Digital Commons Network^™

Combined Multichannel Intraluminal Impedance And Ph Testing In Infants And Young Children-A Narrative Review, Rochelle Sequeira Gomes, Sheeja Abraham, Michael Favara, Amy J. Sloane, Zubair H. Aghai

Department of Medicine Faculty Papers

Gastroesophageal reflux disease (GERD) is common in infants and young children, and thediagnosis and characterization of the disease continues to evolve in recent times. The typicalsymptoms thought to be related to GERD in young children are often nonspecific andubiquitous, underscoring the need for diagnostic testing in patients who have severe symptomsor complications related to GERD. Combined multichannel intraluminal impedance and pHtesting (MII-pH) is a diagnostic tool that can be used to study the frequency andseverity of gastroesophageal reflux. Compared to other diagnostic devices, MII-pH hasthe advantage of detecting both acidic and alkaline reflux events, as well as allows the study …

Analyzing Attitudes On Social Welfare: Partisanship Versus Self-Interest, Jack D. Ryder

Student Publications

What influences Americans' attitudes on social welfare? Why do some Americans vote seemingly against their interests? Using data from the 2020 National Election Survey, this paper will test hypotheses examining how rurality and Republican partisanship are associated with lower favorability toward social welfare spending. This paper will also analyze the current literature on immigration, locality, and partisanship to see how they shape attitudes toward welfare spending. Overall, the regression models show that Republican partisanship is more correlated with support for social welfare cuts than an individual’s rurality. This study is important for understanding how partisanship shapes attitudes on policy and …

Belmont Council On Aging: Planning For The Future, Caitlin E. Coyle, Nancy Mazonson, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive needs assessment of Belmont’s older adult population. The study was conducted to support planning by the Belmont Council on Aging and Beech Street Senior Center, and it also provides valuable information for other town departments, community organizations, and residents. Specifically, this report aims to: *Describe Belmont’s current older adult population and their needs. *Assess the services and resources currently available. *Identify gaps and opportunities for improvement. *Provide recommendations to ensure Belmont remains a supportive, age-friendly community for years to come.

As the number of older residents grows, so too will the need …

Contracting For Consumer Trade Compliance, Christine Abely

Law Faculty Scholarship

Export compliance is becoming increasingly important for parties required to abide by U.S. law, including many online sellers of consumer products. These retailers' contractual terms with their customers set forth a number of provisions governing the relationship between them, including those which deal with arbitration, indemnification, disclaimer of warranties, and other issues. Many such agreements also purport to create obligations on the part of the consumer as to export control and sanctions compliance relative to the products they purchase. These contract provisions attempt to do so, however, in often markedly different ways, and with language that may leave notable gaps …

A Spanish-Language Adaptation Of The Brief Wisconsin Inventory Of Smoking Dependence Motives Among Mexican And Mexican-American Adults Who Smoke, Yessenia Castro, Jose E. Velasquez, Zully C. Guerra, Tatiana Londoño, John R. Moore, Nazanin M. Heydarian

School of Social Work Faculty Publications

Introduction: The smoking pattern of Latino smokers differs from non-Latino white smokers such that physical dependence may not be a strong motivator for smoking among Latinos. Multidimensional measures of dependence may be more useful, but there is a lack of psychometrically sound multidimensional Spanish-language measures. This study evaluated the psychometric properties of a Spanish-language adaptation of the Brief Wisconsin Inventory of Dependence Motives (Brief WISDM) for use among Spanish-speaking Latino smokers in the U.S.

Methods: 287 Spanish-speaking Mexican-origin smokers in the U.S. responded to a revised set of Spanish Brief WISDM items. Confirmatory factor analyses and model trimming procedures were …

Breaking The Echo Chamber: Market Failures In The Social Media Information Market And The Need For Reform, Aleco M. Hamrick

Indiana Law Journal

Traditionally, the information market is centrally controlled. Once information consumption transitioned from the physical world to the digital world, the barrier of entry to the information dissemination market was reduced from printing presses and distribution networks to a smartphone and an internet connection. Ostensibly anyone can distribute any idea at any time. This strains the traditional information governance model that has dominated the information market for centuries; where epistemic authorities once controlled both the streams of information and the kinds of information that entered them, now social media companies exert limited control over information streams and no control over what …

Effects Of Provisioning On Two Species Of Rock-Wallaby (Petrogale Mareeba And Petrogale Assimilis) In North Queensland, Australia, Eve Oliker

Australia: Rainforest, Reef, and Cultural Ecology

Provisioning, the act of providing food, water, or shelter to wild animals, can lead to habituation, resulting in changes in behavior, abundance, and distribution (Newsome & Rodger, 2008). In North Queensland, a colony of Mareeba rock-wallaby (Petrogale mareeba) at Granite Gorge has been provisioned for over 45 years, mainly through direct hand-feeding, while a group of allied rock-wallaby (Petrogale assimilis) in Magnetic Island has experienced shorter and less consistent provisioning. This study investigated whether long-term provisioning causes more severe behavioral changes, higher aggression, and larger aggregation sizes. Approximately one week was spent observing each population. Scan sampling was utilized to …

The Imperative Of Regeneration: Exploring The Dimensions Of Tourism And Agriculture In Bali, Ava Whitney

Indonesia: Arts, Religion, and Social Change

This research centers on the impacts of mass tourism, development, and modernization on the landscape and culture of Bali and investigates regenerative alternatives in agriculture and tourism. Regenerative thinking offers a vision of travel and subsistence that preserves the ecology of the landscape and the integrity of Balinese culture. Organic farming and permaculture principles are traditional agricultural practices in Bali that have existed for generations, imbued with the Tri Hita Karana philosophy of Balinese Hinduism. Agriculture is a facet of Traditional Ecological Knowledge (TEK) that transmits ecological and cultural wisdom to future generations about how to relate to the natural …

Effects And Importance Of Structure And Light On Acropora And Platygyra Corals In A Shallow Reef, Olivia Becker

Australia: Rainforest, Reef, and Cultural Ecology

This study examined the niche’s corals had and their locations on the reef. And more closely observed how light availability and structural complexity affect the spatial distribution of different coral species on a shallow reef. By using photogrammetry and putting out HOBO light sensors data was observed to see how much light the corals received and the structural complexity that surrounds them. Surveys were done on Lizard Island in the Great Barrier Reef, and the study site was Horseshoe. Horseshoe is a shallow reef located on the sheltered side making it easy to survey at. During a 3 day span …

The Impacts Of Sports Specialization On Youth Development, Madison M. Allen

Honors Thesis

To this date, there has been a rise in the professionalism of youth sports, which has increased the competitiveness and likelihood of early specialization in young athletes. While this allows youth athletes to have recognition at a young age, many athletes experience negative effects that inhibit their ability to make it to the elite level at a later age. Sports specialization can be defined as the participation and/or training of one sport year-round, typically excluding participation in all other sports. Current research suggests that sports specialization can contribute to injury and musculoskeletal disorders, impact motor skills and coordination, and cause …

Pacap Signalling Network In The Nucleus Accumbens Core Regulates Reinstatement Behaviour In Rat, Samrat Bose, Gregory Simandl, Evan M. Hess, Linghai Kong, Nicholas Raddatz, Brian Maunze, Sujean Choi, David A. Baker

Biomedical Sciences Faculty Research and Publications

Cocaine use disorder (CUD) lacks FDA-approved treatments, partly due to the difficulty of creating therapeutics that target behaviour-related neural circuits without disrupting signalling throughout the brain. One promising candidate for circuit-selective neuromodulation is pituitary adenylate cyclase-activating polypeptide (PACAP), a neuropeptide with pleiotropic behavioural actions whose signalling network spans the gut–brain axis. Here, we investigated the potential existence and function of an endogenous PACAP signalling network within the nucleus accumbens core (NAcc), which is a structure that integrates emotional, cognitive and reward processes underlying behaviour. We found that PACAP and its cognate receptor, PAC1R, are endogenously expressed in the rat NAcc …

Psychological Impact And Severity Condition During The Coronavirus (Covid-19) Pandemic Among The General Population In Iraq, Kawthar Nassir, Zainab Qasim, Nesif Al-Hemiary, Zahraa Al Nedawi

Iraqi Postgraduate Medical Journal

Background: the COVID-19 pandemic is a global healthcare crisis that impacts multiple body systems and is linked to various psychiatric issues.Objective: this study aims to assess psychological symptoms, sleep disturbances, and insomnia associated with infection by covid-19, examining the severity of these symptoms based on the perceived threat of infection. Patients and Methods: This observational, cross-sectional study of a convenient sample of patients, involved collecting medical data by distributing questionnaires under a psychiatrist’s supervision. The data included demographics, co-morbidities, disease severity, psychological measurements, treatment response, and prognosis. The questionnaires incorporated the Anxiety and Stress Scale, along with the Impact of …

Vitamin D And Carboxy-Terminal Cross-Linking Telopeptide Of Type-1 Collagen In Polycystic Ovary Syndrome And Their Relation With Hyperandrogenism., Aya Badri, Nazar Haddad

Iraqi Postgraduate Medical Journal

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. Key features such as hyperandrogenism, hyperinsulinemia, and obesity can affect bone mineral density and biochemical markers of bone turnover. Vitamin D is linked to reproductive health, metabolic changes, and mental well-being in PCOS patients.Objectives: To assess the relationship between vitamin D, CTX (C-Telopeptide of type 1 collagen), and testosterone levels in women with PCOS.Patients and methods: This comparative cross-sectional study included 78 women with PCOS and 82 healthy controls. Serum testosterone and vitamin D levels were measured using a COBAS® e411 analyzer, while CTX …

Chemical And Sensory Attributes Of Different Ethanol Reduction Methods In Muscadine Wine Production, Alexandra A. Escalera, Patricia C. Patricio Morillo, Drew Budner, Katherine A. Thompson-Witrick, Andrew J. Macintosh

Chemistry

There has been a recent shift in the global wine market towards reduced-alcohol wines. Muscadine grapes (Vitis rotundifolia) have become a popular choice in many emerging markets; however, their suitability in reduced-alcohol wine production has not been extensively tested. In this study, methods to reduce ethanol in muscadine wine were compared to determine differences in chemical and sensory attributes and consumer preference. The methods evaluated included full fermentation time with Saccharomyces cerevisiae (control), reduced fermentation time with Saccharomyces cerevisiae (stopped fermentation), fermentation with Saccharomycodes ludwigii yeast (instead of Saccharomyces cerevisiae), and vacuum distillation. The control and distilled wines were fermented …

Growth Measurements In Ugandan Children With Sickle Cell Anaemia From A Hydroxyurea (Hydroxycarbamide) Treatment Trial Relative To Unaffected Sibling Controls, Dennis Kalibbala, Vincent Mboizi, Grace Nambatya, Susan Murungi, Joan Ashaba, Catherine Nabaggala, Lynnth Turyagyenda, Deogratias Munube, Phillip Kasirye, Robert Opoka

Paediatrics and Child Health, East Africa

No abstract provided.

Spatiotemporal Modeling Of Maternal Mortality In South Carolina 2018-2023, Leah Wood, Ray Bai, Emily Mann

Senior Theses

Maternal death serves as a public health indicator due to fact that it is considered preventable with the availability of modern biomedicine, however, it persists broadly throughout the United States. Current literature outlines national trends in maternal mortality with complicating, preexisting conditions, and structural upstream factors often cited as being the largest contributors to increased risk. This study utilizes publicly available, county-level data for maternal death in addition to demographic and descriptive data in order to estimate maternal mortality rates in each of South Carolina’s 46 counties from 2018 to 2023. In order to address sparsity in the outcome variable …

Integrating Food Loss And Waste Reduction Policies With Global Dietary Shifts: An Economic Modelling Study, Alessandro Gatto, Maksym Chepeliev

Department of Agricultural Economics Faculty Publications

Background

Methods

A Better Great Plains: Bridging The Implementation Gap For A Better Future, David W. Sandahl

School of Natural Resources: Dissertations, Theses, and Student Research

The Northern Great Plains is experiencing extensive native grassland loss and landscape degradation, jeopardizing both ecological integrity and the socio-economic systems that rely upon these ecosystems. In an early effort to lessen degradation, the United States Department of Agriculture (USDA) introduced the Conservation Reserve Program (CRP) which generated ecosystem services benefits such as reduced soil erosion, improved water quality, and increased species diversity through the retirement of cropland and rangeland for 10- or 15-year contracts. However, CRP has not fully modernized alongside today’s agriculturalists and adoption remains shaped by an historically fraught socio-political context characterized by deep-seated mistrust between ranchers, …

Illuminated Magazine - Fall 2025, School Of Graduate Studies, East Tennessee State University

Illuminated: Graduate Student Research Magazine

• 2: Editorial Staff
• 5: Graduate Students and Advisors
• 6: ETSU’s First Master of Music Cohort Finds Its Voice on Campus
• 9: Where Are They Now? Jacob Mitchell
• 10: Characterizing and Enhancing Carotenoid Production in Tomato Plants
• 14: Where Are They Now? Jeremiah J. Flake
• 15: In the Gaps of the System: Centering BIPOC Mothers in Maternal Mental Health
• 18: Roles of Female Musicians in Appalachian Bluegrass
• 20: Where Are They Now? Alexis Moser
• 21: From Guyana to Tennessee: Bridging Gaps in Women’s Mental Health Care
• 24: Where Are They Now? Megan Roberts
• 26: Characterizing User Experience in AI Chatbots within …

Nutrition In Context: How Cultural Beliefs, Gender Norms, Social Environments, And Interventions Shape Maternal Nutrition In Nepal, Rebecca Fan

Switzerland: Global Health and Development Policy

Maternal nutrition is recognized as one of the most significant and modifiable determinants of persistent inequities in maternal and neonatal health. In Nepal, what women are able to eat and how they experience pregnancy are all shaped by a complex interplay of cultural beliefs, gendered expectations, household dynamics, structural barriers, and nutrition intervention efforts. This study examines these intersecting factors through ethnographic accounts, peer-reviewed scientific literature, expert interviews, and an analysis of current interventions operating across different levels. Specifically, to understand the social environments shaping maternal nutrition, the paper explores cultural beliefs and misconceptions surrounding food, women’s limited control over …

Signs & Symbols, Fall 2025, Illinois State University, Department Of Sociology And Anthropology

Signs & Symbols

Newsletter of the Illinois State University Department of Sociology and Anthropology. An email newsletter version of this document is available at https://web.archive.org/web/20260223203547/https://news.illinoisstate.edu/newsletters/signs-symbols-fall-25/.

Border Decriminalization As A State Project: Lessons From Marijuana And Assisted Suicide Legalization Across The United States, Victor C. Romero

William & Mary Journal of Race, Gender, and Social Justice

My prior work argued for the decriminalization of border crossings without proof of specific intent to violate another law (like drug trafficking), which is even less likely to happen now than it was when the piece was published, given the current presidential administration’s zealous deportation strategy and Congress’s seeming acquiescence. As such, I advocate for a second-best solution involving federal-state cooperative agreements wherein border states abutting both Mexico and Canada are given the option by the federal government to pass local legislation decriminalizing border crossings into their states as their communities desire. To the extent that the current presidential administration …

Contracting For Consumer Trade Compliance, Christine Abely

Dickinson Law Review (2017-Present)

Export compliance is becoming increasingly important for parties required to abide by U.S. law, including many online sellers of consumer products. These retailers’ contractual terms with their customers set forth a number of provisions governing the relationship between them, including those which deal with arbitration, indemnification, disclaimer of warranties, and other issues. Many such agreements also purport to create obligations on the part of the consumer as to export control and sanctions compliance relative to the products they purchase. These contract provisions attempt to do so, however, in often markedly different ways, and with language that may leave notable gaps …

Assessment And Management Of Magnesium And Trace Element Status In Children With Ckd Stages 2-5, On Dialysis And Post-Transplantation: Clinical Practice Points From The Pediatric Renal Nutrition Taskforce., Jetta Tuokkola, Caroline E. Anderson, Sheridan Collins, Pearl Pugh, Molly R Wong Vega, Matthew Harmer, Lyndsay A. Harshman, Christina L. Nelms, Barry Toole, An Desloovere, Fabio Paglialonga, Nonnie Polderman, José Renken-Terhaerdt, Rukshana Shroff, Evelien Snauwaert, Stella Stabouli, Johan Vande Walle, Bradley A. Warady, Vanessa Shaw, Larry A. Greenbaum

Manuscripts, Articles, Book Chapters and Other Papers

Children and young people with chronic kidney disease (CKD) are at risk for deficiency or excess of magnesium and trace elements. Kidney function, dialysis, medication, and dietary and supplemental intake can affect their biochemical status. There is much uncertainty about the requirements of magnesium and trace elements in CKD, which leads to variation in practice. The Pediatric Renal Nutrition Taskforce is an international team of pediatric kidney dietitians and pediatric nephrologists, formed to develop evidence-based clinical practice points to improve the nutritional care of children with CKD. PICO (patient, intervention, comparator, and outcomes) questions led the literature searches, which were …

Movement- And Posture-Based Measures Of Sedentary Patterns And Associations With Metabolic Syndrome In Hispanic/Latino And Non-Hispanic Adults., Marta M. Jankowska, Calvin P. Tribby, Paul R. Hibbing, Jordan A. Carlson, Mikael Anne Greenwood-Hickman, Dorothy D. Sears, Andrea Z. Lacroix, Loki Natarajan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Sedentary behavior has been identified as a significant risk factor for Metabolic Syndrome (MetS). However, it is unclear if the sedentary pattern measurement approach (posture vs. movement) impacts observed associations or if associations differ for Hispanic/Latino communities, who have higher risk of MetS.

METHODS: Participants from the Community of Mine (CoM) study (N = 602) wore hip-based accelerometers for 14 days and completed MetS-associated biomarker assessment (triglycerides, blood pressure, fasting glucose, HDL cholesterol, waist circumference). Sedentary patterns were classified using both cutpoints (movement-based) and the Convolutional Neural Network Hip Accelerometer Posture (CHAP) algorithm (posture-based). We used logistic regression to …

Metabolic Acidosis And Cardiovascular Disease Risk In Children With Ckd., Denver D. Brown, Jennifer Roem, Kimberly Reidy, Susan Furth, Bradley A. Warady, Michal Melamed, Tammy Brady, Ckid Study Investigators

Manuscripts, Articles, Book Chapters and Other Papers

KEY POINTS: Metabolic acidosis may be associated with adverse cardiovascular disease risk. Prospective studies of the benefit of alkali therapy on cardiovascular disease risk are needed.

BACKGROUND: The link between metabolic acidosis (MA) and cardiovascular disease (CVD) outcomes has been studied in adults but not in children with CKD where MA is a common and early finding. Using longitudinal BP and cardiac measurement data, we evaluated whether low serum bicarbonate (a surrogate for MA) is associated with adverse CVD risk.

METHODS: This study used data from children age 1 year and older with eGFRs between 30 and 90 ml/min per …

Effects Of Heat Stress And Depressed Feed Intake On The Cecal And Ileal Microbiota Of Broiler Chickens, Philip M. Campos, Elizabeth S. Greene, Monika Proszkowiec-Weglarz, Sami Dridi

Poultry Science Faculty Publications and Presentations

Chronic heat stress (HS) is known to depress feed intake (FI) and growth in broiler chickens, and may alter the gut microbiota and health, however, the amplitude and duration of each (HS and depressed FI) effect on gut microbiota is still unclear. This study aimed to determine the effects of chronic and acute HS on the cecal and ileal microbiota profiles. Broilers were subjected to thermoneutral (TN, 23 degrees C) or chronic cyclic HS (CHS, 8 h/d, 35 degrees C) condition from d29-42, and one group to acute HS (AHS, 2 h, 35 degrees C) at d42. To distinguish between …

Perioperative Antibiotic Administration Review: An Analysis Of Outpatient Surgeries At Ohiohealth Doctors Hospital., Rayyan Bhutta, Thomas Shneker, Samantha Currier, Alexander Caskey, Vincent Relli-Dempsey, Matthias Franzen, Samir Patel

Surgery Articles

INTRODUCTION: A vital part of preventing surgical site infections (SSIs) is perioperative antibiotic prophylaxis. Antibiotics must be administered within a certain window of time, usually 15 to 60 minutes prior to the surgical incision, for them to be effective. The most frequently utilized medication, cefazolin, can be administered quickly by intravenous push (IVP), but other medications, such as vancomycin and clindamycin, need longer infusion times. Antibiotic efficacy declines, and the risk of SSIs is increased when scheduling requirements are not followed. With special focus on time, dosage, and variation by surgery type, this study evaluates adherence to perioperative antibiotic administration …

Sharksrx Newsletter Fall 2025, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Subsistence As Resistance: Reconceptualizing The Theory Of Progressive Property To Incubate Resistance To Consumerism, D.S. Pensley

William & Mary Environmental Law and Policy Review

This Article reconceptualizes the theory of progressive property by juxtaposing legal theory with the empirical study of a subsistence economy in the U.S. Subarctic. Progressive property holds that owners are bound by obligations to non-owners as a means to achieve human flourishing. The theory is constrained by the primacy of private property in Western thought, and it also lacks the ecological ethic required for sustainability. Drawing from my fieldwork, I suggest that human flourishing must additionally incubate resistance to consumerism.

Federal statute, 16 U.S.C. § 3113, defines subsistence as “the customary and traditional uses by rural Alaska residents of wild, …