Digital Commons Network^™

Organic Dining Behaviour In British Restaurants, Lokman Dinc, Rong Huang

Plymouth Business School

The organic food market has experienced significant growth in recent decades all over the world. Within the context of the UK, a remarkable rise can be seen considering the recent popularisation of organic food products. With these trends in mind, the aim of this research is to develop better understanding of organic dining behaviour in British restaurants. To achieve this aim, this research used questionnaire technique and analyse the data using SEM.The key findings of the research confirmed that a range of factors, including advertisements through social media, knowledge, price, taste, quality, availability, and labelling, all significantly influence consumer intention …

Applications Of The Re-Aim Framework In Health Promotion, Emiliane L. Pereira

Theses & Dissertations

This dissertation applied a variety of methods under the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework and provided a valuable and relevant contribution to the field of the dissemination and implementation (D&I) science. In the first study, we applied the RE-AIM framework to evaluate interventions and summarize the literature on breastfeeding promotion programs on the Black population (Chapter 1). The study results provide meaningful findings by bridging the gap on the literature of reporting breastfeeding supporting services and resources available to ensure breastfeeding continuation, as well as the need for a better reporting on the individual-level and setting representativeness, …

Road To Recovery For Craniotomy Patients, Louisa Ustrzynski

Doctor of Nursing Practice Projects

Complications from craniotomy surgery can range from 8-33%, leading to prolonged hospital stays, increased costs, increased risks for complications, and decreased satisfaction. An extensive literature was conducted highlighting Enhanced Recovery After Surgery (ERAS) protocol enhances patient outcomes by emphasizing education, early mobilization, pain management, and proper medication use before surgery. This quality improvement project focused on implementing preoperative and postoperative education in a tertiary hospital outpatient setting targeting adults undergoing craniotomy surgery. The process was implemented by a preoperative checklist and education materials to aid in educating patients on ERAS protocol to decrease the length of stay and increase patient …

“I Felt We Were Actually Learning Things, Then Applying Them” Students’ Perceptions Of A Service-Learning Course, Christina Gipson, Jessica A. Mutchler, Arshpreet Kaur Mallhi, Amanda Lambert

Health Sciences & Kinesiology: Faculty Publications

Academic journals continue to produce articles that highlight record levels of student disengagement and lack of motivation. Faculty have been encouraged to use high impact, active learning strategies to increase student engagement and success (Patrick et al., 2016). One technique, service learning, allows students to become active learners through applying learned skills and theory from the classroom to community settings (Connolly, et al., 2017). The purpose of this study was to highlight students’ perceptions and experiences through three semester-long service-learning courses where students provided a fitness and mindfulness program to local teachers to help them address stressors. Undergraduate sports management …

The Impact Of An Educational Cooking Class On Inflammatory Potential Of Diet In Cancer Survivors, Mariah K. Jackson

Theses & Dissertations

Cancer survivors face long-term effects from cancer treatments, with cognitive dysfunction being an important, yet understudied, consequence of cancer treatment. Inflammation is a proposed mechanism for impaired cognition status. As research demonstrates diet is associated with both pro- and anti-inflammatory effects, diet may represent a novel strategy to mitigate cognitive decline in cancer survivors. The purpose of this study was to 1) quantify the impact of an educational cooking class on inflammatory potential of diet (measured by the Dietary Inflammatory Index (DII)) in cancer survivors and 2) determine the relationship between dietary changes and cognitive function in cancer survivors. Dietary …

Patient Education Improvement Initiative For Self-Management Of Congestive Heart Failure Among Senior Residents Of A Long-Term Care Facility, Abigail A. Abella, Brooke Sheck, Daniela Ramos, Ivy H. Nguyen, Mary Tran, Roshni Nagarajan

Master's Projects and Capstones

The purpose of this quality improvement project was to use evidence-based practices to determine if personalized education on disease self-management would lead to improved treatment adherence in a residential facility. The target population consisted of four elderly female patients who had been diagnosed with congestive heart failure (CHF) and were struggling with the self-management of their disease. Contributing barriers to effective CHF self-management were determined using a root cause analysis, and included a lack of educational templates, declining cognitive ability of the residents, and no electronic health record (EHR). Using the Self-Determination theory, the interventions were implemented. Phase one was …

School Weigh-Ins Are Dreaded. They Also Don’T Work., Amanda G. Salazar

Capstones

Schools across the country have been screening their students for Body Mass Index for decades, based on the assumption that telling families about a student's weight would promote weight loss. Years of research has shown that BMI screenings don't actually have any impact on weight, but instead can be harmful to students' mental and emotional wellbeing. These harms can last for years into the future, in some cases. So, why are BMI screenings still such a common practice?https://schoolbmiscreenings.weebly.com/

Reducing Readmission Rates Within 30 Days Of Discharge By Increasing Frequency Of Calls By The East Bay Transitions Care Department, Rediet Abebe Gebremichael

Master's Projects and Capstones

Abstract

Background: Within the organization, the estimated cost of readmissions is $10,107.00 per day. Managing readmission rates within the hospitals has been challenging due to multiple factors. Readmissions cause financial and emotional stress on patients and their families, along with the stresses experienced during hospitalization.

Problem: The yearly readmission goal for the Transitions Care Department is below 14% per month. In 2022 the Transitions Care Department has been above 14% for most of the year, averaging 17%. Hospital readmissions impose a substantial financial and resource burden on the healthcare system.

Interventions: Staff training will ensure their effectiveness in carrying out …

Maternal- Child Malnutrition In Nepal: A Policy Analysis, Garima Pokhrel

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Abstract

Background: The United States Agency for International Development (USAID 2021) data finds that in Nepal 17 percent of women between the ages of 15-49 and 30 percent of adolescent girls of age 15-19 years are underweight; and 36 percent of children under the age of 5 were stunted in Nepal in 2016.

Objective: To review Nepal’s current National Nutrition Policy and provide evidence-based recommendations to amend the policy in order to improve nutritional outcomes of the prenatal population and children under the age of 5 years.

Methods: Bardach’s Eightfold Path to Policy Analysis Methodology and the Sustainable Diet …

Implementing A Standard Work Process For Food Insecurity Screening, Referral, And Connection Tracking In A Safety-Net Clinic, Aisha Keplinger

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Social determinants of health (SDOH) screening and referral programs are crucial to achieving health equity, fundamental to providing the best care, and are critical to the United States’ pursuit of the Institute for Healthcare Improvement’s (IHI) Triple Aim (Berwick et al., 2008). Employing the PRECEDE-PROCEED model, a systematic screening and referral program was implemented at a safety-net clinic to increase SDOH screening and referral rates, and to identify the number of patients who connect with community resources. The program was guided by the IHI Triple Aim framework and evaluated using the Institute of Medicine (IOM) Six Aims of Healthcare Quality …

Evaluating Utilization And Outcomes For An Outpatient Oncology Urgent Care Center, Melody D. Noble

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Patients receiving cancer care in the outpatient setting may often require unscheduled, acute management of symptoms. An oncology urgent care clinic (UCC) was implemented to provide symptom management for these patients outside of the emergency department (ED) at an academic medical center. A program evaluation was performed to assess the impact of the UCC on ED utilization and patient outcomes. The project methodology is the Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis-Policy, Regulatory and Organizational Constructs in Educational and Environmental Development (PRECEDE/PROCEED) method of program evaluation with additional evaluation of outcomes via the Institutes of Healthcare Improvement (IHI) triple …

Reducing Hospital-Acquired Pressure Injury In An Inpatient Medical-Surgical Telemetry Adult Unit By Educating And Encouraging Basic Wound Care Prior To Wound Care Consult, See Wai (Amy) Kong

Master's Projects and Capstones

Problem: A medical center in the Diablo Service Area had one of the highest rates in hospital-acquired pressure injury (HAPI), benchmarking with other facilities, with the project unit one of the top offenders. The patients and the medical center both suffered from the harm. Barriers to HAPI prevention included lack of patient turnings, skin assessment, and early standard wound care treatment.

Context: This project focused on the primary care team standardizing early wound care treatment to avoid wound progression.

Interventions: Interventions included re-educating the primary care team on early basic wound care using a standard wound care guideline created by …

Enhancing Diabetic Patient Continuous Glucose Monitoring Access, Colleen Ildefonso

Master's Projects and Capstones

Problem: Diabetic patients utilize treatments that require frequent monitoring and medication changes based on their blood sugar results. Continuous Glucose Monitoring (CGM) is more commonly used for diabetes management as time in range is becoming more prevalent to measure diabetes outcomes. Many diabetic patients find CGM use more accessible than finger sticks and glucometers. In contrast, others utilize the technology to closely monitor their blood sugars for interventions throughout the day. However, older adults have difficulty facilitating new CGM technology and may require further reinforcement using additional education methods such as teach-back.

Context: The endocrinology clinic serves a patient population, …

Engaging With ‘Less Affluent’ Communities For Food System Transformation: A Community Food Researcher Model (Foodsequal Project), C. Pettinger, L. Hunt, H. Gardiner, P. Garg, L. Howard, C. Wagstaff

School of Health Professions

The UK food system is distorted by inequalities in access, failing the people most in need, yet it should provide access to safe, nutritious affordable food for all citizens. Dietary patterns are associated with sociodemographic characteristics, with high levels of diet-related disease mortality attributed to poor dietary habits. Disadvantaged UK communities face urgent public health challenges, yet area often treated as powerless recipients of dietary and health initiatives. The need for food system transformation has been illustrated within recent UK government policy drivers and research funding. The Food Systems Equality project1 is a research consortium that aims to ‘co-produce healthy …

End Of Life In The Ed – Brain Death And Organ Transplantation, Madison Cohen, Donald Penney

The Journal of Integrated Primary Care

Every year thousands of Americans die awaiting an organ transplant. While our knowledge and experience with organ transplantation has only improved, organ availability continues to be a major issue due to a lack of suitable donor organs. A large population of organ donors are those who have been clinically diagnosed as brain dead. Brain death is defined as the irreversible loss of all brain and brainstem functions. Despite brainstem functions being lost, mechanical ventilation and perfusion techniques allow for proper organ maintenance. This gives brain-dead individuals a unique opportunity to serve as multiple organ donors. However, due to mistrust of …

Foreign Cuisine: Invasive Plants And Native Birds, Derek Lovitch

Bird Observer

No abstract provided.

Observations On The Feeding Behavior Of Bohemian Waxwings, Jim Berry

Bird Observer

No abstract provided.

The Purple Martins Of Plum Island, Sue Mcgrath, Alison O’Hare

Bird Observer

No abstract provided.

About Books: Dirty, Disgusting, Filthy, Lice-Ridden Boids, Mark Lynch

Bird Observer

No abstract provided.

Issue 433: December 14, 2023-January 11, 2024, The Local Voice

The Local Voice

No abstract provided.

Exploring The Microbial Diversity And Characterization Of Cellulase And Hemicellulase Genes In Goat Rumen: A Metagenomic Approach, Santosh Thapa, Suping Zhou, Joshua O’Hair, Kamal Al Nasr, Alexander Ropelewski, Hui Li

Agricultural and Environmental Sciences Faculty Research

Background

Goat rumen microbial communities are perceived as one of the most potential biochemical reservoirs of multi-functional enzymes, which are applicable to enhance wide array of bioprocesses such as the hydrolysis of cellulose and hemi-cellulose into fermentable sugar for biofuel and other value-added biochemical production. Even though, the limited understanding of rumen microbial genetic diversity and the absence of effective screening culture methods have impeded the full utilization of these potential enzymes. In this study, we applied culture independent metagenomics sequencing approach to isolate, and identify microbial communities in goat rumen, meanwhile, clone and functionally characterize novel cellulase and xylanase …

4 Chosen As Uab Vips For Fourth-Quarter 2023, Staff

Browse All News

No abstract provided.

Winter Commencement: December 14-15, 2023, University Of North Dakota

UND Commencement Programs

UND Winter Commencement program from December 14 and 15, 2023.

Understanding And Combating The Spread Of Antibiotic-Resistant Organisms, Bejan Mahmud

Arts & Sciences Graduate Student Theses and Dissertations

The introduction of antibiotics in the 20th century stands as one of our greatest scientific achievements, profoundly transforming human health and global well-being. Over the past century, antibiotics have ensured that infectious diseases are no longer the most common causes of death worldwide. In further enabling a vast array of invasive medical procedures (e.g., surgeries, organ transplants), antibiotics have effectively added decades to the average human lifespan. In agriculture, antibiotics have been heavily relied upon to meet the nutritional demands of the growing human population. Thus, ever since the introduction of penicillin, antibiotics have been the “miracle drugs” they were …

Body Positivity: A School Counseling Group For Adolescents, Zoe Justine Hess

Dissertations, Theses, and Projects

An eating disorder is a mental illness characterized by severe, unhealthy changes in appetite and dysphoric body image. One main indicator that an eating disorder is likely to occur is the person having a perfectionistic personality type. Another major factor is having an intense consciousness of body image, often with this being very skewed and negative. Both, when brought to extremes, have dangerous consequences for the person’s mental and physical health. Eating disorders typically first appear in adolescence or young adulthood, most markedly for females; thus, it is pertinent that school counselors are aware of the signs of an eating …

Embracing The Flow: The Right To Menstrual Health As A Response To Climate Change Impacts In South Asia, Lea Kuhlmann

Seattle Journal of Technology, Environmental, & Innovation Law

No abstract provided.

Review: The Harvesting Process And Recent Advances On Health Benefits Of White Tea, Adhi Irianto Mastur, Agung Karuniawan, Ernah

Jurnal Kultivasi

The meticulous harvesting process and appropriate post-harvest techniques play pivotal roles in preserving the quality and health benefits of white tea. This careful approach maintains the bioactive compounds such as polyphenols, caffeine, gallic acid, Epigallocationchin (EGC), Epigallocationchin gallate (EGCG), and Epicatechin gallate (ECG), integral to white tea's health benefits. The stability of catechin content in tea plants is greatly influenced by the environment (clone, plant age, leaf age, altitude, temperature, humidity, processing, and pH when storing dry tea). In Indonesia, the raw materials used to produce white tea are mostly pecco from the superior GMB clone Assamica variety which has …

A Comprehensive Program Evaluation Of Colorectal Rescreening Initiatives In Rural Virginia, Sarah E. Stowell

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Background: Despite low-cost and effective screening tools, colorectal cancer (CRC) mortality remains high in the U.S., particularly in rural areas like Virginia’s Northern Shenandoah Valley, where screening rates are low. While literature highlights barriers to CRC screening in these communities and suggests improvement strategies, few studies focus on long-term adherence to screening in rural health clinics (RHCs).

Purpose: This program evaluation assessed the impact and effectiveness of the Rural Colorectal Cancer Rescreening Initiative (RCRI), a pilot program to increase colorectal cancer rescreening rates in a local RHC. It also offers recommendations for optimizing future RCRI efforts. Methods: The program evaluation …

Shallot Cultivation Originated From True Shallot Seed (Tss) On Andisols Enriched With Various Ameliorants, Fahmi Aprianto, Mahfud Arifin, Emma Trinurani Sofyan

Jurnal Kultivasi

Application of soil ameliorants is important to improve Andisols properties and increase shallot productivity. The research objective is to determine the kind of ameliorant which the best effect on the growth and productivity of shallots originating from TSS in Andisols Lembang, West Java. The experiment was conducted in Margahayu Research Station, Lembang, West Java from January to May 2021. A randomized block design (RBD) with 6 treatments and 5 replications was set up in the field. Treatments include control (no ameliorant), 20 tons/ha of horse manure, 10 tons/ha of rice straw compost, 10 tons/ha of bamboo leaf compost, 10 tons/ha …

Frailty In End-Stage Liver Disease: Understanding Pathophysiology, Tools For Assessment, And Strategies For Management, Mazen Elsheikh, Ahmed El Sabagh, Islam B Mohamed, Megha Bhongade, Manal M Hassan, Prasun Kumar Jalal

Faculty, Staff and Students Publications

Frailty and sarcopenia are frequently observed in patients with end-stage liver disease. Frailty is a complex condition that arises from deteriorations across various physiological systems, including the musculoskeletal, cardiovascular, and immune systems, resulting in a reduced ability of the body to withstand stressors. This condition is associated with declined resilience and increased vulnerability to negative outcomes, including disability, hospitalization, and mortality. In cirrhotic patients, frailty is influenced by multiple factors, such as hyperammonemia, hormonal imbalance, malnutrition, ascites, hepatic encephalopathy, and alcohol intake. Assessing frailty is crucial in predicting morbidity and mortality in cirrhotic patients. It can aid in making critical …