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Produce Prescription Policy Project For The Securement Of A Grant To Address Food Insecurity For Low-Income Type Ii Diabetic Patients, Isabel D. Garcia-Gallegos

Doctor of Nursing Practice Final Project Abstract

PURPOSE

This policy-focused Doctor of Nursing Practice (DNP) quality improvement (QI) project aims to secure grant funding through the Gus Schumacher Nutrition Incentive Program (GusNIP) to implement a produce prescription program at a community clinic in Texas. The program targets low-income adults (18-65 years) with type II diabetes who experience food insecurity and are affected by Medicaid non-expansion.

BACKGROUND

Texas’ decision not to expand Medicaid has exacerbated food insecurity among low-income residents, particularly those managing type II diabetes. This decision creates a healthcare policy gap that this project aims to address with a food-as-medicine program.

METHODOLOGY

Using the Plan-Do-Study-Act (PDSA) …

Population Dynamics, Life History Characteristics, And Environmental Drivers Of Neomysis Americana In The Damariscotta River Estuary, Allison Fogg Ms '25

All Student Scholarship

Mysid shrimp (Neomysis americana) play a pivotal role in estuarine food webs by linking primary producers to higher trophic levels and serving as an important food source for commercially valuable fish. Despite their ecological significance, mysids are often under sampled, leading to gaps in our understanding of their population dynamics and life history traits. My study investigated N. americana over a full year (June 2023 to May 2024) in the temperate Damariscotta River Estuary in Maine. My research focused on how environmental factors such as temperature, turbidity, salinity, chlorophyll-a, and zooplankton biomass affect mysid density and reproduction. Temperature emerged as …

In Competitive Athletes, Does Adding Psychological Rest Compared To Regular Training Reduce Burnout: A Critically Appraised Topic, Amy A. Umutoni

All Student Scholarship

Burnout among competitive athletes is a multifaceted syndrome characterized by emotional and physical exhaustion, a diminished sense of accomplishment, and sport devaluation. 1 The rigorous demands of training and competition can lead to chronic stress, potentially culminating in burnout. While physical rest is a well-established component of athletic recovery, the role of psychological rest in mitigating burnout is gaining attention. 2 Psychological rest encompasses mental breaks and activities that promote cognitive relaxation, potentially aiding in recovery and performance. Emerging evidence also suggests that structured psychological interventions can enhance emotional well-being and resilience among athletes, particularly those coping with injuries. In …

Expanding The Role Of Athletic Trainers: Injury Prevention And Cost Reduction In Large Retail Settings, Deanna Rainey Ms, Atc

All Student Scholarship

Work related musculoskeletal injuries are a significant concern in physically demanding environments such as large retail stores, often leading to high workers’ compensation costs and decreased productivity. This evidence to practice paper explores the potential benefits of integrating industrial athletic trainers (ATs) into standard workplace safety programs within retail settings. Drawing from existing literature, the paper highlights ATs’ expertise in injury prevention, ergonomic assessment, rehabilitation, and health education. Studies indicate that incorporating ATs results in fewer workplace injuries, faster return to work times, and substantial cost savings. Positive outcomes include improved employee health, reduced days away from work, and enhanced …

Impact Of Crime On Interstate Transport Operations In Northcentral Nigeria, Muhammed Etudaiye Ohida

Journal of Terrorism Studies

The study investigated the impact of crime on interstate road transport operations in north-central Nigeria. The study relies on descriptive statistics to describe the features of the populations. 200 questionnaires were purposefully administered to the four major interstate motor parks in the capital of some north-central states (i.e., Minna, Lokoja, Benue, and Lafia) using random sampling techniques. The gathered data was analysed using percentages and charts, while the T-test statistics were used to test the study hypothesis. The result shows that there is a statistically significant influence of crimes on interstate transport operations in north-central Nigeria. The study concluded that …

Exploring The Relationship Between Suicidal Behavior And Obesity Among Young Hispanic Adults In The United States, Nadeen Salhadar

Theses and Dissertations

The rates of obesity and suicidal behavior have continued to increase over the years among young adults in the United States. Previous research has indicated a relationship between obesity and suicidal behavior, primarily among women, yet minimal research has been done to examine factors that explain this relationship (i.e., mediators). This study investigated the role of depression, body dissatisfaction, body shame and guilt, insomnia, physical health, and social anxiety on obesity and suicidal ideation among 209 college-aged Latina women. The researcher hypothesized that there would be an indirect relationship between obesity and suicidal behavior through multiple variables. Mediation analyses via …

Author Correction: Predictive Equation Derived From 6,497 Doubly Labelled Water Measurements Enables The Detection Of Erroneous Self-Reported Energy Intake, Rania Bajunaid, Chaoqun Niu, Catherine Hambly, Zongfang Liu, Yosuke Yamada, Heliodoro Aleman-Mateo, Liam J Anderson, Lenore Arab, Issad Baddou, Linda Bandini, Kweku Bedu-Addo, Ellen E Blaak, Carlijn V C Bouten, Soren Brage, Maciej S Buchowski, Nancy F Butte, Stefan G J A Camps, Regina Casper, Graeme L Close, Jamie A Cooper, Richard Cooper, Sai Krupa Das, Peter S W Davies, Prasangi Dabare, Lara R Dugas, Simon Eaton, Ulf Ekelund, Sonja Entringer, Terrence Forrester, Barry W Fudge, Melanie Gillingham, Annelies H Goris, Michael Gurven, Asmaa El Hamdouchi, Hinke H Haisma, Daniel Hoffman, Marije B Hoos, Sumei Hu, Noorjehan Joonas, Annemiek M Joosen, Peter Katzmarzyk, Misaka Kimura, William E Kraus, Wantanee Kriengsinyos, Rebecca Kuriyan, Robert F Kushner, Estelle V Lambert, Pulani Lanerolle, Christel L Larsson, William R Leonard, Nader Lessan, Marie Löf, Corby K Martin, Eric Matsiko, Anine C Medin, James C Morehen, James P Morton, Aviva Must, Marian L Neuhouser, Theresa A Nicklas, Christine D Nyström, Robert M Ojiambo, Kirsi H Pietiläinen, Yannis P Pitsiladis, Jacob Plange-Rhule, Guy Plasqui, Ross L Prentice, Susan B Racette, David A Raichlen, Eric Ravussin, Leanne M Redman, John J Reilly, Rebecca Reynolds, Susan B Roberts, Dulani Samaranayakem, Luis B Sardinha, Analiza M Silva, Anders M Sjödin, Marina Stamatiou, Eric Stice, Samuel S Urlacher, Ludo M Van Etten, Edgar G A H Van Mil, George Wilson, Jack A Yanovski, Tsukasa Yoshida, Xueying Zhang, Alexia J Murphy-Alford, Srishti Sinha, Cornelia U Loechl, Amy H Luke, Herman Pontzer, Jennifer Rood, Hiroyuki Sagayama, Dale A Schoeller, Klaas R Westerterp, William W Wong, John R Speakman

Children’s Nutrition Research Center Staff Publications

No abstract provided.

Defense Wins Championships (And Labor Disputes): How The Minor Leagues Can Field Their Position Against Mlb’S ‘Inside Baseball', Blake Morain

Vanderbilt Law Review

For years, minor league baseball players received salaries far below the federal minimum wage, despite working sixty hours per week. It was not uncommon for these professional athletes to share cramped hotel rooms, sleep on floors, or live out of their cars. Most had to secure loans and pursue odd jobs to make ends meet during the offseason. Such sacrifices were necessary for minor leaguers to achieve their dreams of reaching the major league level, particularly as those abysmal working and living conditions became entrenched by adverse legislation and judicial rulings.

Only within the last five years have minor leaguers …

Exploring The Relationship Between Intrinsic Capacity And Social Participation In Healthy Ageing: Evidence From Singapore, Li Ling Cheong, William Tov, Robin Wai Munn Choo, Micah Tan, Lay Khoon Lau, Wee Shiong Lim, Yew Yoong Ding, Paulin Tay Straughan

Research Collection School of Social Sciences

Objective: The World Health Organization has identified intrinsic capacity and functional ability as key constructs in enabling healthy ageing. However, functional ability is distinct from actual levels of social and physical participation, which research has shown to be associated with health and wellbeing. This study distinguishes between functional ability and actual levels of social and physical participation, and utilizes the International Classification of Functioning, Disability and Health framework to examine the relationship between IC and the two constructs. Methods: This study utilizes cross-sectional self-reported data from a nationally representative panel of Singapore residents aged 56–75 (N = 6,434). We performed …

Oscar: Object Status And Contextual Awareness For Recipes To Support Non-Visual Cooking, Franklin Mingzhe Li, Kaitlyn Ng, Bin Zhu, Patrick Carrington

Research Collection School Of Computing and Information Systems

Following recipes while cooking is an important but difficult task for visually impaired individuals. We developed OSCAR (Object Status Context Awareness for Recipes), a novel approach that provides recipe progress tracking and context-aware feedback on the completion of cooking tasks through tracking object statuses. OSCAR leverages both Large-Language Models (LLMs) and Vision-Language Models (VLMs) to manipulate recipe steps, extract object status information, align visual frames with object status, and provide cooking progress tracking log. We evaluated OSCAR’s recipe following functionality using 173 YouTube cooking videos and 12 real-world non-visual cooking videos to demonstrate OSCAR’s capability to track cooking steps and …

The Effect Of Food Preference On The Efficacy Of The High-Probability Instructional Sequence To Treat Food Selectivity, Christina Marie Sheppard

Theses and Dissertations

Food selectivity involves avoiding certain foods based on type, texture, brand, smell, temperature, or presentation, and it affects 80% of children with intellectual and developmental disabilities. Although several antecedent-based and consequence-based behavioral interventions exist to increase acceptance and consumption of food in this population, one antecedent-based intervention that has shown promise both within and outside of a feeding context is the high-probability instructional sequence, which consists of the delivery of three high-probability instructions before delivery of a low-probability instruction. The high-probability sequence is used to increase compliance with instructions that have a low probability of completion (e.g., taking a bite …

Navigating Eating Disorders Through Counseling, Alyssa M. Pelella

Senior Honors Theses

Many different characteristics are involved in eating disorders, each of which helps show that counseling is important to the recovery process. An eating disorder that goes untreated can lead to a higher degree of symptoms over time, like the use of waist trainers, laxatives, and calorie counting. These factors can cause guilt in an individual and can hinder relationships. Males are often overlooked in eating disorder instances, as is the Napoleon complex. Athletes are typically at a higher risk of developing an eating disorder as they are constantly working out, and many times are focused on a goal to fit …

Antimicrobial Eats: How Food Additives Are Contributing To Obesity Via The Gut Microbiome, Olivia Mankos

Senior Honors Theses

The typical modern diet is brimming with food additives used in food processing. Additives such as antibiotic residues, GMOs, pesticide residues, anti-caking agents, emulsifiers, artificial sweeteners, colorants, flavor enhancers, and preservatives. Most of these additives seem to shift the gut microbiome towards more pro-inflammatory signals. When all these additives are considered as an amalgam, such as with the modern processed diet, the ramifications on the gut microbiome are concerning. Obesity, which is characterized by low-level chronic inflammation, is likely exacerbated by these food additives. Consequently, most of these additives should be avoided or banned for optimal health.

The Effect Of Employment Shocks On Earnings: Evidence From The Covid-19 Pandemic, Giovanny A. Martinez Rodriguez

Economics Honors Projects

Economic research has documented significant short, medium, and long-term labor market consequences following recessions (Goodman & Mance, 2011; Yagan, 2017; Farber, 2011). The Covid-19 recession triggered an unprecedented economic downturn, disproportionately impacting employment in industries with high concentrations of low-income and female workers. In this paper, I leverage the substantial spatial variation in employment shocks to examine their effects on earnings and employment outcomes in both the short and medium terms. I find remarkably stable trends in earnings and employment when comparing counties experiencing high employment shocks with those that did not. Although these results differ from previous recessions, they …

Prediabetes In Rural Primary Care: Screening, Diagnosis And Treatment, Rebecca M. Bodle-Shingu

Doctor of Nursing Practice

Background

Prediabetes affects one in three US adults. Over 80% of individuals with prediabetes are unaware of having the condition. Evidence-based clinical practice guidelines (CPG) recommend screening adults 35 to 70 years old with a BMI of 25 or higher. Prediabetes treatment consists of lifestyle modification, referrals to nutrition counseling, and metformin for individuals who cannot make lifestyle changes. Diagnosis and treatment of prediabetes reduces the risks or delays the progression to type 2 diabetes.

Purpose

The purpose of this DNP quality improvement project was to impact primary care providers beliefs, knowledge, and practices in identifying, diagnosing, and treating …

Determinants Of Agricultural Productivity In The Leading Producing Countries Worldwide, Seidu Musah

Theses

Agricultural production is one of the widely expanded business sectors in the world. The aim of this study is to find out the driving factors behind cereal and soybean productivity as well as the production trends in the top twenty cereal and top seven soybean producing countries, respectively. Secondary data, which include both time series and cross-sectional data, were used for the analysis of 520 observations from the top twenty cereal producing countries and 427 observations from the top seven soybean producing countries.The panel data regression model was the statistical tool adopted in this study to determine the factors driving …

Pembrolizumab In Patients With Advanced Miscellaneous Rare Cancers: Results From A Phase 2 Basket Trial, Mirella Nardo, Camila Braganca Xavier, Bettzy Stephen, Jeffrey A How, Justin Moyers, Vivek Subbiah, David S Hong, Aung Naing

Faculty, Staff and Student Publications

Introduction: Rare solid tumors account for one-quarter of cancers among adults in the United States, but few resources have been devoted to their treatment. We evaluated the efficacy of pembrolizumab, a programmed cell death-1 inhibitor, in patients with rare solid tumors.

Methods: We conducted a phase 2 basket trial that included patients with rare, advanced tumors. Patients were enrolled in the study in nine tumor-specific and a 10th cohort of miscellaneous rare histologies. Patients received pembrolizumab 200 mg intravenously every 21 days. The primary endpoint was the non-progression rate at 27 weeks per immune-related Response Evaluation Criteria in Solid Tumors …

The Evolving Changes In The Regionalization Of Export Bans On U.S. Poultry Trade From The 2015 And 2022 Highly Pathogenic Avian Influenza Events, Kylie A. Roesler

Graduate Theses and Dissertations

As food security becomes a growing concern worldwide in a trading system dominated by globalization, the safeguarding of a bio-secure food system is at risk. One of the greatest risks to this stability of the system is, highly pathogenic avian influenza or HPAI which is growing in frequency and impact. Therefore, the global response to disease events is evolving into a newfound understanding of disease prevalence across the animal protein industries. This study will analyze the 2022 HPAI event in the United States regarding the regionalization of restrictions imposed by trading partners accounting for trade agreements executed. The examination of …

Physiological And Molecular Responses Of Diverse Rice Genotypes Under Drought Stress, Huda Mohmmed Alshaya

Graduate Theses and Dissertations

Climate change-induced drought stress is a significant constraint on global rice (Oryza sativa L.) production, threatening food security. This study evaluated the drought resilience of 15 diverse rice genotypes from the USDA mini-core collection under field, greenhouse, and osmotic stress conditions. Field trials assessed reproductive-stage drought tolerance based on panicle length (PL), number of spikelets per panicle (NSP), and spikelet sterility (SS). Greenhouse experiments examined moisture retention at the vegetative stage. Significant genotypic variation was observed, with genotypes 310724, 310779, 311181, 311603, 311793, and Vandana exhibiting drought tolerance through stable PL and SS. Additionally, genotypes 310100, 310428, 311255, N22, …

Rationality Analysis Of Antibiotics For Community-Acquired Pneumonia In Adult Inpatients At X Hospital Sukoharjo, Rolando Rahardjoputro, Adhi W. Amrullah, Wahyu Rizky, Ernawati Ernawati, Andrey Wahyudi, Nova R. Widyaningrum

Pharmacology and Clinical Pharmacy Research

Community-acquired pneumonia in adult patients contributes to high morbidity and mortality rates. The rationality of antibiotics for community-acquired pneumonia pharmacotherapy can determine the result of patient clinical outcomes. The aim of this study was to determine antibiotics rationality for community-acquired pneumonia in adult inpatients at X Hospital Sukoharjo and relationship between antibiotics rationality and its clinical outcomes.This study was analytical cohort design with retrospective data in the form of patient medical records for the period 2022. Sampling method was carried out using total sampling with inclusion criteria being patients aged ≥ 18 years, male or female, diagnosed with community-acquired pneumonia …

Pregnancy Care Integrating Translational Science, Everywhere (Precise): A Prospective Cohort Study Of African Pregnant And Non-Pregnant Women To Investigate Placental Disorders – Cohort Profile, Rachel Craik, Joseph Akuze, Marie-Laure Volvert, Hannah Blencowe, Moses Mukhanya, Angela Koech, Grace Mwashigadi, Marleen Temmerman, Marvin Ochieng, Emily Mwadime

Centre of Excellence in Women and Child Health

Purpose: The Pregnancies' Care Integrating translational Science, Everywhere Network was established to investigate specific placental disorders (pregnancy hypertension, preterm birth, fetal growth restriction and stillbirth) in sub-Saharan Africa. We created a repository of clinical and social data with associated biological samples from pregnant and non-pregnant women. Alongside this, local infrastructure and expertise in the field of maternal and child health research were enhanced.

Participants: Pregnant women were recruited in participating health facilities in The Gambia, Kenya and Mozambique at their first antenatal visit or at the time a placental disorder was diagnosed (Kenya and The Gambia only). Follow-up study …

Incidence Of Metabolic Syndrome From Atypical Antipsychotic Therapy In Schizophrenia Patients, Indah K. Utami, Yasinta Rakanita, Dea A. Tompa, Niluh P. Dewi

Pharmacology and Clinical Pharmacy Research

Schizophrenia is a psychiatric disorder impacting behavior, emotions, and communication. Atypical antipsychotics are increasingly prescribed due to their significant reduction of both positive and negative symptoms and low risk of extrapyramidal side effects (EPS) in schizophrenia patients. However, long-term effects of atypicals may include weight gain, insulin resistance, and hyperglycemia. This study was conducted in Palu, Madani General Hospital, and Anutapura General Hospital. It used a prospective cross-sectional design with a sample of 40 outpatient participants who received monotherapy or combination therapy with clozapine, olanzapine, and risperidone for more than three months. Blood samples were collected to determine the presence …

Brand Media And Health Perceptions: A Thematic Analysis Of Generational Differences, Julie Irene Diaz

Electronic Theses and Dissertations

This thesis explores the influence of brand identity and media on shaping evolving perceptions of health across generations. The three generations considered are Generation X, Millennials, and Generation Z. The initial hypothesis predicted the popular media and brands that each generation interacts with are most likely to influence their perception. Additionally, the health brands most popular with each generation would influence their overall health perception, based on the identity and values of the brand. A qualitative study was conducted using focus groups to gather data about health perceptions, brand identity, media influence, and holistic health. The findings suggest that individuals …

Ai For Sustainability In Appalachian Businesses: Challenges And Successes, Mariatu Mahmoud

Electronic Theses and Dissertations

This qualitative study examines the perception of Artificial Intelligence (AI) and how this technology can advance sustainable development in small businesses in Central Appalachia. Participants described how they leveraged AI-enabled technologies to address economic challenges as well as how they overcame the technological barriers often associated with emerging technologies. Findings reveal that AI can significantly improve efficiency, streamline workflows, and enhance visibility for Appalachian entrepreneurs. However, the research also highlights challenges, including trust issues, limited resources, and resistance to change, which hinder adoption. Results from this study produce strategies for adopting AI that enable small businesses to integrate innovation while …

Temporal Immune Profiling In The Cerebrospinal Fluid And Blood Of Patients With Aneurysmal Subarachnoid Hemorrhage, Thomas A. Ujas, Katie L. Anderson, Jenny Lutshumba, Samantha N. Hart, Jadwiga Turchan-Cholewo, Kevin W. Hatton, Adam D. Bachstetter, Barbara S. Nikolajczyk, Ann M. Stowe

Surgery Faculty Publications

Delayed cerebral ischemia (DCI) is a significant complication of aneurysmal subarachnoid hemorrhage (aSAH). This study profiled immune responses after aSAH and evaluated their association with DCI onset. Twelve aSAH patients were enrolled. Leukocyte populations and cytokine levels were analyzed in cerebrospinal fluid (CSF) and peripheral blood (PB) on days 3, 5, 7, 10, and 14 post-aSAH. PB mononuclear cells (PBMCs) were collected, and their cytokine production quantified following stimulation. Mixed-effects models reveal distinct immune cell dynamics in CSF compared with blood. Monocyte/macrophage numbers continue to increase in both CSF and PBMCs for days post-aSAH. CD4⁺ human leukocyte antigen II+ …

Roadwell: An Occupational Therapy-Based Telehealth Platform To Improve Wellness Among Over-The-Road Truck Drivers, Phylecia G. Mason

Occupational Therapy Doctoral Capstones

This doctoral capstone project aimed to design and implement RoadWell, a mobile wellness platform usingthe Person–Environment–Occupation–Performance (PEOP) model, to improve occupational performance and well-being. RoadWell addresses the interaction between the person, environment, and occupation by delivering real-time, evidence-informed strategies that meet drivers where they are—in their real work environments, doing real work.

Associations Between The Timing Of 24 H Physical Activity And Diabetes Mellitus: Results From A Nationally Representative Sample Of The Us Population, Qian Xiao, Qiuyu Feng, Martin K Rutter, Gali Albalak, Heming Wang, Raymond Noordam

Faculty, Staff and Student Publications

Aims/hypothesis: Growing evidence suggests that timing may be an important aspect of physical activity that influences cardiometabolic health. However, the current literature is inconclusive regarding the time of day that physical activity offers the greatest metabolic advantages. We investigated associations between hourly physical activity levels and diabetes mellitus and glycaemic biomarkers in a cross-sectional and nationally representative sample of US adults.

Methods: We studied 7074 adults (mean age 48 years; 52% women) from the National Health and Nutrition Examination Survey (2011-2014). Physical activity was measured by actigraphy. A monitor-independent movement summary (MIMS) unit was used to derive the total activity …

May 2025, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

May is Skin Cancer Awareness Month

REMINDER - SWOSU Swimming Pool OPEN TO ALL SWOSU EMPLOYEES and their FAMILY! (see hours p.2)

May Day Crossword Puzzle

Newsletter brought to you by the Bulldog Wellness Committee

Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison

Undergraduate Honors Theses

This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 …

Lefitolimod In Combination With Ipilimumab In Patients With Advanced Solid Tumors: A Phase I Trial, Mirella Nardo, Mohamed A Gouda, Matthew J Reilley, Amadeo B Biter, Joann Lim, Stacie A Bean, Ly M Nguyen, Priya R Bhosale, Casey R Ager, Coline A Couillault, Sarina A Piha-Paul, Siqing Fu, Apostolia M Tsimberidou, Timothy A Yap, Aung Naing, Jordi Rodon, Vivek Subbiah, Daniel D Karp, Michael A Curran, David S Hong

Faculty, Staff and Student Publications

Introduction: TLR9 agonists are immunomodulators that have been of interest for combined use with cancer immunotherapy. TLR9 agonists, such as lefitolimod (MGN1703), significantly increased Th1 response in preclinical models and have demonstrated efficacy in early clinical trials. This trial assessed the safety and preliminary efficacy of the combination of lefitolimod and ipilimumab in patients with advanced solid tumors.

Methods: This was a single-center, open-label, investigator-initiated phase I trial conducted at The University of Texas MD Anderson Cancer Center. Patients received leftolimod either subcutaneously (at escalating doses of 15-120 mg) or intratumorally (at the maximum feasible dose) in combination with ipilimumab …