Digital Commons Network^™

Improving Estimation Of Coronary Artery Disease Risk Using Haptoglobin Genotyping, Emily Kate Mewborn

Theses and Dissertations (ETD)

Atherosclerotic cardiovascular disease (ASCVD) continues to be the leading cause of death worldwide. While several risk factors contributing to disease progression are well-known, pitfalls and limitations exist for estimating if or when an individual will develop the disease. Coronary artery disease (CAD), a subtype of ASCVD, causes myocardial infarction, contributing to significant morbidity and mortality. Current ASCVD risk estimator calculators lack comprehensiveness and do not include genetic or social determinants of health information, which are known to affect ASCVD risk.

Haptoglobin (Hp) genotype also influences CAD risk. Hp is a protein that binds free hemoglobin released from physiologic or pathologic …

From There To Here: How Black Women From Areas Of Black-Concentrated Poverty Understand, Generate, And Use Social Capital To Influence Economic Mobility: An Interpretive Phenomenological Analysis, Tatiana C. Parker

Education Doctoral

This qualitative, interpretative phenomenological study investigated how Black women, with experience residing in areas of concentrated Black poverty in Syracuse, New York between the ages of 25 and 34, understood, generated, and utilized the social capital within their networks. The research also sought to understand these women’s perspectives regarding the role of network social connections in their economic mobility. Four one-on-one interviews were conducted and, through the lens of networking social capital theory, revealed significant themes, including the role of proximity in relationship dynamics, access points such as educational institutions and workplaces, and the influence of guidance and character congruency …

Cervical Cancer Screenings Among Hispanic Women: A Literature Review Of Evidence-Based Interventions, Sara A. Cortez

Master's Projects and Capstones

Despite effective methods to help detect and prevent cervical cancer, it remains the fourth most common type of cancer impacting women worldwide. Screening practices have significantly decreased the incidence and mortality from cervical cancer; however, Hispanic women continue to experience a much higher incidence compared to their non-Hispanic female counterparts. Screenings are often offered to women with regular access to healthcare who encounter far less barriers to access, such as language, culture, and overall knowledge about the disease. This paper used a qualitative approach which used social-ecological model (SEM) to examine some of the existing evidence-based interventions that aim to …

Classification Of Iraqi Children According To Their Nutritional Status Using Fuzzy Logic, Hussein Ali Hasan, Mohammed Jasim Mohammed

Journal of Economics and Administrative Sciences

In this paper, we build a fuzzy classification system for classifying the nutritional status of children under 5 years old in Iraq using the Mamdani method based on input variables such as weight and height to determine the nutritional status of the child. Also, Classifying the nutritional status faces a difficult challenge in the medical field due to uncertainty and ambiguity in the variables and attributes that determine the categories of nutritional status for children, which are relied upon in medical diagnosis to determine the types of malnutrition problems and identify the categories or groups suffering from malnutrition to determine …

Social Media Impacts On Arkansas Consumer Perceptions Of Gmos, Elizabeth R. Berner

Graduate Theses and Dissertations

This study builds upon previous consumer perceptions of GMOs studies. A need existed to determine what, if any, effects social media messages about GMOs had on consumer perceptions in Arkansas. The study utilized a qualitative approach with three focus groups. Data were analyzed using descriptive code. Participants were found to have a general understanding of GMOs, though discussion about what a GMO product was took an uncertain tone. Most participants did not consider GMOs as a factor when purchasing products. Rather participants considered characteristics such as price, quality, and convenience. Participants did not believe the infographics had changed their opinions …

Competencies Texas A&M Agrilife Extension Agents Need To Manage Conflict In Master Gardener Programs, Jayla Brook Fry

Electronic Theses and Dissertations

Texas A&M AgriLife Extension agents manage volunteer programs with vast efforts in public education. Volunteer programs such as the Texas Master Gardener program are significant to the public because they provide a service by educating people in horticulture and related topics. Extension agents oversee volunteer programs such as the Master Gardener program. The Texas Master Gardener program is comprised of more than 9,000 volunteers who give over 500,000 hours of service to their communities. When there are misaligned goals or personality conflicts, it may impact the program’s mission and educational efforts. Extension agents must manage those situations to retain the …

Project: Mhealth Applications For Educating Community Nurses, Nkemdilim Stacy Egbo

Electronic Theses and Dissertations

Hypertension is a chronic health condition linked to high morbidity and mortality rates in America and around the world. Hypertension care in developing and underdeveloped countries requires quick intervention. The proliferation of smart technologies and mobile health applications offer some leverage for the alternative management of hypertension, but evidence related to effectiveness in Nigeria are limited. The purpose of the study was to assess the impact of m-Health apps on hypertension self-management through nurses’ education in Southern region of Nigeria, as well as their self-confidence or efficacy using the Hypertension Evaluation of Lifestyle Management assessment. A quasi-experimental pretest-posttest design was …

Evaluation Of Cardiovascular Risk Compliance For Primary Prevention: A Quality Improvement Project, Rachelle S. Campbell

Electronic Theses and Dissertations

The American College of Cardiology and American Heart Association clinical practice guidelines recommend a cardiovascular risk assessment every 4–6 years in ages 40–75 to prevent cardiovascular disease. This DNP project aimed to improve awareness, compliance with cardiac risk assessments, and stratification of high and low-risk patients. This quality improvement project utilized the Johns Hopkins nursing evidence-based model to create the inquiry question and foundational plan for implementing the clinical practice guideline, calculating the cardiac risk score, and creating a clinical workflow process. A retrospective chart audit was guided by the Plan-Do-Study-Act (PDSA) method to collect pre- and postintervention data on …

Three Essays On International Migration And Remittances, Mir Tanzim Nur Angkur

Dissertations

This dissertation concerns the effects of international migration and remittances. The study explores two pressing issues: child marriages and livelihood strategies and how the receipts of remittances from abroad influence these outcomes. The research objectives and findings of each of the three essays is summarized below:

The first essay, titled “ Do remittances protect against child marriages? The Rohingyas in Bangladesh”, focuses on the role that remittances could play in combating this harmful practice among the displaced Rohingya population. Nearly one million Rohingya refugees have been living in one of the world’s largest refugee camp in Cox’s Bazar, Bangladesh. I …

The Role Of Occupational Therapy In Pressure Ulcer Care: An Educational Program For Therapy Practitioners, Melody Rheanne Brown

Occupational Therapy Doctoral Capstones

Occupational therapists play an important role in wound prevention and management. They provide a unique perspective focused on holistic and client-centered care centered around meaningful occupations. Pressure ulcers are a common occurrence within hospital facilities, creating costly expenses for the facility and poor outcomes for the patients who develop them. More than 2.5 million patients per year will develop a pressure injury, and 60,000 of those patients will die because of their pressure injury. Over 25 billion dollars will be spent by hospital systems for the treatment of pressure injuries. This capstone project aims to develop a personalized quality improvement …

Program Development For Nutrition: An Occupational Therapy Perspective, Shelby Farmer

Occupational Therapy Doctoral Capstones

Occupational therapists (OTs) address daily life patterns and support clients through participation in meaningful everyday activities to promote overall well-being. Nutrition is essential to physical and mental wellness and is integral to positive lifestyle behaviors and outcomes. Although appropriate nutrition is vital to health, well-being, and recovery, individuals rarely implement consistent nutritional practices into their everyday lives due to environmental and personal barriers. This capstone project united the role of nutrition with the occupational therapy perspective through interprofessional collaboration and the development of a program for graduate students focused on creating a foundational understanding of fueling their bodies with compounds …

Occupational Therapy's Role In Postpartum Care: Creating A Postpartum Screening Tool, Julianna Bourland

Occupational Therapy Doctoral Capstones

This capstone aimed to identify “Occupational Therapy’s Role in Postpartum Care.” The literature revealed that due to an abrupt transition into the role of a mother, engaging in occupations, the musculoskeletal system and maternal mental health are factors impacted. OT’s role in postpartum care identified in the research includes support in routines, roles, breastfeeding, education on ergonomics, adaptive equipment, home modifications, and interventions to relieve and prevent pain while increasing strength and stability. However, due to a gap in limited screening tools for this population, many women do not receive treatment for impacted factors. This capstone project utilized program development …

Effect Of Plant Genotype On Plant-Microbe Interactions And Multi-Generation Ecosystem Selection Of Microbial Communities Associated With Plant Biomass In Arabidopsis Thaliana, Nachiket Shankar

Graduate Doctoral Dissertations

The microbiome's role in shaping host phenotypes is a critical area of investigation, with implications for ecology, evolution, and host health. Dynamic plant-microbe interactions are influenced by factors like soil type, environment, and genotype. Understanding their impact on microbial communities is key for tailored plant benefits. An artificial ecosystem selection experiment was done for eight generations with Arabidopsis thaliana Ler and Cvi. This revealed distinct microbial communities shaped by genotypes and biomass treatments. Initially, environment dominated, but over time, genotype and biomass gained influence, explaining ~40% of the variation. Moreover, genotype-specific rhizobacterial associations were observed, enhancing understanding of community dynamics …

Globally-Distributed Microbial Eukaryotes Exhibit Endemism At Deep-Sea Hydrothermal Vents, Sarah K. Hu, Amy R. Smith, Rika E. Anderson, Sean P. Sylva, Michael Setzer, Maria Steadmon, Kiana L. Frank, Eric W. Chan, Darlene S. S. Lim, John A. Breier

School of Earth, Environmental, & Marine Sciences Faculty Publications

Single-celled microbial eukaryotes inhabit deep-sea hydrothermal vent environments and play critical ecological roles in the vent-associated microbial food web. 18S rRNA amplicon sequencing of diffuse venting fluids from four geographically- and geochemically-distinct hydrothermal vent fields was applied to investigate community diversity patterns among protistan assemblages. The four vent fields include Axial Seamount at the Juan de Fuca Ridge, Sea Cliff and Apollo at the Gorda Ridge, all in the NE Pacific Ocean, and Piccard and Von Damm at the Mid-Cayman Rise in the Caribbean Sea. We describe species diversity patterns with respect to hydrothermal vent field and sample type, identify …

About Semi-Parametric Methodology For Fuzzy Quantile Regression Model Estimation: A Review, Elaf Baha Alwan, Omar Abdulmohsin Ali

Journal of Economics and Administrative Sciences

In this paper, previous studies about Fuzzy regression had been presented. The fuzzy regression is a generalization of the traditional regression model that formulates a fuzzy environment's relationship to independent and dependent variables. All this can be introduced by non-parametric model, as well as a semi-parametric model. Moreover, results obtained from the previous studies and their conclusions were put forward in this context. So, we suggest a novel method of estimation via new weights instead of the old weights and introduce another suggestion based on artificial neural networks.

How Does Parents’ Social Support Impact Children’S Health Practice? Examining A Mediating Role Of Health Knowledge, Paulin Tay Straughan, Chengwei Xu

Research Collection School of Social Sciences

Background: Family environmental factors play a vital role in shaping children’s health practices (e.g., obesity prevention). It is still unclear how parents’ social support affects children’s obesity-related health practices. The present study argues that whether parents’ social support positively associates with children’s obesity-related health practice depends on if it could promote parents’ obesity-related health knowledge. Thus, we hypothesize that health knowledge mediates the relationship between parents’ social support and children’s health practice regarding weight management. Methods: To test the hypothesis, we conducted a questionnaire survey and collected a nationally representative sample of 1488 household responses in Singapore. The survey included …

Closing The Gaps In Care Of Dyslipidemia: Revolutionizing Management With Digital Health And Innovative Care Models, Samuel J Apple, Rachel Clark, Jonathan Daich, Macarena Lopez Gonzalez, Robert J Ostfeld, Peter P Toth, Vera Bittner, Seth S Martin, Jamal S Rana, Khurram Nasir, Michael D Shapiro, Salim S Virani, Leandro Slipczuk

Faculty, Staff and Students Publications

Although great progress has been made in the diagnostic and treatment options for dyslipidemias, unawareness, underdiagnosis and undertreatment of these disorders remain a significant global health concern. Growth in digital applications and newer models of care provide novel tools to improve the management of chronic conditions such as dyslipidemia. In this review, we discuss the evolving landscape of lipid management in the 21st century, current treatment gaps and possible solutions through digital health and new models of care. Our discussion begins with the history and development of value-based care and the national establishment of quality metrics for various chronic conditions. …

The Effects Of Agroecological Farming Systems On Human Health, Olivia Kathryn Mason

All Graduate Theses and Dissertations, Fall 2023 to Present

There is a growing concern that the current farming techniques are producing less-nutrient dense soils and foods impacting human health. To improve the health of soils, people, and the plant, a growing number of farmers are using regenerative, or agroecological, farming practices. Some of these methods include multi-cropping (growing various plants on the same plot of land), ley systems (alternating between crops and livestock), and rotational grazing of livestock. Previous studies have found that regenerative farming systems have various benefits for the lands, crops, and animals, as well as increasing the nutrient density of foods.

The purpose of this study …

Enhancing Efficiency Of The Nutrition Education For Utah Refugees, Habiba Ali Nur

All Graduate Theses and Dissertations, Fall 2023 to Present

Refugees face many challenges related to obtaining and preparing adequate and culturally acceptable and desirable foods in their resettlement communities. These challenges often lead to risk of food insecurity and chronic diseases. A review of literature identified the existing delivery strategies and highlighted the need for nutrition education tailored to the refugees’ conditions. This study identified some of the barriers that refugees face, including the English language, transportation, finding items in grocery stores, availability of ingredients and equipment needed for cooking, affordability of food and budgeting. It also highlighted participants’ preference for having nutrition education.

To overcome these challenges, the …

Geographic Variation In Blue Orchard Bee (Osmia Lignaria) Development And Performance As A Managed Pollinator In The Western United States, Morgan B. Scalici

All Graduate Theses and Dissertations, Fall 2023 to Present

Most flowering plants, including many cultivated food crops, will only produce well-developed fruits and seeds if pollen is transferred from one flower to another with the help of an animal pollinator. Honey bees are the most well-known and ubiquitous but are poor pollinators of some commercially important crops, or are in poor supply during crop bloom. In such cases, farmers will employ other managed pollinators such as bumble bees or solitary bees like mason and leafcutting bees. The blue orchard bee is North America's most agriculturally important native mason bee as effective pollinators of spring-blooming fruit crops. Differences in developmental …

Understanding The Impact Of Physicochemical Modifications On The Cold Gelling Behavior Of Micellar Casein Concentrate Dispersions, Nathan Pougher

All Graduate Theses and Dissertations, Fall 2023 to Present

When skim milk is filtered via microfiltration, the amount of casein (one of the major milk proteins) in solution can be concentrated. When casein content is high enough (>15%), the solution forms a gel at cold temperatures. With growing trends in the food industry towards simplistic ingredient labels, commonly used gums and stabilizers in the dairy industry are becoming less preferred. In the future, there is potential for the gelling properties of micellar casein to be applied to dairy products as a thickener or stabilizer, but the mechanism behind gel formation isn’t understood well. In this study, the gel …

The Influence Of Watershed Restoration Initiative Habitat Treatments On Mule Deer Relative Use And Fawn Production In Utah, Jaylin Solberg

All Graduate Theses and Dissertations, Fall 2023 to Present

Multiple factors could be the cause of mule deer (Odocoileus hemionus) population decline across the West such as an increase in non-native vegetation, human expansion, climate change, or a combination of these. Populations of mule deer generate substantial revenue for local communities and hold ecological, cultural, and social value. Therefore, wildlife researchers are increasing their efforts in improving environmental conditions that support mule deer growth. The Utah Department of Natural Resources and partners have taken proactive measures through the Utah Watershed Restoration Initiative (WRI) to improve mule deer habitats by restoring these environments to improve their quality for …

Relative Hepatotoxocity, Carcinogenicity, And Toxicogenomics Of Select Dehydropyrrolizidine Alkaloids In Mice, Michael J. Clayton

All Graduate Theses and Dissertations, Fall 2023 to Present

Dehydropyrrolizidine alkaloids are arguably the most important plant derived toxins in terms of impact on human and animal health. Dehydropyrrolizidine alkaloids are a large group of chemically related compounds found in 3% of flowering plants worldwide. Human exposure occurs from ingestion of herbal products including teas supplements or contaminated grain. Animals are exposed through contaminated feed or grazing. There are at least 350 identified toxic PAs, from more than 6,000 plants. The toxins primarily cause liver damage, but some are proven to cause cancer. Indidvidual dehydropyrrolizidine alkaloids vary in their toxic effects. Riddelliine is the only dehydropyrrolizidine alkaloid with extensive …

Investigating Parents' Value Of Children Learning About Agriculture, Amelia J. Miller

All Graduate Theses and Dissertations, Fall 2023 to Present

It is commonly held that parents have a profound impact on child development. Decades of research investigated the ways parents, the community, and school staff interact to foster student learning during kindergarten through twelfth grade education. Agriculture provides for daily needs through the growth, harvest, and processing of food, fiber, fuel, and forestry products. This research sought to understand the level of importance parents place on their children learning about agriculture in school.

A 26-question survey was distributed to a nationally representative sample of parents having at least one child in K-12 education within the United States. Results of this …

Impact Of Moisture Content And Composition On Flow Properties Of Dairy Powders, Katelynn Palmer

All Graduate Theses and Dissertations, Fall 2023 to Present

Milk protein concentrate (MPC) and isolate (MPI), and milk permeate powder (MPP) are functional dairy powder products that are used in food applications worldwide. It is critical that environmental factors and physical powder characteristics during production and storage are controlled. When dairy powders are exposed to non-ideal conditions (high moisture, varying temperatures,) they can quickly become very sticky, and clumpy. When powders become sticky, their ability to easily flow is reduced. As a result, processing and storing the powders effectively and sustainably becomes very difficult.

In the first study, an analysis method was created to test the general flow behavior …

Reducing Inputs And Adding Value To Turfgrass Systems Through Clover Inclusion And Plant Growth-Promoting Rhizobacteria Applications, Paige E. Boyle

All Graduate Theses and Dissertations, Fall 2023 to Present

Recently, the US has seen an expansion in the amount of turfgrass land cover (lawns, parks, roadsides, sports fields, and golf courses), as well as an interest in reducing fertilizer, water, and pesticide use in these grass systems. To help maintain quality and function while reducing resource inputs, two promising approaches have emerged: planting clover into lawns and applying plant growth-promoting rhizobacteria.

White clover and grass mixtures have been studied for their ability to cut down on fertilizer usage and provide a uniform, dark green lawn, but other clover types have not been as widely studied and may provide similar …

Understanding The Pizza Baking Properties Of Low Moisture Part Skim (Lmps) Mozzarella Cheese, Anjali Verma

All Graduate Theses and Dissertations, Fall 2023 to Present

Mozzarella cheese is expected to melt, stretch, release free oil and exhibit browning and blistering when baked on pizza. This research aimed to investigate the effects of different starter cultures (based on lactose and galactose utilizing ability) and calcium levels on the functionality of Mozzarella cheese when baked on pizza. Four combinations of starter cultures using S. thermophilus (STI 06)-control, Lac⁺ Gal⁺ L. helveticus (LH 32), and Lac^- Gal⁺ adjunct culture L. helveticus (LH 7995) were used to make the cheese samples. Various tests were conducted over a seven-week period to evaluate their baking properties. The …

Feasibility Of Pevonedistat Combined With Azacitidine, Fludarabine, Cytarabine In Pediatric Relapsed/Refractory Aml: Results From Cog Advl1712, Katherine Tarlock, Xiaowei Liu, Charles G Minard, Emasenyie A Isikwei, Joel M Reid, Terzah M Horton, Elizabeth Fox, Brenda J Weigel, Todd Cooper

Faculty, Staff and Students Publications

Background:

Outcomes for children with relapsed/refractory (R/R) acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) are poor and new therapies are needed. Pevonedistat is an inhibitor of the NEDD-8 activating enzyme, a key regulator of the ubiquitin proteasome system that is responsible for protein turnover, with protein degradation regulating cell growth and survival.

Procedure:

We evaluated the feasibility, toxicity, and pharmacokinetics (PK) of pevonedistat (20 mg/m² days 1, 3, 5) in combination with azacitidine, fludarabine, cytarabine (aza-FLA) in children with R/R AML and MDS (NCT03813147). Twelve patients were enrolled, median age was 13 years (range 1-21). Median …

Nutrition Assessment And Mash Severity In Children Using The Healthy Eating Index, Ajay Kumar Jain, Paula Buchannan, Katherine P Yates, Patricia Belt, Jeffrey B Schwimmer, Philip Rosenthal, Karen F Murray, Jean P Molleston, Ann Scheimann, Stavra A Xanthakos, Cynthia A Behling, Paula Hertel, Jamie Nilson, Brent A Neuschwander-Tetri, James Tonascia, Miriam B Vos, Nonalcoholic Steatohepatitis Clinical Research Network (Nash Crn)

Faculty, Staff and Students Publications

BACKGROUND: Pediatric metabolic-associated fatty liver disease (MAFLD) is a global health problem, with lifestyle modification as its major therapeutic strategy. Rigorous characterization of dietary content on MAFLD in children is lacking. We hypothesized an objectively measured healthier diet would positively modulate MAFLD.

METHODS: Diet was assessed using the Nutrition Data System for Research in children enrolled from 10 tertiary clinical centers to determine the Healthy Eating Index (HEI, 0-100) and individual food components.

RESULTS: In all, 119 children were included (13.3 ± 2.7 y), 80 (67%) male, 67 (18%) White, and 90 (76%) Hispanic, with an average body mass index …

Activity Patterns Of Whiptail Lizards (Aspidoscelis) Found In The Northern Chihuahuan Desert, Guillermo Alvarez

Open Access Theses & Dissertations

Traditional lizard pitfall traps were modified to allow organisms to escape, while collecting valuable ecological data. Modified camera traps were capable of detecting the same species as traditional traps in a semi-arid environment, without posing the associated mortality risks. Pitfall-camera traps were used to sample the activity of the Side-blotched Lizard (Uta stansburiana) and the Southwestern Fence Lizard (Sceloporus cowlesi) in an urban wetland during four continuous years. Evaluations on activity pattern and the activity overlap between the two species revealed extensive overlap, with minor but significant seasonal shifts mediating coexistence. Traps were also effective at detecting other reptiles, invertebrates, …