A Technology-Assisted Web Application For Consumer Access To A Nonprescription Statin Medication, Karol Watson, Seth S Martin, Erin D Michos, William S Weintraub, Melanie Morris, Leslie Cho, Luke Laffin, Douglas Jacoby, Christie M Ballantyne, Jan Ekelund, Filip Birve, Venu Menon, Michelle Strzelecki, Paul M Ridker

Faculty, Staff and Students Publications

Background: Although statins reduce adverse cardiovascular outcomes, less than one-half of eligible patients receive treatment. A nonprescription statin has the potential to improve access to statins.

Objectives: This study sought to assess concordance between clinician and consumer assessment of eligibility for nonprescription statin treatment using a technology assisted self-selection Web application (Web App) and evaluate effect on low-density lipoprotein cholesterol (LDL-C) levels.

Methods: This study was a prospective actual use 6-month study to evaluate use of a Web App to qualify participants without a medical background for a moderate-intensity statin based on current guidelines. Participants entered demographic information, cholesterol values, …

Nature Of The Evidence Base And Approaches To Guide Nutrition Interventions For Individuals: A Position Paper From The Academy Of Nutrition Sciences, Kevin Whelan

Faculty, Staff and Student Publications

This Position Paper from the Academy of Nutrition Sciences is the third in a series which describe the nature of the scientific evidence and frameworks that underpin nutrition recommendations for health. This paper focuses on evidence which guides the application of dietary recommendations for individuals. In some situations, modified nutrient intake becomes essential to prevent deficiency, optimise development and health, or manage symptoms and disease progression. Disease and its treatment can also affect taste, appetite and ability to access and prepare foods, with associated financial impacts. Therefore, the practice of nutrition and dietetics must integrate and apply the sciences of …

Farmer's Adaptive Capacity And Adoption Of Strategies To Climate Change Among Mountain Communities In Nepal, Tanvir Hossain

LSU Master's Theses

Climate change presents significant challenges to agriculture worldwide, particularly where farming is central to livelihoods. This phenomenon has been linked to decreasing crop yields due to rising temperatures and reduced rainfall, particularly affecting low-income countries with limited adaptive capabilities. Grasping how farmers perceive climate change is essential for developing effective adaptation strategies to lessen its adverse impacts. This study concentrated on investigating the perceptions and adaptive strategies employed by smallholder farmers in Nepal's Mustang district, utilizing primary data sources. Data from 131 randomly selected households were gathered through structured interviews, while focus group discussions provided qualitative insights into farmers' views …

Scoping Review On The Use And Meaning Of Sport In Prison And After Detention, Marie-Lou Libbrecht, Pascal Delheye, Rosie Meek, Rudi Roose

Journal of Prison Education Research

The aim of this study was to provide knowledge on existing literature and research regarding the use and meaning of sports during and after incarceration. To achieve this, a scoping review was conducted, entering one hundred and seventeen combinations of search terms related to sports and incarceration into Google Scholar and Web of Science, focusing on titles and/or key terms. Ultimately, one hundred and fifty-two publications were included in the scoping review. The identified literature and research on 'the meaning of sports during and after detention' discuss the outcomes related to physical and mental health, behaviour, and the rehabilitation of …

Prevalence, Severity Patterns And Risk Factors Of Bronchopulmonary Dysplasia In Preterm Infants Younger Than 32 Weeks Of Gestation In A Tertiary Centre In Oman, Hilal Al Mandhari, Ashfaq Khan, Abdulrahman Al Saadi, Mazen Aboanza, Syed Ga Rizvi, Sathiya M. Panchatcharam, Mohammed Abdulatif, Shatha Al Qassabi, Shirley Quach

Sultan Qaboos University Medical Journal

Objectives: This study aimed to determine the rate and severity patterns of bronchopulmonary dysplasia (BPD) and identify antenatal and postnatal factors associated with BPD in preterm infants <32 weeks of gestational age (GA). Methods: This retrospective observational study included preterm neonates <32 weeks of gestation admitted into the neonatal intensive care unit between January 2010 and December 2017 at Sultan Qaboos University Hospital, Muscat, Oman. A data set of antenatal and perinatal factors were collected. BPD was defined as the need for oxygen and/or respiratory support at 36 weeks post-menstrual age (PMA). Infants with and without BPD were compared in their antenatal and perinatal factors. Results: A total of 589 preterm infants <32 weeks were admitted. Among them, 505 (85.7%) survived to 36 weeks’ PMA and 90 (17.8%) had BPD. The combined BPD and mortality rate was 28.4%. Grades 1, 2 and 3 BPD constituted 77.8%, 7.8% and 14.4%, respectively. BPD was associated with lower GA, lower birth weight, need for intubation at resuscitation, lower Apgar scores, longer duration of ventilation, surfactant therapy and higher rates of neonatal morbidities. On binary logistic regression analysis, predictors of BPD were longer duration of ventilation, intraventricular haemorrhage (IVH) and necrotising enterocolitis (NEC). Conclusions: In an Omani centre, 17.8% of preterm infants (<32 weeks GA) developed BPD. Various perinatal and neonatal factors were associated with BPD. However, longer duration of ventilation, IVH grades 1 and 2 and NEC stages II and III were significant predictors. Future multicentre research is necessary to provide the overall prevalence of BPD in Oman to help optimise the resources for BPD prevention and management in preterm infants.

Therapeutic Strategies Against Metabolic Imbalance In A Male Mouse Model With 5-Ht2cr Loss-Of-Function, Nathan Xu, Qingzhuo Liu, Yongxiang Li, Yao Liu, Hueyzhong Wong, Megan E Burt, Sanika V Jossy, Junying Han, Yang He

Faculty, Staff and Students Publications

The serotonin 2C receptor (5-HT2CR)-melanocortin pathway plays well-established roles in the regulation of feeding behavior and body weight homeostasis. Dysfunctions in this system, such as loss-of-function mutations in the Htr2c gene, can lead to hyperphagia and obesity. In this study, we aimed to investigate the potential therapeutic strategies for ameliorating hyperphagia, hyperglycemia, and obesity associated with a loss-of-function mutation in the Htr2c gene (Htr2cF327L/Y). We demonstrated that reexpressing functional 5-HT2CR solely in hypothalamic pro-opiomelanocortin (POMC) neurons is sufficient to reduce food intake and body weight in Htr2cF327L/Y mice subjected to a high-fat diet (HFD). In addition, 5-HT2CR expression restores the …

Medical Students’ Clinical Knowledge Of Integrated Management Of Childhood Illness: A Cross-Sectional Comparative Study, Zamzam Al Abri, Maisa Al Kiyumi, Sanjay Jaju, Muna Al Saadoon

Sultan Qaboos University Medical Journal

Objectives: This study aimed to investigate and compare the clinical knowledge implications of the integrated management of childhood illness (IMCI) preservice education between pre-clerkship and junior clerkship medical students. Methods: This observational comparative cross-sectional study was conducted between June and August 2022 at Sultan Qaboos University, Muscat, Oman. A self-administered questionnaire was utilised and included questions on sociodemographic data, duration of IMCI preservice training, knowledge of the participants concerning the IMCI objectives and information on a range of childhood conditions. Results: A total of 97 medical students were included in the study. The majority of students (42.3%) …

Evidence-Based Practice Guidelines: Anesthesia For Total Knee And Hip Arthroplasty, Amanda Kleinfelder

Doctor of Nursing Practice Scholarly Projects

Abstract

Total knee and hip arthroplasty are the two most common orthopedic surgeries in the United States. Traditional perioperative practice is multidisciplinary, with each professional, including anesthesia, making decisions based on their current knowledge or past experience. Postoperative complications pose a threat to any patient undergoing a surgical procedure. Enhanced Recovery After Surgery (ERAS) protocols were developed to streamline best practice guidelines during the perioperative period. ERAS pathways aim to decrease postoperative complications, accelerate recovery after surgery, decrease narcotic use and promote early mobilization and discharge from the hospital. The aim of this project is the development of evidence-based practice …

The Effect Of Total Factor Productivity On The Food Security And Livelihood Vulnerability Of Farm Households In Bangladesh, Paresh Kumar Sarma, Mohammad Jahanghir Alam, Ismat Ara Begum, Adam M. Mckenzie

Agricultural Economics and Agribusiness Faculty Publications and Presentations

Food security and livelihood vulnerability are important issues for the economic sustainability of developing countries like Bangladesh. This study examines the influence of total factor productivity (TFP) on the livelihood vulnerability and food security of rice farming households in Bangladesh. Data from 1,841 rice farming households were extracted from the Bangladesh Integrated Household Survey (2015 and 2018) conducted by the International Food Policy Research Institute. Various statistical methods, such as the stochastic frontier model, principal component analysis, path analysis using structural equation modeling, and multivariate regression, were employed to analyze the data. The study utilizes a multivariate modeling approach that …

Barriers To Gluten-Free Diet Adherence And How They Relate To Quality Of Life And Self-Efficacy In College Students With Celiac Disease, Caitlin Elizabeth Wall

Master's Theses

Celiac disease (CD) is a chronic, autoimmune disorder with an increasing global prevalence. As the only current treatment is a strict gluten-free diet (GFD), adherence is imperative to maintain optimal health in individuals with the disease. There are many potential barriers to GFD adherence, including social, mental, and financial difficulties. College also presents a unique set of challenges for students with CD that may not be experienced by those without the disease. The purpose of this study was to determine the potential barriers to GFD adherence experienced by college students with celiac disease in the United States. This study also …

Improving Adherence Rates To Postpartum Screening Of Diabetes In Women With Gestational Diabetes Mellitus: An Evidence-Based Project, Alicia Hernandez Punsalan

Doctor of Nursing Practice Final Manuscripts

Background: Women with a history of gestational diabetes mellitus are at increased risk of developing type 2 diabetes mellitus. Approximately 6%–10% of pregnancies in the United States are complicated by gestational diabetes mellitus, yet postpartum diabetes screening rates are low nationwide.

Purpose: This project focused on implementing a multi-modal reminder system to increase adherence to postpartum diabetes screening, or the 2-hour oral glucose tolerance test, for women with a history of gestational diabetes mellitus in the 4-12 weeks postpartum period.

Evidence-Based Practice Change: The multi-modal reminder system was comprised of an educational session for the staff reviewing current clinical guidelines …

Dm Education On Lifestyle Modification To Improve Dm Knowledge Retention And Self-Care Confidence, Jinyoung Sanchez

Doctor of Nursing Practice Final Manuscripts

Abstract

Introduction: The purpose of this evidence-based practice project was to provide diabetes education to improve diabetes knowledge and self-care confidence for patients with type 2 diabetes admitted to a tertiary hospital in San Diego. First, this study was to assess their DM knowledge and self-confidence before the education was provided. Second, based on the initial assessment and the education on lifestyle modification, 3 months of follow up was assessed to see if the education had been effective. Third, the study was to determine if the education also improved the self-confidence in managing diabetes on their own.

Background: Uncontrolled diabetes …

Improving Obesity And Related Chronic Disease Outcomes: Developing Nurse Practitioner Competence In Motivational Interviewing, Jodi Wilson

Doctor of Nursing Practice Final Manuscripts

Background: Despite America’s persistent focus on health, over 40% of the US population is obese. A significant obstacle to mitigating disease in those with obesity is inspiring lasting behavioral change. Motivational Interviewing (MI) is highly effective yet under-utilized for catalyzing personal change inertia. Recent meta-analyses demonstrated statistically significant improvement in BMI, A1C, and blood pressure. Objectives: This evidenced-based project (EBP) aimed to develop nurse practitioner (NP) skills in deploying fidelity-based MI, resulting in increased adherence to lifestyle interventions. Implementation: This EBP project implemented MI into routine primary care through a self-paced healthcare provider MI certification and a 45-minute skill …

Honoring Veterans’ Wishes: Efficacy Of An Evidence-Based Shared Decision-Making Tool In Va Icu Goals-Of-Care Discussions, Stephanie Alexander, Anna Astashchanka Md, Venktesh Ramnath Md

Doctor of Nursing Practice Final Manuscripts

Abstract

Introduction: This Doctor of Nursing Practice project aimed to enhance the knowledge and confidence of the San Diego Veterans Health Administration’s (VASD) Intensive Care Unit (ICU) medical providers in goals-of-care discussions (GOCD). Additionally, this project aimed to improve the documentation of these discussions.

Background: Delays in GOCD can lead to futile medical and surgical interventions, inappropriate antibiotic use, and higher rates of mental health conditions in patients and their loved ones. Earlier GOCD are associated with lower ventilation and resuscitation rates, earlier hospice enrollment, reduced ICU admissions, lower financial costs, and better patient and caregiver quality of life. However, …

Keep Our Children Smiling: Fluoride Varnish Education In The Pediatric Primary Care Setting, Isabella Mortola

Doctor of Nursing Practice Final Manuscripts

Background: Dental caries is the most common chronic childhood disease. In early childhood, it is associated with many negative factors such as pain, loss of teeth, and impaired growth. Fluoride varnish (FV) is a protective resin coating treatment that is reimbursable by most insurances and is recommended by the American Academy of Pediatrics (AAP), United States Preventative Services Task Force (USPSTF), and the American Dental Association (ADA) due to its high efficacy in preventing dental caries. FV is a low-cost treatment that can be easily applied in 1-2 minutes during a well-child visit in the primary care setting, where children …

Assessing The Influence Of Education And The Diet Readiness Test On Self-Efficacy, Motivation And Resilience In Overweight Women, Ijeoma Iwu

Doctor of Nursing Practice Final Manuscripts

Purpose

The purpose of this evidence-based project is to assess motivation for weight loss and resilience to make lasting changes with weight management. The Diet Readiness Test (DRT) Questionnaire is a behaviorally based assessment tool used to evaluate psychological status prior to or during a weight-loss management program based on patients’ attitudes toward diet and exercise. The goal of using this survey was to identify predictive factors of successful weight changes for practitioners to implement into their approach to tackling obesity.

Background

One of the rising crises both in the United States and globally has been the topic of obesity. …

Independent- May 24, 2024, Leslie Lozada

The Independent (1988-present)

No abstract provided.

Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore

Walden Dissertations and Doctoral Studies

Family caregivers encounter challenges when caring for relatives recovering from a stroke. Family caregivers often experience negative mental health outcomes including higher levels of anxiety, depression, and stress. The purpose of this study was to determine the extent to which years of caregiving experience, emotional and instrumental support, and caregiver burden predict anxiety and depression among family caregivers of stroke patients. The caregiving stress process model theoretical framework guided the research. This quantitative study used a non-experimental correlational research design. Participants were recruited using Survey Monkey and included a non-random convenience sample of 111 family caregivers of stroke patients who …

Identification Of Carbohydrate Gene Clusters Obtained From In Vitro Fermentations As Predictive Biomarkers Of Prebiotic Responses, Car Reen Kok, Devin J. Rose, Juan Cui, Lisa Whisenhunt, Robert Hutkins

Department of Food Science and Technology: Faculty Publications

Background Prebiotic fibers are non-digestible substrates that modulate the gut microbiome by promoting expansion of microbes having the genetic and physiological potential to utilize those molecules. Although several prebiotic substrates have been consistently shown to provide health benefits in human clinical trials, responder and non-responder phenotypes are often reported. These observations had led to interest in identifying, a priori, prebiotic responders and non-responders as a basis for personalized nutrition. In this study, we conducted in vitro fecal enrichments and applied shotgun metagenomics and machine learning tools to identify microbial gene signatures from adult subjects that could be used to predict …

75 Years Of Dit Cathal Brugha Street – Brief History With Pictures, Lucy Horan

Level 3

No abstract provided.

Three Graces And A Referendum: Cathal Brugha Street’S History And Ireland’S Gender Discourses From Tradition To Transition, Brian Murphy

Level 3

No abstract provided.

Perceptions Of Metabolic Syndrome Management Utilization In Relation To Patient Experience And Health-Related Quality Of Life, Olajide Adekunle, Jon C. Schommer, Yun Wang, Ismaeel Yunusa, Marc L. Fleming, Enrique Seoane-Vazquez, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Background

One factor for the poor health outcomes among adult people with metabolic syndrome (MetS) is poor utilization of disease management resources, which may be attributable to prior experience with pharmacists (PEwP) and perceptions of disease management resource utilization (PMU). Therefore, understanding patients' experience could be critical to improving their perceptions and promoting health outcomes.

Objectives

The study explored the influence of PEwP and PMU on the health-related quality of life (HRQoL) of people with MetS.

Methods

Data on perceptions of healthcare, medication, and pharmacy services utilization, PEwP, and HRQoL were collected using validated tools via an electronic survey. Chi-square …

The Path To Rehabilitation?: A Policy Analysis Of Juvenile Isolation And Room Confinement In Washington State, Trevor Buchan

SUURJ: Seattle University Undergraduate Research Journal

Throughout the United States, the practice of isolating and confining youth for hours at a time is commonplace in juvenile facilities. The use of isolation in Washington State’s juvenile system is no exception. Washington recently acknowledged the dangers of juvenile solitary confinement but continues to utilize the similar practices of isolation and room confinement today. Isolation and confinement require further examination as they can cause significant harm to a youth’s social, physical, and educational development, increase youth aggression, and increase recidivism rates. Washington should reconsider whether to permit such a damaging punishment in a system purportedly committed to the rehabilitation …

Predictors Of Spiritual Struggle: Exploring The Role Of Trauma Exposure, Resilience, And Religious Behaviors Among Religiously Affiliated University Students, Harvey O. Burnett Jr, Duane C. Mcbride

Adventist Human-Subject Researchers Association

This study examined how exposure to traumatic experiences, protective factors such as Psychological Body Armor (TM) (PBA), physical wellness behaviors, and religious practices predict spiritual struggle among students attending a religiously affiliated university. Preliminary findings revealed that PBA, non-class assigned Bible and Christian literature readings were predictive of reduced spiritual struggle.

Rheological Properties And 3d Printing Behavior Of Pcl And Dmso2 Composites For Bio-Scaffold, Jae-Won Jang, Kyung-Eun Min, Cheolhee Kim, Chien Wern, Sung Yi

Mechanical and Materials Engineering Faculty Publications and Presentations

The significance of rheology in the context of bio three-dimensional (3D) printing lies in its impact on the printing behavior, which shapes material flow and the layer-by-layer stacking process. The objective of this study is to evaluate the rheological and printing behaviors of polycaprolactone (PCL) and dimethyl sulfone (DMSO₂) composites. The rheological properties were examined using a rotational rheometer, employing a frequency sweep test. Simultaneously, the printing behavior was investigated using a material extrusion 3D printer, encompassing varying printing temperatures and pressures. Across the temperature range of 120–140 °C, both PCL and PCL/DMSO₂ composites demonstrated liquid-like behavior, …

Promoting Engagement Of Male Individuals With Alzheimer’S In A Memory Day Care, Tara Brophy

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Alzheimer’s and related dementias impact an individual's cognitive, psychological, social, and physical functions resulting in impairments within the engagement of activities. Activities offer many therapeutic benefits including improvements in mood, alertness, communication, socialization, sleep, cognitive function, and quality of life. The focus of this quality improvement capstone project was to address the decreased level of engagement in male members within a memory day care center setting through engaging them in male-tailored activities. The project included the development of a website that provided tailored male-oriented activities and educational resources that were shared with the staff to revise their day care activity …

Resilience And Advocacy: A Narrative Analysis Of Disability Campaigns In The United States, Jennifer-Lyn B. Youberg

Student Theses and Dissertations

This narrative analysis delves deeply into the REV UP, #IHelpVeterans, and Snack Zone disability campaigns, dissecting their shared themes and strategies. It underscores the pivotal role of community engagement, stressing the importance of not just raising awareness but actively involving communities in advocacy efforts. Moreover, it highlights how these campaigns leverage personal narratives to humanize disability issues, making them more relatable and compelling. Additionally, the study emphasizes the necessity of advocating for systemic change, pointing out that while individual actions matter, broader structural reforms are needed to address deeply entrenched barriers. By fostering collaboration, amplifying marginalized voices, and pushing for …

Evaluation Of Trauma Informed Care For Indigenous Victims Of Human Trafficking: A Qualitative Discussion Of Best Practice, Nina Munson

University Honors Theses

Human trafficking is a major issue that every community and nation faces. Within the United States, Indigenous communities are especially at risk of victimization in relation to a history of systemic violence and consequent neglect. Therefore, the need for culturally competent care is crucial. This study seeks to address how culturally sensitive approaches to trauma-informed care can be developed and implemented by various providers to effectively support Native American victims of human trafficking in accessing assistance services. In order to evaluate the problem, a literature review was conducted, paired with qualitative interviews from relevant stakeholders. The findings demonstrated a significant …

The Erosion Of Judicial Discretion: Why Congress And The Court Should Curb Restrictions For Bankruptcy Judges, Mason Spedding

BYU Law Review

This Note argues that reducing bankruptcy courts’ discretionary powers is a policy mistake because broad-sweeping legislation cannot adequately account for every circumstance presented by debtors. Bankruptcy is a unique field of law that requires unique rules; unlike a purely uniform bankruptcy system that is inherently over- and under-inclusive, a system of judiciously broad discretionary powers enables bankruptcy courts to find the optimal solutions to new issues on a case-by-case basis. Rather than restricting the discretionary powers of bankruptcy judges, Congress should enact a set of standards for judges to consider when evaluating individual cases. Under this system, judges would be …

Beyond The Human: Crossovers For An Onto-Epistemological Bifurcation, Ester Toribio-Roura

Articles

Building upon recent studies in new materialisms and feminist critical posthumanism with a focus on human and more-than-human relationships, this paper examines how the posthuman paradigm, by postulating the queering of identit(ies) via entanglement with the more-than-human (including technology), and by offering a critical examination of diverse modes of existence within a broader ecological context, can foster more inclusive and ethically sound ways of being in the world. Although posthumanism encompasses a wide range of perspectives and theories, including transhumanism, at its core, it challenges traditional notions of humanism, blurring the boundaries between what is human and what is more-than-human, …