Digital Commons Network^™

A Systematic Review Of The Long-Term Clinical Success Of Gastric Peroral Endoscopic Myotomy For Refractory Gastroparesis, Tamara Stojilkovic, Kelsey Staudinger, Jennifer F. Dennis

Student Publications

Gastroparesis is a chronic and debilitating gastrointestinal disorder with few medical treatment options. Traditional surgical management has involved laparoscopic pyloromyotomy or gastric stimulation. In recent years, gastric peroral endoscopic myotomy (GPOEM) has become an attractive, less invasive option for patients with refractory gastroparesis. There is little information on the long-term clinical success of GPOEM in patients with refractory gastroparesis. This systematic review aims to evaluate the data on this procedure's long-term clinical efficacy and safety. A comprehensive literature review was done in PubMed, EMBASE, Ovid, and Google Scholar databases from the date of earliest entry in May 2017 up to …

Assessment Of The Pulmonary Concentration Of Lead And Cadmium In Patients With Lung Cancer In Najaf"., Shaymaa Awad Kadhim, Zahra Mousa Hamza, Adnan Hasson Al-Jbory, Hussein Ali Jabbar, Teebah Talib Abdulridha

Maaen Journal for Medical Sciences

One of the most dangerous malignancies is lung cancer. Better treatment is made possible by the early detection of this illness. This study's objective was to measure the serum levels of lead and cadmium (heavy metals) in healthy individuals (H.G.) of both sexes and compare those levels to those in individuals with non-healthy lung cancer (L.C.). 101 blood serum samples were gathered from the Middle Euphrates Cancer Center in the Iraqi province of Najaf, consisting of 54 males and 47 females. Using an FAAS, the levels of serum cadmium and lead were examined (flame atomic absorption spectrophotometer). The respective mean …

Video Didactic Preparation Augments Problem-Based Learning For First Year Medical Students., Kelly L. Hamilton, Yu-Chun Kuo, Peter Horneffer, T. Peter Stein, Gary S. Goldberg

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Problem-based learning (PBL) utilizes a self-directed strategy. This process relies on group participation to succeed. Students without a background in biology or medicine can feel overwhelmed by the complexity of the subject matter and unable to participate in the group learning process. We incorporated curated educational videos in the PBL curriculum to help address this situation. First year medical students participated in this study in the form of a typical PBL session. They were then assessed on basic and clinical science knowledge and their learning experience. Student basic science and clinical knowledge were similar between the student groups. However, the …

Resources To Promote Senior Independence, Amanda Anderson, Sheree Mae Cacal, Sophia Gallego, Madyson Grant, Lola Wallace

Nursing Leadership in Community Engagement Projects

Resources to Promote Senior Independence

Introduction

Our group of five students from Seattle Pacific University's Lydia Green nursing program assessed the community of an independent senior apartment complex that provides affordable housing for adults aged 65+ in the Seattle area run under Sustainable Housing for Ageless Generations (SHAG). This assignment is for our leadership project and occurred over an 8-week period. During this time, we applied the nursing process to assess, diagnose, plan, and implement an intervention specific to a population's needs. The community faced issues of resource access, exacerbated by the population's low income and age. Our focus was …

An Assessment Of How Clinicians And Staff Members Use A Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study, Winston R Liaw, Yessenia Ramos Silva, Erica G Soltero, Alex Krist, Angela L Stotts

Children’s Nutrition Research Center Staff Publications

Background: Nearly one-third of patients with diabetes are poorly controlled (hemoglobin A1c≥9%). Identifying at-risk individuals and providing them with effective treatment is an important strategy for preventing poor control.

Objective: This study aims to assess how clinicians and staff members would use a clinical decision support tool based on artificial intelligence (AI) and identify factors that affect adoption.

Methods: This was a mixed methods study that combined semistructured interviews and surveys to assess the perceived usefulness and ease of use, intent to use, and factors affecting tool adoption. We recruited clinicians and staff members from practices that manage diabetes. During …

Hrtm 483 Hospitality Finance A Peer Review Of Teaching And Learning Benchmark Portfolio, Vernetta Kosalka

UNL Faculty Course Portfolios

The objective of this peer review course portfolio is to provide a comprehensive overview of the course, HRTM 483, Hospitality Finance Management (HFM), including the current scope of the course regarding curriculum and to purposefully explain and assess the undertakings that are intended to enhance student learning and performance. The first objective was to explain hospitality managerial accounting concepts to students and how they apply to specific operations with the hospitality industry. The second objective was to assist students with being able to synthesize the material, solve problems, and think effectively as a hospitality professional. The third objective was to …

Nutrition In Times Of Crisis: A Qualitative Study In Siargao Island, Philippines, During The Covid-19 Pandemic, Gideon Lasco, Vincen Gregory Yu, Julie Madelo Compra, Phetdavanh Leuangvilay, Rapeepong Suphanchaimat, Yunting Zhang, Charina Javier

Development Studies Faculty Publications

Objectives

Despite the public-health significance of both malnutrition and crises, little has been done to explore the convergence of the two domains and develop ways to improve policies and practices, especially in rural communities. This article remedies that knowledge gap by focusing on nutrition-related changes, responses, and practices during crisis situations in Siargao Island, Philippines, using the COVID-19 pandemic as a backdrop.

Methods

Forty-six (46) semi-structured interviews were conducted among parents, caregivers, local health workers, and local officials of Del Carmen, Siargao Island. Principles of thematic analysis were applied to data analysis using NVivo 12. Afterwards, the preliminary data were …

Immunological Profile Of Diabetic Foot Ulcers: Update Review, Murtada H. Hussein, Lana Nazar Abdul-Razzaq

Muthanna Medical Journal

The most frequent consequence of diabetes mellitus, diabetic foot ulcers frequently do not heal and necessitate lower limb amputation. According to estimates, DFU accounts for 50% to 70% of all lower limb amputations, and 50% of patients with DFU have peripheral artery disease (PAD), which is occasionally brought on by atherosclerosis. Deformity of foot, peripheral artery disease (PAD), loss protective sensation (LOPS), and a history of foot ulcers. Global prevalence for DFUs varies by region. One of the frequent complications of diabetes in poor nations, such as Iraq, is diabetic foot; approximately two-thirds of the patients with diabetes have Diabetic …

Immunological Profile Of Diabetic Foot Ulcers: Update Review, Marwa Mohammed Ali Jassim, Lana Nazar Abdul-Razzaq

Muthanna Medical Journal

The most frequent consequence of diabetes mellitus, diabetic foot ulcers frequently do not heal and necessitate lower limb amputation. According to estimates, DFU accounts for 50% to 70% of all lower limb amputations, and 50% of patients with DFU have peripheral artery disease (PAD), which is occasionally brought on by atherosclerosis. Deformity of foot, peripheral artery disease (PAD), loss protective sensation (LOPS), and a history of foot ulcers. Global prevalence for DFUs varies by region. One of the frequent complications of diabetes in poor nations, such as Iraq, is diabetic foot; approximately two-thirds of the patients with diabetes have Diabetic …

Health Information Provision And Utilization As Predictors Of Safe Health Practices Of Nursing Mothers In Imo State, Nigeria, Pauline Iroeze, Ijeoma I. Bernard

Library Philosophy and Practice (e-journal)

Abstract

The study investigated health information provision and utilization as predictors of safe health practices of nursing mothers in Imo State. Four research purposes and four research questions guided the study. The researcher adopted descriptive design. The population of the study is 9735 nursing mothers in Okigwe Senatorial Zone, Imo State. Using proportionate sampling, 94 nursing mothers were selected from each of the six local government areas in Okigwe Zone, totaling 564. A researcher-made questionnaire “Information Provision and Utilization on Safe Health Practices of Nursing Mothers in Imo State Questionnaire” (IPAUOSHPONIMQ) was used as instrument for data collection. The …

The Oracle’S Foretelling & The Case For Ambiguity: Exploring The Prophesies Of Fintech & Financial Surveillance, Sohini Sengupta

Indian Journal of Law and Technology

This article explores the historical, social, and technical underpinnings of the global financial order predicated on massive data collection and surveillance. In particular, the article discusses the instruments of international financial regulation, and challenges the prescience of fintech, contrasting it with alternative narratives. The article does so by examining the history of financial surveillance mediated through biometric identification systems and socio-financial infrastructures, particularly in India and other post-colonial nations. The discourse is facilitated through the study of indigenous banking practices in colonial India, and the role of coloniality and slavery in shaping modern banking and surveillance practices both in India, …

Exploring The Potential Of Heterosis To Improve Nitrogen Use Efficiency In Popcorn Plants, Talles De Oliveira Santos, Antônio Teixeira Do Amaral Junior, Rosimeire Barboza Bispo, Wallace De Paula Bernado, Bruna Rohem Simão, Valter Jário De Lima, Marta Simone Mendonça Freitas, Freddy Mora-Poblete, Roberto Dos Santos Trindade, Samuel Henrique Kamphorst, Weverton Pereira Rodrigues, Eliemar Campostrini, Flávia Nicácio Viana, Cosme Damião Cruz

Center for Plant Science Innovation: Faculty Publications

Nitrogen is crucial for plant growth and development, and improving nitrogen use efficiency (NUE) is a viable strategy for reducing dependence on nitrogen inputs and promoting sustainability. While the benefits of heterosis in corn are well known, the physiological mechanisms underlying this phenomenon in popcorn are less understood. We aimed to investigate the effects of heterosis on growth and physiological traits in four popcorn lines and their hybrids under two contrasting nitrogen conditions. We evaluated morpho-agronomic and physiological traits such as leaf pigments, the maximum photochemical efficiency of PSII, and leaf gas exchange. Components associated with NUE were also evaluated. …

The Natural Right Of Property, Timothy Sandefur

Texas A&M Journal of Property Law

This Article offers a critical examination of Eric Claeys’s argument for natural property rights, focusing in particular on the questions of self-ownership and the so-called “Lockean proviso.” It argues that while Claeys is generally on the right track in his argument for natural property rights, he errs in omitting a self-ownership argument, some version of which is necessary for a proper naturalistic account of property, and that the Lockean proviso is neither necessary for such an account nor defensible in its own right. I conclude that the concerns animating the Lockean proviso argument are adequately dealt with by an alternative …

Rapid Assessment Of Fish Freshness For Multiple Supply-Chain Nodes Using Multi-Mode Spectroscopy And Fusion-Based Artificial Intelligence, Hossein Kashani Zadeh, Mike Hardy, Mitchell Sueker, Yicong Li, Angela Tzouchas, Nicholas Mackinnon, Gregory Bearman, Simon A. Haughey, Alireza Akhbardeh, Insuck Baek, Chansong Hwang, Jianwei Qin, Amanda M. Tabb, Rosalee S. Hellberg, Shereen Ismail, Hassan Reza, Fartash Vasefi, Moon Kim, Kouhyar Tavakolian, Christopher T. Elliott

Food Science Faculty Articles and Research

This study is directed towards developing a fast, non-destructive, and easy-to-use handheld multimode spectroscopic system for fish quality assessment. We apply data fusion of visible near infra-red (VIS-NIR) and short wave infra-red (SWIR) reflectance and fluorescence (FL) spectroscopy data features to classify fish from fresh to spoiled condition. Farmed Atlantic and wild coho and chinook salmon and sablefish fillets were measured. Three hundred measurement points on each of four fillets were taken every two days over 14 days for a total of 8400 measurements for each spectral mode. Multiple machine learning techniques including principal component analysis, self-organized maps, linear and …

Binge Drinking Alcohol And Circadian Misalignment In Night Shift Nurses Is Associated With Decreased Resiliency To Covid-19 Infection, Garth R. Swanson, Benjamin A. Schwartz, Cara Joyce, Ali Keshavarzian

Biostatistics Collaborative Core: Faculty Publications and Other Works

Background: Nurses and other first responders are at high risk of exposure to the SARS-CoV2 virus, and many have developed severe COVID-19 infection. A better understanding of the factors that increase the risk of infection after exposure to the virus could help to address this. Although several risk factors such as obesity, diabetes, and hypertension have been associated with an increased risk of infection, many first responders develop severe COVID-19 without established risk factors. As inflammation and cytokine storm are the primary mechanisms in severe COVID-19, other factors that promote an inflammatory state could increase the risk of COVID-19 in …

Rapid Assessment Of Fish Freshness For Multiple Supply-Chain Nodes Using Multi-Mode Spectroscopy And Fusion-Based Artificial Intelligence, Hossein Kashani Zadeh, Mike Hardy, Mitchell Sueker, Yicong Li, Angelis Tzouchas, Nicholas Mackinnon, Gregory Bearman, Simon A Haughey, Alireza Akhbardeh, Insuck Baek, Chansong Hwang, Jianwei Qin, Amanda M Tabb, Rosalee S Hellberg, Shereen Ismail, Hassan Reza, Fartash Vasefi, Moon Kim, Kouhyar Tavakolian, Christopher T Elliott

Faculty, Staff and Student Publications

This study is directed towards developing a fast, non-destructive, and easy-to-use handheld multimode spectroscopic system for fish quality assessment. We apply data fusion of visible near infra-red (VIS-NIR) and short wave infra-red (SWIR) reflectance and fluorescence (FL) spectroscopy data features to classify fish from fresh to spoiled condition. Farmed Atlantic and wild coho and chinook salmon and sablefish fillets were measured. Three hundred measurement points on each of four fillets were taken every two days over 14 days for a total of 8400 measurements for each spectral mode. Multiple machine learning techniques including principal component analysis, self-organized maps, linear and …

Digital Paradigm In Medical Libraries Of Bangladesh With Special Reference To Icddr,B Library: Key Observations And Future Directions, Dr. Md. Shafiur Rahman, M Al Mamun

Library Philosophy and Practice (e-journal)

Medical libraries are facing new challenges and opportunities due to dynamic changes in the digital era for offering excellent services to health scientists and professionals. The usage of information and communication technology (ICT) has become increasingly important in various fields, including the healthcare industry. Medical libraries, in particular, have also witnessed a significant transformation in terms of their functions and services due to the adoption of the digital revolution. This article aims to investigate the usage of ICT in the selected medical libraries in Bangladesh, with a special reference to the icddr,b Library. In this connection, a comparative study is …

Decreasing Weight Bias Among Aprns, Aprn Students, And Rn Nursing Students Through Educational Seminars, Apryl Cutler

Doctor of Nursing Practice Final Manuscripts

Introduction: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to systematically review research-based evidence and best practice guidelines brought forth by other researchers, experts and organizations. The goal was to implement an enlightening and educational intervention via seminar to Pre-licensure RN students, APRN students and APRNs on the topics of the non-controllable causes of obesity, weight bias in healthcare and patient-centered approaches to ultimately improve the delivery and quality of care provided to patients living with obesity.

Background: The prevalence of overweight and obesity has been steadily increasing over the past three decades with up …

Exercise As A Prescription For Patients With Depressive Disorders: A Quality Improvement Project, Sydney Roscoe, Rachelle Pace

Doctor of Nursing Practice Final Manuscripts

Purpose: The aim of this Doctor of Nursing Practice project was to increase exercise counseling rates in the treatment of depression by (1) implementing a focused educational training program and (2) understanding factors that impacted utilization of the practice change.

Background: Approximately 280 million individuals suffer globally from depressive disorders. Depression remains the fourth leading cause of disabilities, significantly contributing toward the global burden of disease by increasing morbidity and mortality risk. Psychopharmacology and psychotherapy are current gold standards of treatment; however, providers often overlook the significant role exercise serves in reducing depressive symptoms and severity, as it remains underutilized. …

Are You In Control Of Your Diabetes? Providing 1:1 Diabetic Self-Management Education To Adults With Type Ii Diabetes Mellitus In An Outpatient Clinic In An Underserved Community, Joe Gonzales

Doctor of Nursing Practice Final Manuscripts

Non-insulin-dependent diabetes mellitus (DM) is a complicated multisystem disease that accounts for over 20% of health care spending in the United States (Hildebrand et al., 2019). Uncontrolled DM can lead to heart disease, stroke, blindness, amputations, and peripheral artery disease. The literature supports the use of practice guidelines to improve patient outcomes with diabetes self-management education (DSME) and pharmacological interventions.

The purpose of this evidence-based project was to improve hemoglobin A1c (HgbA1c) levels by introducing the 2021 American Diabetes Association (ADA) Standards of Care guideline to improve diabetes self-management in a largely underserved adult Latino community. The intervention included a …

Managing Menopausal Symptoms Through Exercise And Dietary Changes, Ae Rah Kang

Doctor of Nursing Practice Final Manuscripts

Background: The most critical aging stage for women is the menopausal transition period, which causes various symptoms such as hot flashes, night sweats, sleeping disturbance, and mood swings that lower women's quality of life. Menopausal symptoms that are not managed can exacerbate severe medical conditions such as cardiovascular disease, bone illnesses, neurological diseases, and psychosocial problems. As the first non-pharmacological treatment for menopausal syndrome, several studies have shown that regular exercise and diet control can potentially improve menopausal symptoms and the quality of life.

Purpose: This project aimed to examine the effect of improving the quality of life by reducing …

Feasibility Of Family Focused Obesity Screening In Primary Care, Adrianne Griffiths

Doctor of Nursing Practice Final Manuscripts

Background: Obesity is associated with serious medical conditions including diabetes, hypertension, and heart disease. It also contributes to decreased productivity at work and school, financial strain, and reduced quality of life.

Purpose of Project: To address this problem, a nurse practitioner-led screening and intervention program was piloted at a primary care clinic in southern San Diego. The tool provides a standardized method for screening individuals and their families for nutrition and physical activity deficits associated with obesity, as well as appropriate and effective interventions to prevent and manage obesity.

Methods: The Family Nutrition and Physical Activity (FNPA) screening tool is …

The Impact Of The Family Nutrition And Physical Activity (Fnpa) Tool With Diet And Physical Education On Obesity Awareness And Body Mass Index (Bmi) Of Overweight Patients, Sheena Amos

Doctor of Nursing Practice Final Manuscripts

Purpose

This evidence-based practice project aims to apply the Family Nutrition and Physical Activity (FNPA) tool with diet and physical education to increase obesity awareness and decrease body mass index (BMI) among overweight parents in the community. The FNPA screening tool is a behaviorally based assessment designed to allow parents to evaluate obesogenic environments and practices that may predispose their children to become overweight. The first goal was to recruit parents in the community and utilize the FNPA tool to assess and better understand their diet and physical activity levels. The second goal was to increase obesity awareness among these …

Essays On Political Economy And Behavior, Seth Emblem

Economics Theses and Dissertations

This dissertation consists of three essays which focus on the intersection of political economy and behavioral economics. I am interested in understanding how people behave in politically adjacent areas so that we can find the policy interventions that can best address the issues that arise from these areas. To do so, I utilize incentivized survey instruments and laboratory experiments to study how people behave in these settings. In Chapter 1, I examine the question of how people respond to standard political surveys and whether these surveys reflect people’s genuine beliefs regarding factual political questions. Responses to standard political surveys suggest …

Implementation Of The Diet Readiness Test To Assess Self-Efficacy And Education Effectiveness In Overweight Women, Tatjana Ilich

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based Doctor of Nursing Practice (DNP) project was to assess perceived self-efficacy in overweight women who are participating in a weight loss program and the effectiveness of education being provided using the Diet Readiness Test (DRT).

Background: Obesity is a rapidly growing public health problem affecting an increasing number of countries worldwide because of its prevalence, costs, and health effects. Among women between the ages of 40 and 60, more than 80% report that they are either trying to lose weight or trying to maintain weight. The overall prevalence of obesity was similar among men …

Utilization Of Telemedicine For Follow Up Appointments In Radiation Oncology, Priya Patel

Doctor of Nursing Practice Final Manuscripts

Access to healthcare remains a problem for patients in the United States, especially those who live in remote areas, are immobile, immunocompromised, or are experiencing financial strain. These barriers can lead to missed appointments, putting financial strain on healthcare institutions, and contributing to productivity loss and underutilization of clinic resources. During the COVID-19 pandemic there was a rapid increase in the use telemedicine. Patients were surveyed on the quality of their telemedicine visit at the UCSD Health Moores Cancer Center Radiation Oncology department. The majority of patients would schedule telemedicine appointments in the future, which can reduce the burden on …

Developing An Operation Model For Mission Trips On Health And Evangelism In Developing Countries - The Salama Health Project., Sozina Katuli

Adventist Human-Subject Researchers Association

Many mission trips conducted by health workers and evangelists in developing countries have benefitted the communities in Africa. However, some of these benefits have been very short-lived and need to be more sustainable. Once the mission team leaves, the communities are left unattended, with little or no support. This project employs a mission research grassroots approach. The aim is to evaluate the efficacy of the research-mission approach in terms of acceptability and sustainability by using the PRECED/PROCEED, model.

More Than A Test Score: Toward A More Balanced School Accountability System, Joel A. Leader, Barbara L. Pazey

School Leadership Review

Using a zone of mediation framework, we explore how one school district designed a community-based accountability system (CBAS) reflecting community stakeholders’ values, priorities, and goals. We collected rich data sets from a document analysis, focus group, and individual interviews. Our findings indicated a strong dissatisfaction with test-based accountability that led the district to engage its stakeholders in designing a CBAS using multiple achievement measures to report on district success. The importance of collaboration with other districts and leaders at the local, regional, and state levels also emerged. This study highlights the importance of stakeholder involvement, leadership, and collaboration when making …

“Feed My Sheep”: A Literal Mandate?, Laura Racovita, Amy Mejias, Safiyya Phillip

Adventist Human-Subject Researchers Association

This presentation will outline the results of a quantitative, non-experimental study conducted with students at a faith-based university in the US to explore the levels of food insecurity on its campus. The presentation will include implications for policy and practice applicable to other faith-based institutions of higher education.

Inhibition Of Wnt/Β‐Catenin Pathway Overcomes Therapeutic Resistance To Abiraterone In Castration‐Resistant Prostate Cancer, Ibrahim M. Atawia, Prem P. Kushwaha, Shiv Verma, Spencer Lin, Eswar Shankar, Sanjay Gupta

Faculty Scholarship

Abiraterone acetate has been clinically approved for the treatment of patients with advanced‐stage prostate cancer. It reduces testosterone production by blocking the enzyme cytochrome P450 17 alpha‐hydroxylase. Despite improved survival outcomes with abiraterone, almost all patients develop therapeutic resistance and disease recurrence, progressing to a more aggressive and lethal phenotype. Bioinformatics analyses predicted activation of canonical Wnt/β‐catenin and involvement of stem cell plasticity in abiraterone‐resistant prostate cancer. Increased expression of androgen receptor (AR) and β‐catenin and their crosstalk causes activation of AR target genes and regulatory networks for which overcoming acquired resistance remains a major challenge. Here we show that …