Digital Commons Network^™

Implementing A Health Recommendation System From Wearable Data, Priti Pramanick

Doctoral Theses

The rising interest in personalized health monitoring has created a demand for intelligent systems that not only evaluate an individual’s health status but also offer actionable recommendations. This dissertation presents a data-driven approach to assess overall health by calculating a weekly health score using multi-dimensional data sources such as sleep patterns, nutrition, cardiovascular activity, fitness levels, and metabolic parameters. The system integrates and processes data stored in MongoDB using Python, applies scoring logic tailored to each health domain, and aggregates them into a unified health score. Addi- tionally, the system generates a detailed summary and leverages a language model to …

No Evidence Of Pitavastatin Effect On Muscle Area Or Density Among People With Hiv, Kristine M Erlandson, Triin Umbleja, Heather J Ribaudo, Michael T Lu, Jana Taron, Marissa R Diggs, Pamela S Douglas, Kathleen V Fitch, Carl J Fichtenbaum, Markella V Zanni, Judith A Aberg, Maria C Rodriguez-Barradas, Katharine Breaux, Rosalba Gomez Morones, Craig A Sponseller, Judith S Currier, Gerald S Bloomfield, Sarah M Chu, Alex B Lu, Carlos D Malvestutto, Steven K Grinspoon, Todd T Brown

Faculty, Staff and Students Publications

Background: Skeletal muscle area (MA) and muscle density (MD) are key determinants of physical function and typically decline with increasing age. Statins have well-known musculoskeletal effects but whether statins impact MA or MD is not well established, especially in the setting of randomized treatment.

Methods: REPRIEVE is a double-blind randomized trial evaluating the effect of pitavastatin for primary prevention of major adverse cardiovascular events in people with HIV (PWH). Thoracic paraspinal, pectoralis, and infraspinatus MA and MD were assessed among Mechanistic Substudy participants with CT at baseline and month 24.

Results: Of 804 substudy participants, 510 remained on study treatment …

No Evidence Of Pitavastatin Effect On Muscle Area Or Density Among People With Hiv, Kristine M Erlandson, Triin Umbleja, Heather J Ribaudo, Michael T Lu, Jana Taron, Marissa R Diggs, Pamela S Douglas, Kathleen V Fitch, Carl J Fichtenbaum, Markella V Zanni, Judith A Aberg, Maria C Rodriguez-Barradas, Katharine Breaux, Rosalba Gomez Morones, Craig A Sponseller, Judith S Currier, Gerald S Bloomfield, Sarah M Chu, Alex B Lu, Carlos D Malvestutto, Steven K Grinspoon, Todd T Brown

Faculty, Staff and Students Publications

Background: Skeletal muscle area (MA) and muscle density (MD) are key determinants of physical function and typically decline with increasing age. Statins have well-known musculoskeletal effects but whether statins impact MA or MD is not well established, especially in the setting of randomized treatment.

Methods: REPRIEVE is a double-blind randomized trial evaluating the effect of pitavastatin for primary prevention of major adverse cardiovascular events in people with HIV (PWH). Thoracic paraspinal, pectoralis, and infraspinatus MA and MD were assessed among Mechanistic Substudy participants with CT at baseline and month 24.

Results: Of 804 substudy participants, 510 remained on study treatment …

Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown

Walden Dissertations and Doctoral Studies

Cardiovascular disease plays a significant role in the number of death and disabilities around the world. While there have been marginal gains in positive health outcomes for women who suffer from cardiovascular disease, African American women continue to fall behind compared to their White counterparts. There is a comorbidity of cardiovascular disease and depression in older African American women. The purpose of this qualitative study was to gain an in-depth understanding of how the comorbidity of cardiovascular disease and depression uniquely present in young African American women, how these two diseases influence cardiovascular health protective factors, and how components of …

Ethical Implications Of Being A Holobiont, Scott F. Gilbert

Biology Faculty Works

Developmental plasticity and holobiont theory have undermined the normative concepts of biological individuality. However, such traditional ideas of biological individuality have helped define and support Western ethical views into the 21st century. Guided by some of the ethical formulae of Simone Weil, Hans Jonas, and Alastair MacIntyre, this essay attempts to outline some possible trajectories for an ethics that is bounded by these new biological paradigms of environmental agency. Specifically, the ecological developmental biology concepts of plasticity and holobiont theory permit the “ethics of attention” to focus on the partnerships of living beings. Highlighting environmentally integrated life cycles and their …

Black Men And Health Literacy: Strategies For Improvement In A Digital Age Through The Adaptation Of A Chronic Disease Self-Management Program, Evelina Weidman Sterling, Laura Stevens, Vanessa Robinson-Dooley, Tyler Collette

Faculty Articles

Health literacy is a critical determinant of health outcomes, yet it is often overlooked, particularly among marginalized groups. This paper explores the significance of health literacy, with a particular focus on low-income African American and Black (AA/B) men, a population that faces unique challenges due to intersecting factors such as race, gender, socioeconomic status, and educational disparities. We examine how these factors contribute to health literacy gaps, highlighting adverse effects on health outcomes for AA/B men compared to the general population. Additionally, we stress the growing importance of digital literacy in an increasingly technology-driven world. Not actively addressing digital health …

Mother And Baby Homes Commission Of Investigation Report: Alternative Executive Summary, Maebh Harding, Mairead Enright, Aoife O'Donoghue, Aoife Price, Cliona De Bhailís, Maria Ní Fhlatharta, Sahar Ahmed, Aisling Mcmahon, Aoife Daly, Ciara Fitzpatrick, Deirdre Macgowan, Fergus Ryan, Fiona Donson, Helen Kehoe, James Gallen, Kieran Walsh, Louise Kennefick, Lydia Bracken, Lynsey Black, Michelle Farrell, Phil Mullen, Samantha Morgan-Williams, Vicky Conway, Eilionoir Flynn, Shane Darcy

Research Outputs: 2025-Present

This document builds on the methodology developed by feminist judgments projects to rewrite the Executive Summary to the Final Report of Ireland’s Mother and Baby Homes Commission of Investigation, published in January 2021. The Mother and Baby Homes Commission of Investigation was established in February 2015 to investigate experiences in certain of Ireland’s residential institutions for single mothers and their young children between 1922 and 1998. In our rewritten Executive summary, twenty-five academics examined the evidence in the Commission’s original report, and offered a feminist, human rights-based analysis of the evidence presented there. Our document was first published open access …

What Happened To The Creative In The Creative Curriculum?, Lacey Peters, Mark K. Nagasawa, Maria Mavrides Calderon, Abigail Kerlin, Helen Frazier, Beth Ferholt, Erica Clarke Yardy, Margie Brickley, Alisa Algava

Straus Institute for Thriving Children & Families

This empirically-grounded commentary questions the basis for New York City Public Schools’ (NYCPS) adoption of the Teaching Strategies products—the Creative Curriculum (CC) and Teaching Strategies GOLD—as the mandated curriculum and assessment systems for early childhood education (ECE) programs administered by the New York City Public Schools. In an analysis shaped by our hybrid positionalities as early childhood educators, parents, policy makers, and researchers, we argue that this decision is a local case of neoliberalism’s simultaneous narrowing of educational quality and a transfer of public funding into private hands under the guise of the free market. Our commentary, …

Injury And Illness: An Analysis Of Team Usa Athletes At The 2024 Winter Youth Olympic Games, Ashley N. Triplett, Eric G. Post, Travis Anderson, Olivia Samson, Alexis D. Gidley, Francisco Silva, Lea Thomann, Amber T. Donaldson, Jonathan T. Finnoff, Eric L. Dugan, Jeffrey S. Shilt, William M. Adams

Department of Pediatrics Faculty Papers

BACKGROUND: Injury and illness surveillance is essential for understanding the relative risks of sports participation to develop effective strategies to optimize athlete health, wellness, and performance. Epidemiological studies examining injuries and illnesses among Team USA youth athletes are limited, particularly among athletes competing in Winter sports. The purpose of this study was to characterize the injury and illness incidence rate among Team USA athletes participating in the 2024 Winter Youth Olympic Games (YOG).

METHODS: Injuries and illnesses among 101 Team USA youth athletes (40.6% female; age, 17 ± 1 years) were prospectively documented. Injury and illness prevalence, and incidence rate …

When Culture Becomes Law: Mayan Heritage And The New Constitutional Recognition Of Collective Rights In Mexico, José Israel Herrera, Victor Manuel Colli Ek

Journal of Maya Heritage

Abstract. The constitutional reform of September 30, 2024 to article 2 marks a substantive change in the recognition of indigenous peoples as subjects of public law, with their own patrimony, valid normative systems and express right to conserve, protect and develop their cultural, material and immaterial heritage. This article analyzes the legal implications of this reform in the context of the Maya people, especially with regard to collective intellectual property, the right to prior consultation and the constitutional recognition of bioculturality. A critical reading of the new normative framework is proposed, with emphasis on its transformative potential for the territorial …

Dietary Nitrogen And Its Role In The Gut Microbiome And Inflammatory Bowel Disease: A Narrative Review, Matthew Herrera, Lauri O. Byerley

School of Medicine Faculty Publications

In recent years, gut microbiota has emerged as a critical regulator of gastrointestinal health and disease, with its role in inflammatory bowel disease (IBD)—including Crohn’s disease and ulcerative colitis—being particularly significant. Among the many factors influencing the gut microbiota, dietary components such as fibers, fats, and polyphenols have received substantial attention. However, nitrogen-containing compounds, such as amino acids, nitrates, urea, and even nucleic acids, such as purines, remain underexplored despite their integral role in shaping microbial ecology, host metabolism, and immune responses. Some of these compounds are metabolized by gut bacteria into bioactive molecules such as short-chain fatty acids, ammonia, …

Community And School Programs, Policies And Environments Related To Child Dietary Intake:The Healthy Communities Study, Gail Woodward-Lopez, Alexander C. Mclain, Edward A. Frongillo Jr., Natalie Colabianchi, Vicki Collie-Akers, Lorrene D. Ritchie

Faculty Publications

Background

To reverse the epidemic of unhealthy eating and related chronic disease in the United States, intervening early in life is essential.

Objective

Identify features of community- and school-based programmes, policies and environments related to child intake of fruits and vegetables (FV) and sugar-sweetened beverages (SSB).

Methods

Dietary intake of children 4–15 years old (n = 5138) from elementary and middle schools in 130 US communities was collected by survey (of parent and/or child) in 2013–2015. Features of community programs and policies (CPPs) and school environments were collected by staff surveys, direct observation, key informant interviews, and/or document review. …

Acute Respiratory Distress Syndrome In Patients With Lymphopenia: Results From The National Inpatient Sample (2017-2021), Arnav Garyali, Trishna Parikh, Dhruv Kumar, Ishan Gupta, Adishwar Rao, Akriti Agrawal, Sabiha Armin, Rishi Panjala, Rohan Patil, Nikhil Sriram, Sruthi Parthasarathy, Aarohi Parikh, Bindu Akkanti

Faculty, Staff and Student Publications

Background: Lymphopenia has been associated with in-hospital, early, and late mortality. We aimed to elucidate differences in baseline characteristics in patients with lymphopenia with and without acute respiratory distress syndrome (ARDS) and determine predictors of in-hospital mortality in this patient population.

Methods: Patients ≥ 18 years of age with lymphopenia were identified in the National Inpatient Sample (2017-2021) and stratified according to ARDS diagnosis. Predictors of in-hospital mortality were determined using multivariate analyses with a logistic regression model.

Results: From 183,185 patients with lymphopenia, 10,420 (5.7%) had ARDS, of which 92.8% had coronavirus disease 2019. The patients with ARDS suffered …

Telogen Effluvium And Anesthesia Considerations: A Case Report, Elizabeth Johnson-Gray, Samantha A. Currier, Hanen Fernandez, Matt Brown, Matthias Franzen

Student Publications

Telogen effluvium is a form of non-scarring hair loss characterized by premature shedding of hair. Pathophysiologically, telogen effluvium occurs when a significant number of hair follicles prematurely enter the telogen phase, resulting in excessive shedding. The exact mechanism is unclear, but it is believed to involve alterations in the hair follicle’s growth cycle, possibly mediated by illness, infection, major surgery, low protein intake, or hormonal changes. Some medications can also be linked to this disease, such as beta blockers, carbamazepine, and vitamin A. When affected hairs are in the resting phase, noticeable hair shedding occurs. Our patient was a 61-year-old …

Controlling Hypertension In The African American Population Through Dash Diet Education, Tanya K. Mccaskill

Doctor of Nursing Practice Projects

Hypertension disproportionately affects African Americans, contributing to elevated risks of stroke, cardiovascular disease, and kidney failure. Despite the well-established benefits of the Dietary Approaches to Stop Hypertension (DASH) diet, its adoption remains limited due to cultural, socioeconomic, and health literacy barriers. This Quality Improvement (QI) project aimed to evaluate the effectiveness of a culturally tailored DASH diet education intervention in improving nutritional knowledge among African American adults with hypertension (HTN). Using a quasi-experimental pre-post intervention design, 50 participants received a structured educational session during a single clinic visit, which included counseling, printed materials, and sample menus. The intervention was guided …

Accuracy Of Anthropometric Equations In Estimating Body Fat Percentage In Transgender Men Undergoing Gender-Affirming Hormone Therapy, Barbara Buosi, Yana Barros Hara, Rodolfo André Dellagrana, Rafael Martins Da Costa, Mateus Rossato

International Journal of Exercise Science

International Journal of Exercise Science 18(1): 686-694, 2025. Transgender people may opt for the use of sex steroids and, in some cases, hormone blockers, which can lead to changes in body fat distribution. The aim of this study was to verify the accuracy of anthropometric equations to estimate the body density (BD) of transgender men who are undergoing Gender-Affirming Hormone Therapy (GAHT). Four transgender men (25-32 years old), who had performed GAHT for at least six months and used the hormone testosterone cypionate participated in the study. The reference criteria for BD was air displacement plethysmography (ADP). In addition, BD …

The Influence Of "Ifbb Pro" Designation On Consumer Decision-Making In Online Personal Training Services: An Experimental Investigation, Zehua Hei, Alan Morse

Global Sport Business Journal

The recent rising health awareness, social media occurrence, and digital access to fitness services promote the growth of online personal training. Drawing upon signaling theory, a recent rising group of trainers, “IFBB Pro” athletes, who are perceived as elite bodybuilders, often signal a high level of expertise and competency in fitness training. With content marketing as the background, posted content plays a key role in this process as social media platforms become increasingly popular for fitness professionals to market their personal training services and attract clients. However, scarce research exists to investigate how this designation influences consumer perceptions and purchase …

A Cancer Education Needs Assessment: Informing Middle-Aged Female Patients About The Relationships Between Obesity And Women’S Health Concerns In The Reproductive System, Breast, And Endometrial Health, Batul Mirza

MUSC Theses and Dissertations

Obesity significantly impacts women’s health, particularly among middle-aged women, by increasing the risk of hormone-sensitive cancers such as breast, endometrial, and reproductive system cancers. This study examines the educational needs of this demographic group regarding obesity-related cancer risks and explores effective intervention strategies. Obesity-induced mechanisms – hormonal imbalances, chronic inflammation, and insulin resistance – drive cancer susceptibility, emphasizing the need for targeted health education. The study employs a qualitative design, which includes interviews with subject matter experts (SMEs) and surveys of middle-aged women. The goal is to assess awareness, perceived barriers, and preferred learning methods. Findings suggest that with many …

Growing Healthy Minds: Ole Miss Conference Plants Seeds Of Wellness, Marisa C. Atkinson

University of Mississippi News

OXFORD, Miss. – Early childhood educators from across the state spent time learning how to positively and mindfully influence the lives of students and themselves this week at the University of Mississippi's inaugural Whole Child Wellness in Early Childhood Education Conference.

State-Level Immigrant Policies And Diabetes Prevalence In Latino And Asian American Groups: A Weighted Multilevel Analysis, Md Towfiqul Alam, Jennifer Toller Erausquin, Erica Payton, Elizabeth Vásquez, Sandra Echeverria

Faculty Scholarship

Introduction: Growing literature has shown that immigrant-related policies influence population health by limiting or enhancing immigrants’ rights. However, less is known about the role of state-level immigrant policies shaping chronic health conditions such as type 2 diabetes (T2DM). This cross-sectional study examined the association between state-level immigrant policies (both criminalising and inclusive) and prevalence of T2DM among individuals of Latin American and Asian American origin.

Method: We included adults aged 18+years sampled in the 2014–2018 behavioral risk factor surveillance system (BRFSS) (n=201 824), a survey design that allows the calculation of state-level estimates. Using existing policy measures, states …

I, As In We, Cj Maruyama

Dissertations and Theses

I, as in We is a hybrid collection of poems, essays, fictional letters, documents, and photographs through which the author revisits ancestors and explores their multiracial roots. Drawing on stories, interviews and research grounded in the Japanese American experience, the collection develops a call-and-response polyvocality that spans generations and geographies. In its use of white space, form experimentation, and tonal shifts, the work confronts the fluid, often ambiguous boundaries that shape identity. The compiled written and visual materials evolve into an original document--one that reaches toward heritage, belonging, and truth.

Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe

Walden Dissertations and Doctoral Studies

NAEYC accreditation is a hallmark of quality in early learning and lack of accreditation suggested a gap in practice. The problem that was the focus of this research is that only 12% of early childhood center-based programs in the United States are accredited by the National Association for the Education of Young Children (NAEYC). The purpose of the study was to explore perspectives of childcare center directors regarding NAEYC accreditation. Knowles’s adult learning provided the conceptual framework for this study and guided 3 research questions about directors’ perspectives of barriers, benefits, and the necessary support they associated with NAEYC accreditation. …

Detection Of Neuron Derived Cfdna In Blood Plasma: A New Diagnostic Approach For Neurodegenerative Conditions, Chad Alan Pollard

Theses and Dissertations

Neurodegenerative diseases such as Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS) are characterized by the progressive loss of distinct neuronal subtypes, yet current diagnostic tools are either invasive, limited in resolution, or poorly suited for early detection and longitudinal monitoring. This dissertation began with a proof-of- concept study using bisulfite-PCR at a neuron-enriched locus to detect cortical neuron-derived cell-free DNA (cfDNA) in AD plasma samples, establishing the potential of cfDNA as a marker of neuronal injury. Building on these preliminary findings, a novel framework was developed utilizing Oxford Nanopore Technologies (ONT) to profile genome-wide native DNA …

The Impact Of Inorganic Nitrate On Endothelial Function: A Systematic Review Of Randomized Controlled Trials And Meta-Analysis, Esther Muriuki

School of Health Professions

Context: Inorganic nitrate is an exogenous source of nitric oxide, an established regulator of vascular homeostasis via the nitrate-nitrite-nitric oxide pathway. Here, we evaluate the impact of inorganic nitrate on endothelial function, a risk factor for cardiovascular disease. Objective: A systematic review of the existing literature and meta-analysis was performed. Trials testing inorganic nitrate compared with a control were selected and the change in forearm endothelial function (as assessed by flow-mediated dilatation [FMD]) were included. Data Sources: The following databases were searched: Medline, Web of Science, and Scopus. Data Extraction: and Analysis Standardized mean differences in %FMD were pooled using …

Parthenocarpic Cucumber Cultivar Susceptibility Varies Among Common High Tunnel Insect And Mite Pests, Leslie Aviles, Elizabeth Maynard, Wenjing Guan, Laura Ingwell

Department of Horticulture & Landscape Architecture Faculty Publications

High tunnels (HTs) are a protected agriculture tool used by specialty crop farmers. Cucumbers (Cucumis sativa L.) are well suited for HT production because of their vertical growth habit, allowing for space optimization, and repeated flowering, providing multiple harvest opportunities. However, twospotted spider mites (Tetranychus urticae Koch; TSSM), striped cucumber beetles (Acalymma vittatum Fabricius), and melon aphids (Aphis gossypii Glover) are common pests of cucumbers in HT systems, limiting production. The unique environment of HTs lacks regulation of temperatures, which can reach high levels during summer, facilitating the rapid development of pests. Here, we present results …

Correlation Between Asprosin And Irisin In Iraqi Patients With Type 2 Diabetes Or High Blood Pressure, Shaimaa Imad Ali, Qutban Ibrahim Hasan, Layla Imad Ali, Fayhaa M. Khaleel, Farah I. Ali

Baghdad Science Journal

Diabetics are twice as likely to experience high blood pressure as non-diabetics. Asprosin a protein hormone has 140 amino-acids, is secreted by white adipose-tissue in response to fasting. When the cAMP, protein kinase-A pathway is activated, it causes a fasting-induced increase in hepatic glucose release into the bloodstream. Irisin, a peptide consisting of 112 amino-acids, is produced by cleaving a protein in the plasma membrane to release an adipocytokine. Enhanced lipid and glucose metabolism, along with anti-inflammatory and antioxidant properties, are among the advantageous impacts of irisin. The purpose of this study is to determine the function of Asprosin and …

Whole Genome Sequencing Of Curtobacterium Flaccumfaciens Strain Shgh, Isolated From The Nodes Of Olea Europaea In Mosul, Iraq, Shaimaa Yaseen Taha, Ghazwan Qasim Hasan, Igor Ivanovski

Baghdad Science Journal

Curtobacterium flaccumfaciens SHGH was associated with Koch's postulates about wilt disease in Olea europaea (olive trees) located in Mosul, Iraq. Since olive trees are an important cash crop for Iraq, a whole-genome analysis of SHGH was conducted. The complete genome was sequenced using the IIIumina MiSeq sequencer and uploaded to GenBank under the accession number JAUMSN000000000.1. The circular chromosome consists of 3,834,306 bp, 70.7 percent GC content, 4,176 protein-coding sequences, 53 RNA genes, 7 ribosomal RNA genes, and 42 transfer RNA genes. According to the in silico DNA-DNA hybridization technique are 11 strains closely related to the SHGH strain. The …

Assessing The Influence Of Radiotherapy On The Level Of Zinc In Cancer Patients Serum, Muqdad A. Yousif, Talib A. Abdulwahid

Baghdad Science Journal

Cancer patients often undergo radiation therapy as part of their treatment plan, and certain levels of zinc are essential for repairing DNA and maintaining our immune system. Therefore, this study aimed to determine the extent of the effect of this type of treatment on the level of zinc in blood serum, as 106 samples were collected from both healthy individuals and cancer patients to measure zinc levels in blood serum. Atomic absorption spectroscopy was used after properly preparing the sample, and the results showed that the healthy group had an average zinc concentration of (1.316 ± 0.10) × 10^{3 …}

Utilizing Trichoderma Harzianum And Semi In-Planta For Management Damping-Off Fusarium Solani In Corn Varieties, Zul Fauzi Nugroho Hadi, Suhartiningsih Dwi Nurcahyanti, Rachmi Masnilah, Ankardiansyah Pandu Pradana, Sigit Prastowo, Hardian Susilo Addy, Syaiful Khoiri, Ali Wafa

Baghdad Science Journal

The utilization of Trichoderma harzianum (Hypocreales: Hypocreaceae) as a biological control agent against plant pathogenic fungi has gained extensive recognition in the field of agriculture. Fusarium solani (Hypocreales: Nectriaceae) is a pathogen that causes damping-off in corn plants and poses a significant global challenge to corn farmers. This study aimed to investigate the potential management of damping-off disease caused by F. solani in three varieties of corn, utilizing T. harzianum in conjunction with the semi in-planta method. It was demonstrated that both in vitro and semi in-planta T. harzianum treatments had the ability to suppress damping-off disease in corn varieties. …

What Drives Weight Status Among Female University Students? A Machine Learning Analysis Of Sociodemographic, Dietary, And Lifestyle Determinants, Radwan Qasrawi, Abir Ajab, Leila Cheikh Ismail, Ayesha Al Dhaheri, Sharifa Alblooshi, Razan Abu Ghoush, Stephanny Vicuna Polo, Malak Amro, Suliman Thwib, Ghada Issa, Haleama Al Sabbah

All Works

Background: Obesity and underweight are increasingly common among young adult women, often resulting from complex interactions between diet, lifestyle, and socioeconomic factors. This study addresses that gap by applying machine learning to a wide range of behavioral, dietary, and demographic data. The main research question asks: What are the key factors influencing weight status among female university students, and how accurately can machine learning models identify them? We hypothesize that different factors are significantly associated with underweight, overweight, and obesity, and that machine learning can reliably detect these patterns. The aim is to identify the strongest predictors and support more …