Digital Commons Network^™

Implementation Of Staff Education To Reduce Or Prevent Pressure Injury, Beverley A. Moses

Doctoral Dissertations and Projects

Pressure injuries (PIs) present a significant clinical challenge in healthcare settings, particularly among patients with limited mobility, comorbidities, and complex musculoskeletal injuries. These injuries lead to adverse patient outcomes, such as increased morbidity, prolonged hospital stays, and an increase in healthcare costs. Despite advancements in clinical practice, PI prevention remains a critical area for quality improvement, necessitating a standardized, patient-centered approach to care. This Doctor of Nursing Practice (DNP) project aimed to improve patient outcomes by implementing a standardized educational initiative for nursing staff in a bone and joint unit at a private hospital in Upstate New York. The project …

Access And Use Of Agricultural Information Services For Sustainable Irish Potato Production And Socioeconomic Development Among Farmers In Plateau State, Nigeria, Olunusi Patience Abosede Mrs, Fwenshimwa Goyol Yarima Mrs, Oyetunde Adeduntan Olajumoke Adedokun, Olusola Funmilayo Babalola, Segilola Victoria Omowumi

Library Philosophy and Practice (e-journal)

Investigating The Effects Of Urbanization On Winter Avian Diversity In Tennessee: A Community Science And Gis Approach, Caryn D. Ross, David A. Aborn, Mark S. Schorr, Azad Hossain

Cities and the Environment (CATE)

As the human population increases, habitat transformation due to urban expansion is inevitable, affecting many wildlife species. Birds are frequently used as model species to study the effects of urbanization on wildlife populations due to their environmental sensitivity and ease of observation. While previous studies have investigated changes in species richness and abundance related to urbanization, there is a need for broader-scale, geographically explicit studies associating changes in bird diversity with urban expansion. Using extensive bird census data and high-resolution digitized land use data, this study revealed that species richness, diversity, and evenness within count areas all showed significant positive …

Promoting Scientific Impact At The Nih, Fred D. Ledley M.D.

CISI Publication

We are honored to offer our comments on Promoting Scientific Impact at the NIH in response to NOT-OD-26-087: Request for Information on Measuring and Rewarding Scientific Impact.

These comments are informed by my professional experience as the founding director of the Center for Integration of Science and Industry at Bentley University, which has a mission to “advance the translation of scientific discoveries for public value by engaging science, business, and policy in transdisciplinary dialogue, scholarship, and education.” Our approach is to bring together the perspectives of natural science, business, analytics, economics, law, and policy to better understand, and advance, the …

Can The Safety Net Support Families Through Childbirth?, Hyojeong Kim, Colleen Heflin, Taryn Morrissey

Center for Policy Research

Childbirth is a life event that often disrupts maternal employment and household earnings just as family expenses increase. In the United States, families do not have access to a national paid parental leave program and must rely on a patchwork of safety net programs that were not designed specifically to support households during pregnancy and the immediate postpartum period. This brief uses linked administrative data from the Virginia Longitudinal Data System (2016–2021) to describe changes in household earnings and social welfare benefits before and after childbirth among low-income mothers receiving the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for …

The Invisible Crop: Harnessing Root System Architecture In Heirloom Collards For Climate-Resilient Urban Agriculture, Vincent Antonio Brazelton

Arts & Sciences Graduate Student Theses and Dissertations

Growing food in urban spaces often means working within variable, resource-limited environments, creating a need for crops that can withstand heterogeneous growing conditions. Heirloom collards (Brassica oleracea var. viridis) are known for their aboveground diversity and cultural importance, but much less is known about the variation that exists belowground. This dissertation examines root system architecture (RSA) diversity across 19 historically underutilized heirloom collard accessions using a multi-scale phenotyping approach that includes controlled gel-based imaging of seedlings and 2D imaging of mature field-grown root systems. Across both seedling and mature stages, heirloom collards showed substantial variation in RSA. These differences revealed …

Examination Of The Bureau Of Indian Affairs Public Policy Implementation In Support Of Sovereign Tribal Nations, Erna Mae Faber

Walden Dissertations and Doctoral Studies

Social and economic disparities in the Midwestern Reservation Community have persisted for more than five decades despite the enactment of federal Indian policy designed to address them. Based on the existing research, the Bureau of Indian Affairs’ (BIA’s) failure to effectively administer programs addressing health care, housing, and economic opportunity has perpetuated systemic inequities that disproportionately affect tribal nation members. The purpose of this generic qualitative study was to explore how members of the Midwestern Reservation Community viewed the implementation of BIA public policies intended to support tribal nations through the lens of the resource dependence theory, the narrative policy …

Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz

Walden Dissertations and Doctoral Studies

Food insecurity is an emerging public health issue impacting collegiate student-athletes enrolled at Historically Black Universities (HBUs). Recent research revealed that 63% of football players have reported some form of food insecurity which disproportionately impacts Black athletes at higher rates. The purpose of this qualitative study was to explore the lived experiences and dietary behaviors of freshman male collegiate student-athletes who lacked access to food despite receiving athletic scholarships in a publicly funded HBU in Maryland. The research questions for this qualitative study focused on exploring the lived experiencing of Black male athletes who were experiencing food insecurity at an …

Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda

Walden Dissertations and Doctoral Studies

Obesity is a major public health concern that affects millions of adults. As a chronic, progressive disease, obesity increases the risk of developing several medical conditions. Although evidence-based clinical practice guidelines recommend comprehensive lifestyle modification as a first-line treatment, implementation of structured lifestyle counseling in primary care remains inconsistent. The practice-focused question guiding this Doctor of Nursing Practice (DNP) quality improvement project was: Among obese adults aged 18–65 years in a private primary care setting, does implementing a structured lifestyle counseling program improve body weight and body mass index (BMI) outcomes over an 11-week period? An organizational change process guided …

Chemical Effects Of Microplastics On Photochemistry In A Coral-Associated Zooxanthella, Meghan A. Hennings, Matz Indergard, John E. Parkinson

OneUSF Summer Undergraduate Research Symposium

Coral bleaching is the process by which corals lose their symbiotic microalgae in response to stressful conditions. These photosymbionts, known as zooxanthellae, give corals their color and sustain host growth through mutualistic nutritional exchange. Bleaching events are becoming more common and severe, driving research into coral conservation and the resilience of each partner in the symbiosis. Yet it is unknown how certain pollutants, such as microplastics, may affect bleaching outcomes. Previous research in our laboratory has demonstrated that the presence of polyvinyl chloride (PVC) microplastics inhibits bleaching recovery in sea anemones (a coral model), but it remains unclear whether the …

Extremophile-Inspired Biomimetics Potential Analysis, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3, GPT-5 Thinking, Gemini and Grok, is released under the Apache License 2.0. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes: EPC Art. 54(2) (European Patent Convention), French IPC Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (両匡丢氡儡吡嘡丣刡氢), and Japanese Patent Act Art. 29(1) (闘旧避). This defensive disclosure provides enabling embodiments that translate extremophile mechanisms (thermostability, cryo-activity, anhydrobiosis, halotolerance, radiotolerance, barophily) into materials, devices, processes, control algorithms, interoperable …

The Challenges Of Romantic Relationships In Contemporary Societies, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3, GPT-5 Thinking and Grok, is released under the Apache License 2.0. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes : EPC Art. 54(2) (European Patent Convention), French IPC Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (両匡丢氡儡吡嘡丣刡氢), and Japanese Patent Act Art. 29(1) (闘旧避). This disclosure details technical systems, methods, and architectures spanning ethical matching, socio-ecological scoring, closed-loop UX, a!ective VR, safety/consent, intergenerational models, community optimization, data …

Immigration Stress And Inequities Driving Diabetes Distress In Hispanic Adults: A Scoping Review, Rachell Nguyen

International Nursing Research Congress (INRC)

Background: Hispanic adults in the United States experience disproportionately high rates of type 2 diabetes mellitus (T2DM) and co-occurring mental health conditions. These disparities are intensified by immigration-related stress, acculturation challenges, and minority stress, all of which contribute to heightened diabetes distress and reduced self-management capacity.

Purpose: This scoping review examined how immigration stressors, acculturation processes, and minority stress influence diabetes distress and mental health outcomes among Hispanic adults with T2DM.

Methods: Using Arksey and O’Malley’s six-step scoping review framework and PRISMA-ScR guidelines, a comprehensive search of PubMed, CINAHL Complete, MEDLINE (OVID), and ScienceDirect identified studies published between 2015 and …

The Role Of Green Competence In Enhancing Green Performance Among Healthcare Workers In Indonesian Community Health Centers, Dewi Susanna, Tris Eryando, Dwi Agustina, Artha Prabawa, Rabiatul Adawiah, Lusianah Lusianah, Ratna Sari Dewi

Media Kesehatan Masyarakat Indonesia

Climate change poses increasing risks to population health and healthcare systems worldwide. Primary healthcare facilities, partic-ularly community health centers, play a critical role in climate change mitigation and adaptation through environmentally sustainable practices. This study aimed to assess the level of green competency of Puskesmas staff and analyze relationship in the green behavior. A cross-sectional study was conducted among 102 personnel at the Community Health Center in East Jakarta, Indonesia, using a total sampling approach. Green competence was measured across five dimensions (knowledge, skills, abilities, attitudes, awareness) involving a structured questionnaire. Data were analyzed using descriptively and inferentially using chi-square …

August 18, 2026 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Using Posters To Increase Vegan Entrées Chosen At Classics In Wmu’S Student Dining Center, Sarah Schneider

Honors Theses

The following experiment tested the use of specifically designed posters to see the effect on eating habits of those who ate entrées from WMU’s food counter called Classics in the Student Dining Center. The independent variable was a poster with humorous and factual elements displayed at the point of choice in the dining center. The primary dependent variable was the percentage of vegan entrees chosen out of the total number of vegan and meat entrees served. The secondary dependent variables were the number of vegan entrees prepped and served, and the percentage of each entree that was served out of …

Mindful Parenting And Toddlers' Food Responsiveness: The Role Of Controlling Feeding Practices, Qingyu Jiang, Holly Wilhite, Natalie A. Williams, Dipti A. Dev, Caron A. C. Clark, Pearl Avari, Sarah B. Ladd

Journal of Extension

Controlling feeding practices may negatively impact children's eating behaviors. Mindful parenting may offer a promising way to reduce the use of these practices. This study examined the mediating role of pressuring children to eat and using food as a reward in the association between mindful parenting and toddlers' food responsiveness. Results indicated that higher levels of mindful parenting were associated with lower pressuring to eat, which was related to lower food responsiveness in toddlers. The results may inform Extension professionals providing mindfulness strategies for mothers of young children to improve feeding practices, ultimately reducing children's unhealthful eating behaviors.

The Lottery You Do Not Want To Win: The Role Of Local Institutional Quality In Brazil's Fight Against The Persistent Transmission Of Poverty, Adaye Sosthene Yvan N'Guettia

Economics Honors Projects

When does improving local institutions increase the poverty-reducing effectiveness of transfers? This paper examines whether federal oversight strengthens municipal administration of anti-poverty programs in Brazil. I develop a governance model in which incumbents allocate resources across diversion, effort, and institutional investment under audits and incentives. Using exogenous variation from Brazil's random CGU audit lottery across 5,500 municipalities, I find audits reduce irregularities, strengthen capacity, improve nutritional monitoring and school infrastructure, and reduce extreme poverty — with effects largest in municipalities with weakest institutions. A marginal-value-of-public-funds analysis confirms the program is self-financing. Results show the poverty-reducing power of transfers depends critically …

Afterword: Palestinian Solidarity As Feminist Labor, Dana Olwan

Gatherings

This afterword was completed in February 2026. Leqaa Kordia was released from U.S. Immigration and Customs Enforcement (ICE) custody on March 16, 2026, after spending a year of her life in detention.

Mexican Women Caregivers’ Support For Family Members With Type 2 Diabetes, Andrea Mesa

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2D) is a persistent public health challenge in the United States, disproportionately affecting Hispanic populations. Mexican-origin women often serve as primary caregivers for relatives living with diabetes, yet their voices and lived experiences remain underrepresented in research. This study addressed the limited understanding of how cultural values and caregiving roles influence diabetes management within Hispanic families. The purpose of this qualitative phenomenological study was to explore the lived experiences of Mexican-origin women aged 40 to 60 who care for a family member with T2D. Guided by the theory of planned behavior and social cognitive theory, the study …

Genotyping Of Echinococcus Granulosus And Evaluation Of Moringa Oleifera Leaf Extract As A Novel Protoscolicidal Agent, Hersh Ahmad Amin, Hoshyar Abdullah Azeez, Sirwan Muhsin Muhammed Ameen

Baghdad Science Journal

Cystic echinococcosis is a globally prevalent zoonotic infection, including in the Kurdistan region of Iraq. It arises when Echinococcus granulosus eggs are ingested, leading to the larval stages that mainly effect the internal organs of humans and livestocks. This study aimed to explore the genetic variability and sequence polymorphisms of E. granulosus and to evaluate the protoscolicidal potential of Moringa oleifera leaf extract. Protoscoleces PSCs were isolated from hydatid cysts collected from infected humans, sheep, cattle and goat. Among the 73 hydatid cysts examined, 63 (86.3%) were fertile. DNA was extracted from PSCs, the mitochondrial cytochrome oxidase subunit 1 ( …

Frailty And Activities Of Daily Living In Older Adults In Primary Care: A Cross-Sectional Study, Öznur Adadıoğlu, Ahmet Seven, Esin Danç

Makara Journal of Health Research

Background: This study aimed to examine frailty status and activities of daily living among older adults.

Methods: This descriptive and cross-sectional study was conducted with 306 voluntary participants aged 65 years and older who were registered at a primary healthcare center in a city in Türkiye. Data were collected using the Participant Information Form, the FRAIL Scale, and the Katz Index of Activities of Daily Living.

Results: Among the participants, 36.9% were non-frail, 42.2% were pre-frail, and 20.9% were frail. The mean Katz Index score was 5.42 ± 1.35. The mean scores of activities of daily living …

Osteoporosis Knowledge, Health Beliefs, And Calcium Intake Among Malaysian Chinese Adults In Perak: A Cross-Sectional Study, Thean Hui Ru, Nurul Aimi Ab Kadir, Fatin Izzaty Mohd Shahrin

Makara Journal of Health Research

Background: The Malaysian Chinese population records the highest national prevalence of osteoporotic hip fractures. This study investigated the relationships between osteoporosis knowledge, health beliefs, and calcium intake among Malaysian Chinese adults.

Methods: A cross-sectional study was conducted among 205 Malaysian Chinese adults in Kampar, Perak, using the adapted Osteoporosis Prevention and Awareness Tool (OPAAT), Osteoporosis Health Belief Scale (OHBS), and a 30-item Food Frequency Questionnaire (FFQ).

Results: Participants demonstrated low osteoporosis knowledge (6.84 ± 2.92), with low perceived susceptibility (14.87 ± 5.00), moderate perceived seriousness (17.81 ± 5.20), and barriers to calcium intake (15.61 ± 4.15), and …

Internet Use And Decision-Making Processes Among Pregnant Women: A Cross-Sectional Study, Ayça Balmumcu, Endam Çetinkaya Ak, Sabriye Uçan Yamaç

Makara Journal of Health Research

Background: The coronavirus disease 2019 (COVID-19) pandemic restricted access to in-person health services, especially in rural areas. This increased reliance on the internet for health information and decision-making was particularly notable among pregnant women. This study aimed to investigate the role of internet use in decision-making among pregnant women.

Methods: This analytical, cross-sectional study examined 384 pregnant women living in a rural district of Turkey who attended family health centers for prenatal care. Data were collected using the Internet Decision-Making Scale in Pregnancy and a questionnaire assessing internet use patterns during the pandemic.

Results: Pregnant women demonstrated …

Assessing Healthcare Access Among Overweight And Obese Individuals In Türkiye Using Latent Variable Modeling, Banu Beyaz Sipahi

Makara Journal of Health Research

Background: Overweight and obesity are critical determinants of healthcare access, yet evidence on how the COVID-19 pandemic reshaped these dynamics in Türkiye remains limited. This study investigates whether the early post-pandemic recovery period altered healthcare access patterns for individuals with excess weight.

Methods: Using nationally representative microdata from the 2014, 2016, 2019, and 2022 Turkish Health Surveys, we constructed a latent Healthcare Access Index based on six indicators of unmet care needs. Probit models were estimated to assess associations between BMI categories and healthcare access, controlling for socioeconomic and demographic factors. The 2022 wave serves as the early …

Closing Boston's Pediatric Asthma Equity Gap Through Housing-Integrated Care, Valeria Miranda

Capstones

Asthma morbidity is disproportionately high for preschool-age children (2-5 years) in Roxbury, Dorchester, and Mattapan neighborhoods of Boston owing to poor housing conditions and a lack of coordination between housing remediation and healthcare systems. Data at the neighborhood level indicate rates of (0-17) emergency department visits as high as 144.1 per 10,000 in Mattapan, compared to 15.0 per 10,000 in West Roxbury, where Black children have emergency department visit rates that are 6.9 times more than the rates for White Children across the city (Boston Public Health Commission, 2023). Additionally, Community Health Worker (CHW)-led home visiting with environmental trigger remediation, …

Closing On The Cardiovascular Disparity Among Black Adults In Boston Through Church-Based Community Health Worker Intervention, Ana Porfirio

Capstones

Hypertension and cardiovascular disease disproportionately affect Black adults age 40 and older in Boston's Roxbury, Dorchester, and Mattapan neighborhoods, as heart disease mortality is three times higher among blacks than whites across Boston, and premature death rates are over twice as high in Dorchester and Roxbury as in richer neighborhoods. Historic redlining contributes to barriers in food access and is one factor behind Mattapan's highest age-adjusted mortality rate from heart disease in the city. These brief outlines a culturally concordant church-based Community Health Worker (CHW) intervention that includes a trained CHW who assists adults with uncontrolled hypertension in managing their …

Star Anise's Shield: How Illicium Verum Protects Dna From Oxidative Damage: An Integrated Experimental And Computational Study, Rafeef Amer Abdul-Jabar, Sabaa Ali Mohammed Al. Fadal, Anwar H. Ali

Baghdad Science Journal

Illicium verum, a star anise evergreen tree, is of great ethnopharmacological, medicinal, and biological interest. Objective: To develop an aqueous extract from its fruits and to evaluate its antioxidant potential, particularly in terms of DNA protection. The extraction method was straightforward; total phenolics (123 mg GAE/g) and flavonoids (51.3 mg QE/g) were quantified, and antioxidant (DPPH radical scavenging and iron (III) reducing) properties determined. The total antioxidant capacity (TAE) of the extract was estimated, and its protectiveness on human genomic DNA was examined. In addition, an in silico computer docking simulation was conducted to describe the molecular interactions of …

Monitoring Of Plankton And The Symbiosis In Maintaining Fertility In Tropical Water, Luthfiana Aprilianita Sari, Fio Surya Pratama Semendo Panhar, Naufal Falatehan, Fitrul Azizi Firdaus, Octavia Kartika Sari, Nurul Ashikin Abdullah, Felipe Polivanov Ottoni, Sulastri Arsad, Veryl Hasan, Syifania Hanifah Samara

Baghdad Science Journal

Plankton serve as live food for aquatic organisms and are indicators of water fertility, which is related to its abundance and diversity. Some live feeds also form a symbiotic relationship with macroalgae, known as epiphytic plankton, which is found in estuarine waters. The Brondong estuary area, Brondong District, Lamongan, East Java, with abundant Caulerpa sp. macroalgae, exemplifies these characteristics. This study aimed to identify the abundance, diversity, uniformity, and dominance indices of zooplankton, epiphytic microalgae, phytoplankton, and chlorophyll a in the Brondong estuary. Given that research on identifying epiphytic plankton species attached to Caulerpa sp. is lacking, this study investigates …

Dung Removal And Tunneling Contributions: Ecomorphological Traits And Functional Performance Of Onthophagus Gazella And Onthophagus Ramosellus, Takhmina Nazir, Mubashar Hussain

Baghdad Science Journal

Dung beetles perform various functions in ecosystems, such as nutrient cycling, aeration of soil, and dung burial activities that increase soil properties. Genus Onthophagus is well known for its role in dung removal and decomposition. We appraised the role of Onthophagus ramosellus and Onthophagus gazella in dung removal under field conditions. Species-specific functional features like body size and dry body weight associate these dung beetle species with tunneling depth and dung removal. We installed mesocosms (18 cm height and 12 cm diameter) at three sites in district Gujrat, i.e., Chak, Chopala, and Kot Mir Hussain. Treatment groups used in the …