to examine the history of the destruction of Appalachia through the lens of extractive industries and the region’s designation as a sacrifice zone. Through the application of rural critical criminology, this paper holds that …

Welcome From The Editors: Criminal Justice Systems Helping Communities: Provision Of Resources And Experience For Positive Change, Cassandra B. Whyte Dr., Stephen Young

The Mid-Southern Journal of Criminal Justice

No abstract provided.

Reducing Rates Of Child Abuse And Neglect: An Analysis Of Three Potential Solutions, Lauren C. Heil

The Mid-Southern Journal of Criminal Justice

Child abuse and neglect are prevalent problems, affecting an estimated one million children worldwide each year. The purpose of this paper is to evaluate and analyze three potential solutions to reduce the rates of child abuse and neglect. The three programs that were suggested were: improving overall access to healthcare, therapy and counseling, and other support services for children and families who need them, implementing more Nurse-Family Partnerships across the United States for first time mothers with visits from a registered nurse, and increasing parent’s access to economic resources and improving families overall financial security. These programs were researched extensively, …

The Controlled Substances Act: A Menagerie Of Arbitrary Regulation And Failure Of Purpose, Dylan Andrus

The Mid-Southern Journal of Criminal Justice

The Controlled Substances Act (CSA) is the primary regulatory and criminal legislation surrounding drugs in the United States. Passed in the 1970s, the CSA established the drug classification scheduling system we use today. Despite being over 50 years old today, the CSA has not achieved its goal of eliminating or even significantly reducing drug use and offenses. This paper conducts an analysis of the CSA's legislative intent versus its actual results through reviews of measures such as incarceration rates, inconsistent regulation, and disproportionate racial effects to argue that the Controlled Substances Act has failed in its mission while causing significant …

Bridging The Gap Between Substance Use Treatment Barriers In Rural Areas, Dakota Baker

The Mid-Southern Journal of Criminal Justice

The purpose of this paper is to examine the continued concern about substance abuse/misuse and limited access to treatment in rural areas. Rural areas lack the adequate treatment needed to combat substance use disorder (SUD), mainly due to the lack of sufficient providers trained to identify, treat, and support those dealing with SUD. Additional barriers such as the high cost of treatment, stigma surrounding substance use disorders, geographical barriers, and the criminalization of substance abuse are other barriers that will be discussed in this paper (Griffin & Botvin, 2010; Hargons et al., 2023; Khazaee-Pool et al., 2024; National Center for …

Lost In Translation: How Health Literacy Impacts Pharmaceutical Transactions From Healthcare Professionals To Patients, Grace Nwaege

2025 Fall Honors Capstones Projects - Archive

Health literacy is a core element of public health, involving the ability to access, understand, evaluate, and use information to maintain well-being. In the United States, it aligns with an average reading level of about an eighth grader, which continues to decline over time. As pharmacists serve as the final point of contact in most outpatient settings, their ability to communicate effectively at this literacy level is crucial. This study examines how pharmacies address this challenge using qualitative methods, including health literacy assessments of patient consent forms and stakeholder interviews with pharmacy technicians about resource use. Findings show materials higher …

Leadership Strategies For Capturing And Transferring The Knowledge Of Experienced Workers In Canadian Higher Education Organizations, Dean Allan Bulloch

Walden Dissertations and Doctoral Studies

Higher education institutions face a risk of knowledge loss when they fail to implement strategies for transferring knowledge from experienced to less experienced employees. Canadian higher education managers are particularly concerned about the adverse impact of losing explicit and valuable tacit knowledge. Grounded in the socialization, externalization, combination, and internalization model, this qualitative pragmatic inquiry study identified and explored successful strategies employed by eight Canadian higher education managers to capture and transfer knowledge from experienced employees, thereby sustaining performance. Data were collected through semistructured interviews and a review of public documents, including strategic plans, annual reports, and accountability statements. Through …

Usa V. Michael Moran

2025 Decisions

USDC for the Western District of Pennsylvania

Intersectionality, Epistemic Injustice, And Silencing: The Operationalization And Reification Of Intersectionality In Academic Research And Institutional Practices, Emery Lockwood

Theses - ALL

Intersectionality is a powerful analytic tool that can be used to better understand the role that oppression plays in society and how it shapes the way people affected by multiple systems of oppression interact with society. Recently, the unit of analysis for intersectionality has started to shift from intersecting systems of oppression to overlapping identities, which has changed intersectionality from being a tool used to analyze systemic oppression to individual’s experiences. This work explores the implications this shift has on academic research and the practice of several disciplines. Using a lens of epistemic injustice through theories of hermeneutical bastardization (Drury, …

Longitudinal Association Between Sleep Disturbance And Disordered Eating In Adolescents: The Mediating Role Of Emotion Dysregulation, Antonia Louise Hamilton

Theses - ALL

Accruing evidence suggests a significant relationship between sleep disturbances and disordered eating. Early adolescence is a period of heightened vulnerability for sleep disturbances and disordered eating. However, the longitudinal relationship between sleep disturbance and disordered eating remains unclear in early adolescent samples. The current study aims to examine if sleep disturbance longitudinally predicts disordered eating in early adolescents three years later, how the odds of having clinically significant disordered eating change per each unit increase in sleep disturbance, and if emotion dysregulation mediates these relationships. It is hypothesized that baseline sleep disturbance will predict greater disordered eating at follow-up, and …

Exploring The Role Of Astrocyte System Xc– In Excitatory/Inhibitory Balance, Samantha Olivia Sutton

Theses - ALL

Astrocytes play a central role in maintaining excitatory/inhibitory (E/I) balance in the central nervous system by supporting intracellular glutathione (GSH) synthesis and regulating extracellular glutamate. System xc– (Sxc–), an obligate cystine/glutamate antiporter encoded by SLC7a11, couples the import of L-cystine with the export of L-glutamate. It is highly expressed throughout the cortex, hippocampus, striatum, and cerebellum, where its activity provides cystine—the rate-limiting substrate for cysteine-dependent GSH production—and contributes to ambient glutamatergic tone. Although global loss of Sxc– alters seizure threshold and redox homeostasis, whether these effects arise specifically from the loss of astrocytic Sxc– has remained unresolved. This thesis examined …

Investigating The "Tend-And-Befriend" Stress Response As A Risk Factor For Sexual Victimization Among College Women, Emily Kathleen Presutti

Theses - ALL

Sexual victimization of college women is a significant public health concern on U.S. college campuses. Traditional research on the human stress response has focused on the "fight-or-flight" model, which may not adequately capture female-typical responses in stress-inducing situations. Using a mixed-methods design, we sought to determine whether the "tend-and-befriend" stress response serves as a potential correlate of sexual victimization among college women and examine whether it contributes additional variance beyond established correlates of sexual victimization such as alcohol use, history of sexual victimization, and involvement in campus party culture. The study was conducted in two phases. In Phase I, 128 …

Clinical Outcomes Of Electrosurgery For Management Of Giant Condyloma Acuminata: A Systematic Review, Fortunia Mona Eviani, Maureen Miracle Stella, Arief Budiyanto, Satiti Retno Pudjiati, Alessandro Alfieri

Folia Medica Indonesiana

Giant condyloma acuminata (GCA) is a rare sexually transmitted disease that is locally aggressive with a high recurrence rate. Electrosurgery is a minimally invasive procedure that may be less expensive, quicker, and safer than conventional surgery. This study aimed to review the management of GCA with electrosurgery. We followed PRISMA 2020 guidelines to search and retrieve literature in the following databases: PubMed, ProQuest, Taylor & Francis, ScienceDirect, JSTOR, and SAGE without time restrictions. The study inclusion criteria were original articles that studied the outcome of electrosurgery in GCA. The authors evaluated the risk of bias using the Joanna Briggs Institute …

Comparing The Antibacterial Efficiency Of Chitosan And Dextran As Nanocomposites Against Escherichia Coli, Saja Sachit, Alaa Al-Taie

Baghdad Science Journal

Nanoparticles (NPs) are widely used in many different fields and applications. In this study, Silver (Ag) NPs and Titanium dioxide (TiO₂) NPs were generated using the laser ablation method by using Q-switched Nd: YAG laser. In addition, Chitosan (CS) and Dextran nanopolymers were chosen to prepare the nanocomposites by combining the two types of nanopolymers with the generated NPs in different ratios to obtain the samples: CS and Dextran as a control, CS-Ag, CS-TiO₂, CS Ag-TiO₂, Dextran-Ag, Dextran-TiO₂, and Dextran Ag-TiO₂. Several tests were carried out on these nanocomposites such …

Biosynthesis Of Silver Nanoparticles From Halophilic Green Algae (Dunaliella Viridis) Extract And It Is Antibacterial Activity, Payman Omer Salih, Trifa Kamal Jalal, Hoshyar Abdullah Azeez

Baghdad Science Journal

Biological synthesis of nanoparticles is a new area of nanotechnology that has advantages in terms of cost and the environment compared to chemical or physical synthesis methods. The current work is carried out to synthesize silver nanoparticles (AgNPs) utilizing green algae (Dunaliella viridis Teodoresco 1905) extract as a reducing and capping agent and to evaluate the antibacterial efficacy of AgNPs. The. The measures of UV-V spectroscopy, XRD, TEM, SEM-EDSand FTIR were used to characterize the synthesized silver nanoparticles. Additionally, agar well diffusion and minimum inhibitory concentration (MIC) methods were used for antibacterial activity. The plasmon absorbance of AgNPs was …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

Hepatocyte-Specific Lrp1 Silencing Exacerbates Brain Amyloidosis Without Compensatory Ldl Receptor Family Involvement, Brian Carson, Josephine Chu, Devaraj V. Chandrashekar, Jerome Garcia, Rachita K. Sumbria, Derick Han

Pharmacy Faculty Articles and Research

Background

LDL receptor related protein 1 (LRP1) is a major hepatic receptor involved in lipoprotein metabolism, protease degradation, transmembrane receptor modulation, and clearance of excess protein, such as Aβ. Decreased expression of LRP1 due to liver injury can impair receptor-mediated clearance, increasing Aβ availability in the periphery. We investigated the effects of hepato-specific silencing of LRP1 on Aβ deposition in the brain. Additionally, other LDL family members (LRP5, LRP6, and LDLR) that may participate in Aβ clearance were monitored in the liver to ensure non-compensatory effects of LRP1 silencing.

Method

4-month-old male double transgenic (APP/PS1) AD mice were injected with …

Too Much Of A Good Thing: Otc Calcium Carbonate Overdose Causing Milk-Alkali Syndrome In A Psychiatric Patient., Alexandra She, Sangay Bhutia, Francis Jenney

PCOM Scholarly Works

BACKGROUND: In the United States, milk-alkali syndrome or calcium-alkali syndrome is the third most common cause of hypercalcemia, after primary hyperparathyroidism and malignancy. Clinically, patients present with a triad of hypercalcemia, acute kidney injury, and metabolic alkalosis. Classically, it has been associated with excessive intake of calcium and absorbable alkali, and recently it has become more common in postmenopausal females who ingest calcium supplements for osteoporosis.

CASE PRESENTATION: Here, we present the case of a 72-year-old Caucasian female with a longstanding diagnosis of bipolar I disorder who presented to the Emergency Department (ED) with a sudden onset of generalized weakness, …

Policies Of Pain: Neoliberal Rhetorics Of The Opioid Epidemic In Culture And Policy, Gina Arlene Stinnett

Dissertations - ALL

This dissertation outlines and examines the Neoliberal rhetorics of choice and responsibility, and how these rhetorics are utilized in policy and culture related to the Opioid Epidemic in the United States. Through this examination of neoliberal rhetorics in policy and culture, I unpack the circular influence these two have on each other—i.e., cultural assumptions inform policy decisions, and established policy can slowly influence cultural assumptions. The key area in which these two influence each other is through rhetoric, therefore I argue that in addition to an economic and cultural structure, neoliberalism is a rhetorical structure—it shapes our society specifically through …

Construction And Application Of Knowledge Graph For Quality Management In Bridge Pile Engineering, Fang Xiaofeng, Dong Runhao, Gu Yanke, Pan Yanran

Journal of China & Foreign Highway

To enhance the efficiency of quality management in bridge pile foundation construction,this study constructed a knowledge graph applicable to the construction field of bridge pile foundation engineering to enable systematic representation and intelligent organization of knowledge.A methodology combining top-down design and bottom-up design was adopted to develop a framework for constructing a knowledge graph for the quality management of bridge pile foundation construction that encompasses both the schema layer and the data layer.The schema layer was established through ontology modeling,clarifying the concept categories,hierarchical structure,and their attribute relationships.The data layer employed a bidirectional long short-term memory (BiLSTM ) network integrated with …

Development And Evaluation Of The Agitation In Alzheimer's Screener For Caregivers (Aasc): A Clinical Tool To Screen For Agitation., Carolyn Clevenger, W Clay Jackson, Jared Stroud, Malaak Brubaker, Mehul Patel, Iwona Bucior, Emily Bratlee-Whitaker, T Michelle Brown, Sheri Fehnel, Sue Peschin, Jeffrey Cummings, George Grossberg

Ambulatory and Primary Care Articles

OBJECTIVE: Although agitation is a common neuropsychiatric symptom in Alzheimer's dementia, it can be challenging to recognize and diagnose. Caregivers of individuals with Alzheimer's dementia are often the first to encounter agitation behaviors but may struggle to recognize and communicate symptoms to healthcare professionals (HCPs). Here, we describe the development and evaluation of the Agitation in Alzheimer's Screener for Caregivers (AASC), a practical screening tool to identify agitation symptoms and facilitate caregiver-HCP communication.

METHODS: The AASC was developed based on the International Psychogeriatric Association (IPA) criteria for agitation in cognitive disorders, input from multidisciplinary experts, and qualitative interviews with caregivers …

Surgical Treatment Of Post-Traumatic Elbow Stiffness In Pediatric Patients: A Systematic Review And Meta-Analysis, Roya Khorram, Areeb Ahmad, Reza Vafadar, Ronald Joseph Shamus, Surena Namdari, G. Russell Huffman, Amir R. Kachooei

Rothman Institute Papers

BACKGROUND: Post-traumatic elbow stiffness (PTES) has been reported in up to 21% of pediatric patients following elbow fractures and can profoundly compromise a child's function, and independence. The primary surgical approaches include open and arthroscopic arthrolysis, both of which have demonstrated improvements in range of motion (ROM) and functional scores. This systematic review and meta-analysis aims to compare the effectiveness, ROM, and complication rates between open and arthroscopic release in pediatric patients with PTES.

METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were utilized to conduct a systematic review and meta-analysis on surgical treatment for PTES. Comprehensive …

Espacios De Cambio: Evaluating Community-Based Art Therapy Within The Latinx Community, Bennie Guzman

Theses - ALL

This research presented in this graduate thesis explores the social-emotional benefits of community-based approaches of art therapy within the Latinx community. The literature contextualizes the socio-historical experiences of the Latinx community and presents an argument for the use of a community-based approach of art therapy. This study evaluates the social-emotional benefits of the “Arts as Mindfulness” program, an initiative created by the author in collaboration with La Casita Cultural Center at Syracuse University. Methods of data collection include creative reflections and a focus group with program participants. The research conducted data analysis using a hermeneutic phenomenological approach. Themes that arose …

Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …

Virtually Present In The Vastness: Vr’S Pathway To Awe And Appreciation, David Paul Peters

Dissertations - ALL

This dissertation explores how spatial presence in Virtual Reality (VR) creates awe and appreciation through the role of perceived vastness. 92 participants played a custom-built VR game (VR Nature Photographer) in three environments designed to be low, medium, and high in vastness. A repeated-measures design measured spatial presence, vastness, awe, and appreciation across conditions. Results showed higher vastness increased all four outcomes, with awe and vastness having the largest effect sizes and presence and appreciation medium sized. Mediation analyses showed perceived vastness fully mediated the effect of spatial presence on awe in all vastness conditions and partially mediated its effect …