Digital Commons Network^™

Nurses' Perceptions Of Dual-Signature Policy For Subcutaneous Insulin Administration : A Quality Improvement Project, Carolyn Sue Tinsley, Meryem Akay Kuzey, Michael Perlow

Scholars Week

Dissemination of Capstone project for DNP

Intersecting Determinants Of Health: Correlating Food Insecurity And Sleep Deprivation Across Southern Adventist University Demographics*, Heaven Robles, Jesica Paralafox Ramirez, Kimberly Mongare, Joshua C. Jenkins, Melany Castillo, Philip Chen Dr, Aaron Corbit Dr

Campus Research Month

For university students, social determinants of health such as food security and sleep patterns heavily dictate both health outcomes and academic success. Using a cross-sectional study design, statistical analyses will be conducted using the Jamovi software platform to compare mean sleep durations and food access scores across multiple academic departments and ethnic demographic groups. The study evaluates four primary hypotheses: (1) Consistent food access positively correlates with sleep quality; (2) Food security and sleep metrics vary significantly across academic departments; (3) Systemic ethnic disparities exist in food accessibility; and (4) Underrepresented ethnic groups experience a compounded burden of food insecurity …

Improvement On Word Memory After Transcutaneous Vagus Nerve Stimulation In Mild Traumatic Brain Injuries, Jenna Pfeifer, Tyrell Perrigo, Reesa Williams, Qiang Li

SACAD: Scholarly Activities

Transcutaneous vagus nerve stimulation (tVNS) is a non-invasive neuromodulation treatment technique that has been demonstrated to activate norepinephrinergic areas of the brain supporting neuroplasticity. Research shows that tVNS may enhance cognitive performance such as memory, as it may elicit the release of key neurotransmitters that modulate cognitive performance and memory formation. The current study aims to investigate the effects of tVNS on short-term memory among those with mild traumatic brain injuries (mTBI). Preliminary results show that tVNS has a positive impact on short-term memory in participants with mTBI, evidenced by faster reaction time and higher accuracy in the memory tests. …

Psychosocial Mediators Of A Physical Activity And Dietary Intervention In Pregnant Women With Overweight Or Obesity, Meghan Baruth, Sarah Wilcox, Jihong Liu, Rebecca Schlaff

Faculty Publications

Background

Mediation analyses provide insight into both ‘pieces’ of the mediation chain; they allow us to look into the ‘black box’ that is behavior change. They allow researchers to better understand the ‘how’ of an intervention’s effects and/or the ‘why’ behind why an intervention worked or did not work. The lack of publications in pregnant populations highlights the need for additional studies to be conducted and published. The purpose of this study is to examine the psychosocial mediators of physical activity and dietary outcomes in a sample of pregnant women with overweight or obesity participating in the Health in Pregnancy …

Program Evaluation Of A Digital Outreach Initiative For Improving Well-Child Visit Engagement Among Children And Adolescents Aged 3–21 Years, Eseoghene Odhu

Doctoral Dissertations & Projects

Background: Well-child visits are essential to pediatric preventive care because they support immunizations, developmental screening, anticipatory guidance, and early identification of health concerns (Abdus & Selden, 2022; Theunissen et al., 2022). Despite their importance, engagement in recommended visits remains inconsistent across healthcare systems.

Purpose: This program evaluation examined the impact of a digital outreach initiative on well-child visit engagement among children and adolescents within a Midwestern faith-based healthcare organization.

Methods: A pre–post evaluation design was used with de-identified electronic health record data from periods before and after implementation of the initiative. Outcomes included patient enrollment, scheduled visits, completed visits, no-show …

Quality Improvement Project: Educating Nursing Faculty On Animal-Assisted Therapy: Enhancing Knowledge And Confidence To Improve Program Outcomes, Sarah J. Whitwell

Doctor of Nursing Practice Projects

The purpose of this quality improvement project was to evaluate whether an educational intervention on animal-assisted therapy (AAT) improved nursing faculty perceived knowledge and confidence in using AAT to improve program outcomes. The problem addressed was the limited knowledge and confidence among nursing faculty regarding the use of non-traditional, evidence-based strategies to support student mental health. This project was guided by the Stetler Model of Evidence-Based Practice and Lewin’s Change Theory and used a quasi-experimental, one-group pre–post design. The project was conducted with nursing faculty teaching in a baccalaureate program at a four-year public university in Oklahoma. A 10-item Likert-scale …

Cardiomyopathy In Children: What Pediatricians Need To Know, Michael Smith, Brian Birnbaum

Pediatrics in Practice: A CME Podcast

Cardiomyopathy in children can present with subtle signs but serious consequences if missed. In this episode, Brian Birnbaum, MD, Interim Co-Director of the Ward Family Heart Center at Children’s Mercy, shares practical insights for pediatricians on recognizing early red flags, knowing when to refer, and understanding how diagnosis and management of pediatric cardiomyopathy are evolving.

Click here to stream the podcast episode.

Emergency Care Outside Of The Four Walls Of The Emergency Department, Judd E. Hollander

Department of Emergency Medicine Faculty Papers

No abstract available

Facilitators And Barriers To Mobile Health Unit Implementation: A Qualitative-Dominant Mixed Methods Study Exploring Staff Perspectives And Service Outreach, Kelsey Hardin

MUSC Theses and Dissertations

Background: Health disparities are linked to rising healthcare costs in the United States, particularly related to healthcare accessibility. Mobile Health Units (MHUs) have proven to be an effective intervention in reducing barriers to healthcare services, for example, providing early access to prenatal care, thus reducing infant mortality rates. This study focused on the facilitators and barriers to implementing an MHU program, based on staff perspectives and service outreach, to improve maternal and infant health outcomes.

Methods: This study employed a qualitative-dominant mixed-methods research design. Data was collected through interviews to assess staff perspectives. Secondary data analysis of quantitative data was …

Does What Happens In Vegas Increase Pedestrian Safety? A Longitudinal Study On The Effectiveness Of Pedestrian Bridges, Jalen Paulos, Joaquin Miguel Del Mundo, Brock Wentz, Janel Pietryga

Department of Orthopaedics Faculty Research

Urban populations continue to rise and the frequency that pedestrians are exposed to vehicular traffic continues to increase. The result is an increase in automobile versus pedestrian collisions. This study aims to determine the efficacy of pedestrian bridges in reducing the rates of automobile‒pedestrian collisions. Data for all automobile versus pedestrian collisions and injuries from July 1997 through December 2023 at four distinct intersections along Las Vegas Boulevard were retrieved from the Nevada Department of Transportation. These sites were chosen because of their historically high rates of automobile versus pedestrian incidents and the construction of pedestrian bridges at three of …

Does What Happens In Vegas Increase Pedestrian Safety? A Longitudinal Study On The Effectiveness Of Pedestrian Bridges, Jalen Paulos, Joaquin Miguel Del Mundo, Brock Wentz, Janel Pietryga

Department of Orthopaedics Faculty Research

Urban populations continue to rise and the frequency that pedestrians are exposed to vehicular traffic continues to increase. The result is an increase in automobile versus pedestrian collisions. This study aims to determine the efficacy of pedestrian bridges in reducing the rates of automobile‒pedestrian collisions. Data for all automobile versus pedestrian collisions and injuries from July 1997 through December 2023 at four distinct intersections along Las Vegas Boulevard were retrieved from the Nevada Department of Transportation. These sites were chosen because of their historically high rates of automobile versus pedestrian incidents and the construction of pedestrian bridges at three of …

Good Neighbor Physician Gives Distinguished Service To Fsu, Kathy Whitlock

Documents

DR. T.L. Bennett, Jr. and his service to the university as university physician--The Flor-Ala

Roy Stevens Hall Dedicated, Vincent Toney

Documents

Dedication of the Education/Nursing building as Roy Stevens Hall--The TimesDaily

A Blueprint For Success, Una Publications Office

Documents

Brochure for the Education-Nursing Building at UNA

Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase

Walden Dissertations and Doctoral Studies

This quality improvement project aimed to enhance the assessment of dyspnea in patients presenting with shortness of breath, particularly those with asthma, through a staff education program. At the practice site, staff primarily relied on SpO₂ readings to evaluate dyspnea, which often led to misassessment and delays in care. The project addressed this gap by providing urgent care staff with training on comprehensive assessment techniques, including evaluation of respiratory rate, work of breathing, ability to speak, patient history, and use of validated tools such as Borg’s scale and peak flow meters. Twenty triage staff members participated, including licensed practical nurses, …

Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis

Walden Dissertations and Doctoral Studies

Childhood obesity and excessive fast-food intake represent a significant public health concern among African American children. Grounded in the social-ecological model, this quantitative, cross-sectional study examined whether frequency of fast-food or pizza meal consumption and reliance on low-cost food was associated with total cholesterol (mg/dL) and waist circumference among African American children and adolescents aged 6–15 years while controlling for key sociodemographic factors (age, gender, parental education status, and annual household income). Secondary data from the 2017–2018 National Health and Nutrition Examination Survey were analyzed (N=184). Descriptive statistics, nonparametric analyses, and a multiple linear regression model were used to analyze …

Navigating The Ethical Landscape Of Ai Created Responsibility Gaps In Healthcare, Kelsey Dwyer '26

Honor Scholar Theses

This work is a philosophical analysis of the ethical dilemma of AI-created responsibility gaps, or the idea that it is challenging to find someone to hold responsible for outcomes produced by an autonomous system. In particular, my focus is specifically on addressing responsibility gaps created by AI used in healthcare. This complex issue of responsibility gaps becomes more intense in the setting of critical areas of life like healthcare, where moral responsibility is a foundational component of upholding medical ethics. My paper will take a deep dive into exploring the intricacies of this complex problem by applying a pre-existing conceptual …

La Dolce Vita Or The American Way: A Comparative Study Into The Italian And American Healthcare Systems Through An Analysis Of Total Knee Replacements, James (Jim) Mcmurray '26

Honor Scholar Theses

This thesis presents a comparative study of the Italian and the American healthcare systems, using Total Knee Replacements (TKRs) as a standardized metric to evaluate the health policy, financing, and patient outcomes. Despite the United States spending over $10,000 more per capita on healthcare than Italy, American life expectancy is 5 years shorter than Italian life expectancy. Through a mixed-methods analysis of data from the American Joint Replacement Registry (AJRR), the Programma Nazionale Esiti (PNE), the Registri Italiani di ArtoProtesi (RIAP), and the HCUPnet (AHRQ) database, this research identifies multiple disparities throughout the system. Key findings in this thesis include …

Plastics, Microplastics, And The Gut Microbiome: Restoring Scientific Communication To Fight For Public Health, Benjamin Sanders '26

Honor Scholar Theses

Over the course of eight years from 2016 to 2024, a study by Nature Medicine found that the concentration of plastics in the brain increased by 50%. Even samples from patients with a documented dementia diagnosis showed a greater accumulation of microplastics (Nihart, 2025). In one of the most protected regions of our body, microplastics have made themselves known. In one of the most exposed regions of the human body, the story is no different. With the emergence of gut microbiome science and understanding, researchers are just beginning to discover the unique interplay between the microbiota of our gastrointestinal tract …

The Ki-67 Proliferation Index And Recurrence Risk Of Intracranial Meningioma: A Multicenter, Retrospective Cohort Study Of 5,050 Patients, Christian Mirian, Lasse Rehné Jensen, Tareq A Juratli, Andrea Daniela Maier, Anders Broechner, Sverre H Torp, Helen A Shih, Ramin A Morshed, Jacob S Young, Stephen T Magill, Luca Bertero, Walter Stummer, Dorothee Cäcilia Spille, Benjamin Brokinkel, Soichi Oya, Satoru Miyawaki, Nobuhito Saito, Martin Proescholdt, Yasuhiro Kuroi, Konstantinos Gousias, Matthias Simon, Jennifer Moliterno, Ricardo Prat-Acin, Stéphane Goutagny, Vikram C Prabhu, John T Tsiang, Johannes Wach, Erdem Güresir, Junkoh Yamamoto, Young Zoon Kim, Joo Ho Lee, Daniel W Kim, Matthew Koshy, Karthikeyan Perumal, Mustafa K Baskaya, Donald M Cannon, Dennis C Shrieve, Chang-Ok Suh, Jong Hee Chang, Maria Kamenova, Sven Straumann, Jehuda Soleman, Ilker Y Eyüpoglu, Tony Catalan, Austin Lui, Philip V Theodosopoulos, Michael W Mcdermott, Fang Wang, Pedro Góes, Aria Jamshidi, Ricardo Komotar, Michael Ivan, Evan Luther, Luis Souhami, Marie-Christine Guiot, Tamás Csonka, Toshiki Endo, Olivia Claire Barrett, Randy Jensen, Tejpal Gupta, Akash J Patel, Tiemo J Klisch, Jun Won Kim, Francesco Maiuri, Valeria Barresi, María Dolores Tabernero, Simon Skyrman, Ian Law, David Scheie, Bjarne Winther Kristensen, Tina Nørgaard Munch, Torstein Meling, Kåre Fugleholm, Paul Blanche, Tiit Mathiesen

Faculty, Staff and Students Publications

Purpose: The Ki-67 proliferation index (Ki-67 PI) has been associated with meningioma recurrence, yet its clinical utility remains debated. Whether Ki-67 PI provides prognostic information across subgroups defined by both WHO grade and extent of resection remains to be investigated.

Methods: We analyzed 5,050 patients with intracranial meningiomas from the international PERNS cohort (42 centers, diagnosed between 1989-2019) who underwent surgical resection without postoperative radiotherapy. Ki-67 PI prognostic accuracy was assessed up to 10 years postoperatively by using ROC analyses and estimating its association with the risk of recurrence.

Results: Results demonstrated that the prognostic value of Ki-67 PI differed …

Analysis Of Stance Position On The Accuracy Of Forehand And Backhand Strokes In Beginner Table Tennis Players, Azzahra Julia Putri Anjani, Mochamad Yamin Saputra, Geraldi Novian

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: This study was motivated by the low accuracy of forehand and backhand strokes among beginner table tennis players, which is due to unstable stance positions and poor balance during ball striking. Objective: This study aims to analyze the relationship between stance position and the accuracy of forehand and backhand strokes among beginner table tennis players. Methods: This study used a descriptive correlational design with 7 beginner table tennis athletes. The research instruments were forehand and backhand accuracy tests using the multiball method and stance position analysis through video recordings, analyzed using the Kinovea application. Data analysis was performed using …

Development And Evaluation Of An Iot-Based Data Analytics System For Optimizing Football Learning In Higher Education, M. Said Zainuddin, Sudirman Sudirman, Ahmad Zakaria

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: While smart technology and big data have advanced, football instruction at Indonesian universities lags. Most local classrooms lack high-tech tools, presenting an opportunity to modernize sports science. Objective: This research aimed to develop an IoT-based system and analytics platform for higher education, equipping students and coaches with data-driven insights for modern football training. Methods: Conducted at Universitas Negeri Makassar over five months (August–December), the study followed a Research and Development approach with six phases: needs analysis, design, development, expert validation, field trials, and effectiveness evaluation. Participants included Physical Education students divided into experimental (IoT system) and control (traditional methods) …

Cardiovascular Adaptation To Whole-Body Vibration Exercise In Obese Young Adults: A Systematic Review, Meta-Analysis, And Exploratory Analysis Of Sex Differences, Rafiu Okuneye, Abdulkareem Taiwo, Fatai Akinola Apalara, Okechukwu Kingsley Oforka, Isaiah Whenayon Ajoseh, Ogar Emmanuel Ekawu

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Obesity is strongly associated with hypertension and autonomic dysfunction. Whole-body vibration exercise (WBVE) has been proposed as a low-impact intervention for improving cardiovascular function in obese adults, but sex-specific responses remain unclear. Objective: This study aimed to evaluate the effects of whole-body vibration exercise on blood pressure, autonomic function, and cardiac output in adults with obesity, and to explore potential sex differences in cardiovascular adaptations. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies examining the effects of WBV on systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate variability (HRV), and …

Physical Fitness, Body Mass Index, And Physical Activity Among Senior Secondary Students: A Cross-Sectional Study In An Indonesian Islamic Secondary School, Ilona Pratiwi Hutabarat, Acep Rohmat Nurhidayat, Aprizal Fikri, Teguh Andi Prabowo, I Bagus Endrawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Physical fitness is a fundamental component of adolescent health and contributes to academic performance, mental well-being, and lifelong health outcomes. Following the COVID-19 pandemic and the rise in sedentary behavior, evidence on the fitness profiles of Indonesian senior secondary students—particularly in Islamic secondary schools (Madrasah Aliyah)—remains scarce. Objective: To assess the physical fitness level of Madrasah Aliyah students and to examine its association with body mass index (BMI) and self-reported physical activity. Methods: A cross-sectional survey was conducted among 35 students (18 male, 17 female; aged 15–19 years) at MA Raudlatul Irfan, South Tangerang, using purposive sampling. Physical fitness …

The Influence Of Lower-Body Explosive Power, Speed, And Eye-Foot Coordination On Long Jump Performance: A Path Analysis Study, Alwi Fahruzy Nasution, Imanuddin Siregar

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Long jump performance is influenced by various physical and coordinative components, particularly lower-body explosive power, running speed, and eye-foot coordination. However, limited studies have simultaneously examined the predictive relationships among these variables using a path analysis model among university students in physical education programs. Objective: This study aimed to analyze the direct and indirect predictive relationships among lower-body explosive power, speed, eye-foot coordination, and long jump performance. Methods: This study employed a quantitative, cross-sectional, correlational design with path analysis. The sample consisted of 30 students selected using a total sampling technique. Data were collected using standardized physical performance tests, …

Dietary Patterns And Nutritional Status In Soccer Athletes: A Cross-Sectional Study From An Ergonomic Perspective, Rina Mayangsari, Ravi Masitah

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Normal nutritional status has been established as one of the principal determinants in an athlete's performance. Dietary quality plays a critical role in optimizing athletes' physical fitness and performance outcomes. Objective: To examine the associations between dietary patterns on the MacPersona System and nutritional status of soccer players (energy, protein, et cetera, fat, and carbohydrates). Methods: A cross-sectional quantitative study was conducted involving 21 soccer players (total sampling). Dietary patterns were assessed using a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Nutritional status was measured using Body Mass Index(BMI) based on anthropometric data. The chi-square test was used for statistical …

Development And Validation Of A Basic Skill-Based Swimming Training Model For Beginner Athletes: An Addie Approach, Martinus Martinus, Hilmy Aliriad, Karmila Utari, I Bagus Endrawan, Muhamad Rohadi

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Mastery of basic swimming skills is foundational for the development of beginner athletes, yet structured, validated training models tailored to the Indonesian context remain scarce. Objective: This study aims to develop a basic skill-based swimming training model that is content-valid, practical, and effective in improving swimming technical ability in beginner athletes aged 8-12 years, through systematic, staged development procedures. Methods: The research used the Research and Development (R&D) ADDIE model approach with staged procedures: (1) drafting the initial model based on needs analysis, (2) expert validation by four active swimming coaching validators using the Content Validity Ratio (CVR) instrument …

Global Trends And Research Directions Of Augmented Reality In Sports: A Bibliometric And Scoping Review, Novri Gazali, Ahmad Rahmadani, Romi Cendra, M. Fransazeli Makorohim, Syed Kamaruzaman Syed Ali, Joseph Lobo, Edi Setiawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Advances in digital technology have accelerated the adoption of augmented reality (AR) in sports, enhancing training quality, performance analysis, and learning experiences. However, comprehensive studies that systematically map global research trends and sport-specific applications remain limited. Objective: This study aims to analyze global trends and applications of augmented reality (AR) in sports using a mixed-method approach combining bibliometric analysis and a scoping review. Methods: Bibliographic data were retrieved from Scopus and Web of Science (WoS) databases, covering the period 2016–2025. Following a PRISMA-ScR-based selection process, a total of 520 articles were included. Bibliometric analysis was conducted using VOSviewer and …

Improving Academic Learning Time Effectiveness Through Lesson Study In Elementary Physical Education, Nora Antika, Meirizal Usra, Wahyu Indra Bayu, Iyakrus Iyakrus, Herri Yusfi, Arizky Ramadhan, Asha Hasnimy Mohd Hashim, Japhet Ndayisenga, José Vicente García-Jiménez

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Academic Learning Time in Physical Education (ALT-PE) is a key indicator of instructional effectiveness, reflecting the time students spend actively engaged in meaningful learning activities. However, PE lessons often involve excessive Management and waiting time, reducing opportunities for active participation. Although Lesson Study (LS) is recognized as a collaborative professional development approach that can improve instructional quality, its impact on ALT-PE remains underexplored. Objective: This study examined the effectiveness of Lesson Study (LS) in improving instructional effectiveness and optimizing ALT-PE among elementary school PE teachers. Methods: A qualitative-dominant mixed-methods action research design was employed involving 10 PE teachers from …

Cardiorespiratory Fitness In Indonesian Adolescents: Limited Role Of Bmi And Dominant Influence Of Age And Sex In A Large Cross-Sectional Study, Anies Setiowati, Sri Sumartiningsih, Nur Ilhaini Sucipto, Fatih Hazar, Philip X. Fuchs

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Cardiorespiratory fitness (CRF) is a crucial indicator of long-term cardiovascular and metabolic health. Whether body mass index (BMI) independently predicts CRF beyond demographic factors in large, real-world adolescent cohorts remains inconsistently defined. Objective: To determine the independent contributions of body mass index (BMI), age, and sex to cardiorespiratory fitness among Indonesian adolescents using a large community-based dataset.. Methods: A cross-sectional study was conducted using community-based fitness screening data from Central Java, Indonesia. A total of 2,730 adolescents aged 10-18 years (mean 13.3 +/- 2.2 years; 49.6% male) were included. The primary outcome was CRF measured by the 1,600-meter run …