Digital Commons Network^™

A Real-World Study Of Pneumonitis In Non-Small Cell Lung Cancer Patients Receiving Durvalumab Following Concurrent Chemoradiation, Neha Akkad, Theodore S. Thomas, Suhong Luo, Eric Knoche, Kristen M. Sanfilippo, Jesse W. Keller

2020-Current year OA Pubs

BACKGROUND: Locally advanced non-small cell lung cancer (LA-NSCLC) treated with the programmed death-ligand 1 inhibitor durvalumab has been associated with significant rates of pneumonitis, which has led to higher rates of discontinuation of therapy in real-world populations. Thus far there has been no consensus in the literature on the impact of pneumonitis on survival.

METHODS: This is a retrospective cohort study of veterans receiving durvalumab between 12/5/2017 and 4/15/2020. Participants were identified using VINCI data services. Patients were followed through 9/14/2021. Development of clinical pneumonitis was assessed through review of documentation and graded using CTCAE 4.0 criteria. Univariate logistic regression …

Christopher William Handy, Jr.

African American Funeral Programs

No abstract provided.

Dose-Escalated Preoperative Proton Therapy For Retroperitoneal Sarcomas: Initial Outcomes Of A New Treatment Paradigm, Sreenija Yarlagadda, Tugce Kutuk, Ramon Jimenez, Muni Rubens, Matthew Hall, Nicole Eiseler, Noah Kalman

All Publications

Purpose: Retroperitoneal sarcomas (RPS) have varied treatment practices with regard to the use of radiation therapy (RT). Preoperative RT ∼50 Gy is commonly used, but the Surgery With or Without Radiation Therapy in Untreated Nonmetastatic Retroperitoneal Sarcoma (STRASS-1) randomized trial demonstrated no improvement in abdominal recurrence-free survival with preoperative RT. Dose escalation has been proposed to improve the efficacy of preoperative RT. We analyzed RPS treated with preoperative intensity modulated proton therapy (IMPT) to an escalated dose of 63 Gy at a single institution.

Methods and materials: Patients who received preoperative RT with IMPT with RPS between January 2015 and …

Utilization Of Media Resources For Instructions Among Library Educators In Adult Learning Centers In Awka South Lga, Eliezer Chukwuyere Agim, Solomon Irieguna, Cyprainmary Chukwudebelu Chivuzo

Library Philosophy and Practice (e-journal)

The study was designed to ascertain the utilization of media resources for instructions among library educators in adult learning centers in Awka South LGA. A descriptive survey research design was used for the study. The sample population comprised of 14 adult educators selected randomly from adult learning center in Awka South LGA using the purposive sampling technique. A structured questionnaire on a four (4) – point Likert scale was used for collection of data. The instrument was subjected to face validation and pilot test using Cronbach Alpha which gave a reliability coefficient value of 0.96. Data collected from the study …

Estimasi Biaya Produktivitas Yang Hilang Akibat Kematian Dini Pasien Covid-19 Di Rs Pku Muhammadiyah Gamping, Yuni Andriani, Sugiyono Sugiyono

Jurnal Ekonomi Kesehatan Indonesia

COVID-19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 virus infection has had an impact on the global health and economic system, including in developing countries. This research is an observational study by estimating the indirect costs of lost productivity due to premature deaths in COVID-19 patients at PKU Muhammadiyah Gamping Hospital in 2021 and knowing the characteristics of the patients. This hospital was chosen as the research site because the percentage of Bed Occupancy Rate (BOR) was the highest in Sleman Regency in 2021, reaching 68.94%. The results of the research show …

Who Marries Whom Matters: Kesamaan Pendidikan Orangtua Dan Berat Badan Saat Lahir Di Indonesia, Mudya Johanna, Omas Bulan Samosir

Jurnal Ekonomi Kesehatan Indonesia

Despite ongoing efforts and commitment to reducing Low Birth Weight (LBW) babies, globally, the incidence of LBW has stagnated. This study uses a combined factor of maternal and husband/partner education variables to analyze the complexity of LBW incidents. This research uses secondary data from the 2017 SDKI with a multilevel logistic regression analysis method to look at the relationship between the similarity of parental education and the baby's birth weight at the individual and community levels. The results of the research show that mothers who have husbands/partners with equivalent education and higher education (≥high school or equivalent) have a lower …

Pengaruh Kepemilikan Asuransi Kesehatan Pada Kelompok Miskin Terhadap Utilisasi Pelayanan Kesehatan Di Indonesia: Sebuah Studi Retrospektif, Dian Ira Wanti

Jurnal Ekonomi Kesehatan Indonesia

Health is the main priority of the Indonesian government in order to improve the health status of the Indonesian people in order to become a healthy, qualified and productive society. Health insurance is one of the programs held by the government to make this happen. Health insurance ownership from year to year continues to increase, but this increase is not accompanied by high utilization of health services, both outpatient and inpatient. The low utilization of health services raises the questions of how health insurance ownership affects the utilization of health service utilization. Therefore, this study aims to analyze the impact …

Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Peserta Penerima Bantuan Iuran (Jkn Pbi) Kota Tangerang Tahun 2023, Darwati Darwati, Pujiyanto Pujiyanto, Budi Hidayat

Jurnal Ekonomi Kesehatan Indonesia

The number of National Health Insurance (JKN) participants receiving Contribution Assistance (PBI) in Tangerang City from regional funding continues to increase by around 8.85% per year. On the other hand, the number of JKN participants who are non-wage earners (PBPU) and non-workers (BP) who pay contributions independently has decreased by around 0.7% per year from 2017-2022. One of the implications of this phenomenon is that the regional budget to finance JKN contributions for PBI participants is much larger than the budget for other programs. In 2020, JKN contribution payments for Tangerang City APBD PBI participants amounted to 57.81%, in 2021 …

Pelayanan Kesehatan Primer Sebagai Gatekeeper Dan Kebijakan Diskusi Peer Review: Antara Kualitas Dan Realitas Untuk Menurunkan Kasus Rujukan Non Spesialistik, Zahrina Zahrina, Royasia Viki Ramadani, Khairun Nisa Il Hulwah, Siti Nurlatifah, Aldi Andalan, Ascobat Gani, Golda Kurniawaty, Ery Setiawan

Jurnal Ekonomi Kesehatan Indonesia

Almost 80% of the source of funds is spent on hospital. This situation indicates the failure of the gatekeeper function in primary health care. Performance-based capitation is implemented to ensure the cost and quality of primary care, with non-specialist referral rate as one of the particular parameters. The peer review policy is a discussion between BPJS Health, District/City Health Services, IDI, provincial and branch Team of KMKB and other relevant stakeholders to determine which diagnoses must be handled at FKTP also to accommodate and improve the capacity of FKTP to handle patients and minimize referral cases. This study aims to …

Dual Effect Of Secondary Solutes On Binding Equilibria: Contributions From Solute–Reactant Interactions And Solute–Water Interactions, Daryl Eggers, Jennifer M. Le, Nhi T. Nham, Duc N. Pham, Bria M. Castellano

Faculty Research, Scholarly, and Creative Activity

This study examines the role of water in binding equilibria with a special focus on secondary solutes (cosolutes) that influence the equilibrium but are not constituents of the final product. Using a thermodynamic framework that includes an explicit term for the release of water molecules upon binding, this investigation reveals how solutes may alter equilibria by changing the activity of the reactants, reflected in ΔG°(obs), and by changing the chemical potential of the solvent, reflected in ΔGS. The framework is applied to four experimental binding systems that differ in the degree of electrostatic contributions. The model …

Modifiable Risk Factors For Dementia In Indonesia: Results From Stride Project, Fitri F Irfani, Nicolas Farina, Yuda Turana, Imelda Theresia, Tara Puspitarini Sani, Ika Suswanti, Sube Banerjee

Peninsula Medical School

Background & Objective: Indonesia’s ageing population and increasing number of people living with dementia poses significant challenge to the health system. Better understanding of factors related to dementia prevalence is needed to mitigate risk, improve care, and ultimately reduce the incidence of dementia. In this study, we aimed to describe associations between potential risk factors and dementia in Indonesia. Methods: A cross-sectional study, part of the Strengthening Responses to Dementia in Developing Countries (STRiDE) project, was conducted in two provinces in Indonesia, Jakarta and North Sumatra between September and December 2021. A total of 2,110 older adults and their informants …

Application Of Multicultural Literature In The Early Childhood Classroom, Deborah Wheeler, Jennifer Hill

Journal of English Learner Education

Culture equates to identity; therefore, the implementation of multicultural literature in the early childhood curriculum is an essential method for securing children’s concept of self and cultural identity. This qualitative study explored the implementation of multicultural literature in early childhood classrooms, and the research included questions pertaining to multicultural literature training, instructional methods, and barriers encountered. The purpose of the study was to answer questions regarding teachers use of multicultural literature in the classroom, how often teachers read multicultural literature and how teachers integrated multicultural literature into instruction. An additional question inquired about what multicultural books titles were teachers reading …

Language, Cultural Knowledge, And Privileged Practices: A Case Study Of Understandings That Shape Family Engagement For Parents Of Spanish-English Emergent Bilinguals, Alissa Blair

Journal of English Learner Education

This research examines the ways in which parents of Spanish-English emergent bilinguals perceive and navigate the implicit and explicit expectations for family engagement through analysis of contrasting case studies of focal students from two 4^th grade classrooms, one characterized by English-medium instruction and the other by a developmental bilingual program. One case sheds light on the language barriers that hampered parents’ participation in their children’s education at school, while the other case highlights discrepancies in the understandings of parental and teacher roles and expectations. Findings demonstrate that parents’ capacity to meet school-based expectations was constrained by assumptions about their …

Best Practices For English Learners With Disabilities In Us Schools – A Systematic Review, Samiratu Bashiru, Jennifer E. Smith

Journal of English Learner Education

This systematic review investigated best practices for enhancing academic achievement among English Learners with Disabilities (ELDs) in US schools. By examining 17 peer-reviewed articles and comparing them to the CEC 2014 Quality Indicators, the study identifies significant practices, including culturally responsive methods, technology integration, evidence-based strategies, addressing service delivery challenges, and improving assessment tools. This review has limitations related to inconsistent terminology and highlights the need for standardized language and continued research. It recommends integrating culturally responsive practices, leveraging technology, and refining inclusive assessment tools. This review provides educators, policymakers, and researchers insights, emphasizing ongoing teacher development and policy alignment …

"Our Students Vs. Their Students:" Perceptions Of Teachers In English Language Learning, Leah Day

Journal of English Learner Education

The purpose of the study was to understand the perceptions of teachers on English Language Learners and how this shapes the educational paths of students. Data was collected in the form of interviews with the participants. The interviews were guided by a set of questions that were designed to interrogate perceptions and experiences with regard to language learning in the context of one student. Interviews were recorded and transcribed and the data was coded inductively. This study does not seek to generalize beyond this context but can provide insight into similar experiences and perceptions of the English Language Learning process. …

Contemplation, Nayda Parisio Poldiak

HCA Healthcare Journal of Medicine

Before embarking on a busy workday, take a moment to appreciate the sunrise. Living near the beach is a privilege that reminds me that you can find the calm necessary to face the demands of your role as a division research director through a few minutes of meditation during your commute. The footprints in the sand symbolize the work accomplished with residents, faculty, and staff the previous day. The pier represents the strength of remaining stable even amidst turbulent waves, which symbolize the ever-changing requests and priorities. The rising sun embodies self-energy and excitement for another day, knowing that “above …

On The Discontinuation Of Enteral Feeding In Head And Neck Cancer: A Case Report, Kyle Fisk, Ana Sanchez

HCA Healthcare Journal of Medicine

Introduction

The goal of palliative care is to preserve the quality of life or patient “comfort” in patients with serious diseases. Palliative care providers serve a wide range of patients: from those who seek curative treatment to those who are actively dying. Given this range, palliative care must mirror the dynamic goals of the patient at different stages of life and treatment. Throughout these stages, a goal of the palliative care provider would be to avoid hastening death; however, this often leads to clinical decisions that directly pit the patient’s comfort against the patient’s life span. This is most salient …

Lazarus Syndrome After Aortic Aneurysm Repair, Kevyn Niu, Jamie Lee Aldakkour, Charles Huyghues-Despointes, Yizhi Lin

HCA Healthcare Journal of Medicine

Introduction

Lazarus syndrome is defined as the spontaneous return of circulation after cessation of cardiopulmonary resuscitation (CPR). Though there have been multiple cases of Lazarus syndrome documented in the literature, it is a significantly underreported phenomenon with less than 100 cases reported in the literature since the first case in 1982.

Case Presentation

After elective aortic aneurysm repair, an 88-year-old with a do-not-resuscitate directive had cardiac arrest, briefly showing post-mortem respiration and pulse. Despite resuscitation efforts including pharmacological intervention and CPR, he passed away within an hour. This case highlights complexities in end-of-life care and warrants exploration of post-mortem physiological …

A Rare Case Of Candida Glabrata Cervical Spondylodiscitis, Angelina Hong, Lily Hyungjung Lim, Ali Tariq Alvi, Pallavi Aneja

HCA Healthcare Journal of Medicine

Introduction

Invasive candidiasis can lead to numerous life-threatening sequelae. Candida glabrata is the second-most common causative species of invasive candidiasis. This species possesses a high risk for persistent infection and candidemia. An uncommon complication of invasive candidiasis is spondylodiscitis and can rarely affect the cervical spine.

Case Presentation

The patient is a female in her late 50s with a complex medical history inclusive of chronic obstructive pulmonary disease, chronic pain, multiple abdominal surgeries, prolonged intensive care unit admission, and administration of total parenteral nutrition and broad-spectrum antibiotics who presented with complaints of worsening neck pain. She was last hospitalized 3 …

Impact Of Psychiatry Clerkship Rotation In Attitudes Towards Mental Illness And Psychiatry As A Career Among Medical Students, Jae Kim, Brian Blum, Shivani Kaushal, Sara Khan, Patrick Hardigan, Clara Alvarez Villaba

HCA Healthcare Journal of Medicine

Background

Stigma associated with mental illness (MI) permeates many professions, including healthcare. Recognizing and correcting bias is critical in delivering impartial and beneficial healthcare for all patients. Early educational interventions providing exposure to individuals with MI have shown to be effective at reducing MI stigma. The primary aim of our study was to assess the impact of a psychiatry clerkship on attitudes to MI. A secondary aim was to determine if the psychiatry clerkship influenced medical students’ perceptions of psychiatry as a career.

Methods

A cohort of third-year medical students in Florida was invited to complete an online survey before …

Significance Of Chronic Kidney Disease On Morbidity And Mortality In Hospitalized Patients With Covid-19, Varsha Suresh, Alexis Finer, Aarushi Varshney, Kay Thi Khine, Ishak Mansi, Abdo Asmar

HCA Healthcare Journal of Medicine

Background

Patients with comorbid illnesses are at risk for worse outcomes with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; COVID-19). Our research examined patients with chronic kidney disease (CKD) to establish whether it remains an independent risk factor for mortality and morbidity in patients with COVID-19.

Methods

We conducted a retrospective cohort study using an electronic patient database in 2020. An observational dataset from 149 hospitals comprising a United States-based health system (HCA Healthcare) was analyzed. Hospitalized patients (N=11 086), aged 18 and above, with a COVID-19 polymerase chain reaction positive result between January 1, 2020, and September 1, …

Engaging Chief Medical Officers To Improve Multidisciplinary Rounds, Gregory Mccormack, Pranav C. Mehta

HCA Healthcare Journal of Medicine

Background

Multidisciplinary rounds (MDRs), a model of care in which multiple members of the care team, representing different disciplines, come together to discuss the care of a patient in real-time. MDRs are a valuable tool for clinical teams to improve patient length of stay (LOS), reduce healthcare-associated infections, and increase care coordination. HCA Healthcare’s data science and performance improvement teams created a data visualization tool called Next-gen Analytics for Treatment and Efficiency (NATE) Tempo to support care teams in managing rounds and barriers.

Methods

A pilot implementation of MDRs using the NATE Tempo tool was initiated in 10 hospitals, accompanied …

Factors Influencing The Occurrence Of Rework In Terms Of Risk-Based Communication Management In Construction Projects, Virani Mayniana, Rossy Armyn Machfudiyanto

Smart City

Rework in a construction project is an unplanned and unwanted activity that requires an action to repeat part or all the work to meet project standards or requirements and, in its implementation, causes increased work, time, and costs. Based on previous studies that discuss the factors that cause rework, poor communication management or coordination between stakeholders is one of the causes of rework. Therefore, a literature study was conducted to identify project communication management risks that allow rework to occur and resulted in 54 communication management risk factors. Furthermore, the results of the literature study were validated by experts who …

Comparison Of The Effects Of The Three Methods Of Massage, Selected Yoga Exercises And Massage-Yoga Combination On The Depression In Elderly Women, Elham Piri, Behnam Ghasemi, Ali Shafizadeh

Baltic Journal of Health and Physical Activity

Introduction: The present study aims to compare the effects of massage, selected yoga exercises and massage-yoga combination methods on symptoms of depression. Materials and Methods: According to the research criteria, 60 available samples were selected and randomly divided into three experimental groups and single control one. The Beck Depression Inventory was completed by the examinees before the intervention, two months after its beginning and one month after ending. Each experimental group received one of the massage interventions, selected yoga exercises and massage-yoga combination for eight weeks, three sessions per week and for a period of 40 minutes per session. The …

Effects Of Attending To A 12-Week Structured Physical Activity Program On Fitness And Self-Perception Levels Of Obese Primary Schoolchildren, Yetkin Utku Kamuk, Spiridon Kamtsios

Baltic Journal of Health and Physical Activity

Introduction: Childhood obesity is a major health problem especially for schoolchildren both physically and mentally. The study was conducted to assess the effects of the structured physical activity (PA) program on the physical fitness (PF) and self-perception levels of obese schoolchildren. Materials and Methods: A total of 67 students aged 9-11 were recruited and the experimental group (n = 27) was attended to exercises once per week for 60 mins for 12 weeks. Self-perception Scale for Children and PF tests were applied as pre- and post-tests. Results: 12-week PA sessions improved obese schoolchildren’s self-perception levels in general self-worth, athletic …

Mental Health Effects Of The Covid-19 Pandemic On Aging Lesbian, Gay, Bisexual, Transgender, And Queer Populations., Iliza Minaya, Samuel Raine, Arkene Levy, Chasity B O'Malley

HPD Articles

INTRODUCTION: The COVID-19 pandemic affected numerous subpopulations of people in unique ways. This study evaluated the impact of the COVID-19 pandemic on the mental health status of Broward County's aging lesbian, gay, bisexual, transgender, and queer (LGBTQ) seniors and identified strengths, weaknesses, and opportunities for interventions to enhance positive mental health outcomes. The study was performed from April 2021 through July 2021.

METHODS: Online surveys measuring anxiety, depression, social support, and resilience were delivered by email to 47 residents of Wilton Manors, Florida. Study data were collected and collated using research electronic data capture tools with bivariate analysis using the …

Amended Brief Of Amici Curiae Freedom Project, Civil Survival, Fred T. Korematsu Center For Law And Equity, King County Department Of Public Defense, And Washington Association Of Criminal Defense Lawyers In Support Of Petitioner, Jessica Levin, Melissa Lee, Robert S. Chang, Prachi Dave, Ronald A. Peterson Law Clinic, Katherine Hurley, Brian Flaherty, Mark Middaugh

Center for Civil Rights and Critical Justice Advocacy

No abstract provided.

(Special Section, Hymns Beyond The Congregation Ii): Whither Christian Soldiers? Metaphor And Momentum In The Midtwentieth-Century Reception Of A Victorian Hymn, Jonathan Hicks

Yale Journal of Music & Religion

There are few more explicit documents of the interconnection of hymnody, mobility, and coloniality than the 1939 film Stanley and Livingstone. Directed by the American duo of Henry King and Otto Brower, much of the picture was filmed “on location” in the British-controlled territories of Kenya, Uganda, and Tanganyika (now part of Tanzania). The film tells the real-life story of a New York journalist (Stanley) searching for a Scottish missionary (Livingstone) and eventually finding him in a town on the north-eastern shore of Lake Tanganyika. One scene in particular—where Stanley finds Livingstone leading his hosts in a rendition of …

(Special Section, Hymns Beyond The Congregation Ii): “We’Ll Understand It Better By And By:” Nomenclature, Negotiation, And Naming Our Neighbors, Emmett G. Price Iii

Yale Journal of Music & Religion

Hymns, whether composed for religious contexts or as expressions of spiritual reflection, are historically revered for their redemptive nature. For generations, Black Hymnody has cried out for Christological interventions to end shambolic and systemic oppression against Black people. The vicious murder of George Perry Floyd, Jr. on May 25, 2020 reverberated and initiated, as a catalyst, an overdue global awakening that sparked a catalytic moment for conversations too long deferred. Conversations that question how we experience and name things; how we negotiate trauma; and how we engage one another as neighbors. In many ways, the redemptive nature of hymns has …

Exploring Teacher Leadership’S Effect On Teacher Burnout: Does School Rurality Make A Difference?, Jiangang Xia, Sam Butler

Department of Teaching, Learning, and Teacher Education: Faculty Publications

In literature, both teacher leadership and teacher burnout have been heavily studied. However, it is unknown to what extent teacher leadership makes a difference in teacher burnout, and whether school rurality makes a difference in between. This study fills the research gaps by conceptualising teacher leadership from both instructional and non-instructional dimensions and applying a quantitative method to large-scale national data. Findings revealed that (a) rural teachers presented higher levels of teacher leadership practices; (b) rural and non-rural teachers presented the same levels of burnout; and (c) both instructional and noninstructional dimensions of teacher leadership practices helped reduce teacher burnout …