Digital Commons Network^™

Planning For Cognitive Decline: Combining Formal Supported Decision-Making Agreements And Healthcare Power Of Attorney, Megan S. Wright

Health Matrix: The Journal of Law-Medicine

Patients who have impaired decision-making abilities may not be permitted to make contemporaneous medical decisions. Instead, a substitute decision maker, including a healthcare agent, may be asked to decide on the patient’s behalf even if the patient wants to participate in the medical decision making. Being marginalized in decisions made about their medical care may lead to a decline in wellbeing for these patients. But supported decision making, wherein a person with cognitive impairments receives decision-making assistance, may facilitate such patients making contemporaneous medical decisions. As supported decision-making legislation spreads throughout the United States, there are questions about how this …

Pomegranate Peel Powder As Preservative In Muffins, Aditi Bhangale

Student Research Design & Innovation Symposium

This research examined the development of Pomegranate Peel Powder (PPP) muffins as a sustainable and nutritious alternative to traditional bakery products. The study aimed to assess the formulation, sensory acceptance, and nutritional benefits of incorporating PPP into muffins. Pomegranate peel is known for its high antioxidant content and dietary fiber, making it a valuable ingredient in functional food development. The research explored the impact of PPP on the texture, flavor, and overall consumer preference. Analytical methods, including proximate analysis and sensory evaluation, were employed to determine the feasibility of these formulations. The findings contribute to the growing field of functional …

Undergraduate Curriculum Council Annual Report [2024-2025], East Tennessee State University

University Level Committee Year End Reports

No abstract provided.

Social Drivers Of Suicide In Rural And Urban Texas Counties, Maria Y. Vaughan

Social Work Theses - Archive

Abstract

Suicide remains a critical public health issue in Texas, with rural counties consistently experiencing higher mortality rates than urban areas. This study examined county-level suicide rates across Texas and analyzed how demographic characteristics and Social Drivers of Suicide (SDoS)—including economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context—relate to suicide outcomes. Using a quantitative, descriptive, cross-sectional, and correlational design, secondary data from the 2024 County Health Rankings & Roadmaps and the American Community Survey were analyzed for 170 Texas counties with reliable suicide data. Results showed that rural …

Unmet Family Planning Care And Health-Literacy Needs Among Low-Income Immigrant Women In The United States, Priyanjali Chakraborty

Social Work Dissertations - Archive

Unintended pregnancies have been linked to adverse outcomes such as pre-term births and low infant birthweight (Harron et al., 2020), psychological distress(Abbasi et al., 2013; Barton et al., 2017; Gauthreaux et al., 2017; Mercier et al., 2013), relationship strain (Barton et al., 2017; Moseson et al., 2019), intimate partner violence (IPV) and reproductive coercion (K. T. Grace & Anderson, 2018), and economic strain from unanticipated medical costs despite insurance coverage (Trussell, 2007). Unintended pregnancy outcomes offer crucial insights into the complexities of women's reproductive desires and intentions (CDC, 2023; Rossen et al., 2023). These outcomes inform public health interventions to …

Genetic Analysis Of Methionine Restriction-Associated Mitochondrial Unfolded Protein Response Signaling., Josh D. Dodge

Biology Dissertations - Archive

The lifespan of an organism is dictated by various genetic and environmental factors. One such determinant is the health of mitochondria which are organelles that mediate various critical cell functions including a significant role in generating the vast supply of cellular energy. Indeed, the gradual decline of mitochondrial function is believed to be a hallmark and possible cause of aging. Paradoxically, mild mitochondrial dysfunction early in life extends lifespan in various model organisms. Cells use diverse approaches to promote mitochondrial homeostasis, including the transcriptional reprogramming of cells by mitochondrial unfolded protein response (UPRmt) to mitigate mitochondrial stress. Consistently, UPRmt activation …

New Statistical Methods For Mediation Analysis With Independent And Correlated Data, Chao Cheng

Yale Graduate School of Arts and Sciences Dissertations

Causal mediation analysis is a popular statistical tool for evaluating the extent to which an observed exposure-outcome relationship is mediated by an intermediate variable, also referred to as the mediator. Through mediation analysis, the total effect (TE) from the exposure on the outcome can be decomposed into a natural indirect effect (NIE) through the mediator and a natural direct effect (NDE) whose impact is due solely to the exposure and possibly other mediators. Causal mediation analysis has been applied in a variety of empirical research fields, including but not limited to epidemiology, implementation science, economics, and psychology. In implementation science, …

Understanding The Mechanisms Regulating Neuronal Metabolic States In Vivo, Milind Singh

Yale Graduate School of Arts and Sciences Dissertations

Glycolysis, a glucose-consuming pathway required for cellular energy production, iswell conserved across species and has been extensively characterized biochemically. Less is understood regarding how it is subcellularly organized, or coordinated across tissues in vivo. Previous work from our lab found that during transient hypoxia or neuronal stimulation, the rate-limiting glycolytic enzyme phosphofructokinase-1 (PFK-1.1) dynamically re-localizes from the cytoplasm to condensates near synapses in C. elegans neurons. My research examined mechanisms by which PFK-1.1 localization is regulated in neurons, and resulted in two main findings: 1) PFK-1.1 condensate formation in neurons is regulated by a non-cell-autonomous signal derived from hypodermal (epidermal) …

A Bioluminescent Approach To Coxiella Burnetii Pathogenesis: Development And Utilization Of An In Vivo Imaging Model, Jenna Myr Andrews

Yale Graduate School of Arts and Sciences Dissertations

Coxiella burnetii is a Gram-negative, obligate intracellular bacterium that infects livestock and causes Q fever in humans, which can range from acute flu-like symptoms to severe, persistent infections. C. burnetii relies on a Dot/Icm type IVB secretion system to translocate effector proteins, manipulating host cell processes to support intracellular replication. While axenic media have facilitated in vitro pathogenesis research, in vivo studies remain limited due to the classification of the virulent Nine Mile phase I strain as a category B select agent. Although the avirulent phase II strain RSA493 is exempt from this classification, it is rapidly cleared in immunocompetent …

Presidential Control And Administrative Capacity, Nicholas Bednar

Articles

Presidential control is the power to direct administrative capacity toward the President’s own policy objectives. Accordingly, presidential power vis-à-vis administrative policymaking has two necessary components: control and capacity. First, the President must have the ability to set the agency’s policymaking agenda and direct the day-to-day activities of its leadership and career employees. Second, the agency needs a well-managed team of policymakers with expertise and experience in both the substantive policy area and the policymaking process. Yet scholars have long assumed—without much empirical testing—that the administrative state has sufficient capacity to implement the President’s agenda. Not so.

This Article argues that …

Applying The Regulatory Report Card To Tax Regulations, Kristin E. Hickman, Bridget C.E. Dooling

Articles

An invited contribution to an issue of the Journal of Benefit–Cost Analysis honoring the work of the late Dr. Jerry Ellig, this essay recognizes and draws upon the Regulatory Report Card methodology developed by Ellig and Dr. Patrick McLaughlin to evaluate the quality of regulatory impact analysis published by federal government agencies in conjunction with notice-and-comment rulemaking. The essay anticipates a forthcoming study of changes to tax regulatory practices as a result of a 2018 Memorandum of Agreement between the Treasury Department and the Office of Information and Regulatory Affairs – a study the authors discussed and hoped to conduct …

Strength And Agility Training Could Reduce The Likelihood Of Acl Injuries In Women’S Soccer, Nevaeh Batrez

IdeaFest 2025

ACL injuries are on the rise in women's soccer. I looked into determining the effect of strength and agility training on ACL injury prevention in female players.

Analyzing Food Insecurity At Cal Poly Humboldt: Prevalence, Barriers, And Institutional Neglect, Alex Neel

IdeaFest 2025

An analysis into the different aspects of food insecurity we face on campus, from privatization of our food systems, administrative apathy, and consequences of food insecurity for students.

Harvesting Humans, Joanmarie Ilaria Davoli

Belmont Law Review

This Article examines allegations of systematic forced organ harvesting by the People’s Republic of China and argues that existing U.S. federal criminal law provides an underutilized mechanism to deter American participation in that industry. Tracing the historical development of China’s transplant system—from the use of executed prisoners to the alleged targeting of prisoners of conscience, including Falun Gong practitioners and Uyghurs—the Article situates organ procurement practices within broader human rights and genocide concerns. It contends that despite congressional hearings, resolutions, and proposed sanctions, meaningful deterrence has been limited. The Article advances a novel enforcement theory: prosecution of U.S. persons under …

The Role Of Sodium Butyrate As An Inflammatory Regulator And Its Effect On Long Noncoding Rnas In Neuroinflammation, Angel Covarrubias

Chemistry & Biochemistry Theses - Archive

Inflammation is a crucial homeostatic process that contributes to both the elimination of foreign invaders and tissue repair. Inflammation at sites of tissue injury or infection is initiated by the detection of a harmful stimulus, triggering vital inflammatory immune signaling pathways and a cascade of cytokines and inflammatory mediators. The dysregulation of this process, however, can result in inappropriate inflammatory responses manifesting in tissue damage and compromised cell function. Dysregulation of the inflammatory response is seen frequently in many human diseases such as Diabetes, Cancer, cardiovascular disease, and neurodegenerative diseases.

In the context of the Central Nervous system, inflammation is …

Small Farms And Climate Change: Accomplishing Sdgs 2 And 13 By Supporting Food Sovereignty, Taylor Jeanfreau

Lex Specialis

United Nations member states have fallen woefully short on progress in accomplishing the Sustainable Development Goals (SDGs), and more urgent action is needed to combat the effects of climate change. International promotion of food sovereignty—an ideology that encourages localized, environmentally friendly food production— would help with the accomplishment of the SDGs, particularly goals 2 (ending world hunger and achieving food security) and 13 (combating climate change). This paper surveys the history of food sovereignty and explores the ways in which the concept supports SDGs 2 and 13, examining its production and environmental benefits as they relate to these specific goals. …

Unveiling Injustice: The Rule Of Law And Indigenous Rights In Guatemala -- A New Haven Perspective, John Mendez

Lex Specialis

No abstract provided.

Deep And Continuous Palliative Sedation Without Artificial Nutrition And Hydration: An International Review, Richard Liu, Thaddeus Pope, April Xiaoyi Xu

Faculty Scholarship

Deep and continuous palliative sedation combined with withholding or withdrawal of artificial nutrition and hydration (collectively termed “PSs̄ANH”) is a medical process regularly used in end-of-life care as a means of alleviating suffering. But PSs̄ANH is often not governed by a clear legal framework. To shed light on different approaches to regulating PSs̄ANH, this Article conducts a comparative analysis of the PSs̄ANH legality across twelve jurisdictions.

To facilitate understanding of this broad issue, we subdivided PSs̄ANH into three categories:

(1) PSs̄ANH will not hasten death (“Type 1 PSs̄ANH”),
(2) PSs̄ANH might, but is not certain to, hasten death (“Type 2 …

27th Asc Of Icsm Abstracts

Journal of the Hong Kong College of Cardiology

No abstract provided.

2025 F1rst Look, Nova Southeastern University

First Look

No abstract provided.

Analyzing The Evolution Of Major League Baseball Hitting Strategies (1950–2010): A Machine Learning And Interactive Dashboard Approach, John Mcintosh

Theses & ETDs

This thesis examines the evolution of Major League Baseball (MLB) hitting strategies from 1950 to 2010 using statistical analysis and machine learning techniques. The study investigates changes in player performance metrics to determine how hitting styles have evolved, specifically focusing on distinguishing "power hitters" from "contact hitters." Principal Component Analysis “(PCA)”, t-distributed Stochastic Neighbor Embedding, and clustering methods, such as K Means Clustering, were applied to historical MLB data from Baseball Reference to reveal underlying trends and shifts in player roles over time. An interactive dashboard was developed utilizing Streamlit to visualize these trends dynamically. This was done by incorporating …

Perceptions Of School Garden Programming And Their Communities: A Mixed-Methods Research Study, Briana Lafratte

West Chester University Doctoral Projects

School gardening has been connected to improving student nutritional knowledge (Landry et al., 2021; Leuven et al., 2018), academics (Eugenio-Gozalbo et al., 2020), and pro-environmental attitudes (Zelenika et al., 2018; Chang, 2015). Caring for plants in the garden fosters a positive and caring relationship with plants, allowing students to see themselves as a part of the natural world and promoting environmentally active stances in adulthood (Kalvaitis & Monhardt, 2012; Chawla, 2007). This exploratory sequential mixed methods study explored the scope of how school gardening programs are being utilized across a county in Pennsylvania to promote student community involvement, how food …

Assessing The Effect Of Increasing The Frequency Of Copd Assessment Test Utilization On Rehospitalization Rates For Home Health Patients, Rebecca Goldberg

West Chester University Doctoral Projects

Abstract

This evidence-based practice Process Improvement (PI) project involves using the COPD Assessment Test (CAT) to decrease rehospitalization rates for home health patients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). The project includes having therapy clinicians complete the CAT during their in-home skilled visits, between home health nursing visits to increase the frequency of completion. The goal is to recognize symptoms of exacerbation early, engage patients in their own care, encourage communication with providers, initiate early intervention at home, and prevent rehospitalization. Patients with COPD experience frequent symptom exacerbations leading to anxiety, poor quality of life, and challenges …

Assessing Socioeconomic Differences And Perceptions To Increase The Presence Of Athletic Trainers In Disadvantaged Schools, Sharday Fonseca

West Chester University Doctoral Projects

Student athletes in socioeconomically disadvantaged schools are the least likely to have access to athletic trainers (ATs) because their schools cannot afford them. When ATs are present, they are most likely to identify, treat, and report concussions. Therefore, student athletes in socioeconomically disadvantaged schools are disproportionately impacted by concussion and its potential side effects. This is a qualitative study that used document analysis to conduct a comparative analysis across public schools in Connecticut and surveys to analyze perceptions of athletic staff members. The results of this research indicate that schools that have the most access to ATs (2 employed Full-Time) …

Salary Report, 2025 March, Eastern Michigan University

EMU Salary Reports

No abstract provided.

Military Forensic Archaeology: The Process And Recovery Of U.S. Missing-In-Action (Mia) Service Personnel, William Belcher, Luann Wandsnider, Ella N. Axelrod, Finn Kennison, Alicia Lawson

Department of Anthropology: Faculty Publications

The United States (U.S.) Department of Defense's (DoD) Defense POW/MIA Accounting Agency (DPAA) is the largest skeletal identification laboratory in the world and receives several hundred cases per year for identification related to Missing-in- Action (MIA) U.S. service members. While there are various sources for these accessions, by far the largest source is through unilateral or bilateral (done in cooperation with another governmental entity or nongovernmental organization) as well as public-private partnership excavations. While the DPAA-style military forensic archaeology follows archaeological principles and recording standards, the work is goal-oriented, evidence/trace-driven, and time-constrained— a common occurrence with cultural resource management sites …

Eastern Michigan University, Spring Commencement, April 27, 2025, Eastern Michigan University

Commencement Programs and Materials

No abstract provided.

Examining Youth Experiences Aging Out Of Foster Care, Emma M. Croy

Senior Honors Theses and Projects

This systematic literature review explores the challenges faced by youth aging out of the foster care system with a focus on the role of Independent Living Programs (ILP). Nationally, around 18,538 children are aging out of the foster care system. Issues that children aging out face include lack of transitional housing, limited access to education, inadequate healthcare, and an increased risk of involvement in the justice system. Challenges related to these issues can lead to instability in housing, employment, and health, further contributing to the risk of justice system involvement. This population does not appear in more recent literature; however, …

Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …

2025 Extension Highlights

Lancaster County, Nebraska Extension: Reports

The work and programs highlighted in this report are a sample of how local residents count on Nebraska Extension in Lancaster County to:

• Strengthen Nebraska Agriculture & Food Systems

• Inspire Nebraskans & Their Communities

• Enhance The Health & Wellbeing Of All Nebraskans