Digital Commons Network^™

The Lived Experiences Of Female Undergraduates At A Private University Regarding Foodways And Wellness: An Interpretive Phenomenological Analysis, Kelly Green Kearns

Dissertations - ALL

This dissertation study outlines the topic of food and wellness for female undergraduate college students at a private university in the northeastern US. An extensive literature review on the topic of human interactions with food and wellness as well as the potential impact on female undergraduate students is provided, followed by a proposed qualitative study. This dissertation describes the qualitative method of Interpretive Phenomenological Analysis (IPA) using semi-structured interviews and member-checking meetings to learn about the experiences of eight female undergraduate students at a private university’s experiences with food, eating, sourcing, cooking, and sharing and how these behaviors impact and …

Gatekeeper, Keep Thyself: How Impairment Impacts The Integration Of Counselor Wellness Competencies, Curtis Lee Taylor

Electronic Theses and Dissertations

This quantitative study examined counselor educators’ beliefs regarding the importance of Counselor Wellness Competencies (CWCs) and how effectively they teach them to their counselors-in-training (CIT). This study focused on significant relationships between the importance and effective teaching, self-care, and burnout. Counselor educators who place higher importance on the CWCs reported having higher self-efficacy in teaching them. The findings suggest that counselor educators with more self-care behaviors experienced less burnout and were better able to show congruence between the importance and effective teaching of the CWCs. The conclusion of this report explores limitations and directions for future research.

Factors Affecting Involvement Of Parents Of Students With Learning Disabilities In Saudi Elementary Schools, Mohammed Alyahya

Electronic Theses and Dissertations

The research explores the factors that influence parental involvement in school children with learning disabilities in Riyadh, Saudi Arabia. Understanding these factors is crucial, as parental involvement is widely recognized as essential for the academic success of children, particularly those with learning disabilities. This study used a quantitative approach to collect data from parents of students with learning disabilities, including parents' age, gender, income, employment status, and parental beliefs (responsibilities and capabilities). The findings reveal that parental beliefs regarding their responsibilities towards their child's education are the only significant predictor of parental involvement. In contrast, other variables, including age, gender, …

Enhancing Concrete Sustainability With Self-Healing Technologies, Al Shimaa Abdullatif

Theses and Dissertations

Thanks to its strength, durability and affordability, Portland cement concrete is the most commonly used building material worldwide. However, concrete cracking is inevitable due to numerous factors including shrinkage, exposure to external chemicals, internals reactions, excessive loads, to name but a few. Self-healing is a promising technique that can enable concrete to autogenously heal cracks and alleviate much of the damage. Such healing can without a doubt extend the service life with less need for external repair works therefore it contributes to sustainability. Over the years, several means of self-healing agents have been explored including bio-based procedures and the incorporation …

The Cumulative Effect Of Ellagic Acid And Carnosic Acid Attenuates Oxidative Events During Diabetic Wound Healing: In Different Applications And On Different Days, Eli̇f Naz Gürsoy, Kanuni̇ Barbaros Balabanli, Fatma Nur Tuğcu Demi̇röz, Şule Coşkun Cevher

Turkish Journal of Biology

Background/aim: The hyperglycemic environment in diabetes disrupts normal wound-healing processes, leading to chronic wounds. This study investigated whether the combination of the phenolic compounds Ellagic acid and Carnosic acid shows synergistic effects on diabetic wound healing and oxidative parameters in diabetic rats.Materials and methods: In this study, diabetic rats were divided into control, untreated, Carbopol 974P treated, topical treatment, and oral gavage treatment. Ellagic acid and Carnosic acid combination were applied topically and oral gavage to the full-thickness excisional wounds of all animals except the control group. We investigated oxidative events by malondialdehyde, glutathione, nitric oxide, protein carbonyl, collagen spectrophotometrically, …

Defining The Chondrocyte “Mechanome”: How Mechanosensitive Ion Channels Trpv4 And Piezo1 Drive Changes In Gene Expression To Affect Cell Behavior And Cartilage Health, Daniel Raymond Palmer

McKelvey School of Engineering Graduate Student Theses & Dissertations

Chondrocytes, the only native cell population of cartilage, utilize mechanosensitive transmembrane ion channels to sense mechanical forces. Transient Receptor Potential Vanilloid 4 (TRPV4) is activated by physiologic levels of load (resulting in ~10% tissue deformation) while PIEZO1 is activated by supraphysiologic levels of load (resulting in >50% tissue deformation). TRPV4 activation promotes the expression of a limited number of chondrogenic genes and the production of vital cartilaginous matrix proteins, while PIEZO1 activation drives cell death and senescence, cytoskeletal weakening, and production of catabolic mediators, which contribute to the development of osteoarthritis (OA). However, the path connecting activation of these channels …

Multimodal Representation Learning Frameworks For Modeling Progression And Heterogeneity In Alzheimer’S Disease, Sayantan Kumar

McKelvey School of Engineering Graduate Student Theses & Dissertations

Alzheimer’s Disease (AD) is the leading cause of dementia, characterised by cognitive and functional impairments that disrupt daily activities. Different clinical modalities such as neuroimaging biomarkers, cognitive assessments, fluid biomarkers and genetic data provide unique and complementary information, contributing to a more comprehensive understanding of disease progression and heterogeneity in disease characteristics. With recent advancements in computational capabilities, particularly in deep learning, multimodal representation learning frameworks aim to integrate diverse clinical modalities into a cohesive framework, capturing the most significant patterns within each modality. Existing data-driven multimodal representation learning frameworks in AD research have two major limitations. First, AD progresses …

Challenges To Reproductive Justice: An Ethical Analysis Of Reproductive Technologies And Disparities, Courtney Brenner

Electronic Theses and Dissertations

This dissertation analyzes the Reproductive Justice Framework to describe possible solutions to the ethical challenges related to reproductive healthcare disparities. Various frameworks to support reproductive equity fail to address the challenges marginalized individuals face in accessing reproductive health services. The four ethical principles of autonomy, beneficence, nonmaleficence, and justice serve as foundational tools to support reducing these disparities. This dissertation uses the Reproductive Justice Framework to analyze the unequal distribution of harms among marginalized women. It highlights how access to care, such as Assisted Reproductive Technologies (ART), is disproportionately inaccessible to marginalized women. Then, it discusses the relationship between marginalized …

Muslim Spirituality As A Foundation In Bioethics For Patient Encounters In Health Care, Sara Rahman

Electronic Theses and Dissertations

Spirituality plays a major role in decision making for individuals with faith-based values. There is often hesitation to discuss the role of faith in healthcare as a core value and coping mechanism. The growing cultural diversity amongst patients and physicians has increased the need to understand eastern religious principles and incorporate them into bioethical guidance. Even as the 2nd largest religion in the world, Islam has not been sufficiently integrated into religious bioethics in western medicine. Muslim populations of patients and physicians are growing, increasing the need for better understanding of how Islamic principles impact healthcare delivery. Although Islamic law …

Chelidonic Acid Abrogates Oxidative Stress And Memory Dysfunction In Experimental Aging Rats, Feri̇de Ni̇hal Si̇nan, Emel Serdaroğlu Kaşikçi, Burcu Çevreli̇

Turkish Journal of Biology

Background/aim: In an aging model established in male Wistar albino rats via the administration of D-galactose (D-gal), the aim of this study was to examine the effects of chelidonic acid on cognitive functioning and the levels of glutathione (GSH), malondialdehyde (MDA), Total antioxidant status (TAS), and brain-derived neurotrophic factor (BDNF).Materials and methods: Thirty-two Wistar albino (three month old) male rats (n = 8) were used. Group 1: Control (C), Group 2: Chelidonic acid (CA) (2 mg/kg oral gavage), Group 3: D-galactose (D-gal) (150 mg/kg, s.c.), Group 4: D-gal (150 mg/kg) + CA (2 mg/kg) (DC). Following an overnight fast, the …

Sparkled: Social Programming In Kids Affects Risk Of Latent Endothelial Disease, Rebecca Drakowski

Theses & Dissertations

Background: Social Health Programming (SHP) is a holistic intervention that can empower communities to address modifiable risk factors for poor cardiovascular health, including suboptimal nutrition or psychosocial stressors. SHP participation has been shown to increase dietary intake of fruits and vegetables, decrease perceived stress, and improve cardiovascular endurance. However, it is unknown how SHP participation during adolescence affects carotenoid serum levels, hair cortisol concentrations (biological marker of chronic stress), or vascular reactivity index (VRI; measure of subclinical cardiovascular health).

Methods: Adolescent girls and young adult women (12–29-year-old) were enrolled in this observational cohort study. Serum, hair, and saliva samples were …

Development Of A Streptococcus Mutans Biofilm Model On A Typodont Platform To Investigate Its Dynamics In Orthodontics, Hibah Chughtai

Theses & Dissertations

Introduction: Biofilm formation plays a significant role in dental health, resulting in plaque accumulation, which can lead to caries and oral diseases. Streptococcus mutans (S. mutans) is a key bacterium involved in this process. The goal of this study was to establish a protocol for the development of an S. mutans biofilm on dental typodont teeth to analyze the effects of orthodontic brackets on biofilm formation. Understanding these dynamics is critical for developing strategies to mitigate biofilm accumulation during orthodontic treatment. Methods: S. mutans biofilms were cultivated under three conditions: 96-well tissue culture plates, S. mutans inoculated non-bracketed …

Pancreaticoduodenectomy In Trauma Patients With Grade Iv-V Duodenal Or Pancreatic Injuries: A Post Hoc Analysis Of An East Multicenter Trial, Rachel Leah Choron, Charoo Piplani, Julia Kuzinar, Amanda L. Teichman, Christopher Bargoud, Jason D. Sciarretta, Randi N. Smith, Dustin Hanos, Iman N. Afif, Jessica H. Beard, Navpreet Kaur Dhillon, Ashling Zhang, Mira Ghneim, Rebekah Devasahayam, Oliver Gunter, Alison A. Smith, Brandi Sun, Chloe S. Cao, Jessica K. Reynolds, Lauren A. Hilt, Daniel N. Holena, Grace Chang, Meghan Jonikas, Karla Echeverria-Rosario, Nathaniel S. Fung, Aaron Anderson, Caitlin A. Fitzgerald, Ryan Peter Dumas, Jeremy H. Levin, Christine T. Trankiem, Jaehee Yoon, Jacqueline Blank, Joshua P. Hazelton, Christopher J. Mclaughlin, Rami Al-Aref, Jordan Michael Kirsch, Daniel S. Howard, Dane R. Scantling, Kate Dellonte, Michael A. Vella, Brent Hopkins, Chloe Shell, Pascal Udekwu, Evan G. Wong, Bellal Joseph, Howard Lieberman, Walter A. Ramsey, Collin H. Stewart, Claudia Alvarez, John D. Berne, Jeffry Nahmias, Ivan Puente, Joe Patton, Ilya Rakitin, Lindsey Perea, Odessa Pulido, Hashim Ahmed, Jane Keating, Lisa M Kodadek, Jason Wade, Henry Reynold, Martin Schreiber, Andrew Benjamin, Abid Khan, Laura K. Mann, Caleb Mentzer, Vasileios Mousafeiris, Francesk Mulita, Shari Reid-Gruner, Erica Sais, Christopher W. Foote, Carlos H. Palacio, Dias Argandykov, Haytham Kaafarani, Michelle T. Bover Manderski, Lilamarie Moko, Mayur Narayan, Mark Seamon

SKMC Student Presentations and Publications

INTRODUCTION: The utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV-V pancreaticoduodenal injuries.

METHODS: This is a retrospective, multicenter analysis from 35 level 1 trauma centers from January 2010 to December 2020. Included patients were ≥15 years of age with the American Association for the Surgery of Trauma grade IV-V duodenal and/or pancreatic injuries. The study compared operative repair strategy: PD versus non-PD.

RESULTS: The sample (n=95) was young (26 years), male (82%), …

A Narrative Inquiry On The Parent-Child Relationships Of Higher-Weight Late Adolescents, Hien Anh Miguel G. Dang, David Rigel Dela Cruz Panes, Belle Beatriex' M. Alemania

Sinaya: A Philippine Journal for Senior High School Teachers and Students

Late adolescence is a crucial developmental phase marked by significant psychological and emotional changes as individuals transition from childhood to adulthood. However, the specific impact of parental influence on the body image of higher-weight adolescents remains underexplored. This narrative study aimed to examine the parent-child relationship of higher-weight Filipino adolescents, delving more into how parental opinions influence late adolescents' well-being and perception of their bodies. To answer the objective, a qualitative method through semi-structured interview was employed where four participants were chosen by conducting purposive and snowball sampling. Various themes emerged, mainly struggles with body weight acceptance and insecurities, internalizing …

Transgenerational Legislative Awareness Issues In Children's Food, Yi Seul Kim

Duke Environmental Law & Policy Forum

No abstract provided.

Disparities In Kidney Care In Vulnerable Populations: A Multinational Study From The Isn-Gkha, Robin L. Erickson, Nivedita Kamath, Arpana Iyengar, Adebowale Ademola

Open Access archive

Vulnerable populations, such as the elderly, children, displaced people, and refugees, often encounter challenges in accessing healthcare. In this study, we used data from the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to describe kidney care access and delivery to vulnerable populations across countries and regions. Using data from an international survey of clinicians, policymakers, and patient advocates, we assessed the funding and coverage of vulnerable populations on all aspects of kidney replacement therapies (KRT). Overall, 167 countries or jurisdictions participated in the survey, representing 97.4% of the world’s population. Children had less access …

Efficacy Of Probiotics For Treatment Of Acute Or Persistent Diarrhoea In Children From Birth Till 10 Years: Systematic Review And Meta-Analysis, Anmol Minaz, Ridwa Alam, Uswa Jiwani, Khadija Vadsaria, Ahmad Khan, Aqsa Ishaq, Samar Sultan, Marium Mohsin, Ashraf Sharif, Yasir Bin Nisar, Jai K. Das, Sajid Bashir Soofi, Shabina Ariff

Centre of Excellence in Women and Child Health

Background: Numerous studies have investigated the efficacy of probiotics in treating acute and persistent diarrhoea. However, probiotics have not been established as a recommended management option for diarrhoeal illness by the World Health Organization (WHO). Therefore, we conducted a systematic review of randomised controlled trials to assess the efficacy of probiotics for the management of acute and persistent diarrhoea in children.
Methods: A systematic search on PubMed, CINAHL, Wiley Cochrane Library, Scopus, Clinicaltrials.gov, and WHO International Clinical Trials Registry Platform (ICTRP) was performed. All studies published in the year 2000 and onwards that assessed the use of probiotics in the …

The Ethical Requirements To Avoid Clinical Error Via Safety, Augustus Nweze, Augustus Ifeanyi Nweze Fr

Electronic Theses and Dissertations

Establishing safety programs across healthcare organizations will help to eliminate clinical errors and promote patient safety goals such as culture of quality and safety. Following the 1999 IOM Report, To Err is Human: Building a Safer Health System, regarding the high rate of injuries and deaths due to medical errors, healthcare institutions and policymakers at all levels have continued to draw attention to patient safety programs. As a result, patient safety programs have been implemented nationally to avoid clinical error in healthcare. Regulatory agencies like The Joint Commission, which oversees the voluntary accreditation of hospitals in the U.S. continues to …

Glucagon-Like Peptide-1 Receptor Agonist Mediated Weight Loss And Diabetes Mellitus Benefits: A Narrative Review, Alan D. Kaye, Nathan Lien, Christopher Vuong, Matthew H. Schmitt, Yusra Soorya, Bushirat A. Abubakar, Luke Muiznieks, Noah Embry, Harish Siddaiah, Adam M. Kaye, Sahar Shekoohi, Giustino Varrassi

School of Medicine Faculty Publications

Obesity and type 2 diabetes mellitus (T2DM) are chronic diseases with increasing prevalence, underscoring the urgent need for effective treatment and management strategies. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have emerged as an essential class of drugs for managing both obesity and T2DM, offering additional benefits for cardiovascular and kidney health. GLP-1 RAs work by targeting GLP-1 receptors, mimicking the effects of the natural hormone GLP-1 to regulate blood glucose levels, promote weight loss, and provide potential benefits for cardiovascular health. This narrative review evaluates the mechanisms of action, clinical efficacy, and broader roles of GLP-1 RAs in promoting weight …

An Investigation Into The Current Knowledge And Consumption Frequencies Of Probiotic Products Amongst Uk-Based Athletes, Ella J. Myers

The Plymouth Student Scientist

Growing evidence supports the role of probiotics as modulators of the gut microbiome and subsequent beneficial effects on health, adaptations to exercise, and performance amongst athletes. Despite this, limited literature exists concerning athletes’ current understanding or consumption habits of such products. Therefore, the present study aimed to investigate the knowledge and consumption frequencies of probiotic products amongst UK-based recreational and competitive athletes using a three-part online questionnaire. A scoring system based on the number of correct responses to questions regarding probiotics was employed to assess athlete knowledge. Subsequent questions allowed for the collection of data regarding respondents’ current consumption habits …

The Weight Of Words: An Investigation On The Impact Of Stereotypical Body Language On Body Dissatisfaction, Hannah M. Brown

The Plymouth Student Scientist

Body image research is extensive, producing various tools to assess body dissatisfaction and related factors. Despite this, eating disorder rates remain high. This study investigates the relationship between self-schemas, the lexical frameworks of body-related words, and their impact on body shape dissatisfaction. Sociocultural pressures to conform to beauty standards make body image talk ubiquitous and influential. Previous studies primarily used explicit measures, like self-reports, which are subject to biases, whereas implicit measures reveal underlying cognitive mechanisms. This study employed the Stunkard Figure Scale to measure body dissatisfaction and the Body Appreciation Scale 2 to assess body appreciation, examining cognitive biases …

Microplastics In The Mix: Types And Retention Of Microplastics Within A Mixed Species Seagrass Meadow In The Tamar Estuary, Ida S. Kreuze

The Plymouth Student Scientist

Microplastic pollution in coastal systems is becoming increasingly prevalent and a commonly discussed topic in science and the media. Seagrass beds have been identified as highly vulnerable environments to microplastic pollution due to their nature as traps for particulate matter in the water column, and their role in habitat production and blue carbon storage makes them of high conservation concern. This study examined a mixed species seagrass bed in the Tamar Estuary in Plymouth Sound, composed of Nanozostera noltei and a morphology of Zostera marina, to identify how seagrass shoot density and sediment particle size impacted the number and …

Influence Of Patch Characteristics On Pollinator Behavior And Seed Production In Centaurea Stoebe, Abigail Hiltke

Theses - ALL

Discontinuous, or patchy, landscapes may affect pollinator foraging behaviors and could potentially lower the fitness of isolated plant communities by limiting and/or altering pollination services. I tested this idea by examining changes in pollinator behavior in patches of spotted knapweed of different size, flower density, and distance from one another. Based on predictions from optimal foraging theory, I identified and measured key pollination promoting behaviors that may change when foragers are exposed to discontinuous landscape. These behaviors were pollinator visitation rates to patches, the number of visits to individual flowers within patches, and the handling time per flower. These factors …

Community Justice Workers: Part Of The Solution To Alaska's Legal Deserts, Joy Anderson, Sarah Carver, Dr. Robert Onders

Alaska Law Review

Legal deserts—large geographic areas where there are few or no attorneys—are found throughout the United States, including Alaska. These deserts are a major contributor to the access to justice gap. Further compounding the scarcity of legal resources in these areas, many people living in legal deserts cannot afford legal help, even when a lawyer is available. Legal aid organizations have struggled to overcome these challenges in meeting the legal needs of low-income Americans and are often forced to turn away as many people as they are able to help. Alaska Legal Services Corporation (ALSC) is responding to this challenge in …

Next Steps In Online Courts: Accelerating Access Tojustice Through Court Technology, J.J. Prescott

Alaska Law Review

For more than a decade, state courts have been expanding access to justice by adopting online dispute resolution (ODR) platforms and other outward-facing communication technologies. At a deep level, these reforms aim at improving society by bolstering the rule of law. At a surface level, these innovations recognize that the justice system works better when courts and law are easier and less costly to understand and use. In important respects, these efforts have been a success. The accessibility of many state courts is considerably more robust today than it was ten years ago, at least for small-stakes cases, like traffic …

Importance Of Social Support During Pregnancy For Girls With Limited Education, Mairo V. Bello

Walden Dissertations and Doctoral Studies

Social support signifies a system that provides for family, relatives, and friends or is derived from external sources such as social services or health promotion networks and can reduce depression and increase well-being. Absent from the literature was the understanding of the significance of social support for young women with limited education aged 18-25 on the journey from conception to the postpartum period in Nigeria. In this qualitative phenomenological study, the individual perception, attitude, and social support received by young women with limited education during pregnancy in Wudil LGA of Kano state in northern Nigeria were examined. The study addressed …

Governing The Paddies: Emotions, Dispossession, And Gendered Struggles For Resource Access In Rice Farming In Tolima, Colombia, Akemi Inamoto

Dissertations - ALL

Colombia produces nearly one million tons of irrigated rice annually, almost exclusively for domestic consumption, with 72% of this production driven by smallholder farmers. In the department of Tolima, rice farming plays a significant role in both the local political economy and the agrarian landscape. This dissertation engages with feminist political ecology, critical agrarian studies, and debates on agrarian transformation to examine the everyday manifestations of dispossession that shape the lives of smallholder farmers and farmworkers in rural Tolima. I focus on how gender and class dynamics structure access to resources and opportunities, with special attention to the experiences and …

Defining The Chondrocyte “Mechanome”: How Mechanosensitive Ion Channels Trpv4 And Piezo1 Drive Changes In Gene Expression To Affect Cell Behavior And Cartilage Health, Daniel Raymond Palmer

McKelvey School of Engineering Graduate Student Theses & Dissertations

Chondrocytes, the only native cell population of cartilage, utilize mechanosensitive transmembrane ion channels to sense mechanical forces. Transient Receptor Potential Vanilloid 4 (TRPV4) is activated by physiologic levels of load (resulting in ~10% tissue deformation) while PIEZO1 is activated by supraphysiologic levels of load (resulting in >50% tissue deformation). TRPV4 activation promotes the expression of a limited number of chondrogenic genes and the production of vital cartilaginous matrix proteins, while PIEZO1 activation drives cell death and senescence, cytoskeletal weakening, and production of catabolic mediators, which contribute to the development of osteoarthritis (OA). However, the path connecting activation of these channels …

Importance Of Social Support During Pregnancy For Girls With Limited Education, Mairo V. Bello

Walden Dissertations and Doctoral Studies

Social support signifies a system that provides for family, relatives, and friends or is derived from external sources such as social services or health promotion networks and can reduce depression and increase well-being. Absent from the literature was the understanding of the significance of social support for young women with limited education aged 18-25 on the journey from conception to the postpartum period in Nigeria. In this qualitative phenomenological study, the individual perception, attitude, and social support received by young women with limited education during pregnancy in Wudil LGA of Kano state in northern Nigeria were examined. The study addressed …

The Occurrence And Biogeochemical Cycling Of Quaternary, Ternary And Volatile Amines In Marine Systems, Mark Fitzsimons, Ruth Airs, Yin Chen

School of Geography, Earth and Environmental Sciences

This review provides a critical assessment of knowledge regarding the occurrence and behaviour of volatile, low molecular weight amines, particularly methylamines and quaternary amines, in marine aquatic systems. It provides an up-to-date evaluation of their presence within marine ecosystems, the processes likely to control their flux across the sea-air interface, and analytical techniques associated with their measurement. Interest in the occurrence and cycling of these groups of compounds in seawater has increased within the last 10–15 years, due to their potential role in climate regulation. As such, the need for wider measurements and mechanistic studies to elucidate their role within …