Digital Commons Network^™

Staff Education Program On Medication Reconciliation In Primary Care, Virginia Ann Bloomer

Walden Dissertations and Doctoral Studies

Medication errors represent a persistent threat to patient safety, particularly during transitions of care in outpatient settings. Despite recognition of the problem, standardized medication reconciliation practices among primary care physicians and nurse practitioners (NPs) remain inconsistent, hindered by varied workflows, unclear responsibilities, and knowledge gaps. To address these issues, a staff education program focusing on medication reconciliation was introduced to seven NPs and three physicians in a primary care clinic. Pre- and post-intervention surveys measured participants’ knowledge and confidence in conducting medication reconciliation and documenting medications in electronic medical records. The average test score improved from 68% to 92%, demonstrating …

The Lived Experience Of Bariatric Patients During The Pre-Surgical Evaluation, Nathan Paul Wharton

Walden Dissertations and Doctoral Studies

Patients undergoing bariatric surgery have no standard of care for the pre-surgical evaluation process (PSE). Often, these patients look at the PSE as just another hurdle to jump through before reaching surgery. The PSE, however, offers an opportunity for mental health professionals to prepare the patient for the challenging lifestyle changes necessary for weight loss maintenance in the long term. The problem being studied is whether patients feel they are prepared for the unique mental health challenges, eating disorder challenges, and strict lifestyle changes during the PSE. The study followed a qualitative interpretative phenomenological analysis approach to explore the lived …

Illinois Model Programs Of Study Guide: Education, Education Systems Center

Reports, Analyses, and other Publications

First published in October 2020. Significantly revised in October 2022 to reflect credentialing changes, and in September 2024 to incorporate updated labor market information. An update in April 2025 included minor corrections. In August 2025, two new sections were added: key terminology and the relationship between concepts.

Role Of Perceived Social Support And Knowledge Of Postpartum Depression Among Women In Anambra State, Eastern Nigeria, Raphael Oluwasina Babatola Folorunsho

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is an increasingly pressing public health issue, particularly in low-resource settings like Nigeria, where maternal mental health tends to receive limited attention. This study explored the relationship between maternal awareness of PPD, perceived social support, and prevalence of depressive symptoms among postpartum women in the Nnewi North Local Government Area (LGA) of Anambra State. Grounded in the social support theory, health belief model, and socioecological model, the study used a descriptive cross-sectional research design. A total of 406 postpartum women attending primary healthcare centers were surveyed using validated instruments, including the PHQ-9 and MSPSS. Statistical analyses included …

Predation By The Brown Vine Snake, Oxybelis Koehleri, On The Autotomized Tail Of An Escaping Common Anole, Anolis Humilis, Jose M. Mora, Myzell Kenneth Amaro

Biology Faculty Publications and Presentations

During a natural history hike at La Selva Biological Station in Costa Rica, we observed a Brown Vine Snake, Oxybelis koehleri, consuming the autotomized tail of a Common Humble Anole, Anolis humilis, which had escaped predation. This event represents a rare documented instance of a vine snake feeding exclusively on a detached lizard tail. Tail autotomy is a widespread anti-predator strategy among lizards, with the shed tail continuing to writhe post-detachment, potentially attracting predators. Lizard tails are lipid-rich and offer a convenient energy source, especially in resource-scarce environments. Although such behavior has been noted in other reptiles, it is seldom …

Gastrointestinal Fistulas-What Gastroenterologists Need To Know In 2025, Monjur Ahmed

Division of Gastroenterology and Hepatology Faculty Papers

Gastrointestinal fistulas are increasingly being encountered in our clinical practice because of the increased burden of Crohn's disease, bariatric surgeries, interventional endoscopic procedures, nonsurgical trauma, and war and disaster zones worldwide. Presentation depends on the location and specific type of the fistula. Symptomatic ones can have a tremendous impact on social life and can cause dehydration, electrolyte imbalance, malnutrition, increased morbidity, and mortality. Different imaging studies and endoscopic procedures are done to establish the diagnosis. Treatment modalities to close the fistula depend on the underlying disease and the type of fistula. They include conservative treatment, medical therapy, endoscopic interventions, and …

An Assessment Of Basic Needs Insecurities In Grand Valley State University Residence Halls, Matthew Bristol

Masters Theses

Basic needs insecurity scholarship in higher education consistently highlights the need to provide more and better support to students. Little research has been done to address basic needs insecurity in residence halls, and this study is the first to use the #RealCollege survey to evaluate basic needs insecurity among residential students. I use the results of the survey tell the story of what it is like for Grand Valley State University students to face basic needs insecurity while living on campus, to assess what resources participants use to secure their basic needs and offer recommendations for improved support offerings to …

Cardiometabolic Outcomes In The Obese African American Population With Rheumatoid Arthritis, Cecilia Jillo Walan

Walden Dissertations and Doctoral Studies

Rheumatoid arthritis (RA) disproportionately impacts African American adults, particularly those with obesity, due to overlapping cardiometabolic risks and health care disparities. The intersection of RA, obesity, and chronic conditions such as cardiovascular disease (CVD) and hypertension underscores the need for targeted public health interventions. This study investigated the association between RA and cardiometabolic outcomes among African American adults with obesity, aiming to identify significant predictors within this high-risk population. This quantitative study employed a cross-sectional design to analyze data from the 1999–2018 National Health and Nutrition Examination Survey undergirded by the social ecological change framework with N=23644 African American adults …

Lived Experiences Of Newly Graduated Social Workers Transitioning Into The Field Of Child Protective Services, Chantrese Oliver

Walden Dissertations and Doctoral Studies

Lived Experiences of Newly Graduated Social Workers Transitioning Into the Field of Child Protective Services by Chantrese Oliver MPhil, Walden University, 2024 MS, Walden University, 2014 AA, National Paralegal College, 2012 BS, Fayetteville State University, 2010 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Psychology Walden University August 2025

The Effects Of Moderate-Intensity Physical Exercise And Yoga Interventions On Stress In Hispanic College Students: A Pilot Study, Hongxing Lu, Florentino Saenz, Preethi Raju, Ednia Gutierrez, Sue Anne Chew, Saraswathy Nair

Health & Biomedical Sciences Faculty Publications

Background: Hispanic college students face high stress, which may increase their risk for chronic stress-related health issues. Effective and accessible stress management strategies for this population remain limited. Objective: This pilot study filled a gap by studying the effects of psychological stress on diet and physical activity habits and evaluating the impact of moderate-intensity physical exercise (MIPE) and yoga interventions on chronic psychological stress and acute stress responses among Hispanic college students. Methods: A total of 18 Hispanic college students participated in a 6-week intervention consisting of either MIPE or yoga, conducted twice weekly. Anthropometric measurements and lifestyle data were …

Vitamin D Deficiency And Its Role In Pathologies Of Oxidative Stress: A Literature Review, Philippe Dentino, Johanna Mora, Li Zuo

School of Medicine Publications

Vitamin D (VD) is a key mineral providing critical modulation of reduction-oxidation homeostasis within biological systems. VD and the VD receptor coordinate essential cellular activities, including mitochondrial electron transport, respiration, antioxidation, gene regulation, and calcium transportation. Reactive oxygen species (ROS), a natural by-product of cellular metabolism, play a prominent role in the mechanisms of biological antioxidant systems and form the basis of antioxidant therapies. However, ROS may also perpetuate pathological processes when produced in excess secondary to inflammatory pathways. Aging processes within cells rely on this reduction-oxidation homeostasis. Thus, the interaction with VD, its receptor, mitochondria, and oxidative stress forms …

Isolation, Identification, And Antitumor Activities Of Glucosinolates And Isothiocyanates In Chinese Cabbage Seeds, Bei Zhou, Ying Liu, Xi Feng, Qian Liu, Salam A. Ibrahim, Wen Huang

Faculty Research, Scholarly, and Creative Activity

Isothiocyanates (ITCs), which are derivatives of glucosinolates (GSLs) from Brassica plants, have been investigated as anticancer agents. An extensively studied anticancer ITC is sulforaphane, which is found in low amounts in Chinese cabbage. We aim to investigate the types and content of GSLs (precursors of ITCs with anticancer activity) in Chinese cabbage seeds. GSLs from Chinese cabbage seeds were isolated and purified using acidic Al2O3 column chromatography and preparative HPLC. GSL and ITC profiles were further identified using UHPLC-Q-TOF-MS. The antitumor activities of ITC (produced by exogenous enzymatic hydrolysis of GSLs) were evaluated in vitro. Seventeen GSLs and seven ITCs …

Review Of Microgravity Biotechnology For Space Applications: The Anujiva Perspective, Saranya Ravva, Yukti Makkar, Abeneth Ramachandran, Sai Kiran Parre

Small Satellite Conference

Biomanufacturing in microgravity presents transformative opportunities for biotechnology beyond the limitations of terrestrial environments. Gravity-driven convection, sedimentation, and contamination risks often hinder biological productivity on Earth. In contrast, space-based conditions enhance protein crystallization, three-dimensional cell culture, and the production of novel biomaterials. This review synthesizes recent advancements in microgravity-enabled biotechnology, drawing from recent peer-reviewed literature and mission data.

We focus on the emerging field of autonomous bioreactor systems for space applications, emphasizing innovations in miniaturization, closed-loop environmental control, and real-time sensing. As a representative case study, we examine the AnuJIVA initiative, a CubeSat-based platform engineered for cultivating microorganisms such as …

Senior Living: Filling The Gap, Katy J. Johnson

The Interactive Journal of Global Leadership and Learning

This white paper explores how colleges and universities can help address the housing crisis for Americans aged 65 and older by integrating seniors into college campuses. This approach not only helps to fill dormitories but also provides students with valuable work experience. The paper examines three key issues: the Silver Tsunami (the growing senior population), declining enrollment leading to campus housing vacancies, and the financial burden of higher education. By advocating for intergenerational living, the proposal offers an innovative solution that benefits seniors, students, and universities.

Eshta’Ol: Faunal Remains From The Chalcolithic Period And Bronze Age, Edward F. Maher

Qadum: Journal of Excavation Reports from Israel

This article presents a zooarchaeological study of a small faunal assemblage recovered from Areas B, D and E at Eshta’ol, dating to the Late Chalcolithic period (Stratum IV), Early Bronze Age IB (Stratum III) and Intermediate Bronze Age (Stratum II). A total of 250 bone fragments were analyzed, with 86 identifiable specimens representing eight species, primarily from the EB IB stratum. The assemblage is dominated by domestic animals—especially caprines, cattle and pigs. Mortality profiles based on epiphyseal fusion and dental wear indicate a preference for secondary products—such as wool, milk and dung—over meat consumption. Small-scale farming and agricultural activity may …

Effect Of Whole-Food Plant-Based Diet On Ldl Cholesterol: A Scoping Literature Review, Joel Gregory Mueller

Nursing Capstones

Background: The whole-food, plant-based (WFPB) diet includes whole grains, whole plants, unrefined sugars, beans, and legumes. The diet excludes meat, dairy, and added fats. The diet has been popularized by documentaries .The diet claims to lower total and LDL cholesterol to a safe level as both a primary and secondary mode of prevention.

Purpose: Review existing studies to see whether the WFPB diet will lower LDL cholesterol in adult males over a 14 day or more duration.

Methods: A scoping literature review was completed of the University of North Dakota’s library system for keyword combinations. The returned 102 studies were …

Quality Improvement Project Integrating Educational Program For School Faculty In Childhood Diabetes, Sharon Anna-Marie Hill

Doctor of Nursing Practice Projects

In the United States, diabetes affects approximately 38.4 million individuals, including over 304,000 children and adolescents diagnosed with type 1 diabetes. As the most common chronic condition in children, diabetes management in school settings is critical to ensure health, safety, and academic success. However, a lack of standardized training for school faculty often results in inadequate knowledge and confidence in managing diabetes, exacerbating student health risks. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to develop and implement an educational program for school faculty, focusing on managing and treating childhood diabetes. A paired sample t-test was used …

Non-Isolated Tetralogy Of Fallot (Tof+): Exome Sequencing Efficacy And Phenotypic Expansions, Julia Volpi, Xiaonan Zhao, Nichole Owen, Tia Evans, Muriel Holder-Espinasse, Nayana Lahiri, Eleanor Sherlock, Gemma Poke, Jeroen Breckpot, Koen Devriendt, Bjorn Cools, Alfredo Brusco, Giovanni Battista Ferrero, Enrico Grosso, Pradeep Vasudevan, Sara Loddo, Antonio Novelli, Maria Cristina Digilio, Aafke Engwerda, Marrit Hitzert, Alison Male, Lucy Bownass, Ruth Newbury-Ecob, Zosia Miedzybrodzka, Ruth Armstrong, Sally Ann Lynch, Gunnar Houge, Shiyi Xiong, Seema R Lalani, Jill A Rosenfeld, Pamela N Luna, Chad A Shaw, Daryl A Scott

Faculty, Staff and Students Publications

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect (CHD). TOF may present in isolation or in conjunction with one or more non-cardiac congenital anomalies or neurodevelopmental disorders (TOF+). Uncertainty regarding the efficacy of various genetic testing strategies, and an incomplete understanding of the genetic causes of TOF+, may lead to hesitancy in recommending genetic testing, particularly, clinical exome sequencing (cES). Here, we analyzed cES data from 131 individuals with TOF+. A definitive or probable diagnosis was made for 31 individuals, yielding a diagnostic rate of 23.6% (31/131). One individual received three diagnoses. Commercially available CHD panels …

Ole Miss Staff Residencies Empower Passion Projects, Jordan Karnbach

University of Mississippi News

OXFORD, Miss. – This summer, 21 staff members took time off from their usual jobs at the University of Mississippi to dive into some personal passion projects.

Beyond Their Nutritional Value, School Meal Programs Support Agricultural And Food Transition Toward Sustainability By Creating Multi-Sectoral Values In France, Sylvie Avallone, Sophie Nicklaus, Céline Giner, Juliana Cohen, Stéphane Verguet

Health Sciences Faculty Publications

The COVID pandemic has highlighted the essential role of school meal programs, not only for education but also for children’s nutrition. In France, school meals are shaped by ambitious policies to ensure their safety and nutritional quality, while promoting sustainable eating practices and awareness of environmental and agricultural challenges. In this article, we used the case study of France to discuss the multi-sectoral value of these programs. The economic value of school meals in France amounts to €8.2 billion annually, of which 2.8 billion are dedicated to food purchases. Since 2022, the EGAlim and Climate and Resilience laws require canteens …

Quality Improvement Project The Impact Of Targeted Education And Training On The Use Of Rapid Mood Screener Tool On The Rate Of Mood Disorders Detection Among Psychiatric Providers, Oluwatobi Adeleke

Doctor of Nursing Practice Projects

Optimal mood disorder (MD) management outcomes are associated with accurate and timely diagnosis. Yet, MD misdiagnosis, particularly Bipolar I, is an unfortunately common problem. Rapid assessment or screening tools offer effective diagnostic assessment interventions for faster diagnosis without compromising effectiveness. Still, their administration is constrained by providers’ knowledge and competence limitations. The Rapid Mood Screener (RMS) is a rapid screener for MDs, including Bipolar I, with well-established specificity, accuracy, and reliability. Provider training and education on RMS implementation can be effective in addressing the challenges providers encounter in the tool’s administration. Here, through a pre-post quasi-experimental design, this quality improvement …

Computational And Mathematical Modeling Of Microbial Community And Host Responses To Microbiota-Directed Complementary Foods Administered To Children With Acute Malnutrition., Steven J. Hartman

Arts & Sciences Graduate Student Theses and Dissertations

Globally, millions of children suffer from undernutrition, with stunting affecting 150 million and wasting nearly 50 million under five years old. Current interventions have shown limited effectiveness in mitigating long-term consequences such as stunted growth, cognitive deficits, and immune dysfunction. Through this body of work, I investigated the efficacy of a microbiota- directed complementary food (MDCF-2) as a next generation therapeutic food to combat childhood stunting. Across two randomized controlled trials involving Bangladeshi children with either moderate acute malnutrition or post-severe acute malnutrition, MDCF-2 significantly outperformed standard ready-to-use supplementary foods (RUSF), leading to significantly improved ponderal and sustained linear growth …

Longevity Os: Open Compendium Of Aging Biomarkers And Open-Source Intervention Protocols, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3 and ChatGPT 5 Thinking, is released under the Apache 2.0 licence. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes EPC Art. 54(2) (European Patent Convention), French IPC Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (中华人民共和国专利法), and Japanese Patent Act Art. 29(1) (特許法). We disclose 77 enabling embodiments spanning assays/kits (telomeres, DNAm clocks, glycan-age, proteome, microbiome, metabolome, cfDNA-CHIP, mtDNA, 8-oxo-Gsn, NAD⁺), devices/sensors (AGE autofluorescence, VOP/PPG, continuous/interstitial NAD), …

Ka Mua, Ka Muri—Walking Backwards Into The Future: Revitalizing Indigenous Economies And Economies Of Well-Being, Suzie Greenhalgh, Jason Mika, Christopher Alcantara, Shaun Awatere, Kendon Bell, Kiri Dell, Donn L. Feir, Dustin Frye, Diane Jarvis, Taryn Kong, Kirsten Maclean, Cathy Robinson, Chellie Spiller, Rachel M. Wolfgramm, Emma Woodward

Indigenous Business & Public Administration

The concept of and desire for well-being economies are rising in prevalence as traditional business paradigms are questioned and alternative framings are being sought. Indigenous peoples, their economies, and their approach to business can provide a rich source of learning to enable and help facilitate a transition to economies of well-being. As Indigenous peoples are emerging from their colonial pasts, they are becoming more empowered to make investment choices, use business models, and form partnerships grounded in their worldviews, which are often well aligned with a well-being economy.

In this paper, we note some of the obstacles Indigenous economies have …

Teaching Inside: Pedagogical Strategies And Innovations Within Carceral Settings, Tennille Nicole Allen, Michelle Clifton, Scott Moore, Alex Negrón, Michael Simmons, Devon Terrell

Sociology Department Faculty Conferences

Under the recently expanded Second Chance Pell Initiative, an increasing number of individuals under carceral control in the United States can enroll in higher education programs with Pell grant funding. In 2022, Lewis University, a mid-sized teaching institution in suburban Chicago, became the second ‘Second Chance Pell Experimental Site' in Illinois and began offering undergraduate degrees to people incarcerated in the Illinois Department of Corrections system. Lewis’ program is especially innovative in that faculty members partner with incarcerated teaching fellows, all of whom earned Master of Arts degrees while incarcerated. This partnership entails deeply intentionally and fully collaborative course development …

Circadian Influences On Glycemic Control In 24-Hr Fasts Initiated At Different Mealtimes, Elizabeth Z. Gipson

Theses and Dissertations

This study investigated whether the timing of a 24-hour fast influences indicators of glycemic control throughout the duration of the fast or upon refeeding. Twenty-four adults who have overweight or obesity (13 female, 11 male) completed this randomized crossover study involving three 24-hour fasts initiated at either 8:00 am, 1:00 pm, or 6:00 pm followed by a 75 g oral glucose tolerance test (OGTT) which lasted 2 hours. Continuous glucose monitors (CGMs) were employed to track interstitial glucose throughout each fast and OGTT. Plasma samples for insulin, glucagon, glucagon-like peptide-1 (GLP-1), and glucose-dependent insulinotropic polypeptide (GIP) were collected at the …

Optimization Of Rabbit Urine Liquid Organic Fertilizer And Reduced Npk Fertilizer Doses For Improving Growth And Physiology Of Shallot (Allium Ascalonicum L.), Etik Wukir Tini, Rifqi Raditya Kurniawan

Jurnal Kultivasi

Rabbit urine liquid organic fertilizer (LOF) can be used as an alternative fertilizer to reduce the use of inorganic fertilizers, especially for shallots, as a national food commodity. This study aims to determine the best concentration of rabbit urine LOF, the best dose of NPK fertilizer dose reduction, and a combination of rabbit urine LOF and NPK fertilizer dose reduction on the physiological characters of shallot plants. The observed variables consisted of net assimilation rate, crop growth rate, stomatal density, stomatal aperture, and chlorophyll content. The experimental results showed that a concentration of 200 mL L-1 of rabbit urine LOF …

High Temperature In Potato: Plant Responses And Adaptive Cultivation Strategies To Increase Production, Siska Rahmayani Gultom, Jajang Sauman Hamdani, Kusumiyati

Jurnal Kultivasi

Climate change, with global temperatures rising by 1.09°C from 1850–1900 to 2011–2020, threatens potato production, a critical staple crop, by exceeding the optimal temperature range of 15–20°C. This review synthesizes over 45 peer-reviewed studies published between 2015 and 2025 from Google Scholar and ScienceDirect to evaluate the physiological, morphological, and tuber quality responses of potatoes to high temperatures and to identify adaptive cultivation strategies for sustainable production. High temperatures reduce photosynthetic efficiency through chlorophyll degradation and stomatal closure, increase respiration, and divert photosynthates to vegetative growth, leading to 18–32% yield losses globally by the 2050s. Heat-tolerant varieties, such as Atlantic …

The Interplay Of Oxidative Stress, Mitochondrial Dysfunction, And Neuroinflammation In Autism Spectrum Disorder: Behavioral Implications And Therapeutic Strategies, Ansab Akhtar, S K. Rahaman

School of Medicine Faculty Publications

Autism spectrum disorder (ASD) deals with several symptoms, including language and speech impairment and developmental delays. The main brain regions affected could be the prefrontal cortex (PFC) or the temporal lobe. The detrimental features could include oxidative stress, mitochondrial dysfunction, and neuroinflammation. Most often, these phenomena are interrelated and can lead to one another, creating a vicious cycle. They also influence the regulation of certain genes involved in the pathogenesis of ASD or related behavior. In the brain regions prone to these detrimental features, a cascade of free radicals, inflammatory cytokines, and mitochondrial energy disruptions is initiated. These actions during …

Mental Distress And Resource Insecurity In The Kingdom Of Tonga After The 2022 Volcanic Eruption: Associations Of Water And Food Insecurity With Mental Distress, Hilary J. Bethanancourt, Indira Bose, Lupe Moala Tupou, Melissa Meinhart, Edward A. Frongillo Jr. Ph.D., Amelia Greaves, Sera L. Young

Faculty Publications

Background Water and food insecurity can harm mental health; all 3 may, in turn, be exacerbated by humanitarian crises. The linkages between food insecurity, water insecurity, and mental health are gaining attention but have not been investigated after a natural disaster.

Objective To investigate the associations between food insecurity, water insecurity, and mental distress, and how these relationships may differ between women and men, in the aftermath of the January 15, 2022, volcanic eruption in the Kingdom of Tonga.

Design Secondary analysis of nationally representative cross-sectional data from the Equality Insights Rapid survey collected 4 to 5 months after the …