Digital Commons Network^™

A Simulation And Small-Group Pediatric Emergency Medicine Course For Generalist Healthcare Providers: Gastrointestinal And Nutrition Emergencies, Adeola Adekunbi Kosoko, Alicia E Genisca, Nicholas A Peoples, Connor Tompkins, Ryan Sorensen, Joy Mackey

Faculty, Staff and Student Publications

Audience and type of curriculum: This is a review curriculum utilizing multiple methods of education to enhance the skills of generalist healthcare providers in low- and middle-income countries (LMICs) in the identification and stabilization of pediatric respiratory emergencies. Our audience of implementation was Belizean generalist providers (nurses and physicians).

Length of curriculum: 8-10 hours.

Introduction: Early recognition and stabilization of critical pediatric patients can improve outcomes. Compared with resource-rich systems, many low-resource settings (i.e., LMICs) rely on generalists to provide most pediatric acute care. We created a curriculum for general practitioners comprising multiple educational modules focused on identifying and stabilizing …

Forest For The Trees: Collective Accountability And Trust As Groundwork For Systems Change, Shaady Salehi, Pia Infante

The Foundation Review

Since 2020, trust-based philanthropy has gained momentum as a strategy to alleviate inherent power imbalances between funders, nonprofits, and the communities they serve. The cornerstone of the approach is a set of grantmaking practices, such as multiyear unrestricted funding and streamlined paperwork, that support nonprofit self-determination toward achieving impact goals.

At a deeper level, trust-based philanthropy is driven by core values that position funders as collaborators and supporters working alongside nonprofits to advance a more just and equitable society. This requires a radically different stance on accountability from conventional philanthropic norms. Rather than reinforcing a sense of one-way transactional accountability, …

Teacher Self Efficacy And The Work Environment, Marium Carpen

Seton Hall University Dissertations and Theses (ETDs)

In a time of uncertainty, teachers have been the backbone of the educational world. They provide a sense of consistency to many students who may need positive role models in their life. Teachers take on roles as caregivers, educators, friends, and are often a “safe place” for students. Yet, how have teachers been supported during times of crisis? With the recent COVID-19 pandemic shifting the world of education, elementary school teachers have had to adapt to new changes within their daily work environment. From transitioning to immediate virtual learning and returning to in-person learning with safety protocols, understanding teacher self-efficacy …

Sustainability Hub Newsletter - October 2024, Margaret Saville, Neyda Gilman, Jennifer Embree, Ashley Maurad

Library Sustainability Resources

Happy Fall Bearcats! This month’s issue highlights books in our collection by Indigenous authors, and shares some tips on how to have a more sustainable Halloween! Also check out our seed and recipe of the month, sustainable swap suggestions, and other announcements!

Amoxicillin And Favipiravir Bio-Degradation By Aspergillus Flavus Fungus, Rana Hadi Hameed Al-Shammari, Shaimaa Satae M. Ali, Ayad M.J. Al-Mamoori

Baghdad Science Journal

The aim of this study is to isolate and characterize Amoxicillin and Favipiravir biodegrading fungi as well as determine their characteristics and degradation pathways. The antibiotic-degrading fungus A. flavus was isolated from polluted wastewater samples using standard Potato Dextrose agar and Czapek–Dox medium. The biodegradation method was investigated in previous mediums with (Amoxicillin and Favipiravir), as the sole carbon sources. Main degradation intermediates were analyzed by high-performance liquid chromatography (HPLC) and used to deduce the antibiotic degradation pathway of strain A. flavus fungal hyphae by Scanning Electron Microscopy before and after 7 days of treatment to find out the accumulation …

The Effectiveness Of Calcium Supplement As Orally Contrast Media For Gastric Magnetic Resonance Imaging, Zainab Abdulla Mankhi, Khalid Ibrahim Riah, Ahmed Mehmood Abdul-Lettif

Baghdad Science Journal

The objective of the present work aims to find an alternative oral contrast agent that could be used in magnetic resonance imaging (MRI) of the gastrointestinal system and satisfy the following criteria: it should be safe, it has no or few side effects, it is inexpensive, and it produces the highest imaging quality. The method: We prepared samples (solutions) as oral contrast agents by separately dissolving calcium and magnesium supplements (taken daily dose) in varied quantities of distilled water. In order to identify the sample with the lowest concentration and best quantitative image, the samples were examined in MRI by …

Harvesting Health: The Role Of City Policy In Urban Agriculture And The Downstream Effects On Youth, Lesley Leake

Theses and Dissertations

Contextualizing environmental health within the socio-ecological framework, acknowledges the diverse factors at play in the environment-human dynamic. The research design, methods, and study populations of each chapter vary to match the socio-ecological level(s) of focus and reinforce the translational and interdisciplinary nature of this research. Chapter 2 examines the policy-supports for urban agriculture using a mixed-methods case-study of the City of Charleston, SC to understand how municipal policy (societal) impacts urban agriculture implementation (community) and what impact this has on residents (relationship and individual). Chapter 3 centers on the potential impact of urban farms (community) and their programming (community and …

Information Exchange Through Social Networks Links To Adoption Of Child Feeding Practices In Nepal, Mohammad Masudur Rahman

Theses and Dissertations

While there have been notable decreases in child undernutrition (i.e., stunting) over the past few decades, it remains a major concern in Nepal, with 25% of children under the age of five experiencing chronic undernourishment. There is considerable scope for improving nutrition-related behaviors to address this ongoing issue. In Nepal, knowledge regarding appropriate child feeding practices is often inadequate, and thus additional sources of accurate information are required. Information through multiple sources (i.e., interpersonal communication, mass media, and mobile SMS) provides opportunity to reach households who inadequately practice childcare. Information improves knowledge and information exchange (i.e., receiving or sharing) usually …

The Role Of The Physical Therapist In Managing Type 2 Diabetes: Systematic And Qualitative Perspectives, Garrett Matthew Hainline

Theses and Dissertations

Introduction: Physical activity (PA) is an effective tool in the management of Type 2 Diabetes (T2D). PA recommendations for people with T2D are to achieve at least 150 minutes per week of moderate intensity PA. This assists to maintain blood glucose control and reduce cardiovascular disease risk factors. Unfortunately, people with T2D are less likely than their normoglycemic peers to meet PA recommendations.

Veterans of the armed forces experience T2D at even greater levels than the general population, with prevalence at about 20%. In addition, T2D and pre-diabetes are elevated among younger veterans, including those of recent conflicts. Reducing rates …

Ashs To As: Evaluating The Effectiveness Of Mandatory Athletic Study Hall In Improving High School Athletes’ Academics, Angela Pilson

Theses and Dissertations

During the 2023-2024 academic year, this action research study was conducted at local, mid-sized high school in South Carolina using a mixed-methods approach to evaluate the efficacy and impact of a mandatory athletic study hall (ASH) program on high school athletes’ academic performance. Through this program, during each academic quarter, any in-season athletes with any grades below 69% to either attend after-school study hall sessions or complete tutoring. The study both reviewed the academic performance of athletes and nonathletes and collected qualitative data from stakeholder surveys completed by nonathletes, athletes, teachers, coaches, and parents. The findings revealed a significant difference …

Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a major public health problem and is associated with increased morbidity, mortality, and healthcare expenditure in the United States. Several studies have been conducted that showed cigarette smoking is associated with an increased incidence and prevalence of diabetes mellitus (DM); however, there is no published information in the literature on the moderating effects of gender/sex and race/ethnicity on this association. The purpose of this quantitative, cross-sectional study was to address this gap in the literature and examine the association between cigarette smoking and DM and the moderating effect of sex and race/ethnicity on the association between cigarette …

The Danger Online Pharmacies Pose On Clients With Eating Disorders In The Prescription Of Glp-1 Agonists For Weight Loss, Madyson R. Frisbie

Selected Honors Theses

This literature review explores the prevalence of utilizing online pharmacies to obtain glucagon-like peptide 1 agonist, Semaglutide, for cosmetic weight loss and the danger that route of obtaining medication places on clients with eating disorders such as anorexia nervosa and bulimia nervosa. In addition, research was conducted to establish practice recommendations to eliminate the possibility of a client with an eating disorder from obtaining a GLP-1 agonist when it is inappropriate for their health status. Various articles were used to gain information about the drug in general, its mechanism of action, indications, positive outcomes, and adverse effects. Additional articles were …

Out Of Left Screen: Factors Impacting Well-Being In Digital And Physical Collegiate Athletes, Jessica Poskus

Theses and Dissertations

Competitive video gaming, or “esports,” has quickly become a popular college extracurricular. Its classification as a varsity sport on many campuses reflects a broader shift in cultural conceptualizations and perceptions of athleticism. As esports continue to evolve in today’s increasingly digital world, new professional leagues emerge, and viewership rivals that of traditional physical sports. Esports can be a gateway for unique opportunities for college students; however, it may also pose some challenges. This study explored differences between digital and physical athletes, who must balance their chosen activity with other collegiate responsibilities, including academic, social, and physical health. Physical sports and …

Motivating Physical Activity With Fitness Tracking And The Interpersonal Context, Sapphire H. Lin, Sonny Rosenthal, Rich Ling

Research Collection College of Integrative Studies

Many societies have aging populations. Getting older people to exercise can help them achieve a higher quality of life. Fitness tracking and social support can buttress that goal. This study tested the effects of fitness tracking and spousal influence on the physical activity of older adults. In a 2 (blinded vs. feedback) × 2 (individual vs. dyad) between-group experiment, 240 participants received a fitness tracker with a visible or blinded display. They participated in the three-month experiment either individually or with their spouses. Participants who received feedback met daily step counts of 7500 and 10,000 more frequently than those without …

The Narrative Inquiries Of How Community School Directors Implement Servant Leadership At Full-Service Community Schools In New York City, Stephen R. Campbell

Electronic Theses and Dissertations

Children and their families face increased barriers to accessing programs in low-income communities. In response to this concern, community schools employ community school directors (CSDs) who connect students and families with essential services across organizational boundaries. This study was designed to provide insight into the leadership characteristics of the CSD as a servant leader by determining if they engage with any of the 10 servant leadership qualities described by Spears (2010). There is limited research on the leadership practices of CSDs in low socioeconomic status areas. It is therefore necessary to conduct research on how CSDs foster collaboration between schools …

Forecasting The Effects Of Smoking Prevalence Scenarios On Years Of Life Lost And Life Expectancy From 2022 To 2050: A Systematic Analysis For The Global Burden Of Disease Study 2021, Atulya Khosla

All Publications

Background: Smoking is the leading behavioural risk factor for mortality globally, accounting for more than 175 million deaths and nearly 4·30 billion years of life lost (YLLs) from 1990 to 2021. The pace of decline in smoking prevalence has slowed in recent years for many countries, and although strategies have recently been proposed to achieve tobacco-free generations, none have been implemented to date. Assessing what could happen if current trends in smoking prevalence persist, and what could happen if additional smoking prevalence reductions occur, is important for communicating the effect of potential smoking policies.

Methods: In this analysis, we use …

The Relationship Of Acculturation With The Health Numeracy And Associated Health Behaviors Of Filipino-Americans, Ashwini Wagle, J. Cuaresma, Giselle A.P. Pignotti

Faculty Research, Scholarly, and Creative Activity

Describe relationships between acculturation level and the following variables - dietary acculturation and intake, health numeracy, physical activity, and anthropometric measurements - among Filipino-American men and women.

Nh 4-H Youth Enrollment Paper Form, Unh Cooperative Extension

UNH Cooperative Extension

No abstract provided.

Reimagining Supportive Approaches At The Intersection Of Mandatory Reporting Policies For The Mother–Infant Dyad Affected By Substance Use, Kelly Mcglothen-Bell, Diana Cartagena, Kathryn J. Malin, Dorothy Vittner, Jacqueline M. Mcgrath, Rebecca Koerner, Ashlee J. Vance, Allison Crawford

College of Nursing Faculty Research and Publications

Background: As rates of substance use during pregnancy persist, the health and optimal development of infants with prenatal substance exposure remain a key priority. Nurses are tasked with identifying and reporting suspected cases of child maltreatment, including abuse and neglect, which is often assumed to be synonymous with substance use during pregnancy. While policies aimed at protecting infants from child abuse and neglect are well intentioned, literature regarding the short- and long-term social and legal implications of mandatory reporting policies is emerging.

Purpose: In this article, we explore the intersections between the condition of substance use in pregnancy and policies …

Changes In Conjunctival Mononuclear Phagocytes And Suppressive Activity Of Regulatory Macrophages In Desiccation Induced Dry Eye, Jehan Alam, Ebru Yaman, Cintia S De Paiva, De-Quan Li, Gerda Cristal Villalba Silva, Zhen Zuo, Stephen C Pflugfelder

Faculty, Staff and Students Publications

Purpose: To evaluate the effects of dry eye on conjunctival immune cell number and transcriptional profiles with attention to mononuclear phagocytes.

Methods: Expression profiling was performed by single-cell RNA sequencing on sorted conjunctival immune cells from non-stressed and C57BL/6 mice subjected to desiccating stress (DS). Monocle 3 modeled cell trajectory, scATAC-seq assessed chromatin accessibility and IPA identified canonical pathways. Inflammation and goblet cells were measured after depletion of MRC1+ MΦs with mannosylated clodronate liposomes.

Results: Mononuclear phagocytes (monocytes, MΦs, DCs) comprised 72 % of immune cells and showed the greatest changes with DS. Distinct DS induced gene expression patterns were …

Pancreatic Enzyme Use Reduces Pancreatitis Frequency In Children With Acute Recurrent Or Chronic Pancreatitis: A Report From Insppire, Alvin Jay Freeman, Kenneth Ng, Fuchenchu Wang, Maisam A Abu-El-Haija, Ankur Chugh, Gretchen A Cress, Douglas S Fishman, Cheryl E Gariepy, Matthew J Giefer, Praveen Goday, Tanja Y Gonska, Amit S Grover, Douglas Lindblad, Quin Y Liu, Asim Maqbool, Jacob A Mark, Brian A Mcferron, Megha S Mehta, Veronique D Morinville, Robert A Noel, Chee Y Ooi, Emily R Perito, Sarah Jane Schwarzenberg, Zachary M Sellers, Michael Wilschanski, Yuhua Zheng, Ying Yuan, Dana K Andersen, Mark E Lowe, Aliye Uc, Consortium For The Study Of Chronic Pancreatitis, Diabetes, And Pancreatic Cancer (Cpdpc)

Faculty, Staff and Students Publications

Introduction: Among children who suffer from acute recurrent pancreatitis (ARP) or chronic pancreatitis (CP), acute pancreatitis (AP) episodes are painful, often require hospitalization, and contribute to disease complications and progression. Despite this recognition, there are currently no interventions to prevent AP episodes. In this retrospective cohort study, we assessed the impact of pancreatic enzyme therapy (PERT) use on clinical outcomes among children with pancreatic-sufficient ARP or CP.

Methods: Children with pancreatic-sufficient ARP or CP in the INSPPIRE-2 cohort were included. Clinical outcomes were compared for those receiving vs not receiving PERT, as well as frequency of AP before and after …

Oligodendroglial Fatty Acid Metabolism As A Central Nervous System Energy Reserve, Ebrahim Asadollahi, Andrea Trevisiol, Aiman S Saab, Zoe J Looser, Payam Dibaj, Reyhane Ebrahimi, Kathrin Kusch, Torben Ruhwedel, Wiebke Möbius, Olaf Jahn, Jun Yup Lee, Anthony S Don, Michelle-Amirah Khalil, Karsten Hiller, Myriam Baes, Bruno Weber, E Dale Abel, Andrea Ballabio, Brian Popko, Celia M Kassmann, Hannelore Ehrenreich, Johannes Hirrlinger, Klaus-Armin Nave

Duncan NRI Faculty and Staff Publications

Brain function requires a constant supply of glucose. However, the brain has no known energy stores, except for glycogen granules in astrocytes. In the present study, we report that continuous oligodendroglial lipid metabolism provides an energy reserve in white matter tracts. In the isolated optic nerve from young adult mice of both sexes, oligodendrocytes survive glucose deprivation better than astrocytes. Under low glucose, both axonal ATP levels and action potentials become dependent on fatty acid β-oxidation. Importantly, ongoing oligodendroglial lipid degradation feeds rapidly into white matter energy metabolism. Although not supporting high-frequency spiking, fatty acid β-oxidation in mitochondria and oligodendroglial …

Interpregnancy Maternal Weight Change Is Not Associated With Offspring Weight And Obesity At Age 2 Years, Kate Maslin, Lieveke Ameye, Diederik Vancoppenolle, Anne Rochtus, Hanne Van Uytsel, Jill Shawe, Roland Devlieger, Annick Bogaerts

School of Nursing and Midwifery

Background: Weight retention between pregnancies is associated with increased risk of perinatal complications, but it is unclear whether there is an association with offspring weight status. This study aimed to determine whether maternal interpregnancy weight change is associated with offspring overweight/obesity, controlling for confounding variables. Subjects/methods: Routinely collected linked data from perinatal and child datasets, in Flanders, Belgium were used. Women having their first and second live births between 2009–2018 were included. The association between maternal interpregnancy weight change and overweight/obesity in the second child at 2 years was examined by logistical regression models. Results: A total of 33,172 women …

In Or Out?: Understanding The Japanese Immigration Policymaking Process And The Sub-National Response To The Challenge Of Global Migration, Jeorge G. Alarcon Jr.

Journal Article

There is no comprehensive Japanese immigration policy. The central government has refused to formally acknowledge a need for an immigration policy, viewing immigrants as a threat to public order and cultural homogeneity. Despite this, local governments still need to address the needs of their foreign residents and maintain the peace in the local communities. Some of these policies dovetail with each other; others have no counterpart on the other level of governance. What one can then observe with the national government in Tokyo and the local governments instead is a patchwork that involves some tangential, but for the main part, …

The Filipino Family In Agriculture: Case Studies Of Vegetable Farming Families In Nagcarlan, Laguna, Philippines, Sunshine Therese S. Alcantara

Journal Article

Farming in the Philippines is a collective effort involving family members. Filipino farming families play a vital role in sustaining the country's food production. This study employed a qualitative approach to explore how children are socialized into participating in farm work. The research involved in-depth interviews with five families engaged in vegetable farming in an upland community in Nagcarlan, Laguna, Philippines. Thematic analysis was used to identify recurring themes from the interviews. The study highlights that parents are the primary agents of socialization for their children in agriculture. They often teach their children how to farm to prepare them for …

Acute Changes In Liver Function Tests During Initiation Of Ketogenic Diet, Akshat Katyayan, Anuranjita Nayak, Gloria Diaz-Medina, Maureen Handoko, James John Riviello

Faculty, Staff and Students Publications

BACKGROUND: Ketogenic diet is an effective therapy for patients with medically refractory epilepsy. It is generally well tolerated, with the most common side effects being gastrointestinal. Hepatic toxicity has been described as an uncommon side effect of ketogenic diet, usually with long-term use. However, there are limited data to implicate ketogenic diet in acute liver toxicity.

METHODS AND RESULTS: We analyzed all patients who underwent elective inpatient ketogenic diet initiation at our institution from June 2019 to June 2022. Of the 25 patients reviewed, we found 6 patients who showed acute, asymptomatic changes in liver function tests during initiation, in …

Perineuronal Nets’ Role In Metabolism, Nan Zhang, Beite Song, Peng Bai, Li Du, Lulu Chen, Yong Xu, Tianshu Zeng

Faculty, Staff and Students Publications

Perineuronal nets (PNNs), specialized extracellular matrix (ECM) structures that envelop neurons, have recently been recognized as key players in the regulation of metabolism. This review explores the growing body of knowledge concerning PNNs and their role in metabolic control, drawing insights from recent research and relevant studies. The pivotal role of PNNs in the context of energy balance and whole body blood glucose is examined. This review also highlights novel findings, including the effects of astroglia, microglia, sex and gonadal hormones, nutritional regulation, circadian rhythms, and age on PNNs dynamics. These findings illuminate the complex and multifaceted role of PNNs …

The Internist's Post V.1 N.8, The University Of Texas Rio Grande Valley. School Of Medicine, Edgar Dorsey Trevino, Diana Othon Martinez, Ramon Elizondo Romo, Carlos Alejos Aguero, Elizabeth Mills-Reyes, Roque Mifuji, Martha Solis, Cesar Gutierrez

School of Medicine Publications

No abstract provided.

Ambrosia Beetle (Coleoptera: Curculionidae: Scolytinae) Responses To Ice Storm Damage In Mesic, Mixed Deciduous Forests In Southeast Ohio, United States, Christopher J. Hayes, Richard M. Turcotte

The Great Lakes Entomologist

In the eastern United States abiotic forest disturbances are common and cause extensive tree damage. Freshly broken trees and tree branches attract bark and ambrosia beetles that utilize inner bark and xylem of damaged branches and trees to fill requisite habitat needs. An ice storm in February 2003 on the Wayne National Forest presented an opportunity to study the local ambrosia beetle species and their reaction to this storm event. Ethanol baited Lindgren traps were deployed from 2003-2006 starting in the summer after the storm. Eight native and introduced Scolytinae ambrosia beetle species were trapped in large numbers (>500 …

Phenology And Host Choice Among Common Yet Little Understood Wood Borers (Coleoptera: Bostrichidae) In A Midwestern Savanna, Noah I. Finney, Derek W. Rosenberger

The Great Lakes Entomologist

Horned powder-post beetles (Coleoptera: Bostrichidae) are a geographically widespread family of wood-boring beetles. While members of this family represent important grain pests, are often intercepted in ports, and may play an important role in ecosystem processes, little work has investigated bostrichid life history in their native ranges. This gap limits our ability to assess ecosystem services and invasiveness. Three native species, Amphicerus bicaudatus (Say), Scobicia bidentata (Horn), and Xylobiops basilaris (Say), are commonly found in savannas in Northern Illinois. Although little is currently known about the life history of S. bidentata, A. bicaudatus and X. basilaris can be minor pests …