Digital Commons Network^™

Implementation Of An Adverse Childhood Experiences (Ace) Screening Protocol For Adults At An Outpatient Medical Psychology Practice: A Dnp Project, Jennifer E. Allain

Dissertations

This DNP project aimed to educate and train staff and providers on ACE screening and implement an ACE screening policy and protocol at an outpatient medical psychology practice. The two expected outcomes of this project, provider knowledge after ACE training and provider compliance with the ACE screening protocol, were measured to determine if a clinical practice change occurred. A paired-samples t-test compared the participants' knowledge of ACEs before and after the ACE educational intervention with a pre/post-test. There was a statistically significant difference in the pre-test and post-test scores. These findings reflected a change in knowledge based on education …

Impacts Of Telemonitoring On Weight Obesity In African Americans, Miranda Bessem Mbutambe

Doctoral Dissertations and Projects

Obesity has become a complex public health issue among African Americans over the last few decades, due to the health risks it poses to this population. Obesity exposes African Americans to a variety of chronic diseases, including, but not limited to, diabetes and cardiovascular diseases. Owing to the complexity inherent in obesity, healthcare practitioners have developed various strategies and interventions to manage weight among vulnerable populations. In this regard, telemonitoring, a continuous or non-continuous process that allows medical practitioners to remotely monitor, collect, and interpret data necessary for medical follow-up and, if necessary, make medical decisions regarding the health state …

Let Them Be Little: A Transcendental Phenomenological Study Of The Experiences Of Kindergarten Teachers During An Era Of Educational Reform, Rachel Denise Whites

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the lived experiences and perceptions of kindergarten teachers who taught through an era of federally mandated, standards-based educational reforms. This study was guided by two theories as each contributes to an explanation as to how educational reform has strayed far from the central purpose for kindergartens. Piaget’s theory of cognitive development sought to explain how a child constructs a mental model of the world and postulated that there are four distinct stages of human development from birth to adulthood. Vygotsky’s sociocultural theory stated that children learn through play and the …

The Importance Of Pediatric Provider Awareness Of Social Determinants Of Health And The Impact On Health Outcomes: An Integrative Review, Whitney Lenelle Dowd

Doctoral Dissertations and Projects

Social determinants of health have become a global concern over the past several years. Efforts to reduce negative health outcomes related to social determinants of health are of high priority. Awareness of this issue by providers, especially pediatric providers, must be considered to help combat this major concern. A researcher seeks through an integrative review to determine provider perspective on social determinants of health, impact of social determinants of health on outcomes, and ways of integrating social determinants into prescriptive practice. The integrative review will inform stakeholders about the importance of pediatric provider assessment of social determinants of health and …

Population Genomics Provide Insights Into The Global Genetic Structure Of Colletotrichum Graminicola, The Causal Agent Of Maize Anthracnose, Flávia Rogério, Riccardo Baroncelli, Francisco Borja Cuevas-Fernández, Sioly Becerra, Joanne Crouch, Wagner Bettiol, M. Andrea Azcárate-Peril, Martha Malapi-Wight, Veronique Ortega, Javier Betran, Albert Tenuta, José S. Dambolena, Paul D. Esker, Pedro Revilla, Tamra A. Jackson-Ziems, Jürg Hiltbrunner, Gary Munkvold, Ivica Buhiniček, José L. Vicente-Villardón, Serenella A. Sukno, Michael R. Thon

Department of Plant Pathology: Faculty Publications

Understanding the genetic diversity and mechanisms underlying genetic variation in pathogen populations is crucial to the development of effective control strategies. We investigated the genetic diversity and reproductive biology of Colletotrichum graminicola isolates which infect maize by sequencing the genomes of 108 isolates collected from 14 countries using restriction site-associated DNA sequencing (RAD-seq) and wholegenome sequencing (WGS). Clustering analyses based on single-nucleotide polymorphisms revealed three genetic groups delimited by continental origin, compatible with short-dispersal of the pathogen and geographic subdivision. Intra- and intercontinental migration was observed between Europe and South America, likely associated with the movement of contaminated germplasm. Low …

Research Gaps And Opportunities In Precision Nutrition: An Nih Workshop Report, Bruce Y. Lee, José M. Ordovás, Elizabeth J. Parks, Cheryl A.M. Anderson, Albert László Barabási, Steven K. Clinton, Kayla De La Haye, Valerie B. Duffy, Paul W. Franks, Elizabeth M. Ginexi, Kristian J. Hammond, Erin C. Hanlon, Michael Hittle, Emily Ho, Abigail L. Horn, Richard S. Isaacson, Patricia L. Mabry, Susan Malone, Corby K. Martin, Josiemer Mattei, Simin Nikbin Meydani, Lorene M. Nelson, Marian L. Neuhouser, Brendan Parent, Nicolaas P. Pronk, Helen M. Roche, Suchi Saria, Frank A.J.L. Scheer, Eran Segal, Mary Ann Sevick, Tim D. Spector, Linda Van Horn, Krista A. Varady, Venkata Saroja Voruganti

Clinical Research Faculty Publications

Precision nutrition is an emerging concept that aims to develop nutrition recommendations tailored to different people's circumstances and biological characteristics. Responses to dietary change and the resulting health outcomes from consuming different diets may vary significantly between people based on interactions between their genetic backgrounds, physiology, microbiome, underlying health status, behaviors, social influences, and environmental exposures. On 11-12 January 2021, the National Institutes of Health convened a workshop entitled "Precision Nutrition: Research Gaps and Opportunities" to bring together experts to discuss the issues involved in better understanding and addressing precision nutrition. The workshop proceeded in 3 parts: part I covered …

Focus, 2022, Fall, Andrews University

Focus

FOCUS (ISSN 1077-9345) is published quarterly, free of charge, for alumni and friends of Andrews University, an institution owned and operated by the Seventh-day Adventist Church.

Acquired And Useful Abilities: Three Essays On Human Capital Development, Rajan Bishwakarma

Economics ETDs

While early childhood circumstances influence the accumulation of skills and abilities, parental and policy responses can magnify or mitigate the effects of childhood circumstances. This work explores the two ideas mentioned above.

Chapter 1 briefs the historical and philosophical roots of the study of human capital and discusses the economic approach to the understanding of child wellbeing before the age of five. Because childhood circumstances influence the accumulation of skills, Chapter 2 estimates the impact of temperature shock during pregnancy on early childhood health. Evidence from Nepal shows that prenatal exposure to high-temperature days impedes child growth; however, the damage …

Nutrition Education In Food Pantries: Perceptions Of Pantry Personnel Towards Implementation, Chelsea Allison, Christopher T Sneed, Marissa Mcelrone, Kristin Riggsbee, Janie Burney

Journal of Extension

Extension programming can be effective at delivering nutrition education to food pantry clients. This study aimed to understand the perceptions of food pantry personnel towards nutrition education. A mixed methods survey was administered to food pantry personnel (n=53). Most (62.3%) reported their food pantry was church-affiliated, and few (22.6%) reported any Extension collaboration. Qualitative themes included perceptions that nutrition education was resource intensive, clients were not interested in nutrition education, and differing attitudes towards nutrition education. When working with food pantries, Extension should educate personnel about the importance of nutrition education, offer resources, and facilitate programming.

Development And Assessment Of A Food Safety Training Program For Farmers’ Market Vendors, Joshua Scheinberg, Rama Radhakrishna, Catherine Cutter

Journal of Extension

Based on results collected through a comprehensive needs assessment of farmers market (FM) vendors in Pennsylvania, the purpose of this study was to develop and pilot-test a customized, food safety training program for FM vendors. A customized 3-hour, in-person, training program was developed and pilot tested. Using pre- and post-test assessment tests through piloted training, the results found participants scores on knowledge questions increased significantly by ~20% (p

Association Of Chronic Kidney Disease With Prior Tinnitus: A Case-Control Study, Shih-Han Hung, Sudha Xirasagar Mbbs., Ph.D., Yen-Fu Cheng, Nai-Wen Kuo, Herng-Ching Lin

Publications

This population-based, case−control study aims to explore the relationship between prior tinnitus and the occurrence of chronic kidney disease (CKD) using a nationwide, population-based cohort study. We used data from the Taiwan National Health Insurance Research Database to explore the association of CKD with tinnitus. We identified 15,314 patients aged ≥40 years old with a first-time diagnosis of CKD as the cases. We used propensity-scored matching to select 45,942 controls (1:3 ratio). We performed multivariate logistic regression to estimate the odds ratio (OR) of a prior tinnitus diagnosis among the CKD group vs. the control group. Analysis showed that 770 …

Association Of Chronic Kidney Disease With Prior Tinnitus: A Case-Control Study, Shih-Han Hung, Sudha Xirasagar Mbbs., Ph.D., Yen-Fu Cheng, Nai-Wen Kuo, Herng-Ching Lin

Faculty Publications

This population-based, case-control study aims to explore the relationship between prior tinnitus and the occurrence of chronic kidney disease (CKD) using a nationwide, population-based cohort study. We used data from the Taiwan National Health Insurance Research Database to explore the association of CKD with tinnitus. We identified 15,314 patients aged >= 40 years old with a first-time diagnosis of CKD as the cases. We used propensity-scored matching to select 45,942 controls (1:3 ratio). We performed multivariate logistic regression to estimate the odds ratio (OR) of a prior tinnitus diagnosis among the CKD group vs. the control group. Analysis showed that …

Exploring Using Game-Based Learning And Gamification In A Secondary Classroom To Increase Engagement, Mandee Lynn Thiell

Masters Projects

Research has connected the importance of student engagement and student experience within the classroom but continue to use teacher directed traditional teaching methods. This project explores the use of gamification and game-based learning and how it promotes student engagement. The use of games and game-elements provide a relevant approach that focuses on student autonomy and experience, and ultimately use fun engaging ways to motivate students to learn. This project provides an entry level learning in-service opportunity for secondary educators to discover and create their own lessons that implement gamification and game-based learning in their classrooms in hopes to increase student …

The Importance Of Mitral Valve Prolapse Doming Volume In The Assessment Of Left Ventricular Stroke Volume With Cardiac Mri, Brendan K Podell, Omowunmi Aibana, Chuan-Chin Huang, James E Dilisio, Macallister C Harris, David F Ackart, Kody Armann, Alexander Grover, Patrice Severe, Marc Antoine Jean Juste, Kathryn Dupnik, Randall J Basaraba, Megan B Murray

Faculty, Staff and Student Publications

BACKGROUND: Although previous studies have shown that vitamin A deficiency is associated with incident tuberculosis (TB) disease, the direction of the association has not been established. We investigated the impact of vitamin A deficiency on TB disease progression.

METHODS: We conducted a longitudinal cohort study nested within a randomized clinical trial among HIV-infected patients in Haiti. We compared serial vitamin A levels in individuals who developed TB disease to controls matched on age, gender, follow-up time, and time to antiretroviral therapy initiation. We also evaluated histopathology, bacterial load, and immune outcomes in TB infection in a guinea pig model of …

Reducing The Rates Of Hospital-Acquired Pressure Injuries In An Acute Care Hospital, Nana Aisha Nasir-Deen, Roy L. Simpson, Rose Murphree

DNP and Student Works

This project aims to decrease hospital-acquired pressure injuries (HAPIs) in an acute care facility. This objective will be achieved by utilizing the Consolidated Framework for Implementation Research (CFIR) and the Plan-Do-Study-Act (PDSA) model to implement and evaluate the effect of a unit-specific multidisciplinary team on HAPI rates, specifically through increasing patient repositioning compliance.

Image Fusion Involving Real-Time Transabdominal Or Endoscopic Ultrasound For Gastrointestinal Malignancies: Review Of Current And Future Applications, Ben S Singh, Irina M Cazacu, Carlos A Deza, Bastien S Rigaud, Adrian Saftoiu, Gabriel Gruionu, Lucian Guionu, Kristy K Brock, Eugene J Koay, Joseph M Herman, Manoop S Bhutani

Faculty, Staff and Student Publications

Image fusion of CT, MRI, and PET with endoscopic ultrasound and transabdominal ultrasound can be promising for GI malignancies as it has the potential to allow for a more precise lesion characterization with higher accuracy in tumor detection, staging, and interventional/image guidance. We conducted a literature review to identify the current possibilities of real-time image fusion involving US with a focus on clinical applications in the management of GI malignancies. Liver applications have been the most extensively investigated, either in experimental or commercially available systems. Real-time US fusion imaging of the liver is gaining more acceptance as it enables further …

The Role Of Lncrnas In The Tumor Microenvironment And Immunotherapy Of Melanoma, Wencheng Zhou, Xuewen Xu, Ying Cen, Junjie Chen

Faculty, Staff and Student Publications

Melanoma is one of the most lethal tumors with highly aggressive and metastatic properties. Although immunotherapy and targeted therapy have certain therapeutic effects in melanoma, a significant proportion of patients still have drug resistance after treatment. Recent studies have shown that long noncoding RNAs (lncRNAs) are widely recognized as regulatory factors in cancer. They can regulate numerous cellular processes, including cell proliferation, metastasis, epithelial-mesenchymal transition (EMT) progression and the immune microenvironment. The role of lncRNAs in malignant tumors has received much attention, whereas the relationship between lncRNAs and melanoma requires further investigation. Our review summarizes tumor suppressive and oncogenic lncRNAs …

Challenges Experienced By Aquaponic Hobbyists, Producers, And Educators, D Allen Pattillo, David J. Cline, Janelle V. Hager, Luke A. Roy, Terrill R. Hanson

Journal of Extension

We used an online survey to document challenges experienced by aquaponic hobbyists (n = 81), producers (n = 117), and educators (n = 75). Responses were distilled into the following categories: 1) operations and management; 2) facilities, location, and system design; 3) knowledge and educational resources; 4) funding; 5) economic viability; 6) plant culture; 7) marketing and distribution; 8) fish culture; 9) human factors; 10) regulations and certifications. Training and research in these areas are needed to advance the aquaponics industry.

Leveraging The Covid-19 Fermentation Trend To Enhance Nutrition And Food Safety Extension Efforts, Thais M. Ramos, Hanna Louvau, Heesun Kim, Maria L. Marco, Erin Dicaprio

Journal of Extension

Our program aimed to increase knowledge related to fermented foods. Over 400 stakeholders registered for a webinar series that focused on defining fermented foods, health benefits of fermenting foods, and the safety of fermented foods. Participants indicated increases in knowledge and overall satisfaction with the content of the fermentation curriculum. The impact of the COVID-19 pandemic on the program outcomes are discussed.

Is There An Economic Advantage To Planting Diverse Summer Annual Forage Mixtures?, Kelly Mercier, Chris Teutsch, Ray Smith, Kenny Burdine, Edwin Ritchey, Eric Vanzant

Journal of Extension

This study examined economic implications of planting summer annual mixtures of grasses, legumes, and forbs at varying nitrogen rates. No differences in yield occurred between the three mixtures, indicating that mixtures with lowest seed cost will be most economical. Applying N resulted in yield increases of 12.26 lb DM per lb N applied. Although yield responses to N were positive, sensitivity analyses showed that applying N resulted in positive net returns only when hay prices were high and N prices were low. When utilization rates are accounted for, enterprise budgets determined grazing to be 18% cheaper to implement than haying.

Taking The Biscuit: Defining Excessive Quantities Of Free Refreshments In A Healthcare Library, Andrew Tabner, Stuart G. Spicer, Kerryn Husk, Holly Blake, Caroline White, Suzanne Toft, Graham Johnson

Peninsula Medical School

Evidence suggests that complementary hot drinks and biscuits benefit an overworked and highly stressed healthcare workforce. But when signage in healthcare libraries asks patrons not to consume “excessive” quantities of free hot drinks and biscuits, how much is too much? Tabner and colleagues explore this resource allocation conundrumAs the festive season approaches, temperatures plummet, days shorten, and healthcare workers see glimmers of time off around the holidays, some might consider the provision of unlimited free hot drinks and biscuits a welcome token of appreciation; this is particularly the case for National Health Service staff, who are often felt to be …

Counseling Students’ Cognitive Complexity In A Group Dynamics Course: A Thematic Analysis, John Davison, Joel F. Diambra, Marianne Woodside, William Daniel Shirley, Rebecca Gaylor

Journal of Counselor Preparation and Supervision

Counselor education researchers maintain that cognitive complexity is an important ability for counselors-in-training (CIT) and professional counselors providing individual and group counseling (Duys & Hedstom, 2000; Granello, 2010; Welfare & Borders, 2010 Wilkinson, 2011). Cognitive complexity, simply defined as it relates to counseling, represents how CIT or professional counselors assemble multiple facets of a client’s situation for use in counseling (Granello, 2010). Research has linked the ability to construct a more or less complete picture from a client’s present circumstances to counseling effectiveness (Welfare & Borders, 2010). According to Bernard and Goodyear (2019) and Granello and Underfer-Babalis (2004), cognitive complexity …

Addressing Anti-Fat Bias: A Crash Course For Counselors And Counselors-In-Training, Stella B. Kerl-Mcclain, Cort M. Dorn-Medeiros, Kelsey Mcmurray

Journal of Counselor Preparation and Supervision

People with larger body sizes are often the target of harmful stereotypes such as being lazy, unattractive, and unintelligent. Such stereotypes are part of an extensive system of oppression often intersecting with racism, classism, and ableism. When counselors and counselors-in-training are unaware of their own biases related to body size, larger bodied clients are at risk for further harm within the very place they are seeking support. This article provides professional counselors and counselors-in-training with the historical knowledge needed to examine their own biases and prejudices around body size and fatness to become better counselors and advocates for all clients. …

Effect Of Medium Type And Foliar Spray With Concentrations Of Nano Zinc, Chelated Iron And Normal On The Mineral Content For Strawberry Seedlings Duch. Fragaria×Ananassa, Ahmed Al-Dulaimy, Mustafa Mahmood

Hebron University Research Journal-A (Natural Sciences) - (مجلة جامعة الخليل للبحوث- أ (العلوم الطبيعيه

The study was conducted in a greenhouse at the department of Horticulture and Landscape Gardening, College of Agriculture, University of Anbar for the growing season 2019-2020 and 2020-2021 to study the effect type of the growth media and spraying with nano and normal zinc and iron on mineral content of Strawberry leaves. First factor (M) included three of agricultural media: (River soil and Peat moss 3:1), (River soil and "50% Coantail + 50% Alfalfa" 3:1) and (River soil and poultry waste 3:1). The second factor (S) consisted of spraying with zinc and iron nano and normal with the following concentrations …

Assessing Mothers’ Perception Of Maternal Health Services In Rural Areas Of Yatta, Hebron: A Pilot Study From Palestine, Hussien Jabbarien Jabbarien, Inad Nawajah, Mohannad Jazzar

Hebron University Research Journal-A (Natural Sciences) - (مجلة جامعة الخليل للبحوث- أ (العلوم الطبيعيه

Access to high-quality care during pregnancy and childbirth is a challenge for women living in Al-Masafer of Yatta and Bedouin areas, considered C areas under Israeli administrative & security supremacy. Realizing clients' perception and satisfaction with the quality of maternal healthcare services will enable maternal health decision-makers & providers to assess the impact of their services on the clients' demands and perceptions. This study aims to measure women's perception of maternal health services provided in Al- Masafer of Yatta and Bedouin areas. A cross-sectional descriptive quantitative study of 59 women, selected purposefully from Al-Masafer of Yatta and the Bedouin areas, …

The Antioxidant And Antibacterial Activity Of Oriental Strawberry (Arbutus Andrachne L.): A Review Article, Sihem Mekchiche, Khalid Al-Ismail, Hamed Takruri

Hebron University Research Journal-A (Natural Sciences) - (مجلة جامعة الخليل للبحوث- أ (العلوم الطبيعيه

Oxidation is one of the most critical processes in food systems. It has an impact on a variety of dietary ingredient interactions, resulting in both desired and unwanted results. It was found in many studies that high concentrations of synthetic antioxidants may havesome carcinogenic effects in some animals, thus natural antioxidants would be analternative to synthetic antioxidants in food. These natural antioxidants can be present in any plant part, including grains, fruits, leaves, nuts, seeds, roots and barks. Many studies showed that there is an inverse relationship between the dietary intake of medicinal plants rich in antioxidants and the prevalence …

How Not To Be A Federal Criminal: A Review Of Mike Chase’S How To Become A Federal Criminal And The Case For Inclusion Of His Illustrated Handbook In American Law Schools, Zachary Stendig

Dickinson Law Review (2017-Present)

No abstract provided.

Why Skin-To-Skin Contact Is Not Made A Traditional Practice Right After Childbirth? Hindrances Behind Its Non-Implementation, Ateefa Al-Noor

Journal of Asian Midwives (JAM)

Skin-to-skin contact (SSC) is the practice in which a newborn is dried and placed immediately on mother’s chest. Both the mother and the baby gains benefits from this as it aids in breastfeeding and helps baby adjust to temperature outside the mother’s womb. However, not many midwives in hospitals carry out this crucial practice. Staff shortage, lack of awareness and time constraints were identified as the main determinants because SSC was not implemented. Realistic measures should be taken to enhance SSC as discussed in the paper. Thus, promotion of SSC soon after childbirth will be advantageous for neonatal quality of …

A Multicultural Approach To Evaluate Information Literacy Skills Of The University Students Of The Remote Areas Of Pakistan., Shahzadi Humbhi, Shabbir Tareen, Abdul Reheem, Alia Humbhi

Library Philosophy and Practice (e-journal)

In today's world, information is vital for decision making. However, in the 21^st century the abundance of information is also causing issues for the people having less expertise and knowledge for synthesizing and using it. The abundance is merely due to advancement in technology including information media, internet and printed books. The advancement in technology particularly the source of communicating information have intensified information complexity, which is, people receive much information in excess of needed and get confused that on which information basis they should make decisions. In this regard, having information literacy is considered one of the most …

Improving Elementary Nutrition Education Curriculum In San Francisco - A Program Analysis Of The Food Education Project, Audrey N. Chang

Master's Projects and Capstones

Childhood obesity and food insecurity are problems within San Francisco, California. The purpose of this program analysis is to assess the Food Education Project (FEP), which is one of many projects addressing nutrition education and the long-term public health impact is to solve the problems of food insecurity and childhood obesity. Through primary data collection, students shared their honest feelings about food and were able to openly discuss what they know and do not know about food. A literature review was conducted through research from various databases from the University of San Francisco to identify not only current interventions but …