Digital Commons Network^™

Chronic Illness Education 2025: Education And Resources To Improve Pediatric Type I Diabetes Mellitus Care Within Schools And Child Care Services, Alexander Seidel, Alexandra Thomas, Christine Larrea, Daven Sarikonda, Jack Gurwin, Maria Karla Bermudez Pineiro, Matthew Mello, Sana Soman

Patient Education Projects

No abstract provided.

Aggressive, Adaptive, And Underestimated: From Allergy To Arboviruses, The Rise Of The Lone Star Tick, Emily Ellen Owens Pickle

Theses and Dissertations

Once considered a nuisance with little medical importance, the lone star tick (Amblyomma americanum, Acari:Ixodidae) has emerged as a formidable vector driving a new era of public health threats across the United States of America. This dissertation traces the rise of the lone star tick from obscurity to infamy, exploring its expanding geographic range, unique immunologic impacts on humans, and role in the transmission of emerging tickborne viruses. Through a series of integrated studies, this work characterizes the epidemiology, immunology, and ecological context of tick-borne diseases in the southeastern U.S., with a particular focus on α-Gal syndrome (AGS), …

Cytokine Release Syndrome And Neurotoxicity Following Cd19 Car-T In B-Cell Lymphoma, Roni Shouval, Christopher Strouse, Soyoung Kim, Temitope Oloyede, Sairah Ahmed, Farrukh T Awan, Danny Luan, Veronika Bachanova, Talha Badar, Merav Bar, Pere Barba, Amer M Beitinjaneh, Amanda Cashen, Bhagirathbhai Dholaria, Mahmoud Elsawy, Siddhartha Ganguly, Praveen Ramakrishnan Geethakumari, Uri Greenbaum, Hamza Hashmi, Laquisa C Hill, Michael D Jain, Tania Jain, Partow Kebriaei, Adam S Kittai, Frederick L Locke, Premal D Lulla, Elena Mead, Joseph P Mcguirk, Alberto Mussetti, Taiga Nishihori, Amanda L Olson, Martina Pennisi, Miguel-Angel Perales, Peter A Riedell, Wael Saber, Abu-Sayeef Mirza, Margarida Magalhaes-Silverman, Elizabeth J Shpall, Mohamed Sorror, Kitsada Wudhikarn, Cameron J Turtle, Amy Moskop, Marcelo C Pasquini

Faculty, Staff and Students Publications

Chimeric antigen receptor T cell (CAR-T) therapy is an effective treatment for relapsed-refractory large B-cell lymphoma (LBCL). However, toxicities, particularly cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), remain significant concerns. Analyze temporal trends, risk factors, and associations between these toxicities and their severity. In this registry study by the Center for International Blood and Marrow Transplant Research, we studied CRS and ICANS in 1916 LBCL patients treated with commercial CAR-T therapies (axicabtagene ciloleucel 74.9%, tisagenlecleucel 25.1%) between 2018 and 2020. Outcomes include development of CRS/ICANS, timing and severity according to ASTC grading, overall survival (OS). Risk …

Foundations And Strategic Vision Of The Canadian Translational Geroscience Network, Guy Hajj-Boutros, Andréa Faust, John Muscedere, Perry Kim, Gilles Gouspillou, Lea Harrington, James L. Kirkland, George A. Kuchel, Jeremy Van Raamsdonk, R. Jane Rylett, Chantal Autexier, Louis R. Lapierre, Michael Kobor, Mohammad Auais, Ann Beliën, Jeroen Aerssens, George Sutphin, Kenneth Rockwood, Alexandra Papaioannou, Marc Sim, Jamie Justice, Nancy Mayo, Gustavo Duque

Research outputs 2022 to 2026

Geroscience is an emerging interdisciplinary field that explores the biological connections between aging and the development of chronic diseases, with the ultimate goal of identifying interventions to extend healthspan and delay age-related conditions. Recognizing the growing importance of this field, the Canadian Translational Geroscience Network (geroscience.ca) was officially launched during a conference held in Montreal on September 5-6, 2024. Building on the momentum of successful Geroscience meetings in Toronto and Montreal in 2023, this milestone event marked a transformative step forward for geroscience in Canada. This event brought together key stakeholders, including the Canadian Frailty Network (CFN), the Canadian Institutes …

Models Of Care For Indigenous Children In Rural And Remote Settings: A Global Scoping Review, Joseph Freeman, Thomas Stubbs, Verity Chadwick, Anita Pickard, Tuguy Esgin, Elizabeth J. Elliott, Alexandra Martiniuk

Research outputs 2022 to 2026

Indigenous communities internationally have demonstrated remarkable strength despite significant challenges. Health disparities among Indigenous peoples persist due to historical injustices and ongoing racial discrimination, not inherent vulnerabilities. Disparities are rooted in a legacy of colonisation, systemic exclusion, and socio-economic inequities impacting access to healthcare, education, and employment. Preliminary searches show limited literature on models of care for remote living Indigenous children. This review aimed to identify internationally, effective models of care for Indigenous children in rural and remote areas. A scoping review was conducted, analysing literature on models of care for remote Indigenous children. This study followed the JBI’s Scoping …

Policy Analysis On Million Hearts 2027, Cardiovascular Health, Priyanka Gera

Quill & Scope

No abstract provided.

"The Growing Burden: Overweight And Obesity Prevalence And Risk Factors Among Medical College Students In Mysuru: A Cross-Sectional Study", Akansha ., Nayanabai Shabadi, Anchu R Nath, Ravipati Manogna

Digital Journal of Clinical Medicine

ABSTRACT:

Background:

The transition from adolescence to adulthood is often accompanied by significant lifestyle changes, including changes in dietary habits, physical activity levels, and stress, which can contribute to unhealthy weight gain. In India, the prevalence of overweight and obesity among youth has shown an upward trend, raising concerns about early onset of non-communicable diseases. This study aims to assess the prevalence of overweight and obesity among degree college students in Mysuru and to identify the associated socio-demographic and lifestyle factors contributing to these conditions.

Methodology:

A cross-sectional study was conducted over three months, from January to March 2025, among …

Anthropometry Measurement Video Improve Knowledge Of Cadres In Nganjuk City: A Single Group Pre-Post Test Design Study, Farah Paramita, Mika Vernicia Humairo, Septa Katmawanti, Nohan Arum Romadlona

Preventia: The Indonesian Journal of Public Health

High quality anthropometric measurements are important for nutritional assessment in children. In Indonesia, anthropometric measurement of children performed by caders in child center called posyandu as a child growth monitoring. However error measurements are found, especially on length or height measurement of children affecting presision and accuracy of data. This will lead to misinterpretation of child nutrition status. Education and training for cadres using media are important to improve their knowledge and skill related to anthropometric measurements. This study aimed to assess the effect of anthropometry measurement training using videos on Cadre’s knowledge. This study used one group pre-post test …

Too Sweet To Ignore: How Ssb Intake And Physical Inactivity Affect Bmi In Malang’S Student Population, Indana Tri Rahmawati, Nurnaningsih Herya Ulfah, Anggi Renawati, Yuvica Novita Gunawan

Preventia: The Indonesian Journal of Public Health

The growing incidence of overweight and obesity in young adults has been closely associated with unhealthy lifestyle habits, particularly the high intake of sugar-sweetened beverages (SSBs) and low levels of physical activity. College students are especially at risk due to lifestyle changes that occur during their university experience. This research aims to investigate the SSB consumption patterns, physical activity levels, and their correlation with Body Mass Index (BMI) among university students in Malang City. A descriptive cross-sectional study was carried out with 382 active students chosen through accidental sampling. Data were obtained using an online questionnaire shared through student networks …

Scoring System For Screening Fitness To Work For Offshore And Onshore Remote Area Worker, Kasyunnil Kamal

Occupational and Environmental Medicine Journal of Indonesia

Background: About 10-15% of medical examinations of workers at upstream oil and gas companies are not conducted properly. In some cases, workers die at worksites. Many doctors carrying out the assessment lack the competency to assess occupational risks. In this study, we developed a scoring system for ‘fitness for work’ assessment, which can be used by trained doctors.

Methods: Diagnostic testing was done with comparing the results of the determination screening fitness for work using a scoring system with the determine fitness for work results by Occupational Medicine Specialist as a gold standard in the same group. The entire 607 …

Social Determinants Of Dementia Among Older Adults In Samarinda’S Urban Area, Lisa Wahidatul Oktaviani, Ghozali Ghozali, Ferry Fadzlul Rahman, Maya Agustin Ulan Ari

Preventia: The Indonesian Journal of Public Health

Improving the quality of health and welfare of the population has an impact on increasing the number of lives in Indonesia. As a result, the number of elderly people and their proportions is increasing. Dementia is a condition where cognitive decline is so severe that it affects daily activities and social interactions. This condition of cognitive decline usually begins with a decrease in memory or memory abilities. Dementia that occurs among the elderly is caused by several factors, namely lifestyle, cognitive activities, family support, Activity Daily Living (ADL), self-esteem, quality of life, smoking behavior, knowledge, physical activity and sleep quality. …

The Effect Of Computer-Mediated Communication On Occupational Positive Mental Health Mediated By Work-Family Enrichment In Workers In Remote Areas: Analysis Using Structural Equation Modelling, Herlando Junanta, Suryo Wibowo, Herqutanto ., Dewi Yunia Fitriani, Titis Mariyamah, Dewi Sumaryani Soemarko

Occupational and Environmental Medicine Journal of Indonesia

Objective: This study aims to examine the effect of computer-mediated communication (CMC) on occupational positive mental health (OPMH) mediated by work-family enrichment (WFE) in workers in remote areas using the CMC, OPMH-40, and WFE questionnaires. Method: The latent variables in this study are CMC, OPMH, and WFE. The observed variables include all items from CMC, OPMH, and WFE. The sample technique used was total sampling, revealing that 349 workers in the project department of an oil and gas company located in the West Papua Province of Indonesia expressed their willingness to participate as research participants. To test research hypotheses using …

Implementation Of Patient Safety Incident Reporting Using Web-Based Quality Management Information System In Hospital X Tangerang, Andrew Jeremia, Mardiati Nadjib

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient safety incident reporting is a critical component of hospital quality systems. This study evaluated the implementation of a Quality Management Information System (QMIS) for incident reporting at Hospital X using the Structure–Process–Outcome (SPO) framework integrated with the HOT-Fit model. A mixed-methods case study was conducted, combining analysis of 774 incident reports submitted between March 2023 and December 2024 with in-depth interviews involving clinical staff, unit heads, and the Quality and Risk (QR) Manager. Findings revealed that while structural elements such as computing infrastructure and leadership support were in place, gaps remained in staff training, procedural awareness, and system usability. …

Transforming Primary Care: Innovative Post Graduate Pa Training For Real-World Solutions, Kenneth Botelho, James Ali

Lynchburg Journal of Medical Science

The ongoing crisis in primary care demands innovative and scalable strategies to prepare and retain advanced practice providers. This article introduces the Primary Care Practitioner (PCP) Program, a conceptual postgraduate training model designed for certified physician associates/assistants (PAs) who aim to serve in underserved and rural communities. The program integrates advanced clinical training, leadership development, telehealth competencies, VR-enhanced simulation, and evidence-based strategies to promote provider resilience. Rooted in systems-based thinking and real-world applicability, the PCP Program culminates in capstone projects that encourage innovation in care delivery and population health.

Aligned with national frameworks such as the HRSA Primary Care Training …

The Effects Of E-Cigarettes And Oxidative Stress On Cognitive Function And Adolescent Academics, Alexis A. Kaminsky Jr.

Lynchburg Journal of Medical Science

Electronic cigarettes are the fastest growing method of tobacco consumption in the United States despite an overall decline in smoking rates. Evidence has shown that enticing flavor and trendy marketing campaigns have increased use among younger consumers. Nicotine use is a risk factor among younger individuals for damage to brain development and cognitive impairment, and electronic cigarettes are no exception. This paper attempts to review and clarify previously observed health impacts of electronic cigarette use among younger individuals, as measured by academic grades and scores. A focus on the effect of oxidative stress on the body and the resulting academic …

Prevalence Of Lifestyle Diseases Among Adult Males And Females In Kihurio Village Tanzania: A Health Assessment., Sozina Stephen Katuli Jr, Nigell Essex, Mathew Masangcay, Godfrey Mhina Kilonzo, Ruth Nyika

Adventist Human-Subject Researchers Association

Adults under the age of 70 in Sub-Saharan Africa face a higher probability of death from non-communicable diseases than adults of the same age in the Established Market Economies. A team from Andrews university in collaboration with the health unit of the Northeast Tanzania Conference (NETC), collaboratively conducted a community needs assessment and on lifestyle diseases in Kihurio village in December 2017 and found that over half of the attendee had hypertension. Focus group discussions with the community also listed hypertension and diabetes as one of the major health problems. This study was a follow up to determine the prevalence …

Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale

Publications and Research

Rooted in a rural community’s needs, this paper explores how historically, and ethically informed infrastructures can support community engagement towards identification, documentation, and dissemination of local, traditional, and indigenous knowledge relating to climate change. The paper examines climate adaptation and sustainability issues through the lenses of community organizing and Library & Information Science best practices. It draws on a growing body of literature identifying a role for expanded epistemological and subject discipline perspectives. While the impacts of climate on material culture are increasingly recognized, intangible, and biocultural heritage have not received as much attention. Living heritage traditions and knowledge systems …

Associations Between Daytime Sleepiness, Obesity, And Sleep Apnea Severity Among Caribbean Women, Melaine F. Mcleod

Walden Dissertations and Doctoral Studies

Obstructive sleep apnea is the most common type of sleep-disordered breathing. Obstructive sleep apnea (OSA) is a global health epidemic that is associated with the obesity pandemic and daytime sleepiness. This quantitative cross-sectional descriptive study aimed to examine associations between daytime sleepiness measured by the Epworth Sleepiness Scale, obesity measured by body mass index (BMI), and severity of OSA measured by the apnea-hypopnea index among Caribbean women residing in the Cayman Islands. The health belief model served as the theoretical framework to guide this research. Daytime sleepiness and obesity were independent variables; the dependent variable was the severity of OSA, …

Core State Injury Prevention Program Listening Sessions Report June 2025 Report, Camille Velarde, Yvonnie Baik, Elena Martinez, Theresa Cruz

Reports & Documents

Background: Injury and violence remain pressing public health challenges in New Mexico, particularly in rural and underserved communities. To inform prevention strategies, the University of New Mexico Prevention Research Center partnered with the New Mexico Department of Health and local organizations to conduct community listening sessions focused on upstream approaches addressing shared risk and protective factors.

Methods: Four listening sessions were conducted in 2025 with stakeholders from county health councils and community organizations. Using a rapid qualitative analysis approach, researchers analyzed participant perspectives on local injury and violence concerns, familiarity with upstream frameworks, and communication preferences.

Results: Participants identified overlapping …

Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones

Walden Dissertations and Doctoral Studies

Maternal depression, including perinatal depression (PND), poses significant public health risks to women, infants, and families. Although routine PND screening is recommended, limited research has examined screening and referrals among military spouses, an underserved population affected by frequent relocations and deployments. This study examined how permanent change of station (PCS) frequency affects PND screening and referrals to mental health services. Grounded in Bronfenbrenner’s socioecological model and the CDC’s social ecological model of health, eight research questions explored associations between PCS frequency, PND screening, referrals, and the moderating roles of military branch and deployment status. A quantitative cross-sectional design was used …

The Relationship Between Prenatal Stressful Life Events And Breastfeeding Initiation Among Mississippi Mothers, Candon Garbo, Katie C. Hall, Disha Jhaveri, Jung Hye S. Lee, Deanna Howington, Mina Qobadi, Mary Wesley

Journal of Public Health in the Deep South

Background: Early initiation of breastfeeding increases the likelihood of exclusive breastfeeding, which can be linked to improving both the mother’s and infant’s health. However, breastfeeding rates in Mississippi continue to be one of the lowest in the United States, with infant mortality and morbidity rates at the highest. Purpose: This study aims to explore the impact SLEs may have on initiating breastfeeding, as research is limited. Methods: Analyzed data from 2016 to 2021 Pregnancy Risk Assessment and Monitoring System (PRAMS) was used to determine a correlation between life stressor experiences during pregnancy and initiation of exclusive breastfeeding with a sample …

Healthy Moms/Healthy Babies Of Mississippi Initial Provider Engagement And Student Feedback Loop Project, Corban Jackson Mph, Jillian Harper-Peavy Lmsw, Imh-E, Starica Harper, Vernesia Wilson Phd, Mph

Journal of Public Health in the Deep South

Background Between 2017 and 2022, 83% of maternal deaths in Mississippi were preventable. Unfortunately, there is a persistent shortage of OB-GYNs in Mississippi, feeding the rise of maternal care deserts and the lapse in collaboration between providers and state maternal health organizations. Purpose Healthy Moms/Healthy Babies of Mississippi, a care management program for high-risk mothers and infants, has partnered with the Mississippi Alliance for Innovation on Maternal Health initiative (AIM) to improve maternal health outcomes through building healthcare networks with existing providers. Methods 33 medical students from the University of Mississippi Medical Center School of Medicine and William Carey University …

More Than Words: How Communication Shapes Maternal Healthcare Experiences In Mississippi, Brittney Clayborn, Traci Hayes

Journal of Public Health in the Deep South

Effective communication between healthcare providers and pregnant individuals is a critical factor in shaping maternal healthcare experiences. This study explores the role of provider-patient communication in prenatal and postnatal care among a group of Mississippi mothers, highlighting how communication influences trust, decision-making, and overall satisfaction with care. Using qualitative data collected through in-depth interviews, this case study examines both positive and negative communication experiences, identifying key barriers such as dismissiveness, lack of transparency, and rushed interactions. Findings suggest that when providers engage in clear, compassionate, and culturally competent communication, patients feel more empowered and supported in their care. Conversely, poor …

Epidemiological Trends Of Facial Fractures In The United States, Gabriel I. Onor, Ugochi T. Aguwa, Nicholas Barksdale, Isaiah X. Hughes, Molly Milano, Camila Cordero, Uche Nwagu, Oluwatomi Akingbola, Chibuzo J. Aguwa, Michael C. Okoronkwo

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Sustaining facial fractures may pose significant challenges to patients' health and quality of life. In the United States (U.S.), facial fractures account for 20 % of all sports-related injuries in pediatrics and many of these injuries are associated with traumatic brain injury. The objective of this study was to identify overall and sports-related incidence rates of facial fractures presenting to U.S. hospital emergency departments from 2014 to 2023 and define demographic risk factors for these injuries.

METHODS: The National Electronic Injury Surveillance System was queried to identify facial fractures from 2014 to 2023 as well as associated demographic data. …

Potential Effect Of Statins As Adjuvant Anti‑Tuberculosis Agents: A Short Communication, Mehwish Hanif, Ayesha Tariq, Laiba Zahoor

Digital Journal of Clinical Medicine

Tuberculosis is a chronic pulmonary infectious disease caused by Mycobacterium tuberculosis and can affect other parts of the body such as bones, brain, and lymph nodes (extra pulmonary Tb). Statins, primarily used for hyperlipidemia, have demonstrated anti-inflammatory and immunomodulatory properties that may help prevent and manage TB. They inhibit HMG-CoA reductase, reduce cholesterol synthesis and interfere with phagocytosis crucial for TB infection. Given the rise in resistance to first-line anti-tubercular therapies, Statins have shown promise as adjunctive agents by potentially shortening treatment duration, reducing adverse effects, and improving outcomes, particularly in immunocompromised and diabetic patients. Based on these findings, Statins …

Increasing Community Members' Engagement In Cancer Research: The Making Research Clear Program, Rebecca J. Melillo, Christiane J. El Khoury, Joshua Blanding-Godbolt, Q. Greene, Karen M. Bussard, Amy Leader

Kimmel Cancer Center Faculty Papers

BACKGROUND: Despite the importance of engaging community members in research, multiple barriers from the perspective of the investigator and community member exist. The Making Research CLEAR (Community Learning and Experience about Research) Program aims to bridge the gap between research conducted at an NCI-designated cancer center and the community.

METHODS: Community members and a cancer center investigator were paired for a 6-month immersive research experience. Community members had at least one research experience per month with their investigator, while also attending cancer center activities such as Institutional Review Board (IRB) meetings, research lectures, protocol review meetings, and community outreach events. …

Effect Of Perioperative Haemodynamic Management Based On Cerebral Autoregulation Monitored By Cerebral Oximetry Index During Carotid Endarterectomy: Protocol Of A Randomised Trial, Muhan Li, Xueke Yin, Chuanyu Liang, Chenyang Tao, Qixiao Yan, Min Zeng, Shu Li, Daniel I Sessler, Rong Wang, Lei Zhao, Yuming Peng

Faculty, Staff and Student Publications

Introduction: Impaired cerebral autoregulation is associated with postoperative ischaemic brain injury and often occurs in patients with carotid artery stenosis. Adequate cerebral perfusion should therefore be maintained during carotid endarterectomies. Whether guiding intraoperative blood pressure to the Cerebral Oximetry Index (a measure of cerebral perfusion adequacy) reduces postoperative cerebral ischaemia remains unclear.

Methods and analysis: We plan a dual-centre randomised blinded trial. A total of 560 patients having elective carotid endarterectomy will be randomly assigned to guided versus routine haemodynamic management. In patients randomised to guided management, mean arterial pressure will be titrated to maintain a normal cerebral oximetry index. …

"You Need To Make The Decision You Can Live With": An Observational Study Of Anti-Abortion Centers In Tampa Bay, Anna Broich

USF Tampa Graduate Theses and Dissertations

Anti-Abortion Centers (AACs) pose a grave threat to the reproductive health outcomes of Americans. Disguising themselves as licensed health clinics, AACs target vulnerable communities to prevent or delay abortion care through the spread of medical misinformation, contributing to abortion stigmatization. Situated in a state with a near-total abortion ban, this secret-shopper study aimed to understand the ways in which AACs in Tampa, Florida communicate anti-abortion rhetoric to pregnant people seeking abortions. Under the guise of people who suspect they are pregnant searching for abortion care, the main researcher and her assistants conducted the first phase of the study through 25 …

When Access Is Not Enough: The Role Of Utilization Barriers In Nutrition Security And Cardiometabolic Risk, Maha Almohamad, Ruosha Li, Natalia I Heredia, Jayna M Dave, Eric E Calloway, Anjail Z Sharrief, Shreela V Sharma

Faculty, Staff and Student Publications

Background: Food and nutrition security are key social determinants of cardiometabolic health. While food security reflects access to sufficient food, nutrition security incorporates the quality, consistency, and usability of food that supports long-term health. However, few studies have examined how household-level barriers to food utilization shape these relationships. Objective: This study assessed whether tangible (e.g., equipment, storage) and intangible (e.g., time, knowledge) food utilization barriers modify the associations between food and nutrition security and cardiometabolic outcomes in low-income adults.

Methods: A cross-sectional survey was conducted among 486 low-income adults across five U.S. states. Participants reported household food security (USDA …

The Social Standing Versus The Mind Standing Of Older Adults In Egypt: Cross-Sectional Analysis Of The Relationship Between Social Capital And Cognitive Functions, Shaza H. Shinaishen Dr

Theses and Dissertations

Introduction: Egypt's population, much like that of other countries, is expected to age considerably over the course of the coming decades. Although biological and socioeconomic predictors of cognitive function have been studied widely, personal level social capital remains unexplored, especially in LMICs.

Purpose: This study primarily investigates the relationship between individual social capital and cognitive functioning among older adults aged 65 years and older in Egypt using the structural and cognitive components of social capital, including group membership, civic engagements, and caregiving roles.

Methods: A cross-sectional survey on 363 older individuals in different geographical and demographic segments of Egypt using …