Digital Commons Network^™

Food Allergy Education In The Hospitality Industry, Hayley Stull

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Food allergies affect thousands of people, because hospitality foodservice workers come into contact with the public, it is necessary that they need to be fully trained to ensure the safety of the public. This is especially important for those who possess food allergies. Previous research has shown major gaps in knowledge amongst these workers, which can lead to the potential to harm individuals with a food allergy. There is a lack in the consistency of training specifically concerning food allergies for food service workers across all states in the U.S. There are previous forms of educational tools concerning food allergies …

Camp: Children’S Acceptance Of Muffins With Different Proteins, Amber Knoernschild

Human Nutrition and Hospitality Management Undergraduate Honors Theses

In 2019, around 40% of school-aged children in Arkansas were classified as overweight (~17%) and obese (~23%), according to BMI data collected. Children with obesity have an increased risk of developing type 2 diabetes, hypertension, and dyslipidemia. Unhealthy eating habits, such as skipping breakfast, have been strongly associated with overeating, weight gain and obesity. Breakfast is a key component of a healthy diet and can positively impact children’s health and well-being. However, there has been a steady decline in breakfast consumption in US children over the past 40 years. Specifically, breakfast consumption declined among 8–10-yearold children by 9% and adolescents …

Looking Up And Playing Down: The Paradoxes Of Performing Wealth At A Liberal Arts College, Greer Lichtenberg

Sociology Honors Projects

Colleges and universities bring together people with varied economic backgrounds, but sociologists have demonstrated that social class and family resources stratify students’ experience of higher education. In this paper, I examine how consumerist and activist cultures influence the meaning of money, which influences those who perform wealth. Using interview data from twenty-four students at a small liberal arts college in the midwest, I find dynamics of both displaying and playing down wealth which associate with guilt about money and family wealth, and attempts to distance oneself from the “oppressive” economic class. Together, these collective emotions create an overt culture of …

The Sssh’S: Snoo Smart Sleeper Use In Post-Operative Infants With Congenital Heart Disease, Shannon Lysaught, Lori Erickson, Jennifer A. Marshall, Keith Feldman

Research at Children's Mercy Month 2022

BACKGROUND: Children’s Mercy admits approximately 300 patients per year under 6 months of age who require cardiac surgery. Post-operative management of these infants is complex, necessitating soothing interventions to maintain infant reserves necessary for growth and development. Parents cannot always be available and staffing ratios do not always allow for immediate attention to soothe.

TEST ARTICLE: The SNOO Smart Sleeper responds to an infant’s cry with the proven elements of soothing through swaddling, motion, and noise while demonstrating safe infant sleep practices. The prior success of the SNOO in other fragile infant populations (e.g., those with neonatal abstinence syndrome) suggests …

Feasibility Trial Of Fresh Produce Delivery To Families In Home Visiting Programs, Laura Plencner, Aliyah Hoffmann, Jean Raphael, Jeffrey D. Colvin

Research at Children's Mercy Month 2022

Background: Over 13 million children are food insecure, which is associated with poorer child physical and mental health. Home delivery of produce may improve food security of low-income families. This study assessed feasibility and acceptability of leveraging a home visiting program to directly provide food to families with young children.

Objective: We completed an 8-week prospective feasibility trial of direct food provision using produce from our hospital’s community garden and regional food bank using mixed methods evaluation.

Methods: Twenty-five low-income families participating in an infant home visiting program were enrolled. Produce was harvested from the garden, combined with free food …

Single-Cell Genomic Data Reveals Heterogeneity In Infant Acute Lymphoblastic Leukemia, Irina Pushel, Midhat Farooqi, Sidharth V. Ramesh, Byunggil Yoo, Daniel A. Louiselle, Patrick A. Brown, Erin M. Guest

Research at Children's Mercy Month 2022

Infant acute lymphoblastic leukemia (ALL) is an especially aggressive form of leukemia, particularly among patients with a rearrangement in the KMT2A gene (KMT2A-r). Approximately two-thirds of infants with KMT2A-r ALL relapse within a year of initial diagnosis, with relapsed disease particularly resistant to treatment and associated with high mortality. The ability to better predict which patients are likely to relapse, especially relative to current residual disease detection methods like flow cytometry, would greatly improve treatment selection and patient outcome. In this study, we set out to identify novel prognostic markers in patient data at diagnosis. We utilized …

B Cell Receptor Repertoire Dynamics And Convergent Evolution Following Sars-Cov-2 Vaccination, Elizabeth Fraley, Santosh Khanal, Cas Lemaster, Stephen Pierce, Tomi Pastinen, Todd Bradley

Research at Children's Mercy Month 2022

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel betacoronavirus causing Coronavirus disease 2019 (COVID-19). B cell receptors (BCRs) are expressed at the surface of the B cell and are secreted as soluble antibodies. These antibodies can block viral infection by neutralizing the virus, are critical for resolution of SARS-CoV-2 infection and may be correlates of protection for COVID-19 vaccines. We have previously shown that SARS-CoV-2 immunization elicits a robust antibody response that is significantly higher in individuals who recovered from COVID-19. Moreover, recovered individuals had slower antibody decay in their levels seven months after vaccination. Here, we sequenced …

Tonsillectomy In Children With 22q11.2 Deletion Syndrome, Jill M. Arganbright, Meghan Tracy, Srivats Narayanan, David G. Ingram Md

Research at Children's Mercy Month 2022

Introduction: 22q11.2 deletion syndrome (22qDS) is a common genetic disorder with an estimated risk of obstructive airway symptoms in 10-37% of affected children. While tonsillectomy is commonly pursued in an effort to ameliorate airway obstruction this population, there are currently no published studies evaluating tonsillectomy outcomes in children with 22q11DS. Our goal was to investigate the indications, efficacy, and complications of tonsillectomy in a large cohort of patients with 22qDS.

Methods: We performed a retrospective chart review of 168 consecutive patients with 22qDS from the institution’s 22q repository from 1/1/2010-6/1/2021. Data was collected for tonsillectomy indications, length of hospital stay, …

Rate Of Depression Among Primary Caregivers Of Children With Tracheostomies, Madhavi Murali, Alexandra Arambula, Meghan Tracy, Ashley Sherman, Cameron J. Farsar, Jason R. Brown

Research at Children's Mercy Month 2022

Introduction: Caring for a child with a tracheostomy carries numerous financial, physical, and emotional challenges. Literature has shown that these caregivers experience burden that correlates with their child’s illness severity and their own mental health status. Caregivers of technology-dependent and chronically ill children have been found to have higher rates of depression, but similar findings have not been reported for pediatric tracheostomy caregivers. Thus, the objective of this study was to assess rates of depression among primary caregivers of children with tracheostomies.

Methods: A database of children (ages 0-18) with tracheostomies at a tertiary pediatric hospital was screened …

Diffuse Large B-Cell Lymphoma Risk Score Calculator: A Tool To Accurately Predict Survival Risk And Improve Treatment Decisions And Outcomes, Santosh Khanal, Arjun Gampala, Eric S. Geanes, Anne T. Culpepper, Liubomyr Buryi, Catherine A. Jackson, Rebecca Mclennan, Todd Bradley

Research at Children's Mercy Month 2022

Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma. It is an heterogenous cancer that can have variable responses to therapy and profound differences in survival outcomes. DLBCL is of B- cell origin and was typically treated with a regimen of cyclophosphamide, hydroxydaunorubicin, oncovin and prednisone (CHOP) but the addition of the anti-CD20 monoclonal antibody rituximab (R) significantly improved patient overall-survival (OS). A scoring system has been used to identify risk groups of DLBCL individuals called the International Prognostic Index (IPI) that uses age, lactate dehydrogenase levels, general health status, stage of tumor and number of …

Decoding The Transcriptional Programs Governing Natural Killer Cell Memory Establishment, Stephen Pierce, Santosh Khanal, Rebecca Mclennan, Todd Bradley

Research at Children's Mercy Month 2022

Natural killer (NK) cell memory can be established in response to short-term stimulation with myeloid-derived cytokines, specifically, IL-12, IL-15, and IL-18. Memory NK cells have been shown to produce more interferon-gamma and display higher cytotoxic function upon re-challenge, compared to unstimulated NK cells, much like adaptive cytotoxic T-cells. Memory NK cells have been demonstrated to display increased killing of leukemic tumor cells and are currently in clinical trials for cancer cellular therapy. Other recent studies have also identified that memory NK cells expand in response to infections, such as tuberculosis and HIV-1. However, it remains unclear the precise transcriptional programs …

Cervical Necrotizing Fasciitis And Shock In The Post-Operative Pediatric Patient: A Case Report, Paul Hankey, Jason R. Brown

Research at Children's Mercy Month 2022

Objectives: Cervical necrotizing fasciitis (CNF) is a rare infection that can quickly lead to devastating patient outcomes. Considering the vital importance of surrounding neck structures, rapid control of the infection is essential to ensure favorable patient outcomes. Infection is most frequently polymicrobial and occurs in the adult patient in the context of certain medical comorbidities. Complications are typically limited to tissue destruction in the form of necrosis. There are no current reports describing CNF complicated by acute shock in the post-operative pediatric patient.

Methods and Results: We present a pediatric case of CNF complicated by acute shock following …

Development, Implementation, And Evaluation Of A Simulation Based Educational Curriculum Targeted For Pediatric Hospitalists, Lisa Carney, Matt Hall, Kayla R. Heller, Chris Kennedy

Research at Children's Mercy Month 2022

Background: In 2010, Pediatric Hospital Medicine (PHM) core competencies were published. In response, our hospital medicine section and simulation program assessed and implemented simulation-based training to improve competency.

Objective: Our primary aims were to 1) determine specific knowledge, skill and competency needs in alignment with pediatric hospitalist scope of practice, then use results to design a simulation-based curriculum and 2) implement and evaluate the impact of this curriculum. Secondary aims included describing feasibility and learner satisfaction regarding simulation as a faculty development tool.

Design/Methods: Baseline and post-training surveys were administered to 49 physicians, providing self-ratings from Novice to Expert …

Pilot Study Of Mhealth Adherence By Parents To A Pediatric Developmental Application For Infants After Neonatal Cardiac Surgery, Amanda Manderfeld, Jennifer A. Marshall, Elizabeth J. Willen, Jami Gross-Toalson, Amy Ricketts, Melissa D. Elliott, Nickey Crail, Lori Erickson

Research at Children's Mercy Month 2022

INTRODUCTION: The use of mHealth applications is widespread in adult care and been used less in pediatric care due to the unique challenges of pediatric interventions, especially for children with congenital heart disease (CHD)¹. High incidence of mobile phone ownership provides low-cost, broad reach intervention for developmental support for pediatric populations^2-3. Infants with CHD are at a high risk for experiencing multiple developmental delays⁴. Study purpose is to evaluate mHealth adherence and acceptance of a developmental application, Babysparks©, by parents of infants with CHD.

METHODS: A single site, cross sectional, pilot study, with a …

Providing Antiicipatory Guidance For Children With Medical Complexity And Gastrostomy Tubes: Feasibility And Impact Of An Online Curriculum For Residents, Emily J. Goodwin, Robert Riss, Elena Huang, Evan Weber, Elizabeth Rhyne, Jeffrey D. Colvin

Research at Children's Mercy Month 2022

Anticipatory guidance (AG) is essential for all children, especially children with medical complexity (CMC). CMC often rely on medical devices, most commonly gastrostomy tubes, and benefit from proactive AG. However, few curricula have been developed to train residents in providing applicable AG for CMC.

Our objective was to examine the feasibility and impact of an asynchronous online curriculum for residents on providing AG for children with gastrostomy (GT) or gastrojejunostomy (GJ) tubes. Informed by the results of a needs assessment at a large free-standing children’s hospital, we designed and implemented an online asynchronous curriculum for residents using Kolb’s experiential framework. …

The Effectiveness Of A Webinar To Improve Icu Nurses’ Competency In Palliative Care, Justine Kirschner

The Eleanor Mann School of Nursing DNP Capstone Projects

Patients with serious illness lack access to quality patient-centered care despite the growth in palliative care awareness and services. Palliative care is an interdisciplinary care system intended to optimize the quality of life of patients with serious, life-limiting illness and their families. Patients admitted to the intensive care unit (ICU) are facing critical illnesses and can benefit from palliative care integration into their care. This DNP quality improvement (QI) project, grounded in Benner’s Novice to Expert nursing theory, aimed to increase ICU nurse competency in palliative care from novice to competent through a continuing education webinar. The study analyzed nurses’ …

Nurse Practitioner-Led Heart Failure Education Program, Ruairi Fox

The Eleanor Mann School of Nursing DNP Capstone Projects

Heart failure is a chronic, progressive disease that has a global burden on the healthcare system and on patient’s lives. HF patients who experience a hospital admission are at a greater risk of being readmitted to the hospital within 30 days, impacting healthcare spending costs and patient quality of life. Self-care activities by patients, such as monitoring weight and making lifestyle changes, are the hallmark of outpatient care, and is shown throughout the literature to reduce readmissions and impact patient quality of life. Unfortunately, many patients are either unaware of proper self-care management techniques or find them hard to follow. …

Covid-19 Restrictions Decreased Dpt Students’ Health Outcomes, Asha Marchant, Natalie Quesnel, Anja Parikh

DPT Capstones

Introduction: The COVID-19 pandemic has presented increased constraints on physical activity leading to the adoption of more sedentary lifestyles for populations worldwide, including graduate students. The detrimental effects of a sedentary lifestyle include increasing the risk for cardiovascular disease. Cardiovascular (CV) disease has conventionally been a pathology associated with older adults, but recent evidence has shown that younger individuals are developing CV issues. The COVID-19 restrictions created an additional barrier furthering graduate students’ sedentary lifestyles and possibly increasing their risk for cardiovascular disease.

Purpose: The purpose of the present study is to determine the effects of COVID-19 restrictions on The …

Assessment Of Surrogate Markers For Cardiovascular Disease In Familial Mediterranean Fever-Related Amyloidosis Patients Homozygous For M694v Mutation In Mefv Gene, Sezgin Sahin, Micol Romano, Ferhat Guzel, David Piskin, Dimitri Poddighe, Siren Sezer, Ozgur Kasapcopur, C. Thomas Appleton, Ilker Yilmaz, Erkan Demirkaya

Paediatrics Publications

Cardiovascular disease (CVD) remains underestimated in familial Mediterranean fever-associated AA amyloidosis (FMF-AA). We aimed to compare early markers of endothelial dysfunction and atherosclerosis in FMF-AA with a homozygous M694V mutation (Group 1 = 76 patients) in the Mediterranean fever (MEFV) gene and in patients with other genotypes (Group 2 = 93 patients). Measures of increased risk for future CVD events and endothelial dysfunction, including flow-mediated dilatation (FMD), pentraxin-3 (PTX3), and carotid intima-media thickness (cIMT), and fibroblast growth factor 23 (FGF23) as a marker of atherosclerotic vascular disease were compared between groups. The frequency of clinical FMF manifestations did not differ …

Summary Report: Essential Programs And Services Career And Technical Education Component Review, James E. Sloan, Amy F. Johnson Phd, Sharon Gerrish

Career and Technical Education

The Part I report issued in summer 2021 included analyses related to student enrollment trends, including the impact of the Covid-19 pandemic on program enrollments, as well as analyses related to facilities and maintenance spending. The Part II report issued in March 2022 described the remainder of the analyses, which are divided into three distinct sections based on the source data used in each task. Section I presented findings that were derived from staffing data. Section 2 described patterns from expenditure data from the most recent pre-pandemic program year. Section 3 summarized results of a questionnaire that was administered to …

Effects Of Glucocorticoids Upon Pro-Inflammatory Responses To Acute Sleep Fragmentation, Hunter Weaver

Masters Theses & Specialist Projects

Sleep loss is a common problem in humans who suffer from obstructive sleep apnea. Sleep aids in the regulation of immune responses, some of which induce inflammatory responses. Cytokines regulate the inflammatory process and are released in response to sleep fragmentation (SF) in mice. Glucocorticoids are hormones that are released from the adrenal cortices during a stress response and are considered to be anti-inflammatory and immunosuppressive at high doses but may stimulate immune function on an acute level. The first hypothesis tested was that normal physiological expression of glucocorticoids (Sham) will display increased IL-1β and TNFα expression levels, while high …

Towards The Determination Of Estrone And 17Β-Estradiol In Dairy Cattle Waste Using Solid Phase And Stir Bar Sorptive Extractions With Liquid Chromatography-Mass Spectrometry And Gas Chromatography-Mass Spectrometry, Pallavi Ragi

Masters Theses & Specialist Projects

Steroidal hormones are naturally produced as a part of many physiological processes and are excreted in the urine and feces of animals and humans. Farm animals in concentrated animal feeding operations (CAFOs) are routinely implanted with synthetic and natural hormones to enhance growth and production, contributing significantly to environmental steroid hormone contamination. Every year around 49 tons of estrogens are generated by livestock waste in the United States alone. Due to rainfall and runoff, these steroid hormones reach the environment when animal waste is applied as manure. Studies show that estrogens and other steroidal hormones present in the surface waters …

Generation & Kinetic Studies Of Porphyrin Chromium-Oxo Intermediates, Iyanu Olumide Ojo

Masters Theses & Specialist Projects

Recent emerging applications of chromium porphyrin complexes are generating increasing interest in oxidation chemistry and catalysis. Its recent application as metal-organic frames in spintronic devices supports the rich electronic system of chromium metal. Through the past decades, first-row transition metalloporphyrins have served as biomimetic oxidation catalysts and models of cytochrome P450 enzymes. However, the oxygen atom transfer mechanism of chromium porphyrin complexes, most especially in sulfide oxidation reactions, has been scarcely investigated.

In this study, high-valent chromium-oxo porphyrin species, namely Cr^IV-oxo and Cr^V-oxo species, with electron-donating tetramesitylporphyrin(TMP) ligand were successfully generated and characterized with UV-vis, ESI-MS, …

Associations Between Parental Efficacy, Parental Involvement And Infant Temperament, Jenna Mayes

Masters Theses & Specialist Projects

A parent’s efficacy can be associated with several other characteristics within parenting such as parental involvement, as well as infant behavior (Johnson & Marsh, 1989; Leerkes & Burney, 2007). Parents who are more involved with their children tend to be higher in their efficacy (Leerkes & Burney, 2007). Child negative temperamental reactivity is negatively associated with parental efficacy (Coleman & Karraker, 2003). Associations might vary based on parent gender; with maternal efficacy being associated with temperament and paternal efficacy being associated with involvement (Leerkes & Burney, 2007). However, the extent to which these associations vary by parent gender across early …

Anxiety Patterns In Gifted Adolescents From Parents' Perspectives, Felicia Moreschi

Masters Theses & Specialist Projects

This study explores the connection between giftedness and anxiety. Families of gifted adolescents were invited to participate in a survey to identify themes of anxiety within the school and home settings. The Spence Children’s Anxiety Scale, parent report (Spence, 1999) was used as the survey instrument. A total of 18 participants responded. Several themes were revealed based on the responses to questions on the survey. The themes that emerged have been identified as patterns of anxiety, including separation anxiety, physical injury fears, and social anxiety.

The Impact Of Internally Designed Mathematics Differentiation System On Gifted & Talented 5th & 6th Grade Students, Svetlana Kovalkova-Mckenna

Masters Theses & Specialist Projects

Mathematical talent development in middle school is significantly impacted by students’ access to academic learning opportunities that include collaborative learning with similar ability peers and match student’s interests and level of ability instead of age and grade-level. Access to and participation in domain-specific gifted programs for mathematically talented students has a significant impact on the level of their future talent development, their social-emotional wellbeing, and opportunities later in life. The purpose of this mixed-methods non-experimental action research study was to explore the impact an internally designed mathematics differentiation system (provided in a multiple days per week pull-out format by school’s …

Agriculture Education Teacher Perspectives On Stem In Secondary Classrooms -A Delphi Study, Nicholas Kyle Porter

Masters Theses & Specialist Projects

Recent statistics tell us that the number of jobs in Science, Technology, Engineering and Mathematics (STEM) related fields are growing at a rapid rate, it is projected that STEM related careers will grow 17% between 2008 and 2018 (Langdon, n.d.). Within these areas lies agriculture. Given the shift of career opportunities, such as in the areas of research and development, a change has to be made in the way students are educated within agriculture. The ultimate goal of all educators is to better prepare students for their future careers and endeavors because these students are the future of our food …

The Impact Of Cultural Moderators On The Relationship Between Work-Life Balance And Outcome Variables, Joanna Chang

Masters Theses & Specialist Projects

Presently, there is some evidence within the literature to support that cultural dimensions serve as moderators of the relationship between work-life balance and outcome variables (e.g., job satisfaction, life satisfaction, mental wellness). However, there are few studies examining individualism-collectivism and gender egalitarianism as moderators. Furthermore, there is no found extant research to date examining intra-country or utilizing organizational-level culture measures. The following study assessed individual perceptions of collectivism and gender egalitarianism using Project GLOBE’s organizational practices scales as moderators of the relationships between work-life balance and job satisfaction as well as life satisfaction. All constructions were measured in a sample …

Factors Influencing Tree Growth In A Bottomland Hardwood Along The Green River In Kentucky, Caleb Miller

Masters Theses & Specialist Projects

In bottomland hardwood forests, large fluctuations in moisture availability can lead to stress from both flooded and drought conditions. These forests can have a complex species composition with different water use and drought strategies. The bottomlands in which these species co-occur can have a complex spatial distribution of alluvial sediments due to the meandering and migration of river or stream channels, which may impact the hydrology, nutrient dynamics, and productivity. At Western Kentucky University's Green River Preserve, approximately 9 ha of bottomland hardwood forest were planted in 2006. Although these hardwoods have received equal amounts of sunlight, rainfall, and wind, …

Nsu Health Professions Division 2021-2022 Course Catalog, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.