Digital Commons Network^™

Factors Correlated With State-Level Variation In Grocery Consumption Changes During The Covid-19 Pandemic, Sun Young Byun

CMC Senior Theses

In this paper, I employ a two-part empirical strategy to explore the effects of the COVID-19 pandemic on grocery consumption across U.S. states. First, I use the United States Department of Agriculture's Weekly Retail Food Sales data from 2018-2023 to estimate a time-series panel model. I use the results to test three hypotheses regarding state-level variation in consumption changes and impacts in the initial pandemic period, the remaining pandemic period, and the post-pandemic period. Second, I use the estimated state-level effects as dependent variables in cross-sectional regressions to test three hypotheses linking variation in state-level consumption patterns to economic, demographic, …

Am I Top Of The Pops? Does Feedback Of Live Gps Between Sets Of Hurling-Specific Small-Sided Games Improve Subsequent Running And Physiological Performance?, Shane Malone, John Keane, Tom Hargroves, Conor P. Clancy, John David Duggan, Damien Young, Kieran D. Collins

Research Outputs: 2025-Present

The investigation aimed to determine if live feedback of team- and player-specific global positioning system (GPS) running performance data between bouts of hurling small-sided games (SSGs) altered the physical and physiological responses during subsequent bouts of SSGs during a 6-week hurling pre-season period. Twenty-four (n = 24) hurling players (age 25.5 ± 3.2 years; height 177.9 ± 3.2 cm; body mass 83.5 ± 4.5 kg) received either feedback or no feedback during hurling-specific SSGs across a 6-week pre-season period. Teams were assigned to two specific groups, a) GPS live feedback or b) no GPS live feedback (control) for each session, …

Alignment Of The Planetary Health Diet With Pregnancy Dietary Guidelines: Insights From Two Cohorts, Aoife Davis, Sophie Callanan, Gillian A. Corbett, Eileen C. O’Brien, Alexander Douglass, Fionnuala M. Mcauliffe

Research Outputs: 2025-Present

The Planetary Health Diet (PHD) is a mostly plant-based diet that aims to optimise human health whilst minimising the environmental impact of food production. Limited data exists on whether the PHD fulfils key nutritional requirements during pregnancy. This research aimed to examine the PHD in early pregnancy and how it aligns with daily nutrient intake and European Food Safety Authority (EFSA) dietary guidelines. Pregnant women (n=678) from two Irish cohorts (ROLO and MicrobeMom) were analysed. Dietary intakes in early pregnancy were determined using a 3-day food diary and used to calculate PHD Index (PHDI) scores. Women were dichotomised by the …

Physique Development And Management Shape Experiences Of Low Energy Availability Risk In Elite Professional Male Rugby Union Players, Gary Sweeney, Siobhain Mcardle, Nessan Costello, Kieran Collins

Research Outputs: 2025-Present

This study aimed to explore elite male rugby union players’ perceptions and lived experiences of physique development and management in relation to low energy availability risk. Semi-structured interviews (29 ± 8 min) were conducted with 18 players (senior: n = 9; academy: n = 9; mean age: 23 ± 3) across four professional rugby union clubs in Ireland. Through reflexive thematic analysis, the following themes were constructed. Players had limited awareness of low energy availability, yet described experiences consistent with symptoms, including fatigue, low mood and reduced libido. A pervasive physique culture, characterised by body composition ‘ideals’ and weight or …

Exploring The Postpartum Recovery After Hyperemesis Gravidarum: A Qualitative Study, Zeinab El-Dirani, Sergio A. Silverio, Eleni Niarchou, Elana Payne, Pauline Dunne, Melanie Nana, Catherine Williamson, Mary F. Higgins, Eileen O'Brien, Joan Devin, Aisling Walsh, Angela C. Flynn

Research Outputs: 2025-Present

Introduction: Hyperemesis Gravidarum affects 0.3–3.6% of women during pregnancy and has a significant impact on maternal health. Investigation of both the immediate and longer-term effects remains a high research priority. However, there is limited research on postpartum recovery after hyperemesis gravidarum. Aim: To explore the postpartum recovery experiences of women who had hyperemesis gravidarum. Methods: A large descriptive qualitative study was conducted using semi-structured interviews to explore the postpartum experiences of women who had hyperemesis gravidarum within the previous 5 years in Ireland. Data were analysed using reflexive thematic analysis. Results: Forty-one women participated, and four themes were identified: (1) …

Tuberculosis Presenting As Multiple Pulmonary Nodules Mimicking Malignancy, Abdel Martinez Borrego, Fatimah Bello, Brandon Cantazaro, Luisa Montoya, Frank Mediola

School of Medicine Publications

Multiple pulmonary nodules often raise concern for metastatic malignancy; however, the differential diagnosis is broad and includes infectious, inflammatory, granulomatous, vascular, and benign etiologies. Tuberculosis (TB), although uncommon, can present with multiple nodules that closely mimic metastatic disease on advanced imaging, requiring careful clinicoradiologic and microbiologic correlation. We describe a woman in her 50s who presented with dyspnea and new-onset heart failure, in whom imaging revealed mediastinal lymphadenopathy and bilateral pulmonary nodules concerning for malignancy. Evaluation was limited by concurrent COVID-19 infection, and CT-guided biopsy demonstrated necrotizing granulomas without evidence of malignancy or infection. She later re-presented with fever and …

Roles Of Cytokines In Modulating Trypanosoma Brucei Rhodesiense Infection Outcomes In Vervet Monkeys, Clarah Jebet, John Kibuthu Thuita, Daniel Masiga, Benedict Owino Orindi, John Oidho, Mark C. Field, Enock Matovu, Vincent Owino Adung’A

All Peer-Reviewed Publications

Introduction:

Human African trypanosomiasis (HAT), caused by Trypanosoma brucei rhodesiense, is categorized as acute due to rapid disease progression but presents varying clinical outcomes. Although the mechanisms underpinning differential clinical progression are poorly understood, both host and parasite factors are implicated. Therefore, we sought to elucidate roles of primate host factors in mediating varying T. b. rhodesiense infection outcomes.

Methods:

Here, we assessed the roles of selected host cytokines in disease progression using a tsetse-mediated infection in a non-human primate (NHP) vervet monkey model that closely mimics HAT and natural infection. We quantified eight cytokines, including TNF-α, IFN-γ, IL-10, IL-6, …

Interdependence Of Adoption Decisions Of Agroecological Vegetable Cropping Systems Among Smallholder Farmers In Eastern Africa, Essy C. Kirui, Dickson O. Okello, Michael M. Kidoido, Daniel M. Mutyambai, Komivi S. Akutse

All Peer-Reviewed Publications

Vegetable production plays a vital role in enhancing nutrition and generating income in Kenya, where it is an important component of the agricultural sector. Among the most widely grown vegetables are cruciferous crops, while traditional African vegetables have increasingly gained prominence in recent years. Smallholder farmers account for more than 70% of the country’s total vegetable production. However, they face various complex factors such as extreme climate variability, invertebrate pests, and diseases which reduce productivity, yields and household incomes. They, therefore, often resort to the overuse of synthetic fertilizers and pesticides that could increase their susceptibility to pest resistance, declining …

Evaluating Rate Of Perceived Exertion And Heart Rate In High School Weight Training Students For Assessing, Enhancing, And Maintaining Health-Related Fitness, Nicholas Searcy

Theses and Dissertations

This mixed-methods study evaluated the relationship between rating of perceived exertion (RPE) and heart rate (HR) among high school weight-training students during circuit training sessions. The purpose of this study was to determine whether RPE could serve as a practical method for gauging moderate to vigorous physical activity (MVPA) among high school weight-training students while allowing students to assess and enhance their health-related components of fitness. Participants were high school students enrolled in weight-training classes who completed upper- and lower-body circuit training sessions over a 4-week period, or a total of 16 school days. RPE was self-reported using Borg’s CR10 …

Evaluation Of Valley Healthcare System Inc. School-Based Health Clinic/Center At Dorothy I. Heights Elementary School In Columbus, Georgia, Nakia Ford

Theses and Dissertations

School-Based Health Centers (SBHCs) are an important strategy for addressing health disparities and improving educational outcomes among underserved students. In Columbus, Georgia, barriers such as limited insurance, transportation challenges, and provider shortages contribute to unmet health needs, which are linked to increased absenteeism. To address these issues, Valley Healthcare System, Inc. (VHCS) implemented a School-Based Health Clinic (SBHC) at Dorothy I. Heights Elementary School. This study evaluates the effectiveness of the SBHC in improving student attendance outcomes. A quasi-experimental, difference-in-differences design compared Dorothy I. Heights Elementary School (treatment group) before and after SBHC implementation (2021–2022 and 2022–2023) with a similar …

Evaluating Soil And Plant Health In A Wide-Row Maize (Zea Mays L.) Production System Integrated With Perennial Cover Crops And Turkey (Meleagris Gallopavo), Sovika Bhattarai

All Graduate Theses, Dissertations, and Other Capstone Projects

In regions dominated by intensive maize (Zea mays L.) production systems, such as the US Midwest, sustainable agricultural practices such as cover crops and livestock integration are gaining interest for their potential to improve soil, plant, and environmental health. Traditionally, annual cover cropping systems (ACCs) have been used to maintain soil quality and crop performance without compromising ecosystem services. However, the high establishment and management costs of ACCs highlight the need for alternative approaches, such as perennial cover crops (PCCs). Grown as companion crops with maize, PCCs provide extended soil cover and can improve soil biochemical properties (e.g., total C …

From Diet To Deviance: Exploring The Link Between Eating Habits And Delinquent Behaviors In Early Adolescents, Mingxi Tong

Master of Arts in Criminal Justice Theses

This study examines associations between dietary habits and delinquent behaviors among U.S. adolescents, guided by biosocial and social bond theories. Using multilevel logistic regression analysis of 6,274 participants (ages 11-15) from the 2009/10 Health Behavior in School-aged Children survey, the research investigated relationships between four dietary patterns (breakfast consumption, fruit/vegetable intake, sweets consumption, and soft drink consumption) and five delinquent behaviors (bullying perpetration, physical fighting, alcohol use, cannabis use, and tobacco smoking). Results demonstrate partial support for the hypothesis that healthier dietary habits are associated with lower delinquency. Breakfast consumption emerged as a consistent protective factor across all behaviors (7-15% …

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

“Eres Mujer Y Te Tienes Que Aguantar”: Hispanic Maternal Wellbeing, Stephanie Reyes Bravo

CISLA Senior Integrative Projects

No abstract provided.

Retention Time Of Microplastics In The Purple Sea Urchin (Arbacia Punctulata), Alexandra Shore

Honors Theses and Capstones

Marine ecosystems around the world are facing the problem of plastic pollution. Large pieces of plastic eventually degrade into smaller microplastics that are suspended in the water column and sink to the seabed. Sea urchins are exposed to microplastics as they graze on the sea floor and can accidentally consume these pollutants. Sea urchins are ecologically important animals because they physically alter their ecosystem via grazing and are integral part of marine food webs. To better understand how sea urchins interact with microplastics, purple sea urchins were exposed to microfibers and microspheres in a laboratory setting, and the retention time …

More Than A Meal: What Death Row Last Meals Reveal About Identity, Power, And Humanity, Mackenzie Helbig

Honors Theses - Providence Campus

Last meals on death row may appear to be a small or insignificant part of the execution process, but they can reveal deeper meaning about the individuals who choose them and the system that allows them. Before execution, inmates are often given the opportunity to request a final meal. While this moment is brief, it can carry emotional, cultural, and symbolic meaning. This study explores what last meals reveal about identity, mental state, and personal control in a highly controlled environment.

Using a descriptive qualitative approach, this research analyzes last meal records, academic studies, and inmate reports to identify recurring …

From Sacred Practice To Social Identity: The Historical Evolution Of Vegetarianism Through Religion, Psychology, And Social Norms, Makenna Mae Seymour

Honors Theses – Charlotte Campus

This research paper aims to explore how the vegetarian diet has evolved throughout history through lenses of religion and social psychology. Using primary and secondary academic resources, over thirty resources were evaluated, including books and journal articles,  using key words, such as “vegetarian,” “attitudes,” and “social norms.” The beginnings of vegetarianism were established through religious practices, but social norms from families and friends, as well as personal gain reasons, are the driving factors that have maintained the vegetarian diet over time. Vegetarianism began from Pythagoras and his cult in the 600s BC, but it grew once Hinduism and Jainism adopted …

Memoir: The Brain, Neuroethics, And Bioethics, Leslie C. Griffin

Scholarly Works

This Essay examines how developments in neuroscience (or brain science) affect our views of law, medicine, ethics, and religion. Part I shows how lack of clarity about brain death can lead to premature organ donation. Part II argues that health care too often provides inadequate brain care and incomplete rehabilitation. Part III explains why recovery may be possible for those braininjured patients who are told it is not. Part IV demonstrates how the fear of a brain-injured patient oddly affects my perspective on Tort and Criminal Law, which are being influenced by neuroscientific advances. Part V examines the new developments …

Exploring The Influence Of Quadriceps Peak Torque And Rate Of Torque Development On Running Mechanics After Anterior Cruciate Ligament Reconstruction, Amit M. Gohil, Gregory S. Hawk, Darren L. Johnson, Christopher S. Fry, Brian W. Noehren

Physical Therapy Faculty Publications

Background: After anterior cruciate ligament reconstruction (ACLR), chronic changes in knee joint biomechanics during higher level tasks, such as running, may negatively impact long-term knee joint health. Among the factors that contribute to these chronic changes, the influence of quadriceps strength on knee joint biomechanics during running is not well understood.   Hypothesis: Higher involved limb quadriceps strength (peak torque and rate of torque development [RTD]) and limb symmetry index (LSI) will be positively associated with greater peak knee flexion angle and peak knee extensor moment during running.   Study Design: Cross-sectional study.   Level of Evidence: Level 3.   Methods: Peak knee extensor …

Effect Of Corn Processing Methods On Growth Performance, Carcass Characteristics, And Gastrointestinal Health In Ruminants Fed Finishing Diets, Reanna Rae Byrnes-Schoen

Electronic Theses and Dissertations

The objective of this work was to evaluate different feed processing techniques and their impacts on growth performance, carcass traits, and gastrointestinal health in ruminant animals fed in confinement during the finishing phase. Two studies were conducted. The first study evaluated the effect of kernel processing high moisture ear corn (HMEC) on growth performance and carcass characteristics of finishing beef steers. The second study used feeder lambs to evaluate the effect of steam-flaking corn in a finishing diet on growth performance, carcass characteristics, and gastrointestinal tract (GIT) health. The results from the first study using steers demonstrated that feeding kernel …

Framing Of Obesity In Magazines, Chitrangda Malik

Selected Full-Text Master Theses 2021-

The aim of this study is to determine how the top four magazines in America portray the issue of obesity in terms of responsibility and in relation to mental health. Additionally, it is to determine the kind of framing used to present the issue of obesity. The data of this study is limited to Costco Connection, Better Homes & Gardens, AARP, and People magazine. Data has been divided into two timelines, one from January 2020-January 2026 and the other from January 2022-January 2026. Results indicate that magazine articles primarily attribute the cause of and solution to obesity as behavioral and …

The Influence, Dependency, And Targeting Of Fatty Acid Uptake In Er+ Breast Cancer, Abigail E. Goen

Dartmouth College Ph.D Dissertations

Estrogen Receptor-positive/ Human Epidermal Growth Factor 2-negative, breast cancer (ER+/HER2- BC) is the most prevalent subtype of BC, impacting millions of individuals. Although early screening and treatment with endocrine therapy has greatly enhanced survival, this subtype sustains a steady increase of risk for recurrent disease for decades after diagnosis, indicating the persistence of residual cancer cells that are capable of maintaining dormancy for >20 years prior to metastatic outgrowth. Dormant cells reprogram metabolic pathways which can be profoundly influenced by the tumor microenvironment in promoting quiescence or proliferation. Fatty acid oxidation dependency has been noted as a hallmark of drug …

The Basis Of The Labor Exemption Reconsidered, Sanjukta Paul

Articles

Broadly speaking, this symposium queries the question of expanding some actors’ coordination rights under antitrust law as a way of effectuating legal goals relating to “power relations.” I commend the organizers of the symposium for opening this conversation, for asking about the use of “collective bargaining” beyond the traditional labor domain, and for taking on the question in a creative way. These broader questions are essential, and yet my own article will (paradoxically, perhaps) try to contribute to this effort by going back to the core domain of the labor exemption itself—where, it turns

Utilizing Plethodontid Occupancy To Assess Initial Ecosystem Responses To Invasive Plant Control Treatment In The Central Hardwoods, Maree Guinevere Dieterich

Graduate Theses, Dissertations, and Problem Reports (ETD)

Invasive plants are a growing concern for land managers, impacting ecosystem resilience and outcompeting native vegetation. To combat this, invasive plant control treatments can assist in reducing the impacts and spread of damaging, non-native plant species. However, intensive treatments completed at large scales have the potential to negatively impact ecosystem services as well. To monitor these impacts, I utilized a well-known indicator in the Central Applachian region, Plethodontid salamanders, to assess impacts of invasive plant control treatments in the Central Hardwood forests. I completed 12 visual samples across 60 sites in West Virginia, USA during Spring and Fall of 2025 …

Maesa Ramentacea Leaf Extract Protects Against Gentamicin-Induced Nephrotoxicity In Wistar Rats By Modulating Renal Oxidative Stress, Inflammation And Apoptosis, Fahmida Akter, Md Shafiqul Islam Sovon, Baizid Hossain, Md Ariful Islam, Subrato Das, Anik Biswas, Md Sohorab Uddin, Md Mahmudul Hasan

Faculty Publications

Background: Gentamicin-induced nephrotoxicity continues to be a significant clinical concern, while effective and safe protective options remain limited. The nephroprotective potential of Maesa ramentacea has not yet been explored. To address this gap, the present study investigated the ethanolic leaf extract of M. ramentacea (MR-LEE) for its effects on gentamicin-induced kidney injury in Wistar rats. Methods: GC-MS profiling was employed to identify bioactive metabolites. Rats were categorised into five groups: control, gentamicin (100 mg/kg), gentamicin combined with silymarin (100 mg/kg), gentamicin combined with MR-LEE (200 mg/kg) and gentamicin combined with MR-LEE (400 mg/kg). Renal biomarkers, oxidative stress indicators, inflammatory and …

Building Capacity, Driving Impact: A Landscape Analysis Of Community Engagement And Outreach Cores' Activities, Emily Frankel, Stephanie Broyles, Stephenie Kennedy-Rea, Casey Solsrud, Elizabeth K. Woods, Deborah Goebert, Zsolt Nagykaldi, Holly Huye, Lee M. Pachter

Faculty Publications

Community Engagement and Outreach (CEO) Cores are a key component of the IDeA Clinical and Translational Research (IDeA-CTR) Program, serving to develop and implement capacity-building initiatives that empower communities to engage and collaborate with investigators in community-engaged research. To strengthen collaboration and shared learning across sites, a CEO Special Interest Group was established. In 2022, the group conducted a landscape analysis to systematically characterize and categorize CEO Core activities across the IDeA-CTR network, with a focus on capacity-building efforts related to knowledge transfer, co-learning, and infrastructure development. The analysis revealed several common approaches to community engagement and capacity building across …

Wellness Policies In Action: A Wscc-Based Comparative Analysis Of District-Level Policy And School-Level Practices, Leanne Denise Watson

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Wellness Policies in Action: A WSCC-Based Comparative Analysis of District-Level Policy and School-Level Practices

Leanne D. Watson, M.S.

The United States Department of Agriculture utilized the policy platform to implement and reinforce federal mandates aimed to improve health outcomes for student-aged youth, requiring all schools participating in the National School Lunch and/or Breakfast Program to develop a written wellness policy beginning with the 2016-2017 school year. However, the resulting impacts on school environments are unclear. The Whole School, Whole Community, Whole Child (WSCC) model is a recommended framework to influence wellness policies and school practices and support the holistic …

Adherence And Compliance With Exercise Training In Progressive Multiple Sclerosis: Rates And Correlates From The Cogex Trial, Cogex Research Team, Robert W. Motl, Andrew Argie, Roberto S. Hernandez, Brian M. Sandroff, Maria Pia Amato, Giampaolo Brichetto, Jeremy Chataway, Nancy D. Chiaravalloti, Gary Cutter, Ulrik Dalgas, John Deluca, Rachel Farrell, Peter Feys, Massimo Filippi, Jennifer Freeman, Matilde Inglese, Cecilia Meza, Maria A. Rocca, Amber Salter, Anthony Feinstein

School of Health Professions

Background: There is limited understanding of adherence and compliance rates for exercise training(ET) in people with progressive multiple sclerosis(PMS).Objectives: This secondary, exploratory data analysis examined rates of adherence and compliance for continuous, moderate intensity training and high-intensity intervaltraining(HIIT) and possible correlates among people with PMS from the CogEx trial.Methods: CogEx was a multi-site, multi-arm, randomized, double-blinded, and shamcontrolled trial undertaken by 11 sites in six di8erent countries. Participants(N=311) wererandomized into one of four conditions with di8erent combinations of ET and cognitive rehabilitation, including respective sham conditions, delivered twice weekly over 12 weeks.The analysis focused on adherence and compliance rates and …

Assessing The Ecological Vulnerability Of Natural Flood Defences And Risks To Agricultural Land Following Seawater Flooding, Cally Barratt

School of Biological and Marine Sciences Theses

Anthropogenic climate change is intensifying extreme weather events, affecting the natural environment by altering ecosystems, and leading to habitat loss. Pressingly, the frequency and severity of storm surge flooding in low-lying coastal regions is projected to increase under future climate scenarios. There is a growing need to understand how these events will impact coastal ecosystems, and the measures that can be taken to mitigate against these effects and protect natural resources. Furthermore, with increased pressures placed on agriculture to meet food demand, protecting arable land resources in coastal regions from the rising threat of flooding is imperative. This thesis explores …