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Integrating Lactation Education Into Centering Pregnancy To Enhance Maternal Confidence And Lactation Initiation Rates, Courtney Barbee

Doctor of Nursing Practice Projects

Introduction: Breastfeeding remains the gold standard for infant nutrition providing physical and psychological benefits for both mother and baby. The inadequacy of lactation education and support continue to hinder breastfeeding initiation in the rural areas of North Carolina. Integrating a board-certified lactation consultant into the Centering Pregnancy model provides an evidence-based strategy to improve maternal confidence and increase lactation initiation rates within the target community.

Method: Using a quality improvement framework, the project targeted expecting mothers participating in Centering Pregnancy. Pre- and post-surveys assessed confidence levels after receiving two educational sessions with a board-certified lactation consultant.

Results: …

Safe And Effective Injection Practices For Insulin And Glp-1 Users, Lydia A. Anderson

Doctor of Nursing Practice Projects

Improper insulin and GLP-1 injection techniques can reduce treatment effectiveness in patients diagnosed with diabetes mellitus. This quality improvement project aimed to improve patients' knowledge and safety regarding insulin and GLP-1 medications by conducting an educational session and demonstration of proper injection techniques. The project took place at a community senior center where individuals reported not receiving instruction or education on correct injection practices when prescribed these medications. Pre- and post-intervention surveys assessed changes in patient knowledge, confidence, and understanding of proper injection methods. Results demonstrated clear improvements in patient knowledge, confidence, and technique. This project highlights the significance of …

Enhancing Uncontrolled Hypertension Compliance And Self-Management In A Senior Center, Kimberly D. Strickland

Doctor of Nursing Practice Projects

Hypertension is a complicated, chronic condition that affects individuals worldwide. The prevalence of this condition has increased nearly 48% in the last decade in America. This project served to determine if participants in a targeted area/community would show increased knowledge and awareness of hypertension after implementation of educational sessions. A post-session survey was provided to determine if the educational sessions were effective. Data was collected and analyzed that showed an increase in awareness and knowledge regarding the prevalence of hypertension, diet modification, lifestyle, and compliance.

Increasing Awareness Of Obesity And Its Associated Risks In Adults, Esther E. Bayode

Doctor of Nursing Practice Projects

Obesity is a significant and growing public health concern in a metropolitan area of North Carolina, reflecting statewide and national trends. With 36% of adults in North Carolina classified as obese, the condition contributes to chronic diseases such as hypertension, diabetes, heart disease, and certain cancers. This project targeted adults aged 18 and older within a local faith-based community, where preliminary findings showed a strong association between elevated body mass and increased chronic disease burden. To address this issue, a two-session educational intervention was implemented in partnership with a religious organization to increase knowledge about obesity, its causes, associated risks, …

Spreading Awareness To Adults About Cardiovascular Disease And Improving Healthy Lifestyle Habits, Madison L. Eldridge

Doctor of Nursing Practice Projects

Introduction: The intention of this Doctor of Nursing Practice evidence-based project was to evaluate if providing education to the target community would increase awareness and knowledge of cardiovascular disease and healthy lifestyle habits. The goal was to increase educational knowledge and promote awareness of cardiovascular disease and healthy lifestyle habits.

Background: Cardiovascular disease (CVD) is a critical health issue that prevails across the state of North Carolina, while continuing to remain one of the leading causes of death across the south-center Piedmont area of North Carolina. Several studies have proven that increasing knowledge on cardiovascular risks, promoting healthy exercise, and …

Combating Pressure Injuries In Critical Care: A Dnp Project On Nursing Education And Prevention Strategies In The Icu, Tijuana M. Johnson

Doctor of Nursing Practice Projects

Hospital-acquired pressure injuries (HAPIs) are preventable complications that significantly increase patient morbidity, mortality, length of stay, and healthcare costs, particularly in intensive care units (ICUs). At a rural 146-bed hospital, the ICU pressure injury rate of 1.17 per 1,000 discharges exceeded the national benchmark of 0.58 per 1.000 discharges, identifying a critical gap in prevention practices. This Doctor of Nursing Practice (DNP) project aimed to improve ICU nurses' knowledge of pressure injury prevention and reduce unit-based educational intervention grounded in Patricia Benner’s Novice to Expert Theory and implemented using the Plan-Do-Study-Act (PDSA) quality improvement framework.

A pre-and post-intervention design was …

2026 Volunteer Impact Report, Tennessee. Department Of Disability And Aging

Volunteer Impact Report

This report highlights the accomplishments and statistics concerning volunteer programs for the department.

Participatory Barriers And Single-Member Districts In Planning For Latino Demographics: A Spatial Analysis Of Osceola County, Florida, Amy Garcia Paniagua

Honors Undergraduate Theses

This mixed-methods case study on Osceola County, Florida examines how participatory barriers shape planning outcomes for Latino communities within single member district systems. Demographic transformation has shaped Osceola into one of three Hispanic/Latino majority counties. For Latinos, unique barriers to civic access exist, with the potential for exclusion in planning processes. The research bridges participatory planning theory with theories supporting single-member district electoral representation by evaluating whether district-level governance mitigates inequities where civic engagement is constrained. Methods integrate GIS-based spatial analysis with an institutional review of district-level actions to assess relationships between Hispanic civic accessibility and planning equity. Two composite …

Affordability And Serving Accuracy Of A Publicly Available Dash Meal Plan For Women Using Snap Benefits, Kendra Oonorasak, Mansura Shahad Bawa, Nadia Ayesha Sesay, Emma Smith, Taylor Emerson, Jayden Brewer, Brandi M. White

Health and Clinical Sciences Faculty Publications

Background/Objectives: This regional case study evaluated the affordability and serving accuracy of a publicly available one-week DASH meal plan for single-woman households using Supplemental Nutrition Assistance Program (SNAP) benefits in central Kentucky.

Methods: For each food item in the one-week plan, total grocery costs and per-serving costs were calculated using January 2025 prices from two national grocery chains commonly patronized in an urban area in central Kentucky. Calculated costs were compared to the average weekly food cost for women aged 20–50 years in a single household based on the Thrifty Food Plan (TFP). Servings for food groups and categories were …

Growing South Dakota (Winter 2026), College Of Agriculture, Food And Environmental Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

[Page] 2 International Year of Rangelands and Pastoralists: South Dakota rangelands take center stage
[Page] 4 The professor and the soil
[Page] 8 Range ready: Helping students bridge the gap between conservation and agriculture
[Page] 9 Resilient rangelands: Native Plant Initiative’s role in reviving South Dakota’s prairies
[Page] 10 Jackrabbits lead the charge in bison research and education
[Page] 12 Agricultural and biosystems engineering celebrates century of education
[Page] 16 SDSU Quarter Scale Tractor Club: An impact beyond awards
[Page] 18 Building a legacy of opportunity: Karen D. Stuck Endowment strengthens agricultural communication program at South Dakota State University
[Page] …

The Chironian 2026, New York Medical College

The Chironian

The Chironian is distributed to a readership of 16,000 faculty, alumni and employees of New York Medical College, government and community leaders, affiliated hospitals and selected media. Each issue is carefully crafted to provide a balance of articles on cutting-edge research, personality profiles, student accomplishments and alumni news from all five schools on the NYMC campus. Inquiries can be sent to [email protected].

Is Being A Shareholder ‘In Name Only’ A Problem?, Daniel Schulte Jd

The Journal of the Michigan Dental Association

This column addresses the legal risks for Michigan dentists entering "shareholder in name only" agreements with non-dentist entities. Michigan law requires dental practices to be owned by licensed dentists to ensure professional control over public healthcare. Arrangements where management companies or manufacturers can reclaim stock for a nominal fee effectively strip the dentist of true ownership. This lack of control can lead to ethical conflicts, such as pressure to sell specific appliances regardless of professional judgment. Engaging in such schemes may endanger a dentist's license by thwarting state laws intended to protect clinical independence.

Feasibility Study Of A Screening Decision Tool For Allocating Adults Into Food Is Medicine Programs As An Effective Approach To Target Clinical And Dietary Outcomes Among Rural And Urban Adults, Alison Gustafson, Carolyn Lauckner, Joshua L. Bush, Emily Dimond, Carolina Morales Serrano, Christa Mayfield, Elizabeth T. Anderson Steeves

Dietetics and Human Nutrition Faculty Publications

Objective: Evaluate feasibility (primary), clinical, and cost outcomes (secondary) associated with the use of a screening decision tool for allocating rural and urban adults with hypertension into in a food is medicine (FIM) program.

Design: Participants were allocated to receive either medically tailored meals or grocery prescription (Rx), based on a user-centered designed screening decision tool. Medically tailored meals (MTM) provided 5 meals per week for 12 weeks. The grocery Rx program provided $100 each month for 3 months to purchase food consistent with guidelines for hypertension. Feasibility outcomes included engagement, dose, and program acceptability. Semi-structured interviews were completed with …

Predicting Off-Track Development In Infants Aged 0–6 Months In Low-Resource Settings Using Machine Learning, Faith Benson, Rachel Odhiambo, Anthony Ngugi, Willie Brink, Akbar Waljee, Cheryl Moyer, Ji Zhu, Felix Agoi, Amina Abubakar

Institute for Human Development, East Africa

Background This study aimed to address the critical gap in the limited application of machine learning (ML) for identifying developmental delays in low-resource settings by developing models to predict off-track development in infants aged 0 to 6 months and identify key predictors.

Methods A cross-sectional study involving 1,995 singleton infants aged 0 to 6 months was conducted in Kaloleni and Rabai sub-counties, Kilifi, Kenya, between March 2023 and March 2024. Development was assessed using the World Health Organization’s Indicators of Infant and Young Child Development tool, with Development-for-Age Z-scores used to classify infants as on- or off-track. Ridge logistic regression …

Differences In Biologic Clinical Trials For Chronic Rhinosinusitis With Nasal Polyps—Are We Comparing Apples With Oranges?, Marjolein Cornet, Peter W. Hellings, Martin Desrosiers, Martin Wagenmann, Richard Follows, Laura Walrave, Luz Adriana Jimenez, Lee Tombs, Dawn Edwards, Peter Howarth, Joseph K. Han

Department of Otolaryngology (ENT) Faculty Publications

In recent years, several biologics targeting Type 2 inflammation have been developed for treating chronic rhinosinusitis with nasal polyps (CRSwNP). These have been studied in registrational randomized controlled trials (RCTs), which vary in their patient populations, trial design, endpoints, geography, timing, or data-handling processes. While (in)direct treatment comparisons and meta-analyses have been carried out to compare efficacy results from RCTs, often these fail to properly account for these between-study differences. Here, we summarize the key between-study differences that can influence trial outcomes and highlight the resulting challenges faced when comparing outcomes from different Phase III RCTs of biologics in CRSwNP.

Master Of Social Work Portfolio, Isabella Faith Decunzo

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This Portfolio has been developed in partial fulfilment of the Master of Social Work (MSW) degree and demonstrates my personal and professional growth over the course of the program. It highlights selected academic and practice-based work completed throughout the past two years, reflecting my developing knowledge and application of the Five Elements of Advanced Integrative Practice and the Ten Competencies of Social Work.

Included is an appendix containing completed assignments from the MSW program in Missoula, Montana, which supports and demonstrates the reflective narrative presented throughout the portfolio. Each artifact directly aligns with and illustrates my progression toward competency in …

Towards Food Sovereignty In Cameroon: Indigenous Food Practices And Community Grain Banks In The Mayotsanaga Division Of The Far North Region, Prudencia Ayamba, Chimene Tankou Nkouamou Epse Nukunah Dr

Journal of Critical Global Issues

Food security is a term defined in 1996 by the World Food Summit as a situation where everyone has both economic and physical access to nutritious and safe food that meets their dietary needs and food preferences for an active and healthy life. This concept also became a priority during the Millennium Development Goals (MDGs) and later the Sustainable Development Goals (SDGs), which aim to combat world hunger by 2030. However, the term ‘food security’ has faced criticism for overlooking indigenous knowledge and practices in addressing the food crisis and for misrepresenting marginalized populations. Because of these limitations, the term …

Effects Of Particle Size Difference In Two Different Sweet Bran Products On Total Tract Digestibility And Rumen Ph, Emily K. Hoefling, Anna Kobza, Jessica L. Miller, Maggie E. Youngers, Galen E. Erickson, Jim C. Macdonald

Nebraska Beef Cattle Reports

Summary with Implications

Seven ruminally fistulated heifers were utilized in a 6 x 7 row-column design to evaluate two different Sweet Bran particle size products (1.8 or 2.5 mm) included at 13%, 18%, or 23% of the diet (DM) on total tract digestibility and rumen fermentation parameters. The treatment design was a 2 x 3 factorial. Rumen pH was reduced and organic matter digestibility tended to be reduced with the small particle size when Sweet Bran was included at 13% of the diet. Both NDF digestibility and dietary digestible energy concentration tended to improve with the larger particle size. The …

Use Of Virtual Fences To Co-Fence Two Groups Of Cattle With Adjacent Virtual Boundaries, Thomas E. Aquino, Mary E. Drewnoski, Biquan Zhao, Pedro Henrique Jota Fernandes, Isaque F. Vicci, Mitchell B. Stephenson, Yijie Xiong

Nebraska Beef Cattle Reports

Summary with Implications

While virtual fencing (VF) has proven effective in managing cattle, limited data exist on using it to manage two separate groups of cattle within the same area. If successful, this approach could reduce infrastructure costs and increase management flexibility. In this trial, VF-trained steers (n = 39) were placed in pastures with either no neighboring cattle (isolated) or next to a separate group with only a VF boundary between them (co-fenced). Containment exceeded 99% across all cattle, demonstrating that VF creates effective boundaries regardless of fence treatment. There was no statistical difference in the number of audio …

Defining The Parameters Of High-Pressure Processing To Improve The Quality Of Dark-Cutting Beef, Ashley A. Hahn, Leila G. Venzor, Shelley A. Curry, Grace C. Johnson, Mary-Grace C. Danao, Ranjith Ramanathan, Jordan C. Wicks, Gary A. Sullivan

Nebraska Beef Cattle Reports

Summary with Implications

Dark-cutting beef is a result of preharvest stress and devalues the resulting carcass. High-pressure processing (HPP) has been recently identified as a potential strategy to improve the undesirable appearance of dark-cutting beef. Dark-cutting beef strip loins were collected from a local processing facility, sectioned, and assigned an HPP pressure (300 or 450 MPa) and holding time (0, 1, 30, 60, or 90 s). Overall, HPP increased the lightness and redness of dark-cutting beef, particularly the longer the pressure was held at both pressure levels. Additionally, negative effects such as increased meat discoloration, decreased tenderness, and increased rancidity …

The Correlation Between 25(Oh)D, Blood Lead Levels, And Delta-Aminolevulinic Acid Dehydratase Activity Among Indonesia Male Workers, Ratih Fadhillah, Muhammad Ilyas, Liem Jen Fuk, Levina Chandra Khoe, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Background Lead exposure disrupts the heme synthesis pathway by modifying the activity of Delta-Aminolevulinic Acid Dehydratase (ALAD), contributing to oxidative stress. Vitamin D has been suggested as an antioxidant to influence oxidative balance, but evidence regarding its association with ALAD activity in lead-exposed populations remains limited. This study aimed to analyze the associations between blood lead levels (BLL), serum 25-hydroxyvitamin D [25(OH)D], ALAD activity, and the 25(OH)D/BLL ratio among Indonesian male workers.

Methods A cross-sectional study was conducted among 90 male workers exposed to lead as part of either their occupation or living environment in Java, Indonesia. Serum 25(OH)D, BLL …

Return To Work After Percutaneous Coronary Intervention In Employee With Metabolic Comorbidities: An Evidence-Based Case Report, Bramantyo Eko Wahyudi Mr, Levina Khoe

Occupational and Environmental Medicine Journal of Indonesia

Background This evidence-based case report examines whether metabolic comorbidities independently predict return to work (RTW) after percutaneous coronary intervention (PCI) for myocardial infarction. A 52-year-old male senior manager with type 2 diabetes, hypertension, dyslipidaemia, and central obesity underwent PCI and required structured occupational assessment.

Methods A systematic literature search identified five eligible studies—one national registry cohort, three prospective cohort studies, and one narrative systematic review—critically appraised using Oxford Centre for Evidence-Based Medicine criteria.

Results Metabolic comorbidities showed consistent directional associations with reduced RTW probability in bivariate analyses and independently predicted longterm labour-market exit. However, in multivariate models across three of …

Evaluating Sorghum X Sudangrass Seed Digestibility, Evan Blank, Thomas E. Aquino, Mary E. Drewnoski

Nebraska Beef Cattle Reports

Summary with Implications

A sorghum-sudangrass hybrid was swathed in the hard dough stage and grazed by growing steers from November 2023 to January 2024. Steers appeared to select the seedheads when grazing. The seed made up approximately 12.6% of swathed forage mass, but its energy contribution appears limited due to poor digestibility. When incubated whole, only 23% of dry matter and 13% of starch was digestible. Grinding improved digestibility but still left 40% of the dry matter and over 85% of starch unavailable. Weathering over two months did not improve digestibility, indicating the seed coat remains intact through winter. Compared …

Long-Term Trends Of Annual Herbaceous Expansion In The Nebraska Panhandle: Rangeland Analysis Platform Data, Karley Dieckmann, Mitchell B. Stephenson, Miranda Mueller

Nebraska Beef Cattle Reports

Summary with Implications

This descriptive analysis evaluated changes in Annual Forb and Grass (AFG) herbaceous cover in the Nebraska Panhandle from 1986 to 2023 using the Rangeland Analysis Platform (RAP). It was hypothesized that AFG herbaceous cover would show an increasing trend over time, indicating the potential expansion of the annual invasive cheatgrass (Bromus tectorum). County-level RAP data were used to calculate long-term means as an indicator. Results showed an increase in AFG cover across the region. Trends were cyclical, with cover peaking and dipping over time, but the overall trajectory showed increases in AFG in the Panhandle. The increasing …

Impact Of Co-Culture Of Leuconostoc Citreum Omjc64, And Baker’S Yeast As Starters On The Formulation Of Potato-Wheat Sourdough Bread, Ogunbanwo S.T., Isife E.A., Olayiwola O.O., Awotidebe T.

Annals. Food Science and Technology

This study evaluates the growth, exopolysaccharide production, enzymatic activity, safety, and application of Leuconostoc citreumOMJC64, isolated from fermented sweet potatoes, in sourdough bread production. The effects of partially substituting wheat flour (WF) with orange-fleshed sweet potato (OFSP) flour on sourdough were examined, focusing on the bread’s physical, rheological, and nutritional properties. Leuconostoc citreumOMJC64 enhanced the sourdough bread’s quality in terms of physical, sensory, and nutritional attributes. The strain grew optimally in acidic (pH 3.5–4.5) and osmotic (2% NaCl) conditions, with maximum growth at pH 4.5 and 2% NaCl. It produced exopolysaccharides, amylase, and protease but showed no lipase, DNase, gelatinase, …

Development Of A Functional Artisanal Sugar-Free Ice Cream And Study Of Physicochemical Behavior, Popescu Mariana, Dabija Adriana, Chetrariu Ancuta

Annals. Food Science and Technology

The use of natural sweeteners in ice cream production could meet the demands of modern consumers focused on natural and nutritionally balanced foods. The objective of this work was to fill the gap in the basic knowledge about the effects of sugar-free apple concentrate, a natural substitute for sugar, rose petal jam and oat milk on the properties of artisanal ice cream. As a reference sample (REF), an ice cream sweetened with sugar-free apple concentrate, rose petal jam and oat milk base was produced, then increasing the amount of apple concentrate and the amount of oat milk, and in parallel …

Antimicrobial Pattern Of Crude Oil And Non-Crude Oil Contaminated Seafood From Bayelsa State, Nigeria, Mbolo Poweidor Freeborn, Akomah-Abadaike Onyinyechi Ndimele

Annals. Food Science and Technology

Seafood is an important source of protein, minerals and essential vitamins to human. This study is aimed at the microbiological evaluation of crude oil and non-crude oil contaminated seafood from Bayelsa State. Seafood such as periwinkle, prawn and clams were all harvested from crude oil and non-crude oil contaminated environment. Standard microbiological analysis for total heterotrophic bacteria were determined. Gram staining, biochemical identification, and Antibiotics susceptibility test were determined. Total heterotroph bacteria count ranged from 7.13 to 8.42 log10cfu/g, Staphylococcal count ranged from 5.48 to 6.86 log10cfu/g, Salmonella count ranged from 6.30 to 6.74 log10cfu/g, Coliform count ranged from 4.90 …

Composite Flour: Nutritional And Physical Properties A Review, Akanni Abubakar Adegboyega, Alimi John Praise, Abdulahi Hauwa Machina, Salako Mojisola Oladunni

Annals. Food Science and Technology

Composite flour is produced by blending flours derived from diverse grains or combining grains with vegetables, offering a nutrient-rich profile that includes vitamins, minerals, and dietary fiber. The growing preference for healthier and more nutrient-dense foods, influenced by evolving lifestyles and socioeconomic trends, has led to their increased relevance in food production. When one or two flours are mixed with wheat flour for baking, it influences several quality dimensions, such as the nutritional value and physical attributes of the final products. Extensive studies conducted in developing countries, where wheat flour is heavily consumed and imported to meet high demand, particularly …

Ensuring Seafood Safety - Food Handling Practices At Home To Mitigate Foodborne Illness – A Consumer Study, Arundhathi V., Mini Sekharan N.

Annals. Food Science and Technology

Inadequate food handling practices in the supply chain significantly contribute to foodborne illnesses. As global concerns about food safety intensify, understanding domestic food handling practices and raising consumer awareness is essential. The study examines the association between self-reported foodborne illness and seafood handling practices among consumers across Kerala, India. A cross-sectional survey of seafood consumers was conducted via an online questionnaire from March to December 2023. Of 2079 survey respondents, 8.5% (n=177) reported experiencing seafood-related foodborne illness. Safe handling practices among those who experienced seafood-borne illness (Case group) scored lower compared to those who did not (Control group). Seafood handling …

Postharvest Physiology And Storage Of Cereal Crops In Sub-Saharan Africa: A Mini Review, Salamatu A.S., Dandago M.A., Nassarawa Sanusi Shamsudeen, Falmata A.Z.

Annals. Food Science and Technology

Cereal crops are a vital component of food security in Sub-Saharan Africa (SSA), providing essential nutrients and calories to millions of people. Despite their importance, significant postharvest losses occur due to inadequate handling and storage practices, which are exacerbated by the region's challenging environmental conditions. This review examines the postharvest physiology of major cereal crops such as maize, sorghum, millet, and rice and their storage challenges in SSA. It discusses the physiological changes in cereals after harvest, including fluctuations in moisture content, respiration rates, and nutrient degradation. The review highlights the critical role of moisture management, the impact of respiration …