Digital Commons Network^™

Self-Care Professional Development On Preschool Teachers’ Mindful Self-Care And Burnout: A Quantitative Research Study, Tiffany Gibby

Doctoral Dissertations and Projects

The purpose of this quantitative, experimental, pretest-posttest control-group design study with random assignment is to determine if self-care training changes mindful self-care and burnout scores of preschool teachers. The study fills the gap in the literature on whether an ongoing professional development approach to self-care is effective. The issue is more research is needed to determine if there is a difference in self-care activity and burnout scores between preschool teachers who receive self-care training and those who do not receive self-care training, when controlling for pre-test scores. The sample was 125 full-time, preschool teachers working in childcare centers drawn from …

Unpacking Barriers And Enablers To Quality Early Childhood Education And Care In Lebanon: A Multi-Level Perspective, Rana Bassaj, Caroline Floccia

School of Psychology

This article investigates the barriers and enablers to quality early childhood education and care (ECEC) in Lebanon’s complex and multilingual context. In this qualitative study, 56 stakeholders—ministry representatives, NGOs, educators, parents, and healthcare professionals—were interviewed. The study reveals a fragmented governance structure and inequitable funding that impact the quality and equitable access to ECEC provision. Despite the value placed on ECEC and OL, systemic weaknesses, including inadequate staff compensation and donor-driven priorities, constrain progress. Findings also highlight grassroots resilience, with committed educators and NGOs adapting to meet local needs. Using Kagan’s system-level framework and Torii et al.’s (2017) quality domains …

Beyond Stabilization: Biological Healing, Structural Exclusion, And The Recovery Gap After Border-Fall Trauma At The U.S.-Mexico Border, Julia Robinson

Undergraduate Honors Theses

This honors thesis examines the biochemical, ethical, and public health consequences of insufficient post-operative follow-up care for undocumented immigrants injured in border falls. Discussing pathways of inflammation resolution, wound healing, and bone remodeling, this thesis argues that recovery depends on tightly regulated molecular and cellular processes that are highly vulnerable to disruption without continued monitoring and rehabilitation (Loi et al., 2016; Maruyama et al., 2020). When follow-up care is absent, these processes can be predicted to derail, leading to infection, impaired healing, and permanent disability (Chung & Sohn, 2025; Howard et al., 2020; Kruidenier et al., 2018). Framed through principles …

Hantaviruses As Priority Zoonotic Diseases: A Comprehensive Review, Wimbuh Tri Widodo, Aswin Rafif Khairullah, Rahmania Ambarika, Widoretno Widoretno, Masri Sembiring Maha, Abdul Hadi Furqoni, Lisa Andriani Lienggonegoro, Bima Putra Pratama, M. Hasinuddin, Zakkiyatus Zainiyah, Eny Susanti, Mufarika Mufarika, Luluk Hermawati, Alvina Setiawardani, Syahputra Wibowo, Arif Nur Muhammad Ansori

The Thai Journal of Veterinary Medicine

Hantaviruses are zoonotic agents that play a significant role in global public health, primarily due to their ability to cause two highly severe clinical syndromes: Hemorrhagic Fever with Renal Syndrome (HFRS), which is predominant in Eurasia, and Hantavirus Cardiopulmonary Syndrome (HCPS/HPS), which is primarily found in the Americas. Although long recognized, the complex interactions between the virus, its rodent reservoir, and environmental factors make hantaviruses still a relevant epidemiological threat today. This review aims to provide a comprehensive overview of their virological characteristics, epidemiological patterns, pathogenesis mechanisms, risk factors, diagnostic methods, therapeutic options, prevention strategies, and the latest developments in …

Evaluation Of The Effectiveness Of In-Line Immobilized Lipase Cartridge In Enterally Fed Patients With Short Bowel Syndrome: A Retrospective Case Series, Elizaveta Khenner, Jennifer Morton, Laura Green, Kayla Paul, Ashlee Yoder, Ann E. Remmers, William San Pablo

Research Showcase

Patients with short bowel syndrome (SBS) experience nutrient malabsorption. The clinical manifestations of malabsorption are heterogeneous due to the variety of congenital and acquired anatomic abnormalities that result in SBS. Because of various gastrointestinal pathophysiologic alterations, fat malabsorption is an important nutritional factor to consider. The Intestinal Rehabilitation Program at Children’s Mercy has been providing a comprehensive approach to caring for children with SBS, and has incorporated RELiZORB (Alcresta Therapeutics, Inc.) immobilized lipase cartridge (ILC) into their treatment armamentarium. ILC is a single-use digestive enzyme cartridge that connects in-line with enteral feeding circuits to hydrolyze triglycerides in enteral formulas. Although …

Recombinant Erythropoietin (Repo) Use For Anemia Of Prematurity- A Three-Year Single Center Experience, Hannah Darland, Krishna Dummula, Chaitali Mahajan, Vishal Pandey

Research Showcase

Background: Anemia is a common disorder of prematurity secondary to limited blood volume, excessive blood draws, inadequate nutrition, poor iron reserves, and insufficient endogenous erythropoietin. While many NICUs use recombinant erythropoietin (rEpo) to treat anemia of prematurity, the absence of universal guidelines has

led to variability in dosing and schedules. Here we present our experience on the use of rEpo in a level 3 NICU. Our unit protocol uses 400 IU/kg three times a week for a total of 9 doses if hematocrit < 30%.

Objectives/Goal: The purpose of this study was to evaluate the response to rEpo in infants with anemia …

Benefits Of A Blended Diet: Secondary Analysis Of The Impact Of Diet Type On Feeding Tube Weaning Success, Kristina Nash, Dana Bakula, Rachel Graham, Brenda Fetter, Sarah Bullard, April Escobar, Julianne Brogren, Amy Ricketts, Ryan Thompson, Lori A. Erickson, Sarah Edwards

Research Showcase

Background: Enteral feeding tubes are often required to support growth and nutrition in children with pediatric feeding disorder. When children are medically ready, feeding tube weaning can improve patient and family satisfaction, reduce health care costs, and enhance mealtime experiences. Many children receive traditional formulas, other families prefer diets made from foods that resemble a typical oral diet. Blended tube feeding provides this option and may improve feeding tolerance and gastrointestinal symptoms which can support improved oral intake and successful tube weaning.

Objectives/Goal: This study aimed to compare whether children receiving blended diets achieved a successful tube wean faster than …

May 19, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Managing Maternal Anemia In Pregnancy: The Role Of Iron-Rich Foods And Supplementation, Carli Dibler

InnovateHER Meeting 2026

Anemia during pregnancy is a large public health concern, which often leads to independent risk factors for fetal and maternal outcomes including postpartum hemorrhaging, cesarean sections, blood transfusions during and after the labor process, hysterectomies, preterm birth, and infectious diseases. Six level I-III studies were analyzed using the John Hopkins nursing evidence-based practice model. Findings showed that by using a combined approach of dietary intake and supplementation overall leads to better fetal and maternal outcomes compared to supplementation alone.

Caffeine Perceptions And Reality In High School Gymnasts, Gabrielle Steinkopf

InnovateHER Meeting 2026

From years of observation as a high school gymnast, there is a noted “caffeine culture” among gymnasts at my high school. Since gymnastics is a precision sport with not inconsiderable danger, I wondered what impact caffeine ingestion had on athletes. Athletes were asked to give up caffeine during a series of regular season meets, with reflection questions immediately after each meet to assess the impact caffeine might have had on performance vs the gymnasts’ perception of the effects

Empowering Women: Understanding Neurological Changes In The Aging Brain, Joy Mckenzie

InnovateHER Meeting 2026

Women tend to have more neurological changes than men as they age starting in their mid-30s (Mosconi, 2024). While aging is a natural process, the neurological changes can impact a woman’s personal and professional quality of life (Faubion et al., 2023; Gravini, 2023). For years, women’s neurological symptoms have been ignored by being told that their experiences are normal and just a part of life (Haver, 2025). That narrative is starting to shift with the increased awareness of changes specific to women. There are resources to assess cognitive changes such as memory, processing speed, and word finding and strategies to …

Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex

Theses and Dissertations

The current study examined whether baseline demographic and clinical characteristics moderate the effectiveness of the Transdiagnostic Sleep and Circadian (TSC) intervention in improving adolescent circadian sleep health. Using an integrative data analysis approach, data from three independent adolescent samples (N = 134; ages 10-18) were pooled to evaluate changes across multidimensional sleep outcomes defined by the RU-SATED model of sleep, including regularity, satisfaction, alertness, timing, efficiency, and duration. Linear mixed-effects models were used to assess pre-to-post intervention changes and test moderation by age, sex, family income, and clinical status. Results indicated significant improvements in sleep satisfaction following TSC, with greater …

Belknap County 4-H Fair Animal Handbook, Alison Coleman

UNH Cooperative Extension

No abstract provided.

Reflections On And Recommendations From The Oceanic Study Cyp And Parent Advisory Group: A Patient And Public Involvement And Engagement Case Study, Emma Popejoy, Julie Menzies, Aysha Sheikhi, Sally O’Loughlin, Fred O’Loughlin, Deborah Barker, Rachael White, Jos M. Latour, Elizabeth S. Draper, Philip Quinlan, Jane Coad, Joseph C. Manning

School of Nursing and Midwifery

Background: Patient and Public Involvement and Engagement (PPIE) is increasingly recognised as essential to the relevance, feasibility, and impact of paediatric intensive/critical care research. However, reporting of PPIE processes and outcomes, particularly in child health studies, remains limited, often lacking detail on sustained involvement and its influence across the research lifecycle. Case study: This case study presents the PPIE approach embedded within the OCEANIC Study, a multi-centre longitudinal mixed-methods investigation into the outcomes and support needs of children and families following paediatric intensive care unit (PICU) discharge. The study uniquely sustained engagement with a Children, Young People and Parent Advisory …

Association Of Polygenic Risk Scores With Aortic Valve Calcium: The Multi-Ethnic Study Of Atherosclerosis, Seamus P Whelton, Jie Yao, Clary Clish, Alexis C Wood, Kent D Taylor, Michael J Blaha, Matthew Budoff, Natalie Marrero, George Thanassoulis, Wendy S Post, Xiuqing Guo, Jerome I Rotter

Faculty, Staff and Students Publications

Background: Aortic valve calcification (AVC) is the primary process leading to aortic stenosis. We examined whether polygenic risk scores (PRS) are associated with AVC beyond traditional atherosclerotic cardiovascular disease risk factors.

Methods: We included 6812 participants in MESA (Multi-Ethnic Study of Atherosclerosis) with computed tomography-measured AVC at Visit 1. Using previously published PRS we calculated weighted PRS, standardized within each ancestry group. The cross-sectional association per 1 SD higher PRS with AVC >0 was examined using multivariable logistic regression modeling with Bonferroni correction. The mean age was 62 years old, 53% were female, and 913 (13.4%) had AVC >0 at …

Ask Your Doctor If This Is Right For You: Exploring The Consumer Engagement And Perception For Anti-Depression Drug Campaigns, Madhavi Chakrabarty, Reema Dave

Atlantic Marketing Association Proceedings

No abstract provided.

Reading Indian Newspaper Reports To Uncover Cinematic Misrepresentations Of Rape In Mom (2017) And Guilty (2020), Samikhya Dash, Soumya Jose

Journal of International Women's Studies

Hindi cinema has witnessed a transformation in the portrayal of rape narratives subsequent to India’s Nirbhaya rape case in 2012 and the global #MeToo movement in 2017. The rape narratives released after the #MeToo movement are characterised by a departure from the stereotypical depiction of rape victims as forlorn and vulnerable figures; instead, they are depicted as assertive and empowered survivors that challenge entrenched power dynamics. Hindi films such as Mom (2017) and Guilty (2020) exemplify this paradigm shift by featuring women characters who defy gender stereotypes and resist patriarchal constraints, experience rape trauma syndrome and post-traumatic growth, and embody …

Negotiating Desires For Capital Through Culinary Expression In Balli Kaur Jaswal’S Sugarbread, Ira Gore, Aruni Mahapatra

Journal of International Women's Studies

Balli Kaur Jaswal’s Sugarbread (2016) illustrates how race and class are negotiated through culinary practices in a lower-middle-class Sikh family living in Singapore. Through acts of shopping for groceries, cooking local Singaporean cuisine, and rejecting the communal temple food associated with shame and social discrimination, the novel highlights the family’s aspirations of social mobility shaped by the character Jini’s childhood experiences of food and economic scarcity. While the characters in the novel have access to food, their culinary practices are marked by memories of charity and discomfort as a South Asian diasporic family negotiating racialized hierarchies and gendered vulnerability in …

Va Dent J April, May And June 2015

Virginia Dental Journal

No abstract provided.

Virginia “Give Kids A Smile!” 2015, Jessica Park

Virginia Dental Journal

No abstract provided.

Message From The Editor, Richard F. Roadcap Dds

Virginia Dental Journal

No abstract provided.

Death Wish: A Comprehensive Analysis Of Physician Assisted Suicide, Janna George

DePaul Journal of Health Care Law

Physician-assisted suicide is an extremely complex and controversial legal issue, deeply rooted in morality, legality, and ethics. Countries around the world are split as to how to approach this concept, with some permitting physician-assisted suicide under particular circumstances, and others strictly prohibiting it. ^[1] This division is evidence of the subject’s complex underpinnings. According to the United States Declaration of Independence, all Americans are deserving of certain unalienable rights, “Life, Liberty, and the pursuit of Happiness.”^[2] But what about the right to die?

There are a number of reasons as to why physician assisted suicide is complicated, including …

The Effect Of Spatial Scale Of Habitat On Abundance Of Roe Deer (Capreolus Pygargus) And Water Deer (Hydropotes Inermis Argyropus) During Summer In South Korea, Naeyoung Kim, Hyejin Kim, Hyoun-Gi Cha, Hyun-Su Hwang

Turkish Journal of Zoology

Understanding species-specific habitat preferences provides essential ecological  information about interactions among habitat components. In South Korea, roe deer  (Capreolus pygargus) and water deer (Hydropotes inermis argyropus) are the  dominant large herbivorous mammals of the family Cervidae. The increasing populations of these species have led to ecological and economic  challenges. Therefore, we investigated the effects of spatial scale characteristics on  the habitat preferences of roe deer and water deer. From June to August each year  between 2021 and 2023, we calculated the relative abundance index (RAI) using  camera-trap data and analyzed patch characteristics in the study area using remote  sensing techniques, …

The Impact Of Covid-19 On Longevity Trends And Disparities Among Native Americans And Whites In The Four Corners States, Ashley M. Lenarz, Hyojun Park, Max T. Roberts, Anwesha Pan, Erin Trouth Hofmann, Eric N. Reither

Sociology and Anthropology Student Research

Prior research has shown suboptimal health and longevity among Native Americans in the Four Corners region of the United States, which encompasses Arizona, New Mexico, Colorado, and Utah. Our study (1) investigates how life expectancy trends and disparities changed among non-Hispanic Native Americans and Whites in the Four Corners States (FCS) during the COVID-19 pandemic and (2) examines the extent to which longevity changes are directly attributable to COVID-19, relative to other causes of death. Data sources include mortality data from the National Center for Health Statistics and population data from the U.S. Census Bureau. Life expectancy at birth for …

The Ecotoxicological Impact Of Polystyrene On Lissachatina Fulica: A Study Of Growth,  Pedal Mucus Histological Changes, And Protein Mucus Analysis, Atin Supiyani, Wasmen Manalu, Lina Noviyanti Sutardi, Mawar Subangkit, Andriyanto Andriyanto

Turkish Journal of Zoology

Lissachatina fulica mucin can be used as a nutraceutical agent depending on the  quality of their feed. Polystyrene (PS) waste harms soil and plants consumed by  snails, potentially affecting the quality of mucin production. This study investigated  the impact of PS on growth and mucus-producing cell characteristics as well as the  network pharmacology of mucin protein components. Fifty 5–6 cm L. fulica snails  (20–24 g) were fed organic waste (OW) and organic waste with PS (OWPS). After 28  days of ad libitum access to food, the snails’ mucus, meat, and shells were  collected and weighed. Tissue samples from the anterior …

Global Health Financing Of Diagonal Interventions: Building Resilient And Sustainable Health Systems In Sub-Saharan Africa, Lucy Kim

Master in Public Policy Theses

Background: Global health financing has historically prioritized disease-specific “vertical” programs over broader “horizontal” strengthening of general health systems. Vertical programs in HIV have led to unprecedented reductions in mortality worldwide, but HIV remains a significant public health threat in sub-Saharan Africa, where vertical strategies have long been criticized for creating fragmented health systems. In response, global health strategies have shifted towards combining vertical investments with broader horizontal activities, commonly referred to as “diagonal” programming. While evidence suggests that diagonal programming has the potential to create more resilient and sustainable health systems, evaluating its value for money is challenging due to …

Optimization And Energy Efficiency Analysis Of An Automatic Feed Mixer With A Rotating Drum Mechanism, Kris Witono, Talifatim Machfuroh, Nurlia Pramita Sari, Lisa Agustriyana, Aini Lostari

Journal of Mechanical Engineering Science and Technology (JMEST)

Energy-efficient feed mixer machines are important for improving the productivity and sustainability of small and medium-scale livestock farms. Previous studies primarily focused on either structural performance or mixing efficiency, with limited studies integrating both aspects. Therefore, this study evaluated an automatic rotating-drum feed mixer by combining Finite Element Method (FEM) analysis and energy modeling. The study used FEM simulations for different materials, namely A36 steel alloy, stainless steel 304, aluminium 6061, and galvanized steel, with thicknesses of 3 mm and 4 mm, as well as different drum systems. The FEM results showed that all evaluated materials met the minimum safety …

Solutions To Dismantling Osteopathic Bias In American Medicine, Mathew Devine, Richard Terry

Advances in Clinical Medical Research and Healthcare Delivery

No abstract provided.

Vitamin D Deficiency And Risk Of Cognitive Decline And Dementia: Implications And Prevention Strategies, Auda Fares

Advances in Clinical Medical Research and Healthcare Delivery

Emerging evidence suggests a link between vitamin D deficiency and an increased risk of cognitive impairment and dementia, including Alzheimer's disease (AD). This paper reviews the epidemiological evidence, explores potential mechanisms underlying this association, and discusses implications for prevention strategies. Current supplementation strategies may not be fully effective due to individual variability. Personalized interventions based on genetic factors and routine vitamin D status testing in older adults are proposed as future directions for optimizing the impact of vitamin D supplementation in dementia prevention.

Survival And Factors Associated With Mortality Among Patients With Oral Cancer At A Tertiary Hospital In Northeastern Thailand: A Retrospective Cohort Study, Somkiattiyos Woradet, Bhunyabhadh Chaimay, Nuntiput Putthanachote

Journal of Health Research

Background: Oral cancer is a major cause of premature mortality in Thailand. This study examines survival and prognostic factors in a northeastern tertiary-care setting.

Methods: A hospital-based retrospective cohort study was conducted using the Cancer Registry and medical records in a tertiary care hospital in Northeastern, Thailand. Patients diagnosed with oral cancer between January 2005 and December 2015 and followed until death or February 2020. Overall survival was estimated using the Kaplan–Meier method. Cox proportional hazards models were used to assess factors associated with mortality

Results: The median survival time was 18.67 months (95% confidence interval [CI]: 15.70–22.83). It revealed …