Digital Commons Network^™

Profound Myxedema Coma Without Vital Sign Derangements: A Case Report Of Extreme Hypothyroidism And Pituitary Macroadenoma, Christina Mie Minami, Than Sein, Lucas Choy, Dmitriy Scherbak

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

A Greasy Imposter: A Case Of Profound Hypertriglyceridemia Mimicking Diabetic Ketoacidosis And Severe Hyponatremia, Shania Chishti, Elaheh Boroujeni, Mohammad Hussan Shafiq, Jonathan Xian

Gulf Coast Division GME Research Day 2026

No abstract provided.

Beyond Clinical Outcomes: The Operational And Financial Benefits Of Insulin Lispro In Hyperkalemia Protocols, Cassandra Van Horn, Kevin Welch, Justin Solomon

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

The Apathy Economy: Patents, Advertising, And Consumer Indifference, Gavin Milczarek-Desai, Derek E. Bambauer

UF Law Faculty Publications

Patents function as signals as well as rights to exclude. They inform competitors, investors, employees, and consumers about the invention and its owner. How this information affects consumers is not well understood. Existing studies disagree about how advertising a product or service as patented, or patent pending, affects the price consumers will pay. This Article offers the first major empirical study of that question and finds that consumers behave with surprising rationality: they will not pay any price premium for a patented product. A product’s patent status conveys little information about whether it is superior to competing offerings. The results …

Wet Aging And Internal Endpoint Cooking Temperature Influence Color Of Lamb Longissimus Lumborum Muscle, Oluwatobi M. Ogunsola

Theses and Dissertations--Animal and Food Sciences

Color is a critical quality attribute that influences consumer purchase decisions for fresh and cooked lamb and is governed by myoglobin's redox chemistry. Wet aging is commonly used to enhance lamb tenderness, while endpoint cooking temperature is the primary determinant of internal cooked color. However, the combined effects of these factors on the color stability of the lamb longissimus lumborum (LL) muscle during refrigerated storage remain unclear. The objective of this thesis was to evaluate the effect of wet aging duration on the color attributes and lipid oxidation of fresh lamb LL chops and endpoint cooking temperature and refrigerated storage …

Molar–Incisor And Generalized Grade C Periodontitis: Distinct Microbiome–Immune Interactions Suggest Divergent Pathogenesis, Camila S. Stolf, Hélvis E. S. Paz, Murilo C. Paraluppi, Manuela Maria Viana Miguel, Mauro P. Santamaria, Mabelle F. Monteiro, Deyvid E. Amgarten, Raquel R. A. Franco, Luciana S. Branco-De-Almeida, Luciana M. Shaddox, Renato C. V. Casarin

Oral Health Practice Faculty Publications

Aim:

Molar-Incisor (PerioC-MIP) and Generalized (PerioC-G) Grade C Periodontitis could have distinctive etiopathogenesis behind their unique clinical patterns. Thus, this study aimed to distinguish these two phenotypes by analyzing the subgingival metagenomic profile and the inflammatory markers levels.

Methods:

In this cross-sectional comparative study, Gingival Crevicular Fluid (GCF) and Subgingival Biofilm (SB) were collected from 18 PerioC-MIP North Americans and 14 periodontally healthy controls (HC) from the same location (HC-MIP) and 20 PerioC-G Brazilians and 20 controls (HC-G). From GCF, immunoenzymatic analysis was performed. SB functional and taxonomic bacterial content was determined using shotgun metagenomics sequencing.

Results:

Taxonomic results showed …

Need For Harmonized Terminology In Cryopreservation To Support Reproducibility, Regulation, And Translation, Susan Wolf, Lakshya Gangwar, Lowell Wolfe, Nikolas Zuchowicz, Irina Filz Von Reiterdank, Srivasupradha Ramesh, Bat-Erdene Namsrai, Joseph Kangas, Joseph Sushil Rao, Matthew Powell-Palm, Timothy L. Pruett, John C. Bischof, Korkut Uygun

Articles

As cryopreservation technologies continue to develop, the need for harmonized terminology across the multitude of disciplines where cryopreservation is applied is becoming increasingly acute. Terminology in cryopreservation remains inconsistent, leading to confusion and barriers to progress. Applications of cryopreservation in medicine, food, agriculture, and conservation remain limited by this lack of consensus. Inconsistent terminology contributes to ethical, legal, and societal issues in translating and integrating new cryopreservation technologies. Here we identify the problem with examples of cryopreservation terminology that demand harmonization. We describe the need for terminological consistency by providing examples of effective terminology harmonization projects in related fields. We …

Feeding Missoula: Food Insecurity In Rural Children And Youth, Chani Brammer, Braelee Cheeks, Jordin Holland, Rayne Mccollough, Laurel Palmer, Therese Solomon

Undergraduate Theses, Professional Papers, and Capstone Artifacts

In Montana, approximately one in seven children live in a food-insecure household, with rural Montanans in particular facing significant barriers. Existing needs-based food assistance programs, such as SNAP and WIC, have structural weaknesses: SNAP benefits are often not sufficient to last through the month, and those eligible for these programs face a confusing application process, shame and stigma, and logistical hurdles, such as limited transportation.

“Feeding Missoula” began with an evaluation of how current food assistance programs met or failed to meet the needs of rural youth. Our methodology integrated a comprehensive review of existing literature and structured interviews with …

Combinatorial Immunotherapy Drives Exhaustion In Tumor Antigen–Specific Cd8+ T Cells Within The Mouse Renal Tumor Microenvironment, Holly R. Stephens, Elizabeth Elkins, Jing Li, Zoey N. Swalley, Henry Nnaemeka Ogbonna, Pia Muri, Zachary Roberts, Francesca R. Dempsey, Md Akkas Ali, Md Hasanul Banna Siam, Richard Kirkman, Jianqing Zhang, Sunil Sudarshan, Daniel J. Tyrrell, Hubert M. Tse, Daniel L. Smith Jr, Lyse A. Norian

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Immunotherapies have greatly improved outcomes for patients with renal cell carcinoma (RCC), yet response rates remain suboptimal and the factors promoting therapy resistance versus sensitivity are incompletely understood. Currently, no preclinical model of orthotopic renal cancer exists that permits evaluation of tumor antigen–specific (TAS) CD8⁺ tumor-infiltrating lymphocytes (TILs). To address this deficiency, we developed a mouse renal cancer model that permits tracking of adoptively transferred TAS CD8⁺ T cells. Renca-LUC tumor cells were transduced to express tumor ERK (tERK), a model antigen expressing a one-amino-acid change from wild-type ERK, resulting in recognition by tERK/H-2K^d-specific DUC Thy1.1 …

Bridging Evidence To Practice: Development Of An Evidence- Based Occupational Therapy Protocol For Early Rehabilitation Of Adults With Disorders Of Consciousness, Jessie D. Brian

OTD Capstones

Patients with disorders of consciousness (DoC) following critical illness often experience prolonged hospitalization, delayed functional recovery, and limited access to early rehabilitation services. In acute care settings, occupational therapy (OT) plays a critical role in sensory stimulation, positioning, caregiver education, and the promotion of arousal and participation; however, interventions are often delayed or inconsistently implemented. A retrospective review of patient data at Concord Hospital identified low rates of early OT involvement among mechanically ventilated patients with OT orders, highlighting a gap in standardized rehabilitation practices for this medically complex population. The purpose of this doctoral capstone project was to develop …

Evaluating The Healthfulness Of The University Of New Hampshire’S Food Environment Using The Healthy Campus Environmental Audit (Hcea), Margo Kamis

UNH URC Open (2026 and after)

Evaluating the Healthfulness of the University of New Hampshire’s Food Environment Using the Healthy Campus Environmental Audit (HCEA)

Soil Organic Carbon And Soil Health Property Responses To Land Management Across Topographic Positions, Mia D. Makovsky

All Graduate Theses, Dissertations, and Other Capstone Projects

uring the last ice age, ice sheets advanced and retreated across the upper Midwest, leaving behind a landscape characterized by poorly drained hummocky topography. Well-aerated soils have formed on uplands and lowlands are dominated by hydric soils. These wetlands and hydric soils have potential to store large quantities of carbon, particularly compared to the well-aerated uplands, but many have been drained and cultivated for decades. Conservation agriculture methods have emerged to protect and conserve soil health from negative effects due to cultivation.The purpose of this study is to determine how agricultural management practices and landscape properties (e.g, topographic position) affect …

Poorly Controlled Type 2 Diabetes (T2dm) In A Rural County In Texas: A Diabetes Intervention Bundle, Roxanne Morales

Doctor of Nursing Practice (DNP) Scholarly Projects

Type 2 diabetes mellitus (T2DM) remains a significant public health concern, particularly in rural and underserved communities where patients often face barriers to effective self-management. This quality improvement (QI) project evaluated the impact of a diabetes intervention bundle consisting of individualized diabetes education, biweekly support phone calls, and digital self-monitoring tools on glycemic control, body weight, diabetes knowledge, medication adherence, diet compliance, and physical activity. The project was implemented over an eight-week period in a rural family medicine clinic and included 18 adults with uncontrolled T2DM (HgbA1c >7%). Participant outcomes were evaluated using pre- and post-intervention clinical measures, the Diabetes …

Evaluating The Relationship Between Body Composition And Bmi In Rotc Air Force Cadets, Joseba Iparraguirre

Master of Education in Applied Human Development Graduate Projects

Body mass index (BMI) is commonly used to categorize weight status and screen for obesity-related health risk; however, BMI does not distinguish between fat mass and fat-free mass and may misclassify physically trained individuals. The purpose of this study was to evaluate the relationship between BMI and percent body fat in Reserve Officers’ Training Corps (ROTC) cadets at Bowling Green State University and to examine sex differences in BMI and adiposity. Eighteen cadets (11 males, 7 females; ages 18–23) completed anthropometric assessment for BMI calculation and body composition assessment using air displacement plethysmography (Bod Pod). A Pearson product–moment correlation indicated …

Increasing Oral-Gut Axis Health Literacy In Underserved Communities With Community-Involved, Pantry-Accessible Nutrition Education: A Conceptual Framework And Program, Audrey Kho, Yinon Gankin, Polina Pine

Chemistry: Faculty Publications and Other Works

In metropolitan U.S. areas, health inequities caused by socioeconomic disparity continue to influence oral health, nutritional status, and the risk of chronic diseases. Diets heavy in added sugars and poor in fiber and vital micronutrients are especially harmful to the oral–gut axis, which connects diet, microbial balance, inflammation, and systemic and neurological health. Due to institutional hurdles to health literacy, limited access to preventive health education, and food poverty, these eating habits are more common among low-income individuals. Only 36% of low-income parents in Chicago report being in good health, compared to 75% of parents with better incomes, underscoring the …

Patient Characteristics, Growth Indices, And Treatment Outcomes Among Children With Feeding Difficulties, Amelia Kearney

Theses, Dissertations and Culminating Projects

Pediatric feeding difficulties is an umbrella term that is used to describe children with a variety of problematic feeding behaviors and/or mealtime impairments that can impact age-appropriate food consumption, growth and the caregiver-child relationship. There is a lack of research from nutrition professionals regarding the nutrient intake, diet quality and growth outcomes among patients with pediatric feeding difficulties. Furthermore, changes in nutrient intakes during intensive outpatient treatment have not been formally assessed. PURPOSE: The purpose of Manuscript 1 was to describe the demographic profile, medical history, and baseline mealtime behaviors, usual diet, and diet quality of patients with feeding difficulties …

Health Behaviors Of First-Generation College Students Affected By Acculturation, Angel Castro

Kinesiology Faculty Publications

The purpose of this qualitative narrative ethnographic study was to understand how acculturation affects health behaviors and wellness of first-generation college students at a state university on the West Coast of the United States. The theory guiding this study was social constructivism theory, proposed by Lev Vygotsky, who claimed behaviors are constructed by social interactions around social settings. This research focused on how students navigated the changes in inherited cultural values of health behaviors and wellness practices affected by mainstream and college cultures. The dissertation investigated challenges first-generation college students faced in an environment that often conflicted with family values …

Social Protection To Foster Inclusive, Resilient Early Childhood Education In Kenya, Uganda, And Tanzania, Nyagwegwe Wango

Institute for Educational Development, East Africa

In order to evaluate the efficacy of systems approaches in enhancing early childhood education (ECE), this study summarizes outcomes from the SESEA and F4L programs in Kenya, Tanzania, and Uganda. The study investigates how context-responsive ECE, social-emotional learning (SEL), and social protection (SP) interventions contribute to improvements in teaching practices, inclusion, and learner outcomes using mixed-methods data, including teacher surveys, classroom observations, and policy analysis. The findings show significant improvements in inclusive classroom practices, gender-sensitive pedagogy, and teacher confidence, especially when reflective peer learning and continuous mentoring are incorporated. Children’s academic performance and well-being have been linked to the integration …

A Cross-Sectional Survey Of Caregiver Knowledge, Attitudes, And Practices Related To Interoception And Feeding Responses Among Children With Adhd, Paige Mehlberg

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Background: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disability that impacts attention, impulse control, and self-regulation, which may also influence eating behaviors and nutrition status. Children with ADHD are more likely to experience feeding challenges, including selective eating, inconsistent appetite, emotional eating, and difficulty recognizing hunger and fullness cues. These challenges may be partially explained by deficits in interoception, or the ability to perceive internal body signals. Caregivers play a key role in shaping feeding behaviors. However, limited research has examined caregiver knowledge and practices related to interoception in this population. 
Objective: To examine caregiver knowledge, attitudes, and practices related …

Effectiveness Of A Six-Week Nutrition And Cooking Education Program On Nutrition Knowledge And Cooking Skills In Unhoused Families, Lucy Mehlhaff

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Objective: establish a nutrition and cooking education program at a transitional housing facility in Sioux Falls, SD and evaluate its effect on both nutrition knowledge and cooking skills in participants.
Methods: Using the nutrition education curriculum “Families Eating Smart and Moving More” (FESMM), we conducted a 6-week nutrition and cooking education program at the transitional housing facility, Bishop Dudley Center for Families (BDCFF), in Sioux Falls, South Dakota. Participants attended didactic sessions led by a master’s student in nutrition and dietetics that encouraged healthy and cost-effective eating, as well as took part in hands on cooking lessons with assistance from …

Parental Knowledge, Attitudes, And Practices Related To Interoception And Feeding Behaviors In Children With Adhd: A Cross-Sectional Survey, Hayleigh Young

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Objective: Children with attention-deficit/hyperactivity disorder (ADHD) often experience challenges related to interoceptive awareness, which can impact feeding behaviors and overall nutrition. Parents play a critical role in supporting the development of these skills, however limited research has examined parental knowledge and practices related to interoception and child feeding behaviors. Therefore, this study aimed to examine the association between parental knowledge, attitudes, and practices related to interoception and child feeding behaviors in children with ADHD to help inform the development of parent-focused educational resources.
Methods: A cross-sectional survey was developed based on a targeted review of literature examining ADHD, interoception, and …

Health Disparities In Cardiovascular Care: The Impact Of Diabetes Education And Post-Discharge Interventions For African American Adults At Risk For And After Myocardial Infarction, Trinity L. Billingsley

Nursing | Senior Theses

Background: Cardiovascular disease is the leading cause of death in the United States, affecting African American adults at higher rates compared to other racial and ethnic groups. Diabetes as a comorbidity is one of the risk factors of experiencing a myocardial infarction, remaining one of the leading causes of death among individuals with diabetes. Objective: To examine the effectiveness of structured diabetes education tailored to African American adults who are at risk for and after a myocardial infarction. Additionally assessing the complications of a myocardial infarction, the outcomes associated with structured education will be compared to the outcomes of …

Human Milk Feeding And Its Impact On The Incidence Of Necrotizing Enterocolitis, Maya C. Kern

Nursing | Senior Theses

One of the leading causes of morbidity and death for preterm and very low birth weight (VLBW) newborns is still necrotizing enterocolitis (NEC). Existing literature consistently shows that the bioactive, anti-inflammatory, and microbiome-supporting components of human breast milk, including donor human milk, significantly lower the incidence of NEC. However, a lot of infants are forced to rely on formula and nutrient fortifiers because they cannot obtain maternal or donor milk. A critical gap persists regarding whether human milk derived fortifiers offer greater NEC protection than bovine derived fortifiers in infants who must receive formula. This thesis examines three interconnected themes; …

High Expectations? Minnesota’S Cannabis Social Equity Statute Falters, Claire Cavanagh

Minnesota Journal of Law & Inequality

No abstract provided.

Central Office Dining Support Staff, Housing & Dining

Central Staff

No abstract provided.

The Law’S Failure To Protect Our Drinking Water From Pfas, Emily Levine

Indiana Law Journal

How did per- and polyfluoroalkyl substances (PFAS), the forever chemicals known to harm human health and appear in most Americans’ blood, spread so widely in drinking water? Why didn’t someone with the power and knowledge to stop this crisis step in sooner? Simply imposing limits on PFAS levels in public water systems is the bare minimum to protect American drinking water—a necessary step but only the starting point of a long path toward creating a regulatory framework that can withstand the whims of changing presidential administrations and political influences.

     It is too easy for the EPA Administrator, either out of …

The Association Between The Degree Of Social Vulnerability And Maternal Anemia And Other Adverse Perinatal Outcomes, Rubymel J. Knupp, Christina T. Blanchard, Ariann Nassel, Ashley Shea, Lindsay S. Robbins, Jeff M. Szychowski, Ashley N. Battarbee, Akila Subramaniam

Department of Obstetrics & Gynecology Faculty Publications

Objective

Maternal anemia in pregnancy is associated with many adverse maternal, fetal, and neonatal outcomes. The role of social determinants of health (SDOH) in the development of maternal anemia and other adverse outcomes is continually evolving. One such newer tool, the Social Vulnerability Index (SVI), measures an individual's community-level SDOH, with higher SVI denoting higher vulnerability. Our objective was to evaluate the association between SVI, maternal anemia, and other adverse perinatal outcomes.

Methods

Retrospective cohort study of pregnant individuals delivering singletons at a gestational age ≥23 weeks at a single center from 2014 to 2018. Patients with sickle cell disease, …

Evaluating The Mediating Role Of Gestational Phthalate And Replacement Biomarkers In The Associations Between Race/Ethnicity And Birthweight, Amir J. Lueth, Danielle R. Stevens, Sarahna A. Moyd, Elena Sinkovskaya, Ann Przybylska, Antonia M. Calafat, Julianne C. Botelho, George Saade, Alfred Abuhamad, Kelly K. Ferguson

Department of Obstetrics & Gynecology Faculty Publications

Background

Gestational exposure to phthalates is higher among non-Hispanic black (NHB) women than non-Hispanic white (NHW) women and may contribute to racial/ethnic differences in birthweight z-scores.

Objective

We aimed to investigate whether gestational phthalate and replacement biomarkers mediate the association between race/ethnicity and birthweight z-scores.

Methods

We analyzed data from 271 pregnancies in the Human Placenta and Phthalates study, a prospective cohort recruited from 2017 to 2020. Urinary phthalate metabolite concentrations were measured at up to eight time points during pregnancy and averaged to represent gestational exposure. Metabolites were grouped by parent compound. Linear regression models estimated associations in phthalate …

Mapping Climate Risks & Building Resilience: A Participatory Approach To Harvester Safety In Kakisa, Nwt., Susan Kerubo Ombwori

Theses and Dissertations (Comprehensive)

The Ka’a’gee Tu First Nation (KTFN) community in the Northwest Territories is experiencing rapid environmental changes which are driven by climate change. These changes are threatening the community’s food security. The community is seeing a disruption to its traditional land-based food systems due to increasing climate risks such as unpredictable weather, thawing permafrost, wildfires, and flooding. These changes are reducing access to traditional foods and intensifying threats to harvester safety. Building on the existing relationship with the community through previous projects, this thesis examines the impacts of climate risks on the availability and access of the KTFN’s on the land …

Injury To Insight: Exploring The Influence Of Media On Acl Rehabilitation Experiences Of Female Soccer Players, Chynna Ho-Young Cadogan, Jill Tracey

Theses and Dissertations (Comprehensive)

Participation in soccer inherently carries a risk of injury, with female athletes facing a significantly higher susceptibility to anterior cruciate ligament (ACL) injuries (Campbell et al., 2014; Le et al., 2025; Silvers-Granelli, 2021). The increasing participation in women’s soccer, coupled with the growing demand for its consumption through spectatorship, has contributed to a rise in ACL injuries, and increase in media coverage on this phenomenon (Parsons et al., 2021). Understanding how media narratives surrounding ACL injuries and recovery may influence rehabilitation experiences can educate coaches, mental performance consultants, athletic therapists, and female soccer players to better understand and navigate ACL …