Digital Commons Network^™

The State Of Health In Tennessee, 2024 Annual Report To The 113th Tennessee General Assembly, Tennessee. Department Of Health.

State of Health in Tennessee

No abstract provided.

2023 Eqro Technical Report, Tennessee. Division Of Tenncare.

TennCare Additional Reports

No abstract provided.

Predictors Of Obesity In Hypothyroid Patients Under Treatment, Mohamed Zakarya Nooh, Moustafa Mohammed Gaballah Elnagar, Mohammed Abd El-Raouf Korany, Raghda Samy Ahmed El-Meligy Matard, Moustafa Bakrey Hamed Ata

Journal of Medicine in Scientific Research

Objectives: to evaluate obesity and insulin resistance relation in treated hypothyroid patients attending Menoufia university hospital.

Background: Hypothyroidism is a common endocrine disorder resulting from deficient secretion of thyroid hormone. Africa has the highest prevalence (14.2%) while Asia has the lowest prevalence (5.8%). “obesity” is a disease where body fat and body-fat distribution exceed the level considered healthy. Through the production of adipokines adipose tissue affects the activity of the Hypothalamic–pituitary–thyroid (HPT) axis system. Insulin resistance and autoimmune thyroid disease have shown to influence each other.

Patient and methods: Our study included 254 Egyptian hypothyroid patients under treatment …

Silent Signs: The Hidden Impact Of Aseptic Pyuria In Chronic Kidney Disease, Egypt, Ghadir Mohamed Elsawy, Basma Aref Altaweel

Journal of Medicine in Scientific Research

Introduction: This study, Element Type, reflects the prevalence of and clinical significance of aseptic pyuria among CKD patients in Egypt, addressing the vital knowledge gap that exists in understanding what implications this condition presents to the patient. More than 10% of the world's population suffers from chronic kidney disease that is characterized by progressive loss of renal function and requires monitoring of various clinical parameters, including pyuria and white blood cells present in urine. Aseptic pyuria is commonly misunderstood as a UTI and thereby mistreated with unnecessary antibiotic courses due to the presence of white blood cells with no bacterial …

Evaluation Of Iron, Zinc And Vitamin D Deficiencies In Children With Autism Spectrum Disorder At The Hearing And Speech Institute, In Egypt, Azza Samy, Iman Elrouby, Eman S. Eldin, Eman S. Abd El-Ghaffar

Journal of Medicine in Scientific Research

Background Autism spectrum disorder (ASD) is a complex neurodevelopment disorder with a multifactorial etiology. Each iron, zinc and vitamin D are essential for cognitive, behavioral and motor development. Deficiency of any of these micronutrients may affect ASD symptoms.

Objective The aim of this study is to evaluate and compare the level of iron, zinc and vitamin D levels in children with autism spectrum disorder (ASD) with normal children and to associate between the deficiency of these nutrient elements and the severity of ASD symptoms, in order to help in improvement of ASD symptoms by supplying the deficient elements.

Patients and …

Investigation Of Evolution In Fungal Traits At Multiple Genetic Scales, Brooke Allen

Electronic Theses and Dissertations

The study of fungal traits is critical for understanding community assembly and ecosystem function, as traits related to resource acquisition, enemy avoidance, and stress tolerance link fungi to their ecological roles. Symbiotic relationships, such as those between ectomycorrhizal (EcM) fungi and their host plants, greatly influence fungal traits and play a key role in fungal evolution. In this study, we addressed the evolution of EcM fungal traits, particularly biosynthetic gene clusters (BGCs), at multiple genetic scales, including individual genes, genotypes within populations, and a broader phylogenetic perspective across the fungal kingdom. First, we surveyed the diversity of BGCs in native …

North Ms Foodrx Farm-To-Farmacy: A Home Delivery Local Food Prescription Model, Cameron De'cal Brown

Electronic Theses and Dissertations

This portfolio presents a comprehensive overview of my contributions and involvement in the Farm-to-Farmacy (FTF) program model. Farm-to-Farmacy is an extension of the FoodRx program which aims to address food insecurity in rural parts of North Mississippi. This program was inspired by the 2019 FoodRx program in the Mississippi Delta that assisted in delivering fresh produce to the doorsteps of the elderly and homebound. Farm-to-Farmacy incorporates a unique approach by soliciting the support of local farmers which assists in sustainability for a program of this stature but also supports community engagement and involvement. The Farm-to-Farmacy program relies on local farmers …

Advancing Diversity, Equity, And Inclusion: A Graduate Portfolio On Lebonheur Children's Hospital Initiatives, James Lee Hawkins

Electronic Theses and Dissertations

In every facet of life, diversity finds a way to play a role. By advocating for, acknowledging, and drawing attention to the disparities that emerge within the various spaces people may encounter, we consciously strive to bridge the gap, aiming for a future that is more equitable and inclusive. Diversity, equity, and inclusion (DEI) have not only become personal moral imperatives but also essential pillars at the forefront for companies, healthcare, educational institutions, and businesses alike.

Mental Health In Rural Mississippi Counties: Experiences And Beliefs Of African American Pastors, Angela R. Adams

Electronic Theses and Dissertations

African Americans seek formal mental health treatment services at lower rates than white Americans (Substance Abuse and Mental Health Services Administration [SAMHSA], 2024) and higher risk of mental illness exists among rural African Americans (Haynes et al., 2017). Religiousness and spirituality have emerged as widely utilized coping methods among African Americans, therefore it is important to understand pastoral perspectives on mental health. In addition to the type of services being sought, the decision to seek help plays an important role in treatment utilization. Along these lines, two theoretical frameworks were used to formulate this study, the Theory of Planned Behavior …

Physical, Emotional, And Occupational Dimensions Of Wellness And Their Applicability: A Feasibility Study, Josephine Savitski

Williams Honors College, Honors Research Projects

This feasibility study investigates a health and wellness intervention program based on the 7 Dimensions of Wellness framework, emphasizing evidence-based methods, accessibility, and participant independence. The research combines insights from a comprehensive literature review, which explores resources essential for designing, implementing, and executing health literacy based interventions targeting three dimensions of wellness. The study outlines methods for participant selection, program delivery, and data collection, synthesizing existing research and scholarly works to provide insights into effective strategies, educational tools, and interdisciplinary approaches. Despite the absence of statistical analysis, pre- and post-survey results demonstrate positive trends. Reflections on observed outcomes highlight adaptability, …

Effects Of Energy Drink Additives On Crayfish Metabolism, Katherine Paltz

Williams Honors College, Honors Research Projects

The effects of caffeine and additives commonly found in energy drinks were tested on crayfish to record changes, if any, in their metabolism. Three experimental groups were studied: 1. Caffeine; 2. Caffeine + Glucuronolactone; 3.) Caffeine + Glucuronolactone + Taurine. Caffeine is a common stimulant used to improve mental awareness, headaches, memory, and athletic performance. Glucuronolactone is connected with cardiovascular issues and aggressive behavior. Taurine is said to improve mood and focus. The experiment was performed at two different caffeine levels: 600mg and 1200mg for an initial 1 hour of exposure and 10 hours after exposure used as a pseudo-baseline. …

The Impact Of Different Forms Of Physical Activity On An Athlete's Memory., Hannah Lebeck

Williams Honors College, Honors Research Projects

Memory is an integral part of human life, needed for all aspects of daily living, especially for college students. Previous research has shown a plethora of benefits to several systems of the body for those who participate in chronic aerobic activity. This research has shown chronic aerobic physical activity to provide an enhanced memory through numerous physiological adaptations. Studies on chronic anaerobic activity and its effect on the brain are minimal, demanding more research be done. PURPOSE: Determine the effect of aerobic and anaerobic exercise on memory and cognitive function in different classifications of collegiate athletes. METHODS: Study to consist …

The Compass, Summer 2024

The Compass, 2018-

The Compass is an annual orientation guide for VCU students produced by the Student Media Collective in the VCU Student Media Centered. The guide is distributed physically during summer orientation sessions for new and transfer students. The publication includes short articles, illustrations, letters of welcome from students and administrators, comics, and advertisements from VCU and Richmond organizations.

Disability Untheorized: Critiques Of Eugenics, Then And Now, Maren Linett

Department of English Faculty Publications

Critiques of Anglo-American eugenics from the turn of the twentieth century through today demonstrate that the people swept up by the colossal eugenic broom were not biologically “unfit” without questioning either the notion of biological inferiority itself or the “menace” eugenicists saw in disability. They therefore imply that what was wrong with eugenics was its inaccuracy—that it was only ethically problematic because it did not correctly identify “unfit” people. Such critiques, while offering social models of race, poverty, criminality, and/or gender, leave disability untheorized and neglect the rights of disabled people.

Investigation Of A System Model On A Compact And Effiient Noel Dual-Modeule Membrane Dehumidification Heat Pump Cycle For Industrial Drying, Junyan Ren, Makena Thompson, David M. Warsinger, Davide Ziviani

International Refrigeration and Air Conditioning Conference

No abstract provided.

Asynchronous Class For Algebra I Preparation, Hunter Garretson

Williams Honors College, Honors Research Projects

Algebra I is the first high school mathematics class students take making it an important building block in the student’s growing mathematical foundation. Mitigating any losses in knowledge over the summer by using educational review tools has been proven helpful in previous studies. Every student comes from a different background, socioeconomic class, ethnicity, culture, etc., allowing each student to have a different summer experience. A meta-analysis looking into the concern of Summer Learning Loss (SLL) found that while some of its sample size would make summer knowledge gains, more than half of the sample size was projected to suffer from …

Supporting The Mental Health Needs Of Impoverished Youth In The Rio Grande Valley, Leslie Pena

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this project is to enhance access to culturally competent mental health services and support systems for impoverished youth in the Rio Grande Valley, thereby reducing barriers and improving overall mental health outcomes in this vulnerable population. Significant Findings: In the Rio Grande Valley, impoverished youth face significant barriers to accessing mental health care, exacerbated by factors such as economic hardship, immigration-related stressors, and cultural stigma. Research highlights the prevalence of anxiety, depression, and trauma-related disorders among these youth, underscoring the urgent need for targeted interventions. Recommendations include integrating evidence-based practices into school-based mental health initiatives, …

Addressing Adverse Effects On Children Living In Poverty In Trumbull County, Ohio, Kaitlin Spitak

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this social change portfolio is to prevent adverse outcomes for children and adolescents living in poverty in Trumbull County, Ohio. Significant Findings: Trumbull County, Ohio, has an alarming percentage of youth under 18 years old living in poverty. According to the US Census Bureau (n.d.), the current rate is 28.9% and has risen since 2015 (Data USA, n.d.). Black youth are disproportionally affected by poverty, with rates in Trumbull County of 67% (County Health Rankings & Roadmaps, n.d.; Hodgkinson et al., 2017). Youth living in poverty are at risk for developmental delays, adverse experiences, chronic …

Leadership Best Practices In Fostering Collaboration For Transformative Change In International Nongovernmental Organizations: A Phenomenological Study, Colton Manley

Theses and Dissertations

For nearly a century, International Non-Governmental Organizations (INGOs) have spearheaded humanitarian relief and development efforts worldwide. However, the increasing complexity and interconnectivity of global challenges demand a fundamental shift in the operations of INGOs. Collaboration has emerged a key strategy in driving systemic change and addressing the root causes of complex issues. Leaders play a pivotal role in fostering these essential relationships and cultivating a collaborative ecosystem. While leadership remains paramount, there is a critical need to understand how INGO leaders can cultivate transformative collaboration, a collaborative approach aimed at addressing the root causes of complex issues and driving systemic …

Impact Of Supervisors’ Person-Centered Listening On Sense Of Belonging Among Occupationally Minoritized Healthcare Professionals, Nelu Nedelea

Theses and Dissertations

Significant gender and racial disparities are evident when comparing the composition of the U.S. healthcare workforce to the general U.S. population. Latinx individuals are underrepresented across all professions, while non-White individuals and women are occupational minorities in executive roles and in physician, surgeon, and advanced practitioner roles. Lack of diversity poses problems for underrepresented healthcare professionals, their organizations, and their patients. While diverse professionals experience various forms of microaggression, discrimination, prejudice, and diminished sense of belonging in their fields, these conditions can compromise communication among the various healthcare professionals involved with a patient, in turn, potentially threatening patient safety and …

My Secret Struggle: Starving, Purging, And Numbing My Emotions. An Autoethnographic Analysis Of My Lifelong Battle With Anxiety, Depression, And Eating Disorders, Hasmek G. Siwajian

Theses and Dissertations

Adolescent females and young adult women between the ages of 12 and 25 are at a higher risk of engaging in self-destructive and life-threatening behaviors linked to anxiety, depression, and eating disorders when they do not have access to suitable treatment options or coping mechanisms (Garcia et al., 2020). This study highlights the heightened vulnerability of adolescent females and young adult women aged 12 to 25 who engage in self-destructive behaviors associated with anxiety, depression, and eating disorders when adequate treatment options or coping mechanisms are lacking. Through an autoethnographic approach, the researcher delves into her daily struggles and breakthroughs …

Understanding Resilience With Chinese Emerging Adults Who Had Early Relational Trauma: An Integrative Systematic Review, Yuen Wu

Theses and Dissertations

This integrative systematic review aimed to enhance understanding of resilience among Chinese emerging adults with early relational trauma by synthesizing available information on how culture is incorporated into the conceptualization, measurement, and interpretation of resilience in the current body of literature. By utilizing a qualitative content analysis approach, the researcher identified main ways in which resilience was conceptualized, assessment tools used to assess, and culturally-specific elements in conceptualizing and understanding resilience. Analysis results indicated the static way of conceptualization was most common among other ways of conceptualizing. Results also revealed that the majority of literature incorporated culture in their conceptualizations …

Hasta La Raíz: An Exploration Of Latinidad In Venture Capital, Mariela Salas

Theses and Dissertations

This dissertation explores the multifaceted experiences and career management strategies of Latinos/as in the venture capital industry, an area marked by significant underrepresentation. This study aims to illuminate the unique challenges and strategies of Latino/a investors. Drawing on literature from identity formation, Latinidad, diversity and inclusion, and career management, this research addresses the gap in academic literature regarding the lived experiences of Latinos/as in venture capital. The study utilizes 18 narrative interviews with active Latino/a investors of diverse backgrounds and varying experience levels to develop a conceptual framework. This framework highlights the constructed identity of the venture capital investor through …

Nourishing Narratives: A Photovoice Exploration Of Black Maternal Nutrition In Tennessee, Carissa Bacon

Electronic Theses and Dissertations

This qualitative study explored the perceptions of facilitators, barriers, and feelings of empowerment related to achieving healthy nutrition outcomes among pregnant and postnatal African American women in Tennessee. Data in this study was gathered utilizing the qualitative Community-Based Participatory Research (CBPR) approach of photovoice and the Transdisciplinary Contextualized Resilience Framework (TCRF) to examine factors influencing nutrition across multiple levels. The study recruited 13 African American mothers who ages ranged from 24-35 years old and who lived in the Greater Knoxville, Tn area. The study utilized a survey to capture the participants’ demographic characteristics and employed a modified version of the …

Water Insecurity In K-12 Schools In The U.S.: Understanding State Laws, Drinking Water Violations, And Lived Experiences, Shannon O'Donnell Fitzgerald

Electronic Theses and Dissertations

Introduction: Access to safe, reliable drinking water is essential for children's health, development, and academic success. This study examines water insecurity in U.S. K-12 schools, focusing on state policies, county-level violations, associated outcomes, and school staff experiences.

Methods: This mixed-methods study utilized secondary data analysis, mapping, regression analyses, and primary data collection. Secondary data from state sources were used to examine the presence of state legislation and Department of Education and Department of Health policies on school drinking water across the United States, examine associations between state legislation and policies with county drinking water violations, and investigate relationships between water …

Structural And Binding Studies Of Marine Glycans With Potential Therapeutic Use, Hoda Alsayed Mohamed Ahmed

Electronic Theses and Dissertations

This dissertation presents a comprehensive analysis of various marine-derived polysaccharides, focusing on their structures and binding properties. Using nuclear magnetic resonance (NMR) and surface plasmon resonance (SPR), distinct marine polysaccharides were structurally characterized, and their interactions with various biological targets were evaluated. The initial study explores a glucan isolated from Marcia hiantina, a bivalve mollusk, and its biological activity. Detailed structural analysis via NMR and chromatography techniques revealed a branched glucose-based polysaccharide with potent antioxidant and anti-inflammatory properties. Further studies on the red alga Botryocladia occidentalis identified three sulfated galactans in its cell wall. Through NMR, we characterized the least …

Viewbook: Division Of Student Development, University Of Dayton. Student Development

Student Development Documents

This publication provides an overview of the mission, vision, values, and goals of the University of Dayton Division of Student Development; it also provides descriptions of the work of all the departments in the division.

Examining The Impact Of Yoga And Mindfulness On Perceived Caregiver Stress And Burden, Michelle Renaud

Wayne State University Dissertations

PURPOSE: In the United States, there are approximately 34 million informal caregivers; defined as individuals who provide unpaid help to older adults (Lavela & Ather, 2010). Among this population, there is a growing health concern focusing on the potential physical and psychological risks linked to caregiving. Therefore, the purpose of this study was to investigate how a yoga and mindfulness intervention may influence changes in caregivers’ perceptions of stress and burden as well as their resting heart rate (HR) and blood pressure (BP). METHODS: Eight caregivers participated in an eight-week yoga and mindfulness intervention, with 60- minute sessions featuring gentle …

Essays On The Urgent Care Market, Thomas Wilk

Wayne State University Dissertations

This dissertation examines aspects of the urgent care market. We first explore the history and recent trends of urgent care, from its inception in the 1970 to its growing competition with primary care physicians and retail clinics in the 2010s. We examine aspects of how urgent care can impact a patient’s medical home and its use of pricing transparency that is sweeping the nation. We examine the growing need for patient convenience and flexibility in care with retail clinics encroaching the urgent care service space. We also cover the development of technology to better facility telehealth visits and to disrupt …

Crossing The “Valley Of Death”: How Climate Technology Entrepreneurs Navigate Relationships With Venture Capital Investors, Allison Lucas

Wayne State University Dissertations

As the world faces the ongoing and intensifying impacts of climate change, a group of innovative changemakers known as climate tech entrepreneurs (CTEs) are working on climate adaptation, mitigation, and/or resilience efforts by brining innovative technologies to the global market (UNFCC, 2018; Endeavor 2022). To realize the full potential of these technologies—tools, techniques, specialized knowledge or skillsets—they must be developed, deployed, and implemented at scale (IPCC, 2000). To do this, CTEs require external funding support, especially during a crucial period of the start-up lifecycle known as the “valley of death”. In this period between development and commercialization, production costs and …