Medicine and Health Sciences Commons^™

The Influence Of A Plant-Based Diet From Birth To Early Childhood On Anthropometric Measures, Developmental Milestones, And Micronutrient Levels: A Systematic Review, Madison Swartout, Johanna Matsko

Student Research Poster Presentations 2023

Purpose: The primary purpose of this study is to investigate the feasibility of a plant-based lifestyle on the development of children from birth to four years of age. The secondary purpose of this study is to discuss the implications of a plant-based diet during early childhood on the profession of physical therapy.

Methods: Two separate searches were completed using different search terms. The databases utilized by both searches included CINAHL Complete, Academic Search Ultimate, Health Source: Nursing/Academic Edition, and MEDLINE. Inclusion criteria were 1) studies published within the past 10 years, 2) children receiving a plant-based diet, 3) children postpartum …

The Role Of Low-Dose Ct In Diagnosing Lung Cancer, Hailey Colabelli

Student Research Poster Presentations 2023

The Role of Low Dose CT in Diagnosing Lung Cancer

Student Researcher: Hailey Colabelli

Faculty Advisor: Dr. Elaine Halesey, Ed.D., R.T(R)(QM)

Abstract

Lung cancer is the most diagnosed malignancy worldwide, with an estimated 2,093,876 new cases and 1,761,007 deaths in 2018. It has a poor prognosis with a 5-year survival rate of 16%. When detected in asymptomatic patients, most cases can be treated with an overall survival rate of 92%. Low-dose CT lung screening is a routine annual scan for those with a high risk of developing lung cancer. It can help doctors detect cancer at an earlier stage, making …

Minimally Invasive Vs. Surgical Approach For Treatment Of Uterine Fibroids, Breanna Smith

Student Research Poster Presentations 2023

Minimally Invasive vs. Surgical Approach for Treatment of Uterine Fibroids

Student Researcher: Breanna Smith

Faculty Advisor: Dr. Elaine Halesey, Ed. D., R.T. (R)(QM)(ARRT)

Abstract

Uterine fibroids are solid neoplasms that are common in women of reproductive age. These neoplasms are often present as benign, however they have an intense impact on the quality of life. Historically treatments involved surgery, however modern medical advancements allow for the option of minimally invasive treatments. Uterine artery embolization (UAE) is a method of using embolic material to cut off blood supply to the fibroid, which shrinks and kills it. More invasive procedures include hysterectomy …

Comparing Work Related Injuries Between Sonographers And Occupational Therapists: A Retrospective Analysis, Kelley Osborne, Amber Robert

Student Research Poster Presentations 2023

Work related injuries are more prevalent in Sonographers compared to Occupational Therapists. Work-related injuries in ultrasound and occupational therapy are the result of multiple factors, including repetitive motions, heavy lifting or transfers, awkward postures, non-ergonomic work environments, and equipment. These risk factors have been identified as the main contributors to work-related injuries among Sonographers and Occupational Therapists. This research will continue the discussion of the differences and similarities between work-related injuries amongst Sonographers and Occupational Therapists, ergonomics, types of injuries, and the importance of injury prevention.

Computed Tomography Simulation In Radiation Therapy For Non-Small Cell Lung Cancer, Victoria Narbone

Student Research Poster Presentations 2023

The purpose of this research is to educate readers on the role of computed tomography (CT) simulation in the radiation therapy process, specifically for patients with lung cancer. The goal of radiation therapy treatment is to maximize the dose to a target, usually a tumor, while minimizing the dose to the normal surrounding tissue. CT imaging creates cross-sectional images of the patient’s anatomy which can be used to create a treatment plan. In non-small cell carcinoma (NSCLC) there are four critical structures of concern including the spinal cord, esophagus, heart, healthy lung. CT simulation uses images to localize the tumor …

Discharge Education Protocol To Improve Patient Satisfaction, Courtney Banzon

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Discharge education that is patient-centered and started in a timely manner provides patients with the knowledge to care for themselves in the home setting and prevent adverse outcomes from occurring.
Methods: A discharge education protocol was implemented on a cardiology inpatient unit. The registered nurses were given a discharge checklist that focused on education and discharge planning with the patient within 24 hours of admission. Patients completed a survey that measured satisfaction of staff education. Surveys were collected for 10 weeks pre-intervention and compared with surveys 10 weeks post-intervention. Data was collected on the time of discharge with the …

The Implementation Of A Palliative Needs Screening Intervention In A Neuro Critical Care Unit:, Marcus Goodfellow

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Purpose: Palliative care (PC) is an important and yet underutilized discipline in neuro critical care units (NCCUs). The purpose of this project was to integrate and improve PC in a NCCU by implementing a Palliative Needs Screening Intervention (PNSI). A PNSI consists of a list of criteria used to screen patients to identify family and patient PC needs.
Methods: A quality improvement project using a PNSI was implemented in a NCCU. Nurses completed 2 hours of pre-implementation PC education and a palliative perceived self-efficacy scale pre/post-implementation. A PNSI was developed and integrated into the NCCU’s daily rounding process.
Results: PNSI …

Medical Concept Mention Identification In Social Media Posts Using A Small Number Of Sample References, Vasudevan Nedumpozhimana, Sneha Rautmare, Meegan Gower, Maja Popovic, Nishtha Jain, Patricia Buffini, John Kelleher

Conference papers

Identification of mentions of medical concepts in social media text can provide useful information for caseload prediction of diseases like Covid-19 and Measles. We propose a simple model for the automatic identification of the medical concept mentions in the social media text. We validate the effectiveness of the proposed model on Twitter, Reddit, and News/Media datasets.

Substance Use And Trauma Among Adult Education Students In The United States, Brittany Miller-Roenigk, Michael Awad, Maria C. Crouch, Derrick M. Gordon

Educational, School, and Counseling Psychology Faculty Publications

Adult basic education (ABE) programs in the United States serve millions of students annually to help them achieve high school equivalency, English proficiency, and other skills. These skills are necessary for upward mobility and competitiveness in the labor market, which is important for ABE students who are disproportionately affected by racial/ethnic disparities and poverty. Among learners who are not in ABE programs, substance use and trauma affect student outcomes. Similar research is limited among ABE students. Understanding the influence of these factors among ABE students can better inform interventions. The current study, grounded in Stress and Coping Theory, examined rates, …

Restorative Landscapes And Their Potential Application To The University Of Kentucky Campus, Felix Lowery

Gaines Fellow Senior Theses

Exposure to natural environments has been shown to have significant positive impacts on both mood and attention, as well as the potential to decrease stress and other negative emotions. Hospitals and other healthcare settings have been on the forefront of implementing spaces designed with the intent of improving mental health. However, this is not the only setting in which restorative landscapes are needed. Implementing restorative landscapes on college campuses would be an innovative way for colleges to address their students’ mental health needs. The objective of this thesis is to understand what aspects of a natural landscape promote cognitive restoration, …

Cross-Tailoring Integrative Alcohol And Risky Sexual Behavior Feedback For College Students: Protocol For A Hybrid Type 1 Effectiveness-Implementation Trial, Anne E. Ray, Eun-Young Mun, Melissa A. Lewis, Dana M. Litt, Jerod L. Stapleton, Lin Tan, David B. Buller, Zhengyang Zhou, Heather M. Bush, Seth Himelhoch

UK CARES Faculty Publications

Background: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB.

Objective: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF’s …

Effect Of Reflex And Mechanical Decreases In Skin Perfusion On Thermal- And Agonist-Induced Eccrine Sweating In Humans, Kristen Metzler-Wilson, Milie M. Fang, Kenan Alibegovic, James W. Daggett, Seetharam C. Narra, Robert P. Dazé, Olivia G. Miller, Thad E. Wilson

UK CARES Faculty Publications

In humans, skin blood flux (SkBF) and eccrine sweating are tightly coupled, suggesting common neural control and regulation. This study was designed to separate these two sympathetic nervous system end-organ responses via nonadrenergic SkBF- decreasing mechanical perturbations during heightened sudomotor drive. We induced sweating physiologically via whole body heat stress using a high-density tube-lined suit (protocol 1; 2 women, 4 men), and pharmacologically via forearm intradermal microdialysis of two steady-state doses of a cholinergic agonist, pilocarpine (protocol 2; 4 women, 3 men). During sweating induction, we decreased SkBF via three mechanical perturbations: arm and leg dependency to engage the cutaneous …

Massachusetts Prevalence Of Opioid Use Disorder Estimation Revisited: Comparing A Bayesian Approach To Standard Capture-Recapture Methods, Jianing Wang, Nathan Doogan, Katherine L. Thompson, Dana Bernson, Daniel Feaster, Jennifer Villani, Redonna Chandler, Laura F. White, David Kline, Joshua A. Barocas

Statistics Faculty Publications

Background: The National Survey on Drug Use and Health (NSDUH) estimated the prevalence of opioid use disorder (OUD) among the civilian, noninstitutionalized people aged 12 years or older in Massachusetts as 1.2% between 2015 and 2017. Accurate estimation of the prevalence of OUD is critical to the success of treatment and resource planning. Various indirect estimation approaches have been used but are subject to data availability and infrastructure-related issues.

Methods: We used 2015 data from the Massachusetts Public Health Data Warehouse (PHD) to compare the results of two approaches to estimating OUD prevalence in the Massachusetts population. First, we used …

Cannabinoid Poisoning-Related Emergency Department Visits And Inpatient Hospitalizations In Kentucky, 2017 To 2019, Stevie C. Britch, Sharon L. Walsh, Rachel Vickers-Smith, Shanna Babalonis, Svetla Slavova

Center on Drug and Alcohol Research Faculty Publications

Background and objectives: Cannabis is the most used federally illicit substance. Due to widespread medicinal use and state-level legalization, public perceptions of cannabis have shifted toward the assumption that cannabis is safe. However, cannabinoids can cause adverse medical complications that may lead people to seek treatment. This study characterized cannabinoid poisoning-related medical encounters, poisoning involving cannabinoids and other psychoactive substances, and cannabinoid poisoning-related cardiac complications. Methods: Administrative billing data for emergency department visits and inpatient hospitalizations in acute care facilities with a discharge date from January 1, 2017 to December 31, 2019 were used to characterize cannabinoid poisoning events in …

Local Community-Based Workforce To Increase Covid-19 Vaccine Access: Deliverables Summary Binder, Mary Lindsey Smith Phd, Evelyn Ali Bs, Katie Rosingana Ba, Tyler Egeland Ba, Katharine Freund Mph

Substance Use Research & Evaluation

Public health evaluators from the Catherine E. Cutler Institute at the University of Southern Maine worked with Healthy Community Coalition and the Hometowns Partnership to provide evaluation services of the Health and Resources Services Administration (HRSA) grant to address vaccination hesitancy and access for the Western Public Health District. This grant program ran from June 2021 to January 2023. The primary goals of the evaluation were to: (1) document implementation strategies and identify barriers and facilitators to implementation, (2) evaluate the efficacy of the education activities at reducing vaccine hesitancy and improving vaccination rates in Western Maine, and (3) assess …

Food Insecurity On College Campuses: Addressing The Issue Through A Student-Centered Perspective, Thomas Ard

Theses and Dissertations--Kinesiology and Health Promotion

Research indicates food insecurity (FI) has become a consistent challenge for college students. However, more is needed regarding the students' lived experiences of food insecurity following the COVID-19 pandemic. Universities play a vital role in assisting students with food insecurity through food assistance programs, on-campus resources, and financial help, which impacts their physiological needs and academic performance. A better understanding of what influences students' perceptions and decisions about whether to engage in these resources is essential.

This dissertation's purpose was to explore how college students living with food insecurity experience engaging in food assistance programs (FAP). The study used a …

Integrating Spiritual Tools And Practices In Mental Health Care: A Scoping Review Of Spiritual Healing From The African Continent, Meron Girma

Public Health Theses

Western medicine typically describes traditional and spiritual healing as a homogenous healing system independent, and in many ways antagonistic to “science.” However, Western medicine fails to acknowledge the global influence of traditional and spiritual practices and its potential to strengthen current mental wellness care. For centuries, traditional and spiritual healing has served as a foundational system in many African nations, utilized to overcome challenges, pain and trauma. It is rooted in harmonious monism which reconciles the duality between mind and matter and conceptualizes the universe as interconnected and interdependent. African spiritual practices unite individuals to a community of shared values, …

Wildfires And Their Impacts On Immigrant Farmworker Women Of Childbearing Age, Rosa Gonzalez Juarez

Public Health Theses

Wildfires have been increasing in recent years due to the climate change that has been affecting the nation and across the globe. The Western part of the United States has been greatly affected, especially California. In 2022 there were 68,988 wildfires reported which consumed 7,577,183 acres nationwide, this was strikingly higher than the 10-year average (National Interagency Coordination Center Wildland Fire Summary and Statistics Annual Report 2022, 2022). The California Wildfires have been detrimental to its residents; however, they have specifically disproportionately affected the Latino population either due to the location of their homes, citizenship status or socioeconomic status (Rosenthal …

For “Them”, Not Us: A Qualitative Study Of Asian American Pacific Islander Perceptions Of Substance Use And Harm Reduction, Winnie Ho

Public Health Theses

Background: Asian American Pacific Islander (AAPI) substance use data is typically aggregated in a way that not only produces overly generalized results, but also potentially perpetuates stereotypes created by the Model Minority Myth (MMM). This has mutually reinforced a lack of representation and understanding of AAPI substance use experiences and needs. This presents a public health concern that is both excluding them from consideration by the field of harm reduction, but also themselves from considering harm reduction. Disaggregated data shows rising rates of substance use and associated harms that are often hidden or not taken as seriously as a public …

Influence Of Stigma On Retention In Hiv Care And Adherence To Antiretroviral Therapy In Specialized Hiv Clinics Targeting Men Who Have Sex With Men And Transgender Women In Lima, Peru, David Oliveros Oliveros

Public Health Theses

HIV stigma is a social determinant of health that can influence adherence to antiretroviraltherapy (ART) and engagement in HIV care that impacts viral suppression levels for people with HIV (PWH). In Peru, a country which lags behind 95-95-95 targets for HIV outcomes, LGBTQ-affirming clinics have the potential to mitigate these negative health effects of stigma and discrimination among men who have sex with men (MSM) and transgender women (TGW), two populations that continue to be disproportionately affected by HIV. Using a validated HIV stigma scale and multivariate logistic regression models, this study assessed the magnitude and types of stigma present …

Intersectoral Responses To Climate Change And Waterborne Diseases In The Caribbean Region: Current Actions And Pathways Forward Using The One Health Framework, Sydney A. Steel

Public Health Theses

The Caribbean exists on the frontlines of climate change, and many climate-related threats are already felt throughout the region and projected to worsen in the coming decades. A critical climate-related threat is that of waterborne diseases, as extreme weather events, sea level rise, and temperature increases are shown to contribute to potable water inaccessibility and a more favorable environment for pathogen proliferation and transmission. The complexity of this challenge calls for increased regional and inter-sectoral collaboration in both preparedness and response efforts. Countries and territories across the Caribbean are currently displaying variable yet marked interest in One Health, yet there …

Examining Genetically Regulated Gene Expression As A Potential Biomarker For Postpartum Depression Screening, Eileen Zhu

Public Health Theses

Background: PPD is one of most common complications of pregnancy but is underdiagnosed and undertreated with less than 10% of women with PPD receiving adequate treatment. Currently, the most well-validated screening questionnaire for perinatal depression, the EPDS, produces a high false positive rate and results in a large number of unnecessary referrals. Objective: The principal emphasis of this investigation will center upon the estrogen sensitivity, which hypothesizes that individuals with a history of PPD will have differences in estrogen receptor gene (ESR1 and ESR2) mediated responses to estradiol and thus, are likely to be more sensitive to the abrupt drop …

2023 Nebraska Beef Cattle Report

Nebraska Beef Cattle Reports

Cow-Calf Management

• Comparison of Semi-confined and Pasture-based August Calving Beef Cow Systems
• Including Gene Edited Sires in Genetic Evaluations
• Impact of Planning Horizon Length on Breeding Objectives and Resulting Selection Decisions
• Effect of Increasing Energy 30 days Prior to Artificial Insemination in Beef Heifers
• Extending Melengestrol Acetate Treatment from Fourteen to Eighteen Days in Beef Heifers
• Artificial Insemination of Beef Heifers with Multi-Sire Sexed Semen

Growing Calf and Yearling Management

• Timing of Implant Use in the Backgrounding System
• Effects of Strategic Supplementation on Return to Management and Performance of Yearling Cattle

Forage Evaluation

• Forage Evaluation of Crested Wheatgrass
• Evaluation of …

Analysis Of Spoilage Bacteria Present In Vacuum Packaged Chilled Beef Treated With Organic Acids, Samuel C. Watson, Rebecca A. Furbeck, Byron D. Chaves, Samodha C. Fernando, Gary Sullivan

Nebraska Beef Cattle Reports

Preventing the spoilage of fresh, chilled beef is crucial for maintaining market value. Since organic acids are regularly used in the beef industry for pathogen control, their ability to improve the shelf life of fresh, chilled beef was evaluated. Fresh, chilled beef was individually treated with 4.5% lactic acid, 2.5% Beefxide^®, or 380 ppm peroxyacetic acid. After storage, Lactococcus, a genus of lactic acid bacteria, became the most common spoilage organism across all treatment and control samples. Organic acid treatments were not able to slow the growth of this genus and may not be an effective method to …

Greenhouse Gas Emissions From Two Beef Systems From Birth To Slaughter In Eastern Nebraska, Levi J. Mcphillips, Zac E. Carlson, Andrew E. Suyker, J. C. Macdonald, Tala Awada, Jane Okalebo, Shree Dangal, Rick R. Stowell, Andrea K. Watson, Galen E. Erickson

Nebraska Beef Cattle Reports

Methane emissions from growing and finishing calves born into a spring calving, conventional cow system or a summer calving, partially-confined cow system were compared. Cows fed a restricted diet of corn-byproduct and grain residues in confinement produced less methane and carbon dioxide per day compared to cows grazing pasture or cover crop. Calves weaned from the confinement-based production system were smaller at weaning and compensated with greater gain during the growing phase. More days on feed in the finishing phase were needed for the calves from the confinement system to reach same backfat thickness. Over the entire growing and finishing …

Ponderosa Pine Wood Biochar Used As An Emissions Reduction Strategy In A Finishing Beef Cattle Diet, Holly A. Heil, Braden C. Troyer, Mitchell M. Norman, Andrea K. Watson, Galen E. Erickson

Nebraska Beef Cattle Reports

A finishing feedlot experiment was conducted to evaluate the impact of feeding biochar on methane and carbon dioxide production, performance, and carcass characteristics in beef cattle. Two dietary treatments were evaluated; 0 or 1% biochar in a high concentrate diet comprised of dry-rolled corn, high moisture corn, Sweet Bran, and corn silage. Ponderosa pine wood biochar was added into the diet at 1% dry-matter displacing a 1% dry-matter blend of corn. Cattle were monitored using a calorimetry emissions barn to capture methane and carbon dioxide production. Emissions production, performance and carcass characteristics did not differ between cattle fed a control …

Effect Of Alga Bio 1.0 On Reducing Enteric Methane Emission From Cattle, Reba L. Conlin, Kassidy K. Buse, Andrea K. Watson, Galen E. Erickson, Paul J. Kononoff

Nebraska Beef Cattle Reports

An experiment was conducted to determine the effect of Alga Bio 1.0 inclusion on methane and carbon dioxide emissions along with diet digestibility. Three treatments were evaluated with 0, 69, and 103 grams per day Alga Bio 1.0 fed as a top dress in a corn-based diet. Indirect calorimetry headboxes were utilized to evaluate gas production with 12 cows in 4 replicated 3x3 Latin squares. There was a 39% reduction in methane per lb of dry matter intake for cattle fed 69 g of Alga Bio 1.0 and 63% reduction when cattle were fed 103 g of Alga Bio 1.0 …

Effects Of Corn Processing And Silage Inclusion In Feedlot Diets On Steer Performance, Jessica L. Miller, Nolan R. Meier, K. H. Jenkins Pas, Galen E. Erickson, Pablo L. Loza

Nebraska Beef Cattle Reports

A feelot study compared the effects of corn silage inclusion on steer performance and carcass characteristics withing dry-rolled corn diets and steam-flaked corn diets. Treatments included four corn silage inclusions as 0, 15, 30, 45% of dry matter in both steam-flaked corn and dry-rolled corn base diets. Feeding a steam-flaked based corn diet increased average daily gain by 7.8% and improved feed conversion by 6.8% when compared to steers fed a dry-rolled corn diet. As corn silage inclusion increased, feed conversion increased linearly. When fed to the same days on feed carcass adjusted final body weight, hot carcass weight, and …

Effect Of Enogen Feed Corn Inclusion In Conventional And Natural Finishing Cattle Diets, Jessica Miller, K. H. Jenkins Pas, Galen E. Erickson, Pablo L. Loza

Nebraska Beef Cattle Reports

Increasing the extent of starch digestibility during finishing could allow producers to improve cattle efficiency. A finishing performance study was conducted to determine the effect of Enogen Feed Corn inclusion as dry-rolled corn and corn silage in comparison to a control corn hybrid within natural and conventional feeding programs for heifers and steers. Cattle in the conventional feeding program received implants and the ration included feed additives, while cattle on the natural program were not implanted and the ration did not contain feed additives. The inclusion of Enogen Feed Corn had no impact on steer or heifer finishing performance. The …

Effect Of Corn Processing On Steer Performance And Fecal Starch Content, Jessica L. Miller, Braden C. Troyer, Levi J. Mcphillips, Mitchell M. Norman, J. C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

Processing corn as high-moisture corn increases starch digestion and improves cattle efficiency when fed blended with dry rolled corn in finishing rations. A finishing study evaluated the effect of corn processing method (dry-rolled corn or 2:1) high-moisture corn to dry rolled corn blend) on performance of calf-fed steers. Corn processing method did not affect average daily gain; however, steers fed a high-moisture corn and dry-rolled corn blend consumed 1.1 lb/day less than steers fed a dry-rolled corn diet. Feeding high-moisture corn and dry-rolled corn blend diets improved feed efficiency by 5.2% compared to steers fed dry-rolled corn. Fecal starch content …