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Type 1 Diabetes And The Gut Microbiome: What We Know And What The Future Holds, Angela Chen, Jyotsna Chawla, Cyril Blavo

HCA-NSU MD Research Day

Type 1 Diabetes and the Gut Microbiome: What We Know and What the Future Holds Angela Chen, OMS-II, Dr. Kiran C. Patel College of Osteopathic Medicine Objective. This paper explores the current understanding of the relationship between type 1 diabetes (T1D) and the gut microbiome, focusing on how the gastrointestinal microbial communities may contribute to autoimmune responses associated with T1D. Background. While the exact etiology of T1D remains unclear, it is widely recognized that its development results from a complex interplay of genetic predisposition, environmental factors, and lifestyle choices. Recent research has highlighted the significant role of the gut microbiome …

Observing The Impacts Of Different Diets On Clinical Outcomes In Patients With Alzheimer's Disease: A Scoping Review, Erjola Toska, Alessandra Ottley, Quinn Jackson, Rachel Fricker, Alexa Carleo, Gabriella Cutrali, Olivia D’Alessio, Raquel Rossman, Samuel Kruchakov, Abraham Edelstein, Lubov Nathanson

HCA-NSU MD Research Day

Observing the Impacts of Different Diets on Clinical Outcomes in patients with Alzheimer's disease: A Scoping Review Authors: Quinn Jackson, OMS-III; Rachel Fricker,OMS-III; Erjola Toska, OMS-III; Alessandra Ottley,OMS-III; Alexa Carleo,OMS-III; Gabriella Cutrali, OMS-III; Olivia D’Alessio, OMS-III; Raquel Rossman, OMS-III; Samuel Kruchakov, OMS-III; Abraham Edelstein,OMS-III; Lubov Nathanson, Ph.D. Program: Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Florida Objectives: This study aimed to assess the literature published from 2013 to 2023 on the impact of diet on Alzheimer’s Disease (AD). Background: AD is primarily marked by β-amyloid plaques and neurofibrillary tangles, which impair neuronal synapses, leading to memory …

Harvesting And Processing Techniques Of Tropical Grass And Legume Seeds For Smallfarmers, Lumyai Kowithayakorn, Chaisang Phaikaew

IGC Proceedings (1977-2023)

For smallfarmers of forage legumes and grasses in Thailand, manual harvesting and cleaning of leguminous seeds have been widely practised because of cheap and available labour. Tropical grasses produce more seeds than can be harvested; hence it is necessary to find means to improve harvesting and processing techniques in order to obtain high standards of both quality and quantity of seed. The main obstacles could be due to prolonged flowering nnd grain filling periods of individual seedheads resulting in the uneven ripening of seeds at harvest. Premature seeds cause low yields and low quality nt harvests in many species. Flowering …

Yield, Composition And In Vitro Digestibility Of Russell Lupin, S M. Kitessa, G D. Hill, A M. Nicol

IGC Proceedings (1977-2023)

Six harvests were made (at 3-weekly intervals) from spring regrowth of Russell lupin (Lupinus polyphyllus x Lupinus arboreus ) to evaluate changes in yield and nutritive value with plant maturity. Dry matter (DM) yield and neutral detergent fibre (NDF) concentration increased from 40 to 160 g/plant and 24 to 46%, respectively, while nitrogen concentration, in vitro cellulase DM and organic matter digestibility decreased from 4.5-2.4%, 77-56% and 81-55%, respectively, as the lupins matured from late vegetative to hard pod stage. Peak digestible DM (DDM) yields of Russell lupins, at about 90 g/plant, occurred at full bloom and dry pod, …

Ruzi Grass (Brachiaria Ruziziensis) Seed Production In North-East Thailand, Chaisang Phaikaew, Chanchai Manidool, Pimpaporn Devahuti

IGC Proceedings (1977-2023)

The recent expansion of beef and dairy production in Thailand has increased demand for pasture seed. Ruzi grass (Brachiaria ruziziensis) seed production has increased from 18 tin 1983 to 466 tin 1991. The; production sites are in the north east, where soils and climate are most suitable for seed production. 60% of all ruzi seed is being produced by smallfarmers; the rest is produced by government stations. Average farmer yield of rilzi is 400 kg • seed/h'a, with each farmer contracted 'to grow 0.32 h�� of ruzi grass, at a guaranteed price of US$2/kg; Abo·ut 2700 farmers are …

Winter Cold Temperate Rangelands: Improvement Strategies For Intensive Rangeland Ecosystems, B E. Allan, D Scott

IGC Proceedings (1977-2023)

Transfer of developed grassland technologies to rangelands is discussed in terms of environmental gradients and the options and constraints they impose. Winier feed limitation can be overcome through conserved feeds and various in situ systems involving special purpose pastures and feed banks. General animal nutrition can be improved through intensive development, low input systems, better control of range utilisation and, where appropriate, correction of mineral deficiencies. The emphasis in seeking quick and easy solutions to rangeland management problems is questioned, A more informed, environmentally sound and sustainable approach to rangeland fanning atlitudes and management is proposed. A stepwise process to …

Emerging Diagnostics And Therapeutics For Non-Alcoholic Fatty Liver Disease, Kiarra Krulikowski, Jake Darbhanga, Suzanne Riskin

HCA-NSU MD Research Day

Introduction: The obesity epidemic has pushed fatty liver disease to the forefront of the 21st century. Disease identification can be done invasively with a liver biopsy or noninvasively through elastography and measurements of biomarkers. Presently, there are no FDA-approved drugs on the market to treat the disease. Alternative medicinal treatments have been investigated, which include altering the intestinal microbiota and consuming anti-inflammatory, herbal-based, vitamin-based, and plant-based medications. Methods: In this study, multiple databases were used to identify articles pertaining to fatty liver disease (FLD). All articles gathered from the databases were peer-reviewed and less than 10 years old to ensure …

Hans Holbein's Portrait Of Henry Viii: England's Own Personal Jesus, Amy Pitsor

Best Integrated Writing

Pitsor explores the possibility that Holbein’s late-stage change in the composition of the portrait from a three-quarter view of Henry to a frontal view held a motive to present Henry as the head of the newly established Church of England and as equal to the pope, and possibly to Christ himself.

La Falta De Los Supermercados En El Oeste De Dayton: Cómo Obtienen Los Estudiantes Comida Fresca En Los Desiertos Alimentarios (Un Ensayo Expositivo-Argumentativo, Catherine Iacobacci

Best Integrated Writing

After having learned about how poverty can affect children’s educational outcomes in one of her classes, Iacobacci wanted to learn more about how the issue affected the area where she lived and went to school. What she found out was incredibly shocking, and only furthered the idea that students are struggling with opportunity gaps, not achievement ones. Unfortunately, due to discriminatory loan practices from long ago, children from the 21st century are suffering physically, emotionally, and academically.

The Journey Within: My Travel Journel, Devonique Jones

Best Integrated Writing

This project is a multigenre research exploration that delves into Jones's personal journey of self discovery and growth during her first solo trip.

Investigation Of Ndv In Southern African Waterfowl Reveal Insightful Geographic And Biodiversity Trends To Help Contain The Virus, Lauren Goodwill

Best Integrated Writing

This study assesses the infection rates and trends of Newcastle disease in southern African waterfowl, a project carried out by Emily Murphy in Dr. Jeffrey Peters’ laboratory

Analysis Of The Integration Of Race And Cultural Concordant Doulas Into The Birth Experience Of African American Women, Cherissa Garcia

Best Integrated Writing

Garcia's study looks at how integrating race and cultural-concordant doulas into the birth experience of African American women would impact outcomes. She found similar studies that provided strong evidence to support doula integration. However, most did not select study populations that appropriately reflected the African American women at increased risk of poor outcomes. As a result, Garcia designed a study that looked at race and cultural concordance between doulas and patients from a wide range of SES backgrounds and varying degrees of pregnancy risk.

The Foreigner In Our Midst: Jewish Rights Debates In Revolutionary France, William Evans

Best Integrated Writing

The debates surrounding Jewish rights during the French Revolution concerned many of the same subjects that divide the Western world today. The fear of the other, immigration as a political tool, and the disagreements over assimilation are all subjects which feature prominently today. In this essay Evans sets out to explore these debates while fairly assessing the historical informants.

Junebug In January: A Novel Excerpt, Hannah Carson

Best Integrated Writing

This section of Junebug in January is the beginning of a much longer story that follows eighteen-year-old June and her small family as she attempts to survive the harsh reality of living in the era of the Great Depression and her attempts to survive her Papa’s tasks for her. This story challenges the boundaries of family loyalty, investigates the concept of “saving yourself,” and explores the limits of redemption.

Best Integrated Writing Fall 2024 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan, Tracy Smith

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University.

Nourishing Skin Health: The Impact Of A Balanced Diet On Chronic Inflammatory Skin Conditions, Archana Banda

HCA-NSU MD Research Day

Objective: This study was conducted to determine the influence a balanced diet has on the outcome of specific dermatologic conditions notably psoriasis, atopic dermatitis, and rosacea. Background: Nutritional status is pivotal in shaping holistic wellness, which extends to skin health. Adequate nutrition can prevent the worsening of inflammatory conditions. Methods: A literature review was conducted to analyze how specific dietary habits for selected chronic inflammatory cutaneous conditions influence the presentation and overall clinical outcome. Results: The analysis indicates a higher incidence of flare-ups with diets heavily consisting of carbohydrates, red meat, alcohol, and fats. Specific diets, such as the Western …

Adverse And Positive Childhood Experiences And General Health Among Asian American Emerging Adults, Wenyi Chen

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to (1) investigate whether disparities in ACE and PCE exposures exist in a diverse Asian American population of emerging adults (i.e., Asian Indian, Chinese, Hmong American) differing in their US immigration histories, cultures, language, and countries of origin and (2) describe the relationships among ACEs, PCEs, and self-reported general health among Asian American emerging adults.

Effect Of Activities, Social Environment, And Psychotropic Medication Use On Behavioral Symptoms Of Persons With Dementia In Nursing Homes, Ben R. Inventor

Dissertations

A secondary data analysis was conducted using existing clinical and observational data of a 3-year longitudinal study to describe associations of time-varying background factors (cognitive function, physical function, psychotropic medication use), and proximal factors (activities, social environment) with positive and negative behaviors of persons with dementia at 24 months. Participants included residents with Alzheimer's disease living in two nursing homes in Chicago. A Total 25,560 observation sessions, collected for all participants at baseline, 12-months and 24-months were used in analyses. Results showing that: 1) higher cognitive and physical functions, and being located in own bedroom and shower/tub/bathroom had the most …

The Lived Experiences Of Nurses Caring For Dying Pediatric Patients, Danna L. Curcio

Dissertations

The purpose of this research study was to explore the lived experiences of nurses caring for dying pediatric patients. Nurses and health care professionals may at times have difficulty adjusting and processing when life ends and this may have the potential to interfere with patient care. Reflection on past events and actions enable critical discovery of strategies to benefit both nurses and patients. The method for conducting this research study was from a qualitative phenomenological perspective exploring the lived experiences of nurses caring for dying pediatric patients. The philosophical underpinning of Merleau-Ponty (2008), in combination with the research method of …

The Relationship Between The Perception Of Nurse Caring, And The Phase Ii Cardiac Rehabilitation Patients' Depression, Anxiety, And Adherence, Jo Ann Kim

Dissertations

The purpose of this study was to determine if there was a relationship between perception of nurse caring and Phase II cardiac rehabilitation (CR) participant's depression, anxiety, and adherence. Duffy and Hoskins (2003) Quality-caring model © was used as a theoretical framework to guide the descriptive correlational study. A convenience sample of 109 outpatients lived in the mid-Atlantic portion of the United States. The four data collection instruments included the Center for Epidemiological Studies-Depression Scale (CES-D), State-Trait Anxiety Inventory- Y-1 (STAI-Y-1), Caring Assessment Tool-IV (CAT-IV), and a Phase II CR Patient's Program Data Sheet. Pearson's product-moment correlational analysis was used …

Development And Evaluation Of A Nurse Leader-Led Acuity-Based Nursing Assignment Program And Its Outcome On Peripheral Intravenous Infiltrations And Extravasations In Pediatric Patients, Cassandra D. Dike

Dissertations

In this evidence-based project, the team developed a model of patient assignments for nurses in a pediatric acute care setting based on workload and acuity as opposed to hours per patient day (HPPD). The team used a plan-do-study-act, or PDSA, cycle of quality improvement methodology to demonstrate that assignments based on acuity as opposed to ratios would improve patient outcomes. The outcome measure was peripheral intravenous infiltrations and extravasations (PIVIEs). In the 6-week time frame only two PIVIEs were identified, and they occurred on shifts in which the ideal acuity score was not met for the nursing assignments due to …

A Focused Ethnography Of Healthcare Transition Among Persistent Asthmatic/Chronic Obstructive Pulmonary Disease (Copd) Adult Pennsylvania Medicaid Beneficiaries, Agnes Marie M. Cummings

Dissertations

The Affordable Care Act (ACA) (2010) provided for the largest reform of Medicaid since its 1965 Centers for Medicare and Medicaid implementation, providing funding for both low-income and disabled citizens. The additional amount of Medicaid beneficiaries increased the complexity and effectiveness of an already struggling, massive and bureaucratic government program. From a beneficiary perspective (emic perspective), Medicaid as a federal agency, is far from "user-friendly." This problematic complexity remains despite ACA-induced Medicaid reform. Thus despite new eligibility for Medicaid services, a client may still face unresolved health concerns due to system-based or client-based obstacles to effective Medicaid utilization. Failure to …

A Qualitative Exploration Of Associate Degree Nurse Educators' Teaching Experiences Regarding Health Literacy, Connie Marshall

Dissertations

Worldwide health literacy levels are low. Nurses should be able to lead the improvement of the health literacy of the populations they serve. During a comprehensive review of the literature, it became apparent that previous research regarding the provision of health literacy education within Associate Degree Nursing programs was not available. The Associate Degree is the initial degree that allows the graduate to take the NCLEX-RN board exam, so it was interesting to determine how learners are prepared to discern the health literacy levels of the patient population. The research question, "How do nurse educators describe their experiences with health …

Impact Of Multidisciplinary Rounds On Adult Inpatient Length Of Stay A Quality Improvement Initiative, Aurora Smith Msn, Rn, Kristie Geil Dnp, Rn, Cenp, Kathryn Johnson Msn, Rn, Cen

Nursing Research & Professional Development Conference

Background and/or Rationale: Multiple factors influence patient’s length of a stay (LOS). Studies examining patient demographics, hospital characteristics, and diagnoses indicate that older age, certain diagnoses, and admission to critical care units are associated with longer LOS.

Local Problem: At a non-profit hospital in the Midwest, nurses identified challenges in achieving reductions in the budgeted LOS for adults admitted to inpatient units.

Method: To reduce budgeted LOS, multidisciplinary rounds (MDRs) were optimized through a methodical approach involving direct observation, process mapping, and root cause analysis. A Length of Stay Committee was established, standardizing MDR practices and integrating these into workflows. …

Beyond The Surface: Nursing Strategies For Hospital Acquired Pressure Injury Reduction And Protocol Standardization, Mackenzie Kohlbrand Bsn, Bs, Rn, Cmsrn, Timothy S. Scholz Bba, Clssbb, Latasia Belin Dnp, Aprn, Agcns-Bc, Onc, Fcns, Jaime Moore Dnp, Rn, Cen, Tcrn, Ne-Bc

Nursing Research & Professional Development Conference

Background

Hospital-acquired pressure injuries (HAPIs) are a key nurse-sensitive indicator and a major component of the PSI-90 National Database of Nursing Quality Indicators (NDNQI) metrics. Preventing PIs are critical for enhancing patient care and reducing financial burdens, costing between $500 to $40,000 per patient.

Local Problem

Atrium Health (AH) Mercy experienced 56 HAPIs in 2022 and 67 in 2023, prompting the need for structured reduction initiatives. In 2023, the cost of treating Stages 3, 4, and Unstageable PIs averaged $14,500 each, totaling $536,500. Despite existing AH policies emphasizing prevention strategies and documentation protocols, an assessment revealed documentation gaps and inconsistent …

Editorial: Leveraging Multi-Omics Approaches To Understand And Manage Gastrointestinal And Hepatic Diseases, Isis Trujillo-Gonzalez, Paul G. Thomes, Isin Tuna Sakallioglu, Kusum K. Kharbanda

Department of Chemistry: Faculty Publications

The Research Topic “Leveraging multi-omics approaches to understand and manage gastrointestinal and hepatic diseases” proposed by the Frontiers in Pharmacology has attracted a total of four articles on preclinical studies that were covered in three original research manuscripts and one review article. Two research articles were on metabolic dysfunction-associated steatotic liver disease (MASLD), previously named non-alcoholic fatty liver disease (NAFLD), which is now recognized as a predominant cause of chronic liver disease worldwide, affecting over 30% of the adult population (Teng et al., 2023; Miao et al., 2024). Current pharmacological treatments for MASLD are limited and, until a recent FDA-approved …

November 13, 2024 (Vol. 109, No. 12), Daily Eastern News

Daily Eastern News: 2024-2025

No abstract provided.

Hfh Destination Grand Pfac Of Impact, Dana Murphy, Leah M. Copeland

2024 Patient Advisor Retreat

In our first year bringing PFAC back to HFH they were engaged with leaders from multidisciplinary departments that are working on process improvements, ranging from marketing and messaging materials, physical plant changes, hardwiring best practices in communication and patient safety.

Hfwh Pfac Of Influence, Julie Johns, John Chandler Ii, Marty Marcero

2024 Patient Advisor Retreat

Our group is engaged with leaders from multidisciplinary departments that are working on improvement projects, ranging from marketing and messaging materials, physical plant changes, hardwiring best practices in communication and patient engagement.

West Bloomfield Care Experience Patient And Family Advisory Council, Julie Johns, Hannah M. Leinonen

2024 Patient Advisor Retreat

To enable Henry Ford Health System to provide the highest standard of safe, comprehensive and compassionate healthcare while integrating the voice of the patients and families in all improvement efforts and key priorities across the campus.