The Moderating Role Of Service Utilization Between Newborn Mothers Financial Worries And Depression, Alysia Carcieri

Open Access Master's Theses

The experience of pregnancy and childbirth is both an exciting and stressful time in a woman’s life. New mothers, particularly those experiencing depression, can experience difficulty handling life’s daily activities, including increases in financial stressors during pregnancy and after childbirth. Women are more likely to experience depression compared to men; and women of child-bearing age are even more at risk, regardless what their race or economic status is (Cadigan & Skinner, 2015). Moreover, financial worry occurs when a person has difficulty meeting basic needs including housing, food, health care, or having late and skipped bills. The United States provides a …

The Relation Between Adverse Childhood Experiences And Health Behaviors In Adult Women, Karina Tavares

Open Access Master's Theses

Individuals who experience adversity during childhood are at a higher risk of negative health outcomes in adulthood. This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood. This was accomplished by collecting data from 233 women aged 18-25 and 65-85 who reported either no ACEs or three or more ACEs. Demographic indicators, the 10-item ACEs questionnaire (Felitti et al., 1998), and the Health Promoting Lifestyle Profile (HPLP-II; Walker, Sechrist, & Pender, 1987) were examined. ACEs were categorized into three variables: abuse, neglect, and household dysfunction. The HPLP-II was categorized by its six subscales: health responsibility, …

Anxiety And Depression In Middle Eastern And North African First-Generation College Students: Implications For Academic Success, Merna Naguib

Open Access Master's Theses

Mental health disorders such as anxiety and depression are highly prevalent among first-generation college students, and can hinder their academic performance (BlackDeer et al., 2021).The current study sought to examine the prevalence of anxiety and depression among first-generation Middle Eastern/North African (ME/NA) college students and how that may impact academic performance. The data for this study came from the American College Health Association National College Health Assessment (ACHA-NCHA), which is a leadership organization that advances the health of college students and campus communities through education, research, and advocacy. The sample in this study included 37,869 participants who identified themselves as …

Positive Feeding Practices, Total Fruit Intake, Total Vegetable Intake, And Overall Diet Quality In Children Of Ethnically And Racially Diverse Families, Jordan E. Young

Open Access Master's Theses

Objectives: To investigate the relationship between child involvement in meal preparation, responsiveness to child’s fullness cues, and regular meal and snack times with total vegetable intake, total fruit intake, and overall diet quality in 2-5-year-old children of low-income, ethnically and racially diverse families.

Design: This study is a cross sectional secondary data analysis of the Strong Families Start at Home study.

Participants: Participants are parents and 2-5-year-old children of low-income, ethnically and racially diverse families of Rhode Island that participated in the Strong Families Start at Home study.

Methods: The Strong Families Start at Home study …

Antibiotic Tolerance In Quiescent Uropathogenic Escherichia Coli, Daniel Alexander Banas

Open Access Master's Theses

Uropathogenic Escherichia coli (UPEC) are the leading cause of urinary tract infections (UTIs). In about a quarter of these cases the patient experiences reoccurring infection after treatment with antibiotics. The prevalence of reoccurrence may be attributed to the ability of some UPEC populations to enter a growth state where they are tolerant to antibiotic treatment. In reduced metabolic, dormant, and quiescent states bacteria are less susceptible to antibiotics that target critical growth pathways, allowing for prolonged survival. In Manuscript I, we investigate antibiotic tolerance in the quiescent UPEC strain CFT073 in vitro. We demonstrate that during quiescence UPEC are tolerant …

Cell Stress, Protein Quality Control, And Activation Of Toxin Antitoxin Systems In Escherichia Coli, Benjamin Piraino

Open Access Dissertations

Responding to environmental stress is critical for all organismal survival, including in bacteria. One of the key bacterial responses to stress is protection of proteins within the cell, which helps to maintain proteins in a functional state. Protection of the proteome is done through a collaborative network of proteins and systems, all functioning to protect the cell. Within Escherichia coli (E. coli), three main proteomic protection systems are chaperones, proteases, and toxin-antitoxin (TA) systems. They work together, with overlapping functions, to regulate stress responses. Chaperones, such as DnaK(Hsp70) and SecB, are major regulators of protein folding within the cell, …

Physicians Spreading Medical Misinformation: The Uneasy Case For Regulation, Richard S. Saver

Minnesota Law Review Vols. 106:2 onward (2021-present)

Physicians have played a surprisingly prominent role in the current “infodemic” of false and misleading medical claims. Yet, state medical boards, the governmental agencies responsible for professional licensure and oversight, have sanctioned remarkably few physicians. Pushing back against the widespread criticism of medical boards for insufficient action, this Article questions the overall suitability of licensure regulation to police medical misinformation. First, uncertainty exists about medical boards’ jurisdiction and legal authority. Many misinformation claims have involved physicians communicating publicly, not while treating patients. Given the primarily patient-centered legal and ethical frameworks governing the practice of medicine, serious challenges arise in making …

Performing With Pain: Navigating Mental And Physical Health As A Performing Artist, Katarina Kelly

Renée Crown University Honors Thesis Projects - All

No abstract provided.

2023-2024 Course Catalog, University Of Montana--Missoula. Office Of The Registrar

University of Montana Course Catalogs, 1895-2024

An annual catalog of courses and course descriptions offered at the University of Montana.

Ntr 4751 : Nutrition Therapy, Nutrition & Dietetics

Approved Course Proposals

No abstract provided.

Reducing Hospital Acquired Pressure Injuries Using An Air-Assisted Repositioning Device, Sara Couey

Doctor of Nursing Practice (DNP)

Pressure injuries cause 60,000 deaths per year, costing the healthcare system $11 billion dollars annually. Similar death rates are reported from suicide, influenza, and drug overdose and is subsequently labeled a public health crisis; however, pressure injuries receive much less attention. These injuries, caused by a lack of oxygen to tissue over a bony prominence, are due to compression for an extended length of time. Immobility is the most common contributing factor placing patients in the intensive care unit (ICU) at the highest risk. Despite technological advances in healthcare, hospital-acquired pressure injuries remain an ongoing patient safety issue. Projects that …

An Analysis Of Test Scores In The Central And Eastern Time Zones, Rliey Reed

MPA/MPP/MPFM Capstone Projects

During daylight savings in Kentucky, elementary students in the Eastern Time Zone receive around an hour less of sunlight than students in the Central Time Zone when attending school in the morning. With recent discussion of making daylight savings permanent, it's important to discuss the effects that going to school in the dark has on students' test scores. Research has been done to study the effects that operating on less amounts of sunlight has on school aged children. This study seeks to do the same, by comparing test scores of 3rd grade students on the Central and Eastern Time Zones …

Public Health Access And Service For All, Austin Nugent

MPA/MPP/MPFM Capstone Projects

Collecting, analyzing, and reporting accurate, reliable data is necessary for achieving health equity. Although data alone will not lead to equitable health outcomes for all people, it helps health professionals, researchers, and policymakers understand health disparities and develop effective interventions, programs, and policies to reduce them. Necessary data includes disaggregated health information on diverse demographics, including people with disabilities. However, despite this need, disability data gaps exist. Fortunately, numerous solutions exist to address this issue, including implementing minimum data standards on disability and engaging all levels of health organizations in data practices.

This capstone project investigated the current data practices …

Omega-3 Polyunsaturated Fatty Acid Levels In Maternal And Cord Plasma Are Associated With Maternal Socioeconomic Status, Alexandra Hergenrader, Matthew Van Ormer, Rebecca Slotkowski, Maranda Thompson, Alyssa Freeman, Olivia Paetz, Sarah Sweeney, Lauren Wegner, Khadijjta Ali, Nicole S. Bender, Ridhi Chaudhary, Melissa K. Thoene, Corrine K. Hanson, Ann Anderson-Berry

Journal Articles: Pediatrics

Omega-3 (n-3) polyunsaturated fatty acids (PUFAs) play a crucial role in fetal growth and neurodevelopment, while omega-6 (n-6) PUFAs have been associated with adverse pregnancy outcomes. Previous studies have demonstrated that socioeconomic status (SES) influences dietary intake of n-3 and n-6 PUFAs, but few studies have evaluated the association between maternal and cord plasma biomarkers of PUFAs and socioeconomic markers. An IRB-approved study enrolled mother-infant pairs (n = 55) at the time of delivery. Maternal and cord plasma PUFA concentrations were analyzed using gas chromatography. Markers of SES were obtained from validated surveys …

Implementation Of A Comprehensive Hypertension Protocol : Impact On Clinician Practice And Patient Outcomes, Kiana Heron

Doctor of Nursing Practice (DNP)

Healthcare Effectiveness Data and Information Set (HEDIS) is a standardized patient outcomes performance measure that evaluates the quality of health plans, prevention, and treatment of disease. A HEDIS hypertension measurement of 95% for hypertension control is the goal of facilities wishing to remain competitive for continued Centers for Medicare and Medicaid Services (CMS) reimbursement and procurement of new member insurance plans. An evidence-based protocol has been shown to improve hypertension management as well as HEDIS scores and subsequently improve patient outcomes. An evidence-based protocol was implemented at a rural primary care facility in the Southeastern United States. The practice provides …

Telehealth Implementation As A Solution To Improving Access To Care For Chronic Disease : A Program Evaluation, Adrienne Barrett

Doctor of Nursing Practice (DNP)

Chronic disease affects millions worldwide, causing increased disease burden and death rates for this population. Telehealth is a viable approach to managing chronic illness. In response to the COVID-19 pandemic, a research hospital facility implemented telehealth in April 2020. An evaluation of the telehealth program was needed to explore the facility’s strengths and opportunities for improvement. Using the Centers for Disease Control and Prevention’s Framework for Program Evaluation, the telehealth program was evaluated to determine whether telehealth implementation improved access to care, efficiency, and provider experience. Visit duration, missed and canceled visits, and visit wait times between April 2020 and …

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Recreational Runners, Marissa Miles

All Master's Theses

Running is characterized by high physiological demands with an emphasis on weight, which may lead to a greater risk of developing low energy availability (LEA) and/or disordered eating (DE). Recreational runners are a population that is often overlooked due to a lack of resources readily available to them. Purpose: This study investigated (1) the prevalence of menstrual dysfunction, risk of DE and LEA and (2) compare the risk of DE, training volume, and weight dissatisfaction between female recreational runners at risk for LEA versus not at risk for LEA. Methods: Female recreational runners (n= 1,923) completed an online questionnaire that …

Staff Perceptions Of Responsibility And Implementation Of Cognitive Enrichment For Non-Human Primates In Zoo Settings, Ember Nevada Toth

All Master's Theses

In zoos, caregivers have considered enrichment as vital for their animal collections’ physical health and development. Since primate species are endangered and continue to decline in numbers in their natural habitat, zoos are steadily becoming the only places we can view and learn about them. In today’s zoos, cognitive enrichment—which falls into overlapping categories of enrichment and does not yet have a universally accepted definition—is either absent or inconsistently offered. Providing challenges to stimulate cognitive well-being has been found to influence the overall welfare of captive primates. Cognitive enrichment is considered very important according to zookeeper surveys but is not …

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Collegiate Runners, Leah Louise Dambacher

All Master's Theses

Collegiate female distance runners may be at risk for low energy availability (LEA) due to increased exercise energy expenditure with or without decreased energy intake. Furthermore, this population has increased risk of disordered eating (DE), which can lead to LEA and negative health consequences, such as menstrual dysfunction (MD). Purpose: The purpose of this study was to: 1) investigate risk of LEA and DE and 2) compare DE, training volume, and weight dissatisfaction among female collegiate runners athletes at risk vs not at risk for LEA. Methods: Female runners (n = 287) who competed on an NCAA Division …

Comparison Of Midwifery And Obstetric Care Among American Indian And Alaska Native Birthing People, Trista Barnhart

All Master's Theses

Despite making up only 3% of the U.S. population, American Indian/Alaska Native (AI/AN) individuals have the second highest maternal mortality rate in the United States, and the leading cause of maternal mortality and morbidity among AI/AN is postpartum hemorrhage. Many interventions used during childbirth have been identified as common causes of hemorrhage, such as lacerations of the vagina and cervix, operative vaginal deliveries, & augmentation of labor. Research has found that individuals who had midwives as their care providers have been found to be less likely to experience instrumental deliveries, epidural analgesia, labor augmentation, episiotomy or perineal lacerations, cesarean sections, …

Impact Of The Washington State Covid-19 Lockdown On 5-10-Year-Ol School-Aged Children Residing In Kitties County, Peyton Rondeau

All Master's Theses

Background: The Washington State COVID-19 lockdown and subsequent school closures brought increased dependency on parents to provide nutritious meals and opportunities for physical activity for their children.

Purpose: The aim of this study was to describe the impacts of the Washington State COVID-19 lockdown on the dietary, physical activity, and screen time habits of children ages 5-10-years-old residing in Kittitas County.

Methods: A researcher-developed Qualtrics survey was created and validated via the Index of Item Objective Congruence. The survey was administered to parents via Facebook, using local Kittitas County Facebook groups.

Results: Most parents identified that the Washington lockdown negatively …

Effect Of Soil Transplantation On Fungal Communities During Restoration, Thomas Luehl

All Master's Theses

Ectomycorrhizal fungi are integral parts of natural ecological systems that provide access to nutrients that would otherwise be unavailable by forming symbiotic relationships with plants. Relationships with ectomycorrhizal fungi are known to improve plant growth rate, increase plant resistance to pathogens, and improve survival. Current revegetation practices often ignore this relationship between fungi and plants. During the revegetation of the Interstate 90 Keechelus Lake wildlife overcrossing (Easton, WA), soil from forest sites adjacent to the restoration area were collected and used to inoculate a set of experimental plots to determine whether ectomycorrhizal fungi would become established in the plots and …

Maximizing Technology Acceptance Model In Accessing The Attitude Of Rural Farmers Using Ict Tools In Farming To Enhance Productivity, Francis Yao Anyan Dr., Michael Oppong Mr., Stephanie O. Ansah Mrs., Millicent Yengkangyi Ms., Akosua Boatemaa Adarkwa Mrs

Library Philosophy and Practice (e-journal)

The study was conducted using a multi-stage sampling technique involving simple random sampling, a probability sampling method, purposive sampling, and snowball sampling, which are non-probability methods. Two regions, namely, the Greater Accra and Eastern were purposively selected for the study. In the Greater Accra Region, Ada East District was selected while in the Eastern Region Asuogyaman District. In Greater Accra, the study was conducted in six farming villages namely: Big Ada, Dogo, Kasseh, Addokope, Korlekope, and Bedeku. In Eastern regions, the study was conducted in Asogyaman, where Tortibo, Sappor, Yenease, Adina Donor, and Ankyease. A snowball strategy was relied on …

I2n: Image To Nutrients, A Sensor Guided Semi-Automated Tool For Annotation Of Images For Nutrition Analysis Of Eating Episodes, Tonmoy Ghosh, Megan A Mccrory, Tyson Marden, Janine Higgins, Alex Kojo Anderson, Christabel Ampong Domfe, Wenyan Jia, Benny Lo, Gary Frost, Matilda Steiner-Asiedu, Tom Baranowski, Mingui Sun, Edward Sazonov

Children’s Nutrition Research Center Staff Publications

Introduction: Dietary assessment is important for understanding nutritional status. Traditional methods of monitoring food intake through self-report such as diet diaries, 24-hour dietary recall, and food frequency questionnaires may be subject to errors and can be time-consuming for the user.

Methods: This paper presents a semi-automatic dietary assessment tool we developed - a desktop application called Image to Nutrients (I2N) - to process sensor-detected eating events and images captured during these eating events by a wearable sensor. I2N has the capacity to offer multiple food and nutrient databases (e.g., USDA-SR, FNDDS, USDA Global Branded Food Products Database) for annotating eating …

Small Bowel Obstruction In Postpartum Vaginal Delivery Due To Prior Abdominal Adhesions Case Report, Liubin Yang, Lydia Kao

Children’s Nutrition Research Center Staff Publications

Intestinal obstruction rarely occurs after uncomplicated vaginal deliveries. Here, we present a case of a multiparous woman with a history of prior appendectomy presenting with generalized, nonspecific abdominal pain that was out of proportion to exam findings. Initial abdominal X-ray was nonspecific, and subsequent computed tomography (CT) abdomen showed closed small bowel obstruction requiring surgical repair. We present a case of intestinal obstruction occurring within 24 hours of uncomplicated vaginal delivery with a risk factor of a prior appendectomy surgery and the use of CT abdomen and pelvis to expedite diagnose.

Functional And Technical Outcomes In Acute Ischemic Stroke Patients With Hyperdense Middle Cerebral Artery Sign Treated With Endovascular Thrombectomy, Yimin Chen, Francesco Diana, Mohammad Mofatteh, Sijie Zhou, Juanmei Chen, Zhou Huang, Weijuan Wu, Yajie Yang, Zhiyi Zeng, Weijian Zhang, Ziqi Ouyang, Thanh N Nguyen, Shuiquan Yang, José Fidel Baizabal-Carvallo, Xuxing Liao

Children’s Nutrition Research Center Staff Publications

Background and objective: The hyperdense middle cerebral artery sign (HMCAS) is observed in a proportion of patients with acute ischemic stroke (AIS). This sign reflects the presence of an intravascular thrombus rich in red blood cells. Several studies have demonstrated that HMCAS increases the risk of poor outcomes in AIS patients treated with IV thrombolysis or no reperfusion therapy; however, whether HMCAS predicts a poor outcome in patients treated with endovascular thrombectomy (EVT) is less clear. We aimed to evaluate the functional outcome by the modified Rankin scale (mRS) at 90 days and technical challenges in patients with HMCAS undergoing …

Commentary: Effect Evaluation Of Sahtak Bi Sahnak, A Lebanese Secondary School-Based Nutrition Intervention: A Cluster Randomised Trial, Abu Bakkar Siddique, Andrew W Brown, Lilian Golzarri-Arroyo, David B Allison

Children’s Nutrition Research Center Staff Publications

No abstract provided.

Association Between Objectively-Measured Sedentary Time And Self-Reported Prescription Medication Use Among Adults: A Pilot Study, Ciarra Ashley Boyne

UNF Graduate Theses and Dissertations

BACKGROUND: Prescription medication use and extended sedentary time are independently related to poor health outcomes (e.g., diabetes, metabolic syndrome, mortality). Historically, survey methods have been used to obtain estimates of total sedentary time (ST), however, recent use of accelerometers avoids self-report bias and affords more characteristics of ST that may be factors in health outcomes (e.g., frequency and duration of sedentary bouts). The aims of this pilot study were to 1) examine the association between objectively measured ST via accelerometers and self-reported prescription medication use in adults and 2) examine the independent association of sedentary bout length and frequency with …

Challenges Patients Face When Transitioning From The Hospital Into The Home Setting With An Enteral Feeding Tube & The Impact Of Staffing A Home Enteral Nutrition Registered Dietitian Case Manager, Najwa N. Worthen

UNF Graduate Theses and Dissertations

A Home Enteral Nutrition (HEN) case manager position was implemented within the Tampa Veteran’s Health System (VHS) to coordinate and ensure that the transition process from the hospital into the home setting with a new feeding tube transpires smoothly. The Knowledgeto-Action (KTA) theoretical framework was used in this quality improvement project to incorporate a systematic step-by-step process to transition evidence into practice, and assess the effectiveness as well as the sustainability of maintaining a HEN case manager position within the Tampa VHS. 1 In a repeated cross-sectional study design, HEN case management data Pre-Case Management, Post-Case Management with 1-RD case …

Curriculum Strategy To Increase College Student’S Motivation, Ability And Opportunity Resulting In Reduction In Wasted Food, Sarah D. Brunnig

UNF Graduate Theses and Dissertations

Concerns about Food Loss and Waste (FLW) have been rapidly growing worldwide as it came to be understood how the loss of about one-third of the edible food produced globally leads to environmental damage, leads to loss of about USD 1 trillion and keeps food from hungry people. Consumers in developed countries account for the largest majority of food that is wasted. College presents an excellent opportunity to reach young adults as they are developing their identity, self-efficacy and life skills. Utilizing the Motivation-Ability-Opportunity Framework, this research’s overall goal was to find a Curriculum Strategy to engage allied health students …