Digital Commons Network^™

Increasing Breastfeeding Rates: The Role Of Targeted Maternal Education, Saige O. Adams

Undergraduate Theses and Capstone Projects

About 83.2% of infants receive breast milk when first born, and then at three months, this number drops to 69.2%, again at six months, it drops to 55.8% (CDC, 2024). It is also noted that Central Virginia lags behind this national average. Based on this data, it has been discovered that some families do not breastfeed for as long as they intended to because of some unforeseen challenges or struggles that they were not aware of, like discomfort, time management, and stress. There are some mothers who end up in early cessation of breastfeeding because they were not properly equipped …

Unveiling Value In Plastic Waste: Synthesis Of 1,3-Dioxolan-4-Ones From Polylactic Acid And Polyoxymethylene To Enhance Plastic Biodegradation, Mi-Hyun Lee, Joohyun Park, Hyeongyeong Lee, Woo Yeon Cho, Semin Son, Pyung Cheon Lee, In-Hwan Lee, Hye-Young Jang

Mechanical Engineering Faculty Publications

Catalytic plastic upcycling protocols are essential for resolving the environmental and economic challenges associated with massive plastic production and disposal, as they convert complex waste streams into value-added chemicals. We report an efficient acid-catalyzed upcycling strategy for transforming poly(lactic acid) (PLA) and polyoxymethylene (POM) plastic waste. This innovative process directly yielding dioxolanones (DOXs) can be extended to use POM with various naturally abundant α-hydroxy acids. This work significantly expands the high-value chemical portfolio derivable from common plastic wastes. Incorporation of the synthesized DOXs into the poly(L-lactic acid) (PLLA) backbone results in materials with enhanced thermal stability and superior biodegradability. Critically, …

Catholicism, Islam, And Intersectional Feminism In Ireland And Morocco: A Fatima Mernissi And Sinead O’Connor Study, Tralee Pomerleau

All Theses And Dissertations

This research contends that the interpretation of the relationship between feminism and religion is rooted in the Western feminist framework, making it seem like they cannot work together. This framework does not look at feminism through an intersectional lens, which it needs to, so women can use their life experiences, culture, and religion to fight for equal rights for women from all over the world. Looking at feminism through an intersectional lens proves that there is a way to keep religion and faith while fighting for women’s equality in every aspect of life.

This paper outlines the broad relationship between …

Modeling Of Aggregate Losses Of Metastatic Cancer Using Katz Family (A, B, 0) Distributions, Cynthia M. Mwau, Howard Omukami

Institute for Educational Development, East Africa

The incidence of metastatic cancer over the years has gradually increased. This can be due to delayed quality treatment, attributed to insufficient funds. Models that can more accurately price cancer insurance policies incorporating its metastatic nature would enable insurance firms to develop affordable and profitable cancer insurance policies. Effectively marketed and reasonably priced insurance policies can enhance the uptake of cancer specific insurance, thereby alleviating the financial strain linked to cancer treatment. To capture the impact of metastatic cancer on overall cancerrelated losses, we construct Katz recursive models grounded in the Katz family of distributions, specifically the (a, b, 0) …

Deportation And Death: Examining The Second Trump Administration’S Immigration Policy Through The Lens Of Just War Theory, Finley W. Snyder

Augustana Center for the Study of Ethics Essay Contest

From day one of the second Trump administration, the White House has treated illegal immigration as an invasion, both rhetorically and, to a lesser extent, legally. The administration has not shied away from the use of force in this campaign, leading to the notable killings of Renee Good and Alex Pretti along with countless acts of violence across the nation. This essay seeks to evaluate the ethics of the second Trump administration's immigration policy from within this "war" framing through the lens of just war theory. While there has been considerable attention to just war theory in the context of …

Ethical Issues Of The Advancement Of Artificial Intelligence, Primo G. Moreno

Augustana Center for the Study of Ethics Essay Contest

Artificial intelligence has rapidly become integrated into our modern society, allowing for new streamlined methods to reign supreme. These methods raise concerns about control, privacy, and the shifting boundaries between human and machine decision-making. This paper examines how AI has developed, how it is currently being used, and the ethical dilemmas that arise as societies integrate it into systems such as healthcare, law enforcement, and businesses. Through the expansion of historical, technical, and philosophical perspectives, this paper argues that society must prioritize having set guidelines and systems for monitoring newly created AI systems. Without them, the implementation of AI models …

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.

Not Too Early, Not Too Late: A Framework For Career Guidance In Competency -Based Education (Cbe), Mercy Igoki

Institute for Educational Development, East Africa

The aim of this study is to develop a framework for providing career guidance to learners in Kenyan schools within a competency-based education framework. The framework will give guidance from early childhood to senior schools. It will help learners select careers and develop relevant competencies. Learners are often introduced late to career guidance, mostly when they must make key academic and career decisions, such as subject selection. This timing may limit their ability to make informed decisions about their future career pathways. The study uses a conceptual research design, grounded in a review and synthesis of existing literature on career …

Folic Acid–Carbon Dot–Gemcitabine Nanoparticles For Targeted Cancer Drug Delivery, Irfan Huda, Hua Mei

SPARK Symposium Presentations

This project aims to develop a folic acid-attached carbon dot nanoparticle system (FA-CDs-GEM) for the targeted delivery of gemcitabine to cancer cells. While gemcitabine is widely used, its effectiveness is limited because a short in vivo half life and lack of selectivity, which lead to severe side effects. Carbon dots offer a simple and modifiable platform as the drug delivery and bioimaging agent. Conjugation of folic acid to the carbon dots enables selective targeting of cancer cells that overexpress folate receptors. In this study, we synthesized and characterized FA-CD-GEM nanoparticles and developed an HPLC calibration curve of GEM to accurately …

Mathematics In Maltese: The Compilation Of A Bilingual English-Maltese Glossary To Support Mathematics Teaching And Learning In Malta, Marie Theresa Farrugia, Lara Ann Vella, David Muscat, Melanie Casha Sammut

The Mathematics Enthusiast

In Malta, mathematics education is accessed bilingually through Maltese and English. While Maltese is often used for verbal interaction, English is the language of written texts, including assessments. Consequently, switches between the languages is a common feature of Maltese mathematics classrooms. Anecdotal and research evidence indicate that Maltese students benefit from the use of their home language. However, to date, there is no recognised and standardised Maltese bank of mathematics Our project aims to address this lacuna. In this article, we outline the process of compiling a bilingual glossary of mathematics terms intended for kindergarten and elementary school levels in …

Sjsu Erfa News, Spring 2026, San Jose State University, Emeritus And Retired Faculty Association

Emeritus and Retired Faculty Association (ERFA) Newsletter

Volume 39, No 3

Ai-Driven Analysis Of Stroke Mortality And Socio-Demographic Patterns In Ohio, Krithin Godala, Ayati Lala, Ian Zagorac

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

Proportionate To What?, Anthony Lupo

The International Journal of Ethical Leadership Special Volumes

No abstract provided.

The Archives Magazine, 2026, Katie Shank, Ronnie Cannon, Amadeus Cigan, Rebekah Ehrhart, Donato Fhunsu, Abby Hrichak, Elsa Last, Joseph Tyler Nadzady, Avery Reel, Noel White

Kutztown University Archives

No abstract provided.

An Elegy For The Hereditary Peers, Declan M. Hurley

Notre Dame JLEPP: In Limine

Declan Hurley reflects on the role of the hereditary peers, and what is lost with their demise.

Decline And Fall Of The House Of Lords, Thomas H. Schacht

Notre Dame JLEPP: In Limine

Thomas Schacht recounts the inevitable momentum of the last one hundred years, which has rendered the House of Lords impotent

A Problem For Traditionalism, Marc O. Degirolami

Notre Dame JLEPP: In Limine

Prof. DeGirolami explains traditionalism and why it might pose a problem in the United States.

The Crime We Forget? White-Collar Crime: Problems In Defining Motive And Enforcement Of Followers, John Stillman

Notre Dame JLEPP: In Limine

John Stillman explains problems in defining and enforcing against white-collar crime, focusing on followers.

Why A “Blog” For Law, Ethics & Public Policy?, Declan M. Hurley, Jack Manning

Notre Dame JLEPP: In Limine

Hurley and Manning explain why JLEPP needs a new short-form publication--JLEPP In Limine--for relevant scholarly commentary.

Resilience Factors For Physical Activity After Completion Of Intensive Interdisciplinary Pain Treatment: A Qualitative Analysis., William R. Black, Lora L. Black, Jennifer Christofferson, Liesbet Goubert, Cara M. Hoffart, Dustin Wallace

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVES: This study explored potential resilience factors that facilitate engagement in physical activity (PA) among adolescents with chronic musculoskeletal pain after completing intensive interdisciplinary pain treatment.

METHODS: Ten adolescents aged 13 to 17 years with a history of chronic musculoskeletal pain from a mid-western pediatric hospital in the United States participated in this qualitative study. Participants provided demographic information and completed semistructured virtual interviews. The interviews focused on their pain experiences, resilience, and engagement in PA. Transcripts were analyzed using primarily directed content analysis based on a pain resilience framework.

RESULTS: Participants highlighted several key resilience factors that influenced their …

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 …

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, …

Exploitive Adolescent Labor And Labor Trafficking: Clinical Perspectives For Adolescent Healthcare Providers., Romina Barral, Michele A. Kelley, Abigail English, Marissa Raymond-Flesch, Tonya Chaffee, Veronica Svetaz, Tamera Coyne-Beasley, Nuray Kanbur

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Using Gloves Wisely: Rethinking Glove Use For Health, Safety, And Environmental Sustainability., M Lauren Lalakea, Radhika Sheth, Elizabeth Cerceo, Yvonne Huckleberry, Preeti Jaggi, Vidya Mony, Elizabeth Monsees

Manuscripts, Articles, Book Chapters and Other Papers

Non-sterile gloves (NSG) are essential for reducing transmission of pathogens and for protecting patients and staff. Their overconsumption can lead not only to an increased risk of cross-contamination but also increased plastic waste and downstream environmental effects. Glove reduction campaigns worldwide have safely and successfully reduced their inappropriate use and associated waste. In this multidisciplinary commentary, we discuss the sweeping public health and environmental consequences of NSG overuse and strategies to implement a successful glove stewardship campaign.

Promoting Community And Social Participation In Chronic Stroke: A Pilot Study Of The Engage Intervention, Elizabeth Skidmore, Carolyn Baum, Jessica Kersey, Emily Kringle, Kelsey Voltz-Poremba, Sular Gordon, Tina Harris, Heidi Fischer, Maureen Gecht, Michelle Furman, Joy Hammel

2020-Current year OA Pubs

BACKGROUND: Survivors of stroke report low levels of community and social participation, even years after stroke. ENGAGE is a community-based intervention that merges social learning, guided problem solving, and supervised practice to collaboratively identify, generate, and apply solutions to challenges with community and social participation after stroke.

OBJECTIVE: We examined the feasibility, acceptability, and safety of ENGAGE and characterized within group changes in community and social participation outcomes.

METHODS: Community-dwelling survivors of stroke, occupational therapy providers, and occupational therapy scientists partnered to co-design the essential and structural elements of ENGAGE, as well as to evaluate ENGAGE using a multi-site single-arm …

Deep Learning In Fetal, Infant, And Toddler Neuroimaging Research, Jenna H Chin, Madeleine K Wyburd, Vladislav Ayzenberg, Laurie Bayet, Berkin Bilgic, Emily M Chen, Yuting Chen, Áine Dineen, Shohei Fujita, Janelle Liu, Yohan Jun, M Catalina Camacho, Lilla Zöllei

2020-Current year OA Pubs

Artificial intelligence (AI) is increasingly being integrated into everyday tasks and work environments. However, its adoption in medical image analysis has progressed more slowly due to high clinical stakes, limited availability of labeled data, and substantial variability in imaging protocols and population. These challenges are further pronounced in the field of fetal, infant, and toddler (FIT) neuroimaging, where datasets are especially scarce and subject to large amounts of anatomical variability. However, deep learning (DL), a specific method within machine learning, which is itself a subfield of AI, has emerged as a powerful framework to adapt to the challenges of medical …

Predictors Of Delayed Recovery In Ambulatory Advanced Endoscopic Procedures, Zoilo K Suarez, Alexandria Lenyo, Philip M Frasse, Derek J Platt, Thomas Hollander, Talwinder Nagi, Michael Dedonno, Vladimir Kushnir, Juan Reyes Genere

2020-Current year OA Pubs

BACKGROUND: There is a scarcity of data evaluating patient-related outcomes of advanced or complex endoscopy (ACE) through the post-anesthesia recovery course. Yet, gastrointestinal distress following ACE can occur commonly, and this may impact recovery length of stay and the approach to post-anesthesia care. This study aimed to describe post-procedural symptoms in patients undergoing ACE and identify factors that influence recovery time and course.

METHODS: We retrospectively reviewed a prospectively collected database of patients who underwent ambulatory ACE. Procedural-related symptoms, recovery time, dismissal rate, and adverse events (AE) were recorded. Factors associated with extended recovery time were analyzed using multiple regression …

Acute Myocardial Infarction In Medicare Beneficiaries During And After The Covid-19 Pandemic, Jonah M Graves, R J Waken, Fengxian Wang, Rishi K Wadhera, Jose F Figueroa, E John Orav, Osvaldo J Laurido-Soto, Karen E Joynt Maddox

2020-Current year OA Pubs

IMPORTANCE: During early months of the COVID-19 pandemic, presentations for acute myocardial infarction (AMI) declined significantly, and outcomes worsened. However, the full extent and long-term sequelae of changes in AMI epidemiology during the pandemic remain uncertain, as does whether these patterns differed by rurality.

OBJECTIVE: To describe the epidemiology of AMI-related hospitalizations, interventions, and outcomes among Medicare beneficiaries throughout the COVID-19 pandemic, focusing on differences in urban and rural populations.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study included all Medicare fee-for-service beneficiaries with AMI between January 1, 2018, and December 31, 2023, in the analysis. Data were analyzed from …