Digital Commons Network^™

Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …

Sociodemographic And Behavioral Predictors Of Obesity Among Female Asian Indian Immigrants In The United States, Afiya Saleem

Walden Dissertations and Doctoral Studies

Individuals from low-income countries such as those in the Asian region migrate to high-income countries and adopt obesogenic behaviors like sedentary lifestyles and high fat and sugar intake. This results in increased susceptibility to obesity, diabetes mellitus, cardiovascular disease, and stroke. Previous research has demonstrated that migrants from South Asian countries are at an increased risk of developing obesity, type 2 diabetes, and hypertension; however, little is known about the factors that contribute to this phenomenon. This was a quantitative, cross-sectional study guided by the social-ecological model. This study used secondary data from the National Health Interview survey to investigate …

Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo

Walden Dissertations and Doctoral Studies

AbstractGlobally, childhood obesity is a major social and public health concern characterized by complications such as high cholesterol and high blood pressure. The purpose of this quantitative cross-sectional study was to examine the association between childhood obesity in children age 6–12 years and the socioeconomic status of their parents in the Southwest geopolitical zone of Nigeria. Social cognitive theory served as the theoretical framework for the study. Questionnaire data were collected from 384 parents/guardians of children age 6–12 years across three states in the Southwest geopolitical zone of Nigeria. Data were analyzed using descriptive statistics and multiple logistic regression at …

Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James

Walden Dissertations and Doctoral Studies

Malnutrition in children under 5 years remains an important public health challenge as it spurs child mortality and morbidity in developing countries, including Nigeria. The purpose of this quantitative cross-sectional study was to explore the risk factors of malnutrition in children under 5 years of age in Akwa Ibom State, Nigeria. Socioecological and health belief models were applied to examine risk factors of malnutrition among these children. This study used a secondary dataset of 1,235 participants obtained from Akwa Ibom State Demographic and Health Survey database. Pearson’s chi-square test and binary logistic regression were adopted for the analyses. The results …

Management Of Oral Cavity Mucormycosis In A Ketoacidotic Patient With Targeted Debridement And A Palate Obturator, Jennifer Adams, Adam Bender-Heine

School of Medicine Publications

Mucormycosis is an opportunistic mycosis common in poorly-controlled insulin dependent diabetic patients particularly with ketoacidosis. It often begins as a nasal and paranasal sinus infection with inhalation of spores into the paranasal sinuses of a susceptible host. In this case report we review the clinical symptoms, relevant imaging, and management of a diabetic patient with mucormycosis threatening his better seeing eye. This case report offers the clinician a review of important clinical and diagnostic findings that can help direct the need for orbital exenteration. In addition, various reconstruction options are considered to help guide informed management.

Food Plants With Toxic Properties, James P. Smith Jr

Botanical Studies

No abstract provided.

Unseen, Unheard: A Qualitative Analysis Of Women’S Experiences Of Exclusively Expressing Breast Milk, Lisa A. Anders, Karen Marie Robinson, Jennifer M. Ohlendorf, Lisa Hanson

College of Nursing Faculty Research and Publications

Background

Breast milk feeding has numerous benefits for women and infants. Positive maternal experiences with breast milk feeding impacts exclusivity, duration, and maternal mental health. Most research focuses on women feeding directly at the breast. Some women elect to feed exclusively expressed milk to their healthy, term infants rather than feed directly at the breast. Little is known about what constitutes a positive experience among this population. Therefore, the aim of this study was to explore women’s experiences of exclusive expression (EE).

Methods

Interviews were conducted via Microsoft Teams to collect qualitative data from a purposive sample of 21 women …

Life Experiences Of Head Start Teachers In A Midwestern Region Pursuing Higher Education, Jeanette O. Keyes

Walden Dissertations and Doctoral Studies

AbstractThe 2007 Head Start Reauthorization Act mandated that all Head Start teachers have at least an associate degree and 50% of teachers within each Head Start program should have a baccalaureate degree in early childhood education. The problem addressed in this study was that Head Start teachers from a Midwestern region encountered barriers as they pursued higher education to meet mandated requirements to continue employment. The purpose of this study was to explore the life experiences, barriers, coping strategies and views of support needed by Head Start teachers who were completing their degrees. Tinto’s academic and social integration model and …

2021 Unh Extension Grafton County Highlights Sheet, Amy Loader

UNH Cooperative Extension

No abstract provided.

M.C. 4-H - Food Show Recipe Card Scoresheet, Hannah Majewski

UNH Cooperative Extension

M.C. 4-H - Food Show Recipe Card Scoresheet

Association Between Hispanic Parents’ Attitudes And Knowledge Regarding Obesity And Their Children’S Body Mass Index, Renee Starr, Eva Miller, Roy K. Chen, Ralph Carlson, Veronica I. Umeasiegbu, Bruce J. Reed

School of Rehabilitation Services & Counseling Faculty Publications

According to the Centers for Disease Control and Prevention, more than 13.7 million children experience obesity nationally and Hispanic children display the highest occurrences of obesity for all racial/ethnic groups (Hales et al., 2020). Because parents have a significant influence on their children’s overall health, we were interested in examining whether parents’ attitudes and knowledge about obesity impacted their child’s body mass index (BMI) for their age. We surveyed 210 adult Hispanic parents whose children were receiving general healthcare services at a pediatric medical clinic located near the U.S.-Mexico border. A multiple regression analysis was conducted to evaluate the estimation …

Implementing Obesity And Comorbidity Education In A Faith-Based Setting, Tammy Lynn

Doctor of Nursing Practice Projects

The aim of the study was to increase knowledge of the damaging consequences of obesity and related comorbidities. Obesity has reached epidemic proportions on a global scale and increases the potential health risk of many associated diseases. Faith-Based organizations have been found to be optimal resources for public health education. The shared beliefs and comradery are a source of support and encouragement for those who face many of life’s challenges, as well as life’s joys. The purpose of the project was to investigate the effectiveness of education delivered in a Baptist church on the topics of obesity and related comorbidities. …

Superwoman Schema: Fighting Back With Holistic Therapy, Chavonne Good

Doctor of Nursing Practice Projects

For decades, Black women have upheld the stereotype of being consistently strong, capable, tenacious, and unwavering throughout life’s many challenges. Unfortunately, while being resolute in their desire to succeed against all odds, many Black women have unknowingly embraced the characteristics of a phenomenon known as Superwoman Schema. Superwoman Schema consists of five characteristics that are not inherently negative. However, when Black women consistently embody these traits which include the determination to succeed and to be strong, and an obligation to help others; they may neglect their own self-care needs. Subsequently, while neglecting themselves, focusing on others, and continuously trying to …

Enhancing Knowledge And Confidence In A Retail Clinic Setting Of Practitioners In Treating Primary And Secondary Hypertension, Ravon Mckoy

Doctor of Nursing Practice Projects

Many adult and adolescent patients in primary care settings are diagnosed with primary hypertension, however the workup often does not include an evaluation of secondary causes. The purpose of this Doctor of Nursing Practice (DNP) project was to improve the diagnosis and treatment of hypertension for patients seeking health care in a retail clinic setting. The PICOT question was, what is the effect of an educational offering on hypertension standards of care in enhancing knowledge and confidence for providers working in a retail health clinic setting? The sampling frame was 40 Nurse Practitioners and Physician Assistants employed at CVS Minute …

Improving Self-Care Awareness Among Undergraduate Nursing Students, D'Anna Helms

Doctor of Nursing Practice Projects

The purpose of this DNP project was to improve self-care (SC) awareness among undergraduate nursing students by educating on the use of constructive SC activities. Twenty-two senior level nursing students attended an educational seminar, completed the Mindful Self-Care Scale – Clinical (MSCS-C) pre- and post-survey, and reflective journaling. A paired-samples t test was calculated to compare the mean pretest score to the mean posttest score. The mean on the pretest was 77.68 (sd= 9.33), and the mean on the posttest was 75.27 (sd= 31.59). A significant increase from pretest to posttest was found (t (21) = .307, p < .05). Thematical analysis revealed enhanced awareness and incorporation of constructive SC activities. Educational interventions which seek to improve SC awareness will generate practical and sustainable acts of SC, thus improving students’ overall success and further empowering students in their transition from graduate to licensed nurses.

"Healthy Skills 4 Life" Program: A Pilot Study And Program Evaluation, Wendy Hines

Doctor of Nursing Practice Projects

This project piloted and evaluated “The Healthy Skills 4 Life” (HS4L) program within a middle school population. HS4L is an innovative holistic health curriculum focusing on four key areas of healthy behavior: nutrition, physical activity, stress management, and sleep hygiene. A middle school physical education teacher was supplied with the HS4L instructional materials and support needed to independently implement the program. The HS4L program allowed the students to self-assess wellness behaviors and create an action plan for improvement focusing on healthy lifestyle concepts. The implementation was evaluated utilizing the "Healthy Skills 4 Life" Feedback survey. The total average …

Improving The Mental Health And Wellness Of Middle School Educators Post-Covid19, April Pearson

Doctor of Nursing Practice Projects

U.S. public school teachers of all educational levels were challenged during the COVID-19 pandemic to provide education to students in alternative ways; face-to-face, hybrid model, or remote learning. This resulted in teacher stress, dissatisfaction, and turnover. Locally, after the 2020-2021 school year at East Iredell Middle School, 9 out of 22 educators resigned or transferred due to the stress and fatigue of teaching students in a hybrid model during the COVID-19 pandemic. The purpose of this project was to promote the health and wellness of middle school educators. The PICOT statement is, what is the effect of an educational program …

Revisiting Participatory Rural Appraisal (Pra) Related Studies And Exploring Pra's Success Determinants: A Content Analysis, Raquel Garcia-Agustin

Journal of Public Affairs and Development

Participatory Rural Appraisal (PRA) has shown that participation in development programs in poor communities can be empowering not only for the community members but also for the development workers. However, not all PRAs have seen successes especially in fulfilling their mission to encourage real participation. Hence, it is imperative to understand whether PRA has led to adequate understanding of indigenous perspective to call for action and the interest PRA serves. This analysis aims to provide critical insights and reflections from the experiences of previously conducted PRAs. It further aims to reveal whether PRAs were used effectively and successfully according to …

An Analysis Of Gender Differences In Ratings Of Importance When Marketing Physical Education And Recreation Programs, Paul J. Costanzo, Cynthia P. Costanzo

Atlantic Marketing Journal

A problematic issue reported by many professionals in the sport and recreation industry is that there is a lack of specificity regarding how to effectively promote physical education and town recreation programs. Related to this issue is that there is a need for additional research on how gender differences may influence the utilization of promotional messaging aimed at increasing the importance of sport and physical education. Seven marketer dominated and three non-marketer dominated information sources were examined in this study. Significant differences were found between men and women subject’s ratings of the importance of elementary school, town recreation, and middle …

Fashion And Sustainability: Consumption And Shared Responsibility, Jie Gao Fowler, Timothy Reisenwitz, Rongwei Chu

Atlantic Marketing Journal

Indulgence in fashion has been indispensable in modern societies, as it is a crucial device for self-image and identity construction. With the advanced technology and globalization of production, the fashion industry has skewed towards fast fashion, making the latest trends available to mass consumers at affordable prices. This research aims to examine how Chinese consumers perceive sustainable consumption in the context of fashion. We endeavor to explore the factors that influence the engagement of sustainable consumption. This study aims not to argue whether sustainable fashion should mobilize or replace the current fashion system but to provide evidence on consumers' perception …

The Abc Of Reproductive Intentions: A Mixed-Methods Study Exploring The Spectrum Of Attitudes Towards Family Building, B. Grace, J. Shawe, S. Johnson, N. O. Usman, J. Stephenson

School of Nursing and Midwifery

Abstract STUDY QUESTION What are the intentions of men and women of reproductive age in the UK regarding reproduction and family building? SUMMARY ANSWER We identified six main categories of people; Avoiders, Betweeners, Completers, Desirers, Expectants and Flexers, for whom reproduction education strategies should be tailored differently to suit intentions. WHAT IS KNOWN ALREADY Several studies have highlighted poor fertility awareness across men and women of reproductive age. As the average age of first-time parents continues to rise, there has been a concerted effort from educators, healthcare professionals, charities, reproductive health groups and government policymakers, to improve fertility awareness. In …

A Multi-Trophic Marker Approach Reveals High Feeding Plasticity In Barents Sea Under-Ice Fauna, Doreen Kohlbach, Lukas Smik, Simon T. Belt, Haakon Hop, Anette Wold, Martin Graeve, Philipp Assmy

School of Geography, Earth and Environmental Sciences

Microalgae growing within and attached to the bottom of Arctic sea ice (sympagic algae) can serve as a nutritious food resource for animals inhabiting the sea-ice water interface (under-ice fauna), particularly during the bottom ice-algal bloom in spring. As a consequence, under-ice fauna is likely impacted by sea-ice decline and changes in ice-algal primary production. To investigate this, samples of pelagic (=PPOM) and ice-associated particulate organic matter (=IPOM) and the iceassociated amphipods Apherusa glacialis and Eusirus holmii, and polar cod (Boreogadus saida), collected below ridged sea ice at two locations with pronounced differences in productivity in the northern Barents Sea …

Highest Densities Of Mountain Hares ( Lepus Timidus ) Associated With Ecologically Restored Bog But Not Grouse Moorland Management, Carlos P.E. Bedson, Philip M. Wheeler, Neil Reid, Wilson Edwin Harris, David Mallon, Simon Caporn, Richard Preziosi

School of Biological and Marine Sciences

No abstract provided.

Thinking Inside The Food Pantry Box, Elizabeth Shoaf

Doctor of Nursing Practice Projects

Background: Prior research has indicated a varying relationship between food security and obesity risk. Food insecurity is a known complication of men and women’s underlying health issues, such as hypertension and diabetes, because of altered food choices.

Objective: Provide healthier food options to the food insecure within the facility’s food distribution boxes, as available, for the two most common health issues (diabetes and high blood pressure).

Methods: Clients at a local food pantry were interviewed individually to learn more about food insecurity and complicating health issues, such as obesity, diabetes, and high blood pressure (hypertension) while simultaneously offering alternative food …

Increasing Cancer Survivorship Knowledge Through Individualized Cancer Survivorship Packets, Ashley Atkins

Doctor of Nursing Practice Projects

This project was developed with the aim of formulating an individualized educational packet that would improve patients’ knowledge of their initial cancer diagnosis and provide additional information to facilitate a smooth transition from treatment to remission. Using a pretest and posttest, quantitative data was collected pertaining to 10 different types of patient education. The pretest survey collected eight questions that related to gathering information about their cancer diagnosis, resources, and knowledge level. The DNP Project Leader secured a Cancer Survivorship Guide through the American Society of Clinical Oncology that was added to the initial cancer survivorship education for all patients. …

Genome Assembly Of The Chemosynthetic Endosymbiont Of The Hydrothermal Vent Snail Alviniconcha Adamantis From The Mariana Arc, Corrina Breusing, Nathan Hagen Klobusnik, Michelle A. Hauer, Roxanne A. Beinart

Graduate School of Oceanography Faculty Publications

Chemosynthetic animal-microbe symbioses sustain hydrothermal vent communities in the global deep sea. In the Indo-Pacific Ocean, hydrothermal ecosystems are often dominated by gastropod species of the genus Alviniconcha, which live in association with chemosynthetic Gammaproteobacteria or Campylobacteria. While the symbiont genomes of most extant Alviniconcha species have been sequenced, no genome information is currently available for the gammaproteobacterial endosymbiont of Alviniconcha adamantis—a comparatively shallow living species that is thought to be the ancestor to all other present Alviniconcha lineages. Here, we report the first genome sequence for the symbiont of A. adamantis from the Chamorro Seamount at the …

Black Parent Advocacy And Educational Success: Lessons Learned On The Use Of Voice And Engagement, Mark Mcmillian

Antioch University Dissertations & Theses

“The opportunity is there, this is what I think of when I think of role models, I think of my experience” (Anthony—a participant in this study—commenting on the effectiveness of advocating for his child). Black children encounter racism in American schools and parents need to advocate for them. The purpose of this qualitative study was to explore how Black parents developed and used their voice to advocate for their children in a predominantly White educational system with a history of racially disparate outcomes. Particularly, this study drew on the experiences of 15 participants, two men—one was a grandfather—and 13 women, …

Students’ Mental Health Needs Supported Through The School System, Jon Eyler, Gail Angus

Southeast Conference on School Climate

Unavailable

Improving Disinfectant Cap Use On Central Lines In The Icu To Reduce Patient Risk For Clabsi: A Quality Improvement Project, Tali Cherim

Master's Theses and Capstones

BACKGROUND: Central line-associated bloodstream infections (CLABSI) are the most common type of preventable healthcare-associated bloodstream infection, and may increase length of stay (LOS), facility treatment costs, and patient mortality rates. Intensive Care Unit (ICU) patients are especially vulnerable to CLABSI due to their critical health conditions and other comorbid factors. A literature review provided evidence supporting the use of alcohol-impregnated disinfectant caps, such as SwabCap®, on central line (CL) ports to significantly reduce patients’ risk for CLABSI. This quality improvement project took place within an adult ICU of a Level II trauma facility in New England, where the Infection Prevention …

Optimizing Cardiovascular Patient Education At Discharge, Olivia Marciano

Master's Theses and Capstones

Background: Without a clear understanding of proper discharge instructions or a lack of educational material, patients may leave the hospital feeling conflicted as to what to do. In 2021 a research study noted that patients who do not have enough information prior to discharge have decreased compliance, decreased patient safety, increased risk of hospital readmission, and poor overall satisfaction (DeSai, Janowiak, Secheli, et. al., 2021). This quality improvement project sought to increase patient knowledge related to exercise and nutrition following a cardiovascular event that led to a hospital admission.

Methods: For the purpose of this quality improvement project, the PDSA …