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Navigating Health Management Decisions in Pediatric Food Allergy: Exploring Caregiver Needs, Experiences, and Behaviors
Get PDFFood allergy (FA) is a prevalent and often severe condition affecting approximately 8% of U.S. children (Gupta et al., 2018; Robson & Assa’ad, 2024). The responsibility for daily management of FA, including making critical health management decisions, often falls to caregivers. These responsibilities can impose significant psychosocial demands on caregivers, particularly as treatment options expand and require more nuanced decision-making (Collins et al., 2024; Hamadi et al., 2024; Knibb & Jones, 2024; Lieberman, 2024; Umetsu, 2024). Caregivers\u27 decisions are shaped by a range of individual needs, experiences, and sociodemographic characteristics (Dale & Hemmerich, 2009; Hoefel, O’Connor, et al., 2020). As children age and begin to manage their own care, decision-making becomes more dynamic and collaborative. Involving children and adolescents in health decisions is associated with improved outcomes, greater adherence, and enhanced self-efficacy (V. A. Miller, 2018b; V. A. Miller et al., 2017; V. A. Miller & Jawad, 2014, 2019). Empowering youth to participate also prepares them for effective self-management. However, there is limited research on how caregiver decisional needs, conflict, and anxiety evolve across decision-making stages in pediatric food allergy management, and how these factors affect youth involvement in shared decision-making (SDM). This dissertation examined caregiver decision-making experiences and youth involvement in SDM. Findings revealed significant variation in caregiver experiences by decision stage and type. Notably, caregiver anxiety played a key role in shaping how caregivers engaged with children during SDM. These results offer a clearer understanding of the psychosocial landscape of FA decision-making and emphasize the need for tailored support. Interventions that reduce decisional conflict and enhance caregiver preparation—especially in earlier stages or high-stakes scenarios—may improve outcomes for both caregivers and children. Promoting effective SDM requires attention not only to medical guidance but also to the emotional and cognitive readiness of families making these decisions together
TOWARD A LAY ETHIC OF SOLIDARITY WITH THOSE ABUSED BY CATHOLIC LEADERS
No full textThe sexual abuse crisis in the Catholic church has caused widespread harm to both those abused and the church community. While theologians and the church magisterium often attribute the crisis to abusive priests and their moral failings or psychopathology, the response from the laity has been largely overlooked. This dissertation addresses that gap. Chapter 1 examines the harm done to those abused and the wider church, exploring theological causes such as abusive priests, episcopal failings, the valorization of suffering, unquestioning obedience to hierarchy, and structures like clericalism and hierarchicalism. These factors created a climate where the effects of abuse rippled out into the entire church and conditioned the laity to be passive. Chapter 2 considers why the laity might be passive, identifying three areas: theological neglect, psychopathology, and structures. Historically, the laity are defined negatively, resulting in their work being seen as outside the church. Psychologically, lay people have defense mechanisms and beliefs that interfere with action. Daniel Daly’s work on structures shows how structural clericalism and hierarchicalism have formed the laity to be passive and obedient. As Jesus interrupted the workings of oppressive structures in the temple when he turned tables, the abuse crisis has interrupted the work of the church. The laity are called to respond. Chapter 3 investigates how the laity can respond through relationships with God and those abused. Jon Sobrino calls this solidarity, which supports the laity in seeing themselves within structures related to the abuse crisis and identifying their power. Lay people can engage in accompaniment, advocacy, or prevention, guided by virtues such as courage, humility, generosity, mercy, and fidelity and through discernment of spirits. Chapter 4 draws from attachment theory to explain how relationships of solidarity might work. Those abused must perceive lay people as safe haven and secure base. Skills such as anticipatory empathy, listening without judgment, and observing those abused are essential. Christian communities can offer support and accountability. The dissertation concludes with reviewing the work of Awake for practical ideas for lay people to engage in accompaniment, advocacy, and prevention, and become ambassadors of hope
Meta Connect 2025: Opening Keynote
No full texthttps://epublications.marquette.edu/zuckerberg_files_videos/1468/thumbnail.jp
Zuckerberg Facebook video announcing the fall 2025 line of Meta glasses part 1
No full texthttps://epublications.marquette.edu/zuckerberg_files_videos/1472/thumbnail.jp
Global Decoupling of Functional and Phylogenetic Diversity in Plant Communities
No full textPlant communities are composed of species that differ both in functional traits and evolutionary histories. As species’ functional traits partly result from their individual evolutionary history, we expect the functional diversity of communities to increase with increasing phylogenetic diversity. This expectation has only been tested at local scales and generally for specific growth forms or specific habitat types, for example, grasslands. Here we compare standardized effect sizes for functional and phylogenetic diversity among 1,781,836 vegetation plots using the global sPlot database. In contrast to expectations, we find functional diversity and phylogenetic diversity to be only weakly and negatively correlated, implying a decoupling between these two facets of diversity. While phylogenetic diversity is higher in forests and reflects recent climatic conditions (1981 to 2010), functional diversity tends to reflect recent and past climatic conditions (21,000 years ago). The independent nature of functional and phylogenetic diversity makes it crucial to consider both aspects of diversity when analyzing ecosystem functioning and prioritizing conservation efforts
Examining the Influence of Intolerance of Uncertainty on (Occupational) Future Time Perspective and Retirement-Related Outcomes in Working Adults
No full textUncertainty regulation models have recently challenged the assumption that uncertainty is inherently negative, describing ways that uncertainty regulation can lead to effectiveness. The goal of this study was to empirically test a small component of these dynamic frameworks. We accomplished this through measuring intolerance of uncertainty—a predisposition towards fearing an uncertain future—as a predictor of retirement-related outcomes, via future time perspective and occupational future time perspective. In Study 1, based on a heterogenous two-wave sample of working adults, (T1 N = 975, T2 N = 875), we tested intolerance of uncertainty as a predictor of financial risk tolerance towards retirement, retirement saving behaviors, and motivation to continue working, via future time perspective. Study 1 revealed that intolerance of uncertainty had a significant indirect effect on motivation to continue working and financial risk tolerance towards retirement, via future time perspective—suggesting that tolerating uncertainty is beneficial for aging workers through shaping an open-ended future time perspective. In Study 2, we used a heterogenous three-wave sample of working adults (T1 N = 587, T2 N = 454, T3 N = 406) and evaluated intolerance of uncertainty as a predictor of perceived work ability, via occupational future time perspective. Consistent with expectations, Study 2 reinforced the conclusions of Study 1. Overall, we provide empirical support for aspects of these uncertainty regulation frameworks. We discuss our findings in the context of uncertainty regulation, (occupational) future time perspective, and successful workplace aging
The Future Mark Zuckerberg Is Trying To Build
No full texthttps://epublications.marquette.edu/zuckerberg_files_videos/1452/thumbnail.jp
Immunohistochemical Analysis of Dentigerous Cysts and Odontogenic Keratocysts Associated with Impacted Third Molars—A Systematic Review
Get PDFObjective: This systematic review investigates the diagnostic, prognostic, and therapeutic implications of immunohistochemical markers in dentigerous cysts (DCs) and odontogenic keratocysts (OKCs) associated with impacted third molars.
Materials and Methods: A comprehensive search strategy was employed across major databases including MEDLINE/PubMed, EMBASE, and Web of Science, from the inception of the databases to March 2024. Keywords and Medical Subject Heading (MeSH) terms such as “dentigerous cysts”, “odontogenic keratocysts”, “immunohistochemistry”, “Ki-67”, and “p53” were used. The PRISMA 2020 guidelines were followed to ensure methodological rigor. Inclusion criteria encompassed studies on humans and animals providing definitive diagnoses or specific signs and symptoms related to DCs and OKCs, with results on protein expression derived from immunohistochemistry, immune antibody, proteomics, or protein expression methods.
Results: Of the 159 studies initially identified, 138 met the inclusion criteria. Our analysis highlighted significantly higher expressions of Ki-67 (22.1% ± 4.7 vs. 10.5% ± 3.2, p \u3c 0.001), p53 (15.3% ± 3.6 vs. 5.2% ± 1.9, p \u3c 0.001), and Bcl-2 (18.4% ± 3.2 vs. 8.7% ± 2.4, p \u3c 0.001) in OKCs compared to DCs, indicating a higher proliferative index, increased cellular stress, and enhanced anti-apoptotic mechanisms in OKCs. Additionally, PCNA levels were higher in OKCs (25.6% ± 4.5 vs. 12.3% ± 3.1, p \u3c 0.001). Genetic mutations, particularly in the PTCH1 gene, were frequently observed in OKCs, underscoring their aggressive behavior and potential malignancy.
Conclusions: The findings emphasize the significant role of immunohistochemical markers in distinguishing between DCs and OKCs, with elevated levels of Ki-67, p53, Bcl-2, and PCNA in OKCs suggesting a higher potential for growth and recurrence. Genetic insights, including PTCH1 mutations, further support the need for personalized treatment approaches. These markers enhance diagnostic accuracy and inform targeted therapeutic strategies, potentially transforming patient management in oral and maxillofacial surgery
Self-Efficacy and Student Support Programs Impact on Campus Experiences: A Study of First-Generation College Students
Get PDFABSTRACT SELF-EFFICACY AND STUDENT SUPPORT PROGRAMS IMPACT ON CAMPUS EXPERIENCES: A STUDY OF FIRST-GENERATION COLLEGE STUDENTS First-generation college students’ degree attainment is far below their continuing generation peers (Whitely et al., 2018). This study aims to offer institutions of higher education better insight into how to provide support to be more effective in retaining first-generation college students. This explanatory sequential mixed methods study examines how first-generation sophomores and juniors with low and high self-efficacy who are either participating in or not participating in formal student support programming experience different institutional interactions meant to support them while at their institution. Quantitative results from the College Self-Efficacy Inventory (Solberg, 1993) were used to purposely select participants to interview for the qualitative portion of this study. Bean and Eaton’s (2001) Psychological Model of College Student Retention was used as the theoretical framework to investigate students’ experiences. The themes that emerged from this study were sense of belonging, support systems, and agency. All students felt a sense of belonging when they saw themselves represented on campus and felt people cared about them, with support programs providing intentional representation for students in these programs. Support systems varied for high and low self-efficacy students, with students in support programs having built in support systems and those not in support programs seeking out support on campus. All high self-efficacy students and some low self-efficacy students demonstrated a high sense of agency. Overall, the interactions students had with advisors were positive, the interactions with instructors varied, the academic interactions with peers were not positive, while the social interactions with peers were positive. Recommendations for institutions of higher education include providing structured spaces, programs, and events designed for first-generation college students, adequately training faculty and staff to support first-generation college students, implementing holistic support systems for first-generation college students, and implementing parent-specific outreach and programming for first-generation college students’ parents. Recommendations for further research include interviewing first-generation college students from different types of institutions, comparing experiences of students that persist and do no persist to year two and year three, and look at first-generation students’ self-efficacy and experiences over their time at the university
