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Novel Electrophysiological Biomarkers In Pediatric Drug Resistant Epilepsy And Genetic Epilepsy Syndromes, Sakar Rijal

Bioengineering Dissertations - Archive

Pediatric epilepsies, particularly those that are drug-resistant or genetically driven, represent some of the most complex neurological disorders encountered in childhood. Central to their pathophysiology is a disruption in the delicate balance between cortical excitation and inhibition (E/I), often resulting from impaired GABAergic interneuron function. This imbalance manifests as aberrant network dynamics and altered neural oscillations, giving rise to seizures and long-term cognitive impairments. In this thesis, we developed a translational framework to identify electrophysiological biomarkers that (i) assess cortical E/I imbalance and (ii) map epileptogenic zones, with the aim of enhancing diagnosis, guiding surgical planning, and informing therapeutic monitoring …

Comment On: Sleep Patterns And Quality Depend Not Only On Gender And The Time Of Year, But Also On A Variety Of Other Influencing Factors

Neurosciences

No abstract provided.

Associations Between Older Hispanics’ Diabetes Control And Their Caregiver’S Health Literacy, Jorge Rico

Nursing Dissertations - Archive

Background: Older Spanish-speaking Hispanics are a rapidly growing population in the United States that face disproportionally high rates of diabetes and inadequate health literacy. Familism is valued among Hispanics and caregivers may play an important role in overcoming the social determinants of health facing this vulnerable population. Methods: This descriptive correlation study sought to explore correlations between the caregiver’s health literacy and the patient’s control of diabetes. Findings: Mixed effects model found a significant correlation between the caregiver’s print literacy and the patient’s hemoglobin A1c. Conclusion: The findings are encouraging for future research to explore interventions that target the caregivers …

The Lived Experiences Of Older Adults With Cancer Who Are Non-Adherent To Prescribed Oral Chemotherapy: A Descriptive Phenomenological Study, Ludmila Kosmari

Nursing Dissertations - Archive

Background: Despite the ease of receiving OCT, patients’ OCT adherence is low. With this low prevalence rate, patients are not likely obtaining the full life-promoting effects of OCT. Since medication adherence is often related to lived experiences and standardized medication adherence instruments may not capture these experiences completely, the purpose of this study was to explore how the lived experiences of older adults with cancer influence their adherence to OCT.

Methods: the researcher used a descriptive phenomenological design and conducted individual interviews with 20 older adults with cancer. All participants were prescribed OCT and reported missing at least one dose. …

Case Management For End-Stage Renal Disease Patients, Jamie L. Andrews

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Social determinants of health (SDOH) and health literacy directly impact adults with end-stage renal disease (ESRD) on hemodialysis (National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK], 2022; Ulrich, 2020). Adults with ESRD account for 1.5 million hospital admissions and 500,000 re-admissions within 30 days annually (NIDDK, 2022). Case management is essential in reducing re-admissions for adult ESRD patients, requiring abilities to identify factors affecting adult ESRD patients appropriately.

Methods: Therefore, an evidence-based practice (EBP) project using the IOWA Model framework was implemented to increase the knowledge base in identifying care and resources for ESRD patients for telephonic …

Improving Pediatric Delirium Assessment Documentation And Nursing Knowledge In A Pediatric Cardiovascular Intensive Care Unit, Heather E. Herrera

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Pediatric delirium is prevalent in the Pediatric Cardiovascular Intensive Care Unit (PCICU). It is associated with longer PCICU stays, extended hospital stays, prolonged duration of mechanical ventilation, and higher hospital costs (Mallick et al., 2022). It has also been associated with increased mortality risk and decreased quality of life after hospital discharge (Rohlik et al., 2021). Due to the adverse sequelae associated with pediatric delirium, routine screening with a validated screening tool is recommended (Flagg & Mauney, 2023). Despite consensus guidelines advocating routine screening for pediatric delirium, routine screening is not being completed (Flagg & Mauney, 2023).

Decreasing Hospital-Acquired Clostridium Difficile Infections, Angel S. Louder

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Clostridium Difficle Infection (CDI) is a significant healthcare threat due to its ability to be transmitted rapidly in healthcare settings. Patient engagement and participation in infection prevention initiatives at admission will lead to early implementation of isolation precautions, diagnosis of infectious pathogens, and treatment. A quality improvement project was implemented at a south-central Texas acute care hospital to engage alert and oriented adult patients, using a bundled approach to screen for the early detection of CDI within 48 hours of hospital admission, thereby reaching the goal of reducing hospital-acquired CDIs. This initiative improved patient engagement with CDI screening, reducing confirmed …

Evaluating A Novel Lifestyle Intervention Trial: Mitigating Type 2 Diabetes, Hypertension And Depression In Adults With Intellectual And Developmental Disabilities Living In Adult Family Homes, Matthew Lee Velissaris

Dissertations and Theses

This study evaluated a 90-day lifestyle intervention for nine ambulatory adults with intellectual and developmental disabilities (IDD) residing in three adult family homes (AFHs). The intervention integrated approximately 120 minutes per week of structured exercise, promotion of the Mediterranean-style eating pattern emphasizing whole foods and omega-3–rich seafood, and adjunctive mindfulness-based cognitive therapy. Using a single-group pre–post design, outcomes included a primary endpoint (A1C) and secondary endpoints (systolic and diastolic blood pressure and depressive symptoms assessed by the Glasgow Depression Scale adapted for adults with IDD). Mixed-effects regression analysis indicated that group-level change in A1C was not statistically significant at α …

Raising Awareness And Taking Practical Actions To Reduce Food Loss And Waste Is Everyone’S Moral Responsibility To Respond To The Cry Of The Earth And Of The Poor, Thu Hang Phan

Obsculta

This paper is a response to the call of Pope Francis as well as the Catholic teaching for global changes to overcome the throwaway culture or culture of waste and care for an integral ecology. The global food system is malfunctioning, leaving large segments of the population undernourished and causing significant environmental damage. Food loss and waste are undoubtedly an ethical issue; however, our awareness of and actions regarding food loss and waste reduction have not been adequate. Therefore, raising awareness and taking practical actions to reduce food loss and waste is everyone’s moral responsibility.

Sustainable Agricultural Alternatives To Cope With Drought Effects In Semi-Arid Areas Of Southern Mozambique: Review And Strategies Proposal, Celso Mondlhane, Lawrence Munjonji, Íris Victorino, Carlos Huenchuleo, Paula Pimentel, Pablo Cornejo

All Grantees Publications

Drought, pests, soil fertility depletion, environmental challenges, and the limited use of agricultural inputs continue to plague food production in many developing countries such as Mozambique. As a response to these production constraints, sustainable strategies must be defined to cope with these problems. One strategy, largely applied worldwide, is the combination of the usage of plant growth-promoting microorganisms, conservation tillage, intercropping, and crop residue management. The above can help smallholder farmers to become more resilient, sustainable, and productive, in a framework where the limitations imposed by global climate change are being exacerbated. The impacts of these strategies are less known …

Prevalence And Factors Influencing Eating Disorders Among Post-Bariatric Surgery Patients In Saudi Arabia: A Cross-Sectional Study, Saleh A. Alghamdi, Mohammed A. Al Jaffer, Renad A. Almesned, Sadeem D. Alanazi, Alanoud W. Alhnake, Shahad M. Alkhammash, Nuran M. Baabbad

Neurosciences

ABSTRACT Objectives: To examine the occurrence and contributing factors of disordered eating patterns in individuals post-bariatric surgery. It also investigated the impact of these patterns on weight loss outcomes and long-term weight management, focusing on psychological and emotional factors. Additionally, the relationship between body image dissatisfaction and disordered eating patterns was explored. Methods: A cross-sectional study was conducted across multiple medical centers in Saudi Arabia, using self-administered questionnaires to evaluate the prevalence of eating disorders and self-esteem among patients who underwent bariatric surgery in the past five years. Out of 557 respondents, 452 met the inclusion criteria. Results: The study …

Examining Equifinality And Multifinality Using Outcome-Partitioned Person-Centered Analyses: A Proof-Of-Concept With Youth Developmental Assets And Health, Luke Russell, Todd M. Jensen, Jonathon J. Beckmeyer, Chang Su-Russell

Faculty Publications - Family and Consumer Sciences

Early general systems theorists proposed a key difference between living systems and physical systems is the widespread presence of equifinality and multifinality among living organisms. That is, in living systems, there are often variable pathways to the same outcomes (equifinality), or the same starting conditions can lead to disparate outcomes (multifinality). Family scientists, however, frequently use methods (adapted from the physical sciences) that fail to reflect these characteristics within their statistical models. In this paper, we propose and provide a preliminary proof-of-concept of how an outcome-partitioned set of person-centered analyses might be used to develop alternative models that more comprehensively …

Does Mandatory Corporate Human Rights Due Diligence Offer A Path To Resolving Global Food Insecurity Challenges?, Ying Chen, Benedict Sheehy

American University International Law Review

Despite the 2015 implementation of the United Nations Sustainable Development Goal to end hunger and all forms of malnutrition by 2030 (the Zero Hunger Goal), food insecurity remains a persistent global problem. Well past the halfway point to 2030, the world is woefully off track to reach this goal. Current efforts to address global food insecurity are led by the public sector and focused on government interventions, and these are proving to be insufficient on their own. This Article argues that the private sector, and business enterprises and multinational corporations in particular, as important stakeholders in society, can and must …

Gibney’S Guide: How To Be A Student Soldier, Blake Gibney

Honors Capstone Projects

This paper exemplifies originality through its unique synthesis of academic, physical, and leadership principles tailored specifically for ROTC cadets. By integrating insights from authoritative sources, such as SDSU's diverse academic offerings and U.S. Army training standards, this guide provides a creative framework that bridges the gap between scholarly excellence and military preparation. Its structured approach to addressing the challenges of student soldiers, combined with actionable strategies, reflects a high level of scholarship, showcasing research-driven recommendations and practical applications. The paper’s alignment with ROTCspecific values and its emphasis on personal discipline and professional growth further highlight its innovative perspective, making it …

Severe Hypokalemic Paralysis Following Rituximab Infusion In A Patient With Type I Rta, Ayham Alsaab, Yousuf Sherwani, Emily Devine, Sarah Faheem, Vikas Gullapalli, Mohan Sengodan

North Texas Research Forum 2025

Rituximab is a CD-20 monoclonal antibody used in the treatment of _. Rituximab is a steroid-sparing agent that can be used to control a variety of diseases. (find sources but I found several possible uses). As with any therapy, there are side effects. One potential side effect of Rituximab that has only been described a few times in the literature is hypokalemia. One such report is a case report from 2020 that describes symptomatic hypokalemia in an 18-year-old female with steroid-dependent nephrotic syndrome after her 6th rituximab infusion, with K dropping from 4.0 prior to infusion to 2.3 at the …

Would Exercise, Household Income, Nutritional Education, Or Transportation Play A Pivotal Role In Decreasing Prevalence Of Obesity In Hidalgo County, Chijoke Anyaehie

Gulf Coast Division GME Research Day 2025

No abstract provided.

Improving Knowledge And Confidence On Interpreting And Analyzing Dexcom Cgm Data Among Residents, Ashley Charales, Anusha Putta, Aashka Patel, Renu Thomas, Syed Basit Haider

Gulf Coast Division GME Research Day 2025

No abstract provided.

Albuterol: An Often-Forgotten Cause Of Lactic Acidosis, Sania Moonnumackel, Sameera Muqueet, Machaiah Madhrira

North Texas Research Forum 2025

Introduction Lactic acid (LA) is a commonly used biomarker and is often indicative of severity of disease in critically ill patients. Lactic acidosis which is defined as LA > 4.0 can be divided into two categories: Type A which is the more common type is caused by systemic tissue hypoperfusion most likely due to shock and Type B which is caused by impairment of cellular metabolism and or decreased clearance of LA. An important cause of Type B lactic acidosis is medications including acetaminophen, anti-retroviral drugs, antibiotics and beta-adrenergic agonists including albuterol. Often patients with severe lactic acidosis are given fluid …

Probiotics For The Primary Prevention Of Inpatient, Antibiotic-Associated Clostridioides Difficile Infection: A Multi-Center, Retrospective Study, Cooper Josephs, Taylor Templeton-Jager, Julie Worthington

South Atlantic Division GME Research Day 2025

No abstract provided.

Acute Respiratory Compromise Secondary To Superior Vena Cava Syndrome In A Sickle Cell Patient. Vaso-Occlusion Triggered By Steroids?, Ashley Diaz, Priya Mohan, Abhishek Sharma, David Zarabanda, Raiko Diaz

East Florida Division GME Research Day 2025

No abstract provided.

Potential Of Anogenital Distance As A Genetic Selection Trait In Canadian Holstein, G.R. Dodd, F.S. Schenkel, F. Miglior, T.C. Bruinjé, M. Gobikrushanth, J.E. Carrelli, M. Oba, D.J. Ambrose, C.F. Baes

Dairy Science and Food Science Faculty Publications: 2022 to Present

Maintaining optimal fertility in dairy cattle herds is a global challenge that is typically addressed through the genetic selection of fertility indicator traits. However, many of the traits currently implemented in breeding programs are heavily influenced by environmental factors, resulting in a slow rate of genetic improvement. Anogenital distance (AGD) has recently emerged as a promising fertility indicator trait due to its association with favorable reproductive outcomes and its higher heritability estimates compared with currently evaluated traits. This study aimed to enhance the understanding of AGD's genetic potential by estimating its genetic parameters in Canadian Holsteins, assessing the reliability …

Cultivating Quality Of Life: Assessing Diet, Physical Activity, And Mental Health Among Arab-American Breast Cancer Survivors - Uncovering Barriers And Facilitators For Holistic Well-Being, Nouf Ali Alhomaidhi

CGU Theses & Dissertations

This dissertation examines the quality of life among Arab-American breast cancer survivors, with a particular emphasis on dietary practices, physical activity, and mental health. Despite increasing survivorship rates in this population, there remains a significant gap in the literature addressing their unique post-treatment experiences and needs. Employing a convergent parallel mixed-methods design, this study integrates quantitative survey data and qualitative narrative interviews to assess adherence to health behavior guidelines and to identify culturally specific barriers and facilitators to well-being. Quantitative findings indicated suboptimal adherence to recommended dietary and physical activity guidelines and highlighted prevalent psychological distress among participants. Thematic analysis …

Community Impact Of School Closure: Implications For Access To Socially Valued Resources And Services In An Urban Community, Gary Pierson

CGU Theses & Dissertations

This phenomenological single case study explores the lived experiences of community members in Central Bay, California, as Central Bay High School faces the prospect of consolidation or closure. Drawing on in-depth, semi-structured interviews and document analysis, the study examines how the potential loss of a longstanding educational institution affects community access to socially valued resources and services, such as extracurricular programs, health services, safe gathering spaces, and pathways to postsecondary education. The research investigates the multifaceted impact of school closures on the well-being and resilience of residents, highlighting the emotional, social, and economic challenges encountered during the decision–making process. Special …

Social Capital Of Urban School Counselors The Differences In Social Capital Between Counselors From Elite High Schools And Counselors From Public High Schools; And How That Capital Benefits Student Access To Selective Colleges, Candyce Simpson

CGU Theses & Dissertations

This study analyzed the differences in social capital between counselors from elite high schools in comparison to counselors from urban public schools and examined how that capital benefits student access to more selective colleges. Urban schools that serve more low-income population of students need support that appears to be commonplace to their counterparts at more elite high schools. Urban school counselors are considered a primary source of information, and they may not know what they do not know regarding college knowledge. The college application process is tedious; it can be characterized as a full-time job when persisting through the application …

Creating & Validating A Teacher Resilience Scale In The U.S. Context, Joy Mccreary

CGU Theses & Dissertations

The teaching force faces significant challenges, including high attrition rates and an aging workforce, exacerbated by the COVID-19 pandemic. Prior research highlights teacher resilience as a critical factor in addressing these challenges, emphasizing its multi-dimensional and contextual nature. While several international scales have been developed to measure teacher resilience, none exist tailored to the unique educational landscape of the United States. This study developed and validated a U.S.-specific Teacher Resilience Scale (USMTRS), confirming its strong reliability and multidimensional structure. Findings showed that teacher resilience is widespread and most strongly tied to job satisfaction, while only weakly related to burnout. Results …

Helping Students Help Themselves: An Intervention To Facilitate Campus Food Pantry Use At A Public University, Kianna D.G. Valoa

CGU Theses & Dissertations

Estimates of student food insecurity at California’s public universities range from 42–47%. This study conducted at a public university in California investigated the impacts of an intervention on increasing campus food pantry use by increasing students’ knowledge of the pantry and reducing cognitive barriers. A sample of enrolled students (N=11,400) were randomly assigned to be in either the partial intervention (n=3,800), full intervention (n=3,800), or control (n=3,800) group. The partial intervention group received a postcard in the mail and an email invitation to complete the post-test survey online. The full intervention group received the pretest survey, a postcard, and the …

Innovating Government The Open Way: Modeling The Open Data Ecosystem, Jeanne Holm

CGU Theses & Dissertations

Governments around the world are releasing open data with the aim of stimulating innovation, driving economic development, and advancing social good. Despite significant investment in data infrastructure and technology, many open data initiatives struggle to effectively engage stakeholders or deliver on their intended outcomes. Thus, this dissertation targets the research question: How can a human-centered open government data ecosystem be modeled to ensure that stakeholders are engaged and find data? It also explores which stakeholders should be engaged and what methods are most effective in engaging them. To address the research questions, this dissertation adopts a design science methodology and …

Fraud In Feeding Our Future: An Analysis Of “The Largest Pandemic Relief Fraud Scheme Yet”, Alena Johnston

Criminal Law Practitioner

Since the 1930s, the public school system in the United States has provided a distinct place for students to develop, learn, and grow.  Public schools level the playing field for students in academics, allowing them to receive an education at no direct cost. However, students from economically disadvantaged backgrounds continue to face challenges, and their inability to secure nutritious meals can affect their ability to perform academically. In 1946, President Harry Truman signed the National School Lunch Act, forming the first Child Nutrition Program in the United States to remedy the food security issue.

 The program was implemented as “a …

An Investigation Of Early Identification And Programs That Support Children With Inequitable Beginnings, Rena Ramiah

Educational Leadership Theses, Dissertations, and Student Creative Activity

A body of research suggests that children from disadvantaged backgrounds have a gap in cognitive development that is set by age three (Roozbeh et al., 2016). This study examines if early identification of children with inequitable beginnings and conditions, and offering the support needed better prepares them for school (Simoncic et al., 2022). The research looks at programs established to address the equality and equity of education in a large suburban school district despite not qualifying for Head Start funding (National Academies of Sciences et al., 2020).

This research used qualitative and quantitative analysis within an associational investigation format, using …

45 Is The New 50: Evaluating Colorectal Cancer Screening Practices In Primary Care, Shemille Flinta, Madison Long, Brittany Wiggins

MSN Research Projects

Colorectal Cancer (CRC) is the second leading cause of cancer-related deaths for adults in the United States. There have been significant advances in preventative medicine for CRC, but screening completion lags behind other cancers, with only 61% reported adherence based on USPSTF guidelines. About two-thirds of the patients who are diagnosed with CRC already have distally spread disease. Detecting CRC early is vital, as early detection is linked to smaller tumor sizes and better outcomes. The current research study asked three questions with the objectives of assessing the frequency of CRC screening in primary care clinics, evaluating documented barriers to …