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Developing A Healthy Lifestyle Counseling Program In The Medical Home For Pediatric Patients With Obesity: A Pilot Program, Charlotte Helvie, Carrie Gordon, Audra Buschagen, Leah Marie Seften, Tara Palnitkar, Laura J. Faherty

Journal of Maine Medical Center

Problem: Lifestyle changes can significantly improve health outcomes for children with obesity and related chronic medical conditions. Families with limited knowledge about effective ways to improve health with lifestyle changes may benefit from frequent interactions with their health care team. This team can provide additional information and support needed to make and sustain lifestyle changes. Though potentially effective, there are often barriers to this care for both providers (limited time and availability of trained axillary staff) and families (missing school and work for frequent appointments).

Approach: A new lifestyle changes program led by nurses was piloted at a primary care …

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Measuring Nursing Student’S Performance, Attitude And Psychological Impact Of Different Evaluation Approaches In Simulation Education At Arab American University- Palestine, Mohammad Asia, Maysa Kassabry

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

This study aimed to compare the competency and psychological impact of using the objective structured clinical examination (OSCE) to the traditional evaluation methods (TEM) in evaluating cardiology skills among nursing simulation students. Thirty-two students were initially assessed using TEM, and one week later using the OSCE. Scores of the student competency were compared using paired sample t-tests, while semi-structured interviews were used to expand on qualitative measures. Students' mean scores were significantly higher in using OSCE than in TEM (p< 0.001). Students' attitudes and perceptions of both approaches showed favorable attitudes towards OSCE on most of the items. The qualitative data showed that students with lower GPAs and utilizing the OSCE approach experienced higher anxiety. The psychological impact of evaluation approaches requires additional investigation.

Effect Of Different Nutrient Media On Mycelial Growth Of Different Species Of Medicinal Mushroom, Luna Ahmad, Fahed Albiski, Ramzi Murshed, Hijazi Mando, Bssam Al Okla

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The research was carried out in 2022 in the National Commission for Biotechnology (NCBT). The aim is studying the mycelium growth of 5 commercial strains of four medicinal mushroom: Ganoderma lucidum (G.l), Agaricus blazei (A.b), Hericium erianaceum (H.e) and Lentinus edodes (Tow strains: strain M3782 (L.e1) and strain straw (L.e2)), sourced of Aloha company of USA on four nutrient growth media: Potato Dextrose Agar (PDA), Malt extract Agar (MEA), Sabouroud Dextrose Agar (SDA) and Corn meal agar (CMA). The following mycelium growth parameters were studied: mycelium height (H), mycelium diameter (D), mycelium density (G), growth rate (GR) and growth coefficient …

The Effect Of The Proposed Training Program Using Body Resistance Exercises (Trx) On The Level Of Some Physical And Skill Abilities Of Female Gymnasts In Jerusalem, Hala Jaber, Ahmad Sharaf

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

The aim of this study is to identify the effect of the proposed training program using body resistance exercises (TRX) on the level of some physical and skill abilities of female gymnasts in the governorates of Jerusalem. The study was conducted on a sample of (30) gymnasts at the Rosary Sisters School, they were divided into two groups, the experimental group and its members (15) and the control group and its members (15), after ensuring the homogeneity and equivalence of the sample. The control group was subjected to the traditional program, and the experimental group was subjected to the proposed …

Modulation Of Pulmonary Epithelial Paracellular Permeability By Pneumolysin From Streptococcus Pneumoniae, Alexandra S. Tamayo Moreira

Biology Theses

Pneumolysin (PLY), a key virulence factor of Streptococcus pneumoniae (S. pneumoniae), disrupts airway epithelial barriers, yet its cellular and molecular mechanisms remain poorly understood. We aim to elucidate recombinant pneumolysin (rPLY)’s effects on Calu-3 bronchial epithelial barrier integrity and underlying pathways. This study investigates the effects of non-lytic and lytic PLY concentrations (5, 15, 30 µg/mL) to test the hypothesis that PLY increases epithelial paracellular permeability by affecting the anatomy and physiology of epithelial tight junctions. To address the hypothesis that PLY increases paracellular permeability through disruption of tight junction integrity in Calu-3 cells in a time- and dose-dependent …

Comparing Methods For Glomerular Filtration Rate Estimation, Xiaoqian Zhu, Tariq Shafi, Keith Norris, Jeannette Simino, Srishti Shrestha, Thomas H. Mosley, Michael E. Griswold, Seth T. Lirette

Data Science Publications

Background: The glomerular filtration rate (GFR), estimated from serum creatinine (SCr), is widely used in clinical practice for kidney function assessment, but SCr-based equations are limited by non-GFR determinants and may introduce inaccuracies across racial groups. Few studies have evaluated whether advanced modeling techniques enhance their performance. Methods: Using multivariable fractional polynomials (MFP), generalized additive models (GAM), random forests (RF), and gradient boosted machines (GBM), we developed four SCr-based GFR-estimating equations in a pooled data set from four cohorts (n = 4665). Their performance was compared to that of the refitted linear regression-based 2021 CKD-EPI SCr equation using bias (median …

Improved Perceived Health Status Among Persons Practicing Yoga For Pain Management, Mary Kovoor

NYMC Student Theses and Dissertations

Purpose of the Study: The purpose of this research was to examine the relationship between yoga practice and perceived health status, and to evaluate the benefits of yoga as a pain management strategy for low-income individuals.

Methods: An observational cross-sectional study was conducted and analyzed using 2022 National Health Interview Survey (NHIS) data. Logistic regression analyses examined whether the practice of yoga affected perceived health status, and whether low-income individuals were more likely to practice yoga for pain management.

Results: Analyses revealed that individuals who practiced yoga were 1.7 times more likely to report their health status positively than those …

Miller Plastic Products Inc V. Nlrb

2025 Decisions

Agency

Next-Generation Biomaterials For Load-Bearing Tissue Interfaces: Sensor-Integrated Scaffolds And Mechanoadaptive Constructs For Skeletal Regeneration, Rahul Kumar, Kyle Sporn, Pranay Prabhakar, Phani Paladugu, Akshay Khanna, Alex Ngo, Chirag Gowda, Ethan Waisberg, Ram Jagadeesan, Nasif Zaman, Alireza Tavakkoli

SKMC Student Presentations and Publications

Advancements in load-bearing tissue repair increasingly demand biomaterials that not only support structural integrity but also interact dynamically with the physiological environment. This review examines the latest progress in smart biomaterials designed for skeletal reconstruction, with emphasis on mechanoresponsive scaffolds, bioactive composites, and integrated microsensors for real-time monitoring. We explore material formulations that enhance osseointegration, resist micromotion-induced loosening, and modulate inflammatory responses at the bone-implant interface. Additionally, we assess novel fabrication methods-such as additive manufacturing and gradient-based material deposition-for tailoring stiffness, porosity, and degradation profiles to match host biomechanics. Special attention is given to sensor-augmented platforms capable of detecting mechanical …

Lucrecia Taylor V. Commissioner Social Security

2025 Decisions

USDC for the Eastern District of Pennsylvania

The Only Constant Is Change: The Role Of Genetic Diversification In Cancer And Beyond, Malgorzata Tyczynska Weh

USF Tampa Graduate Theses and Dissertations

Genetic diversification, the process by which genetic variation arises in a population, is fundamental to evolution by natural selection. Mutation, a central diversification process, fuels adaptation across species, including in cancer. Yet most new mutations are neutral or deleterious on cell fitness, raising the question of how mutation-driven adaptation persists. To explore this paradox, I developed a spatial agent-based model (ABM) in which population fitness emerges from individual cells acquiring mutations at varied rates and with diverse fitness effects. I evaluated model behavior across adaptive states, mutation rates, and distributions of fitness effects. The results show that high mutation rates …

Work In Progress: Exploring The Impact Of International Experiences On The Development Of Students’ Entrepreneurial Mindset, Olgha Bassam Qaqish, Marcia Pool, William H. Pennock, Erick Salvador Vasquez, Fahmidah Ummul Ashraf

Chemical and Materials Engineering Faculty Publications

International experiences, including collaborative online international learning (COIL) experiences that naturally increase accessibility, are of interest to many undergraduate students. These experiences provide educators a unique opportunity to develop a student's entrepreneurial mindset (EM). Additionally, hands-on experiences aligned with the National Academy of Engineering’s (NAE) grand challenge themes (Sustainability, Security, Health, and Joy of Living) support connections between the experience, disciplinary knowledge, multicultural awareness, and EM. Through this Work-in-Progress (WiP) study, we seek to answer: 1) How do international experiences influence undergraduate science and engineering students’ EM, and 2) How does the international experience modality (i.e., study abroad or COIL) …

Patterns Of Sialyl-Lewis X Expression Predict Gastric Histopathology, Nancy Vargas, Andrés Quiroga, Juan Pablo Chaves, Harold Bolaños, Ilke Nalbantoglu, Claudia Patricia Acosta Astaiza, Yuefeng Wu, José B Sáenz

2020-Current year OA Pubs

INTRODUCTION: Gastric cancer develops through a series of pre-cancerous changes over decades of chronic inflammation. Chronic atrophic gastritis (CAG) represents a critical transition in the progression to gastric cancer, though validated histologic markers are needed to more accurately detect and assess the extent of CAG. We previously identified sialyl-Lewis X (sLe

METHODS: We obtained gastric corpus and/or antrum biopsies from 149 adult patients with dyspepsia. Biopsies were stained with hematoxylin/eosin and a commercially available antibody to sLe

RESULTS: The majority of patients (70%) had gastric pathology (CNG or CAG ± IM). The presence of sLe

CONCLUSION: Patterns of sLe

Utah Surface Irrigation Water Optimization Opportunities And Barriers, Matt Yost, Clara Anderson, Burdette Barker, Justin Wyatt Clawson, Kalen Taylor, Michael Pace

All Current Publications

Surface irrigation systems are still the predominant system used in some parts of Utah, representing nearly half of the irrigated area in the state and the region. Understanding the barriers to water optimization and opportunities for improvement in surface irrigation systems will help ensure their viability. This article presents the results of a survey of surface irrigators in Utah.

Quality Improvement Project Enhance Self-Efficacy And Knowledge In Pediatric Emergency Care For Nurses In An Adult Acute Care Facility, Tiffany Daniel

Doctor of Nursing Practice Projects

This Doctor of Nursing Practice (DNP) project addresses the significant gap in emergency nursing preparedness for managing pediatric emergencies in adult-focused emergency departments. A quasi-experimental pre/ post intervention design was used to implement a pediatric-specific training intervention consisting of didactic education and simulation-based learning. A total of 87 night shift ED nurses participated. Knowledge and self-efficacy were measured using pre- and post-intervention surveys and assessments. The training equipped nurses with critical skills to manage pediatric emergencies more confidently and competently, addressing both clinical and emotional barriers. Knowledge scores significantly improved, t = -20.45, p < 0.001, with post-test means rising from 5.56 (SD = 1.58) to 9.03 (SD = 0.32). Post-intervention self-efficacy scores also increased significantly, t(86) = -21.57, p < .001, indicating greater confidence in pediatric emergency care. These findings validate the effectiveness of structured pediatric emergency training in enhancing nurse competency and self-efficacy. Lewin's change theory and Newman’s systems model guided this quality improvement project. The results support the continuation of the program in population-specific education and simulation as part of annual competency development. This project demonstrated that targeted pediatric training improves nurse preparedness and has the potential to enhance patient outcomes in a setting traditionally focused on adult care.

Quality Improvement Project Supporting Novice Nurse Faculty Through Mentorship, Lorna Deardeuff

Doctor of Nursing Practice Projects

Current literature suggests that a lack of support to assist novice faculty in their socialization to academia can lead to increased attrition among faculty members. However, novice nursing faculty, when transitioning from the role of clinical expert, require much support to successfully meet the demands of preparing nursing students. This quality improvement project aimed to develop and implement a structured novice nurse faculty mentorship program, with the use of a mentorship toolkit, to improve job satisfaction levels and the intent of the novice faculty members to remain in their current positions. This quasi-experimental project utilized a pre-and-post intervention survey designed …

An Implementation Study Of A Brief, Online Sexual Mindfulness Intervention At The Individual Partner Level: The Impact Of Prompting Practice On Implementation, Alexyss Lange

Theses and Dissertations

Prior research suggests frequent, scheduled, non-interactive text support enhances psychological outcomes and increases adherence to psychological interventions (Agyapong et al., 2020; Shalaby et al., 2022; Shim et al., 2017). Using a hybrid III implementation model, we recruited individuals in romantic relationships to test whether weekly reminders improved engagement with a sexual mindfulness intervention. We found no evidence that additional support increased intervention implementation. Although we aimed to assess acceptability, adoption, appropriateness, and feasibility as separate implementation outcomes, factor analysis indicated these variables cluster into two broader constructs: Readiness and motivation and discomfort and uncertainty. These factors did not differ between …

Hypertensive Disorders Of Pregnancy And Perinatal Outcomes: Two Prospective Cohort Studies Of Nulliparous Women In India And Tanzania, Andrea B. Pembe, Pratibha Dwarkanath, Amani Kikula, John Michael Raj, Nandita Perumal Phd, Heavenlight A. Paulo, Rajalakshmi M, Christopher P. Duggan, Honorati M. Masanja, Nandini Chopra, Mary M. Sando, Tinku Thomas, Cara A. Yelverton, Alfa Muhihi, Anura V. Kurpad, Wafaie E. Fawzi, Blair J. Wylie, Christopher R. Sudfeld

Faculty Publications

Introduction Hypertensive disorders of pregnancy (HDP) have been linked with increased risk for maternal and offspring complications in high-income settings. However, in resource-limited settings, studies with robust measurement of HDP, including severity and timing, and perinatal outcomes are limited.

Methods We analysed data from two prospective cohorts of nulliparous women in India (n=10 570 pregnancies) and Tanzania (n=10 299 pregnancies) who were enrolled in calcium supplementation trials and had blood pressure and proteinuria assessments throughout pregnancy and at the time of labour and delivery. Generalised estimating equations were used to assess the relationship between HDP severity categories (gestational hypertension, preeclampsia …

Quality Improvement Project Enhancing Communication Perceptions Among Nursing Staff In The Operating Room, Denis Awu

Doctor of Nursing Practice Projects

Effective communication in the operating room (OR) is crucial for ensuring patient safety and optimal surgical outcomes. Communication breakdowns among surgical teams are a leading cause of sentinel events and procedural errors. This quality improvement (QI) project aimed to enhance communication perception among OR nursing staff through a structured training program focused on verbal, non-verbal, active listening, and communication under pressure. Grounded in Social Cognitive Theory and implemented using both Kotter’s 8-Step Change Model and the Plan-Do-Study-Act (PDSA) cycle, the intervention included interactive workshops and simulation exercises delivered over a six-week period. A total of 50 registered nurses participated in …

Microscopic Nucleic Acid-To-Protein Ratio: A Label-Free Approach For Pancreatic Cancer Detection, Sky Gao, Keerthi Priya Jangili, Alfred Akinlalu, Emmanuel Ogberefor, Tommy Gao, Kalpana Devaraj, Dali Sun

Electrical and Computer Engineering: Faculty Scholarship

Accurate and timely diagnosis remains a major clinical challenge, hindered by the limitations of conventional histopathological methods, which often rely on labor-intensive staining protocols and subjective interpretation by specialized pathologists. These methods can fail to capture the full molecular and phenotypic heterogeneity of tumors, leading to increased diagnostic time, cost, and variability. To overcome these challenges, we developed a novel label-free ultraviolet (UV) microscopic imaging technique that exploits the intrinsic optical absorption properties of cellular nucleic acids and proteins. By modifying standard brightfield microscopes, our approach quantitatively measures the nucleic acid-to-protein ratio (NPr), enabling high-resolution visualization and discrimination between malignant …

Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott

Walden Dissertations and Doctoral Studies

Primary unpaid family caregivers of Alzheimer’s care recipients endure physical fatigue, emotional stress, psychological pressures, and health issues that could hinder their capacity to deliver consistent care. Respite care services can help reduce caregiver burden and enhance health outcomes; therefore, examining and evaluating their effectiveness is beneficial in meeting the needs of primary unpaid family caregivers. This study was conducted to address a lack of information in the literature and to evaluate the efficacy of respite care services for primary unpaid family caregivers of Alzheimer’s care recipients in Alaska and their caregivers’ awareness of and motivation to utilize these services …

Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best

Walden Dissertations and Doctoral Studies

African American women residing in rural communities have seen substantial increases in preventable diseases resulting from obesity. The research problem addressed in this study surrounded the perspectives that African American women have towards initiating a fitness program. The purpose of this study was to explore those perspectives utilizing a sample population of African American women living in Salisbury, North Carolina. This study embraced the Theory of Reasoned Action (TRA) created by Prachaseree et al., (2021) and the Self-Determination Theory (Deci & Ryan, 1991) as the conceptual frameworks. Three research questions guiding this study were: What specific barriers do African American …

Social Determinants, Covid-19, And Geographic Disparities In African American Mental Health Access, Jennifer Marie Washington

Walden Dissertations and Doctoral Studies

Disparities in service use of mental health care persist in the United States, and African Americans have been disproportionately affected. The COVID-19 pandemic worsened these disparities, increasing barriers such as stigma, lack of culturally appropriate care, distance, and affordability. The purpose of this quantitative, nonexperimental, and correlational study was to examine the relationships between sociodemographic factors and the use of mental health counseling or therapy services. Bronfenbrenner’s ecological systems theory was applied to examine how the systemic factors in the mesosystem, exosystem, and macrosystem work together to influence care availability. Specifically, the study examined the relationship between race, income, education, …

Week Of June 23, 2025, Student Life

College, School and Department Newsletters, Magazines, and Journals

Your summer hub for events, resources and updates.

Association Of Medicaid Expansion With Colon Cancer Care: Treatment Patterns And Survival In Non-Metastatic Cases From State Registry-Claims Data, Kirsten Y. Eom, Weichuan Dong, Richard S. Hoehn, Jeffrey M. Albert, Uriel Kim, Gregory Cooper, Johnie Rose, Siran M. Koroukian

Faculty Scholarship

Purpose: Despite growing research on Medicaid expansion’s impact on cancer outcomes, there remains a critical need for a more nuanced understanding of how expansion affects cancer care and survival. This study assesses whether Medicaid expansion was associated with improved receipt of standard treatment, timely treatment initiation, and overall survival among colon cancer patients, while examining the specific factors influencing these outcomes. Methods: Using Ohio’s state cancer registry linked with Medicaid records, we analyzed 688 Medicaid-enrolled patients with non-metastatic colon cancer diagnosed between May 2011 and December 2017. We employed multivariable Poisson and Cox proportional hazard regression analyses to evaluate the …

"A Small Victory In A Battle That Should Have Not Been Necessary": Rebecca Flores And The Struggle For Field Sanitation In The Rio Grande Valley Of Texas, Brent M. S. Campney

History Faculty Publications

This study examines the struggle for field sanitation in the Rio Grande Valley of Texas, where it was waged in the late 1970s and early 1980s by United Farm Workers director Rebecca Flores and her allies. The first section examines the harsh living and working conditions experienced by farm workers there. The second provides a brief biographical sketch of Flores, a daughter of farm workers, from her years as a college student to her role as the leader of the Texas UFW. The third examines the struggle for field sanitation by Flores and the UFW, their success in changing state …

Enhancing Learning Through Role-Play In A Low-Fidelity Disaster Simulation, Susan S. Braithwaite, Susan J. Barcinas, Colleen A. Hayes

Innovations in Health Sciences Education Journal

ABSTRACT

Background: This report shares a best practice approach to low-fidelity simulation as a pedagogical method in disaster triage training for undergraduate nursing students.

Methods: This study utilized multi-year quantitative data such as student age, gender, GPA, prior simulation experience, and self-reported confidence in the START Triage application. It also utilized a secondary qualitative analysis of the debriefing process.

Results: Students who participated in a simulation event playing the role of a disaster victim scored significantly higher on subsequent performance as TRIAGE practitioners than students without roleplay experience. Perhaps even more compelling, these learning outcomes were demonstrated 18 months after …

Disability And Leadership: Barriers And Business Culture Perspectives, Ernest Edward Garrett

Walden Dissertations and Doctoral Studies

Persistent disparities in employment rates between people with disabilities (PWDs) and people without disabilities (PWODs) indicate that PWDs continue to face barriers and challenges to employment opportunities. The research problem is the underrepresentation of PWDs in leadership positions within business cultures and persistent barriers and challenges faced by human resource managers (HRMs) and leaders concerning their hiring and retention. The purpose of this qualitative descriptive study was to explore the varying perspectives of business leaders with disabilities (LWDs) and HRMs concerning the barriers and challenges associated with hiring and retaining PWDs for leadership roles. Critical realism, universal design, and human …

Enhancing Software Effort Estimation: A Comparative Analysis Of Machine Learning Models With Correlation-Based Feature Selection, Muhammad Abid, Momina Liaqat Ali

Sustainable Machine Intelligence Journal

Software effort estimation is a critical process in the management of software projects, essential for predicting the resources and time required for application development. Accurate estimation is paramount for delivering projects on time and computational resources. This paper investigates techniques that utilize machine learning models to ameliorate software effort estimation. We employ four popular machine learning models including the Linear Regression, Gradient Boosting, Random Forest, and Decision Tree and evaluate their performance across five diverse climate-related datasets: Antarctica Hotpoints/Climate Change NASA, Crop Production and Climate Change, Global Warming on Earth (Global Temp), Climate Change, and Climate Treasure (Marine). A key …