Digital Commons Network^™

Strategy For Improving Smoking Cessation Services In Primary Health Care, Evita Rosdiana Hutapea, Risky Kusuma Hartono

Preventia: The Indonesian Journal of Public Health

Amidst the rising numbers of smokers in Indonesia and the increasing burden of smoking-related diseases on the country, the Smoking Cessation Services (SCS) still fail to operate optimally. The aim of this research is to develop a more effective strategy for the SCS model based on the challenges encountered during its implementation. The research method employed qualitative study with a case study approach. The research location was in Depok City, chosen as a national exemplary of SCS. Research period from February to May 2024. Data collection was conducted through in-depth interviews and observations at Community Health Centers who involved in …

“Everybody Has A Soul”: People With Dementia And Nursing Students Co-Creating Life Stories, Beth Mastel-Smith, Michelle Kimzey, Amy Ahlbrand Robinson, Melinda Hermanns

Nursing Faculty Publications and Presentations

Lack of meaning and purpose in life can increase disability, stress, mortality, and the risk of cognitive impairment. Finding meaning and purpose helps people with dementia adjust to the diagnosis and can be accomplished via expressions of identity such as life review, a formal process of systematically reviewing and reflecting on one’s lived life. Digital storytelling involves telling a story using computer technology to record and share an individual’s narrative. The purpose of this study was to understand the perceived benefits of nursing students and people with dementia (the mentors) described after digitally co-creating the mentors’ life story. Allport’s Intergroup …

The Radical Oxidation Of Hydroxyacetone: An Insight Into The Reaction Mechanism And Potential Tetraoxide Intermediates, Edward Buck

Master's Theses

This thesis presents the reaction of hydroxyacetone, a common volatile organic compound (VOC), with chlorine radicals in the presence of oxygen. Chapter one explores VOCs and their specific reactions and how tetraoxide intermediates could be formed from them. Chapter two analyses the experimental and computational methods used and the key theoretical concepts behind these methods. Experimental data was collected using multiplexed photoionization mass spectrometry at the Advanced Light Source Chemical Transformations Beamline, Lawrence Berkeley National laboratory. This data is combined with theoretical data using the CBS-QB3 composite method to determine the key reaction intermediates and mechanisms.

The main chapter of …

Americorps And Health, Vash'ti Coleman

Institute for Disability Studies

No abstract provided.

Letter From The Editor, Nick Kaye

Richmond Public Interest Law Review

No abstract provided.

Concussions In Women’S Rugby: A Timely Review Of Available Data, Shannon M. Wright

Clinical Practice in Athletic Training

Rugby is a growing full-contact sport across the world for both men and women; as a full-contact sport with no protective equipment, it has a reputation for high injury rates, including concussions. Organized men’s rugby has been established for over a century, whereas organized women’s rugby has struggled to achieve the same success over the years. With a much shorter amount of time to track injuries, women’s rugby lacks data to assess when, where, and what kinds of injuries are most common. The guiding study attempts to examine epidemiological trends for concussion in women’s rugby union and league. After pooling …

Prevention Of Obesity In The Elderly Through Health Promotion Interventions: Literature Review, Miranda Gracia Salsabila, Ernawaty Ernawaty, Indah Berliana Fauziah

Preventia: The Indonesian Journal of Public Health

The incidence of obesity among the elderly is rising in many countries, including Indonesia. To address this issue, effective interventions are necessary to change lifestyle and dietary habits, such as through social marketing and health promotion initiatives for the elderly. Preventing obesity in this demographic through social marketing can involve educational campaigns, intervention programs, community empowerment, and collaboration with various stakeholders. This study aims to identify strategies to prevent obesity in the elderly through health promotion interventions. The study is a literature review following the PRISMA 2009 protocol. Articles were sourced from Google Scholar, ScienceDirect, and PubMed databases, focusing on …

Utilization Of Organic Waste As Takakura Compost And Its Effect On The Growth Of Chili Plants, Yusva Dwi Saputra

Preventia: The Indonesian Journal of Public Health

Garbage is still an environmental problem in Indonesia. One of the main causes of Indonesia's expanding waste problem is domestic garbage, of which 75 percent is organic waste. Although organic waste is easy to decompose, its accumulation can increase the greenhouse effect. Therefore, it is necessary to reduce organic waste. Takakura compost is one method of reducing organic waste that is not widely known. This experimental study was conducted to provide an overview of the Takakura composting method and its effect on the growth of chili plants. Composting uses an EM4 activator, and the variables observed in the composting process …

Treating Adolescent Depression: Exploring Neurofeedback Training, Dhikr, And Community Stigma In Complementary Therapies (A Case Study), Tri Oktaviyantini

Preventia: The Indonesian Journal of Public Health

Adolescent depression, particularly when complicated by psychotic features, presents significant challenges in treatment due to its complex and multifaceted nature. This case study explores the integration of neurofeedback training and Dhikr, an Islamic meditative practice, as complementary therapies alongside traditional pharmacotherapy in treating a 15 years old male diagnosed with severe recurrent depression. Despite initial reluctance and skepticism influenced by community stigma surrounding mental health and spiritual practices, both therapies contributed to noticeable improvements in the patient's symptoms and overall well-being. Neurofeedback was utilized to regulate brainwave activity, while Dhikr provided a meditative and spiritual component that promoted mindfulness and …

Targeting Safety: Hazard Identification And Risk Assessment In The Work Of Wood Carving In Tunjungsekar, Malang City, Using The Hiradc Method, Resti Novita Sari, Awanda Putra Pratama, Maharani Rohma Hidayanti, Nadia Rosalinda, Nurmila Kurnia, Shalma Khoirun Nisa, Anita Sulistyorini

Preventia: The Indonesian Journal of Public Health

The furniture industry in Tunjungsekar Subdistrict has become one of the leading industrial centers in Malang City, successfully boosting the local economy by employing 90 percent of the workforce. However, this industry faces productivity challenges due to an ergonomically unfavorable work environment. Therefore, practical actions and in-depth analysis are needed to improve the work environment issues. This study aims to identify hazards and assess risks associated with the work of wood carving artisans in Tunjungsekar, Malang City, using the HIRADC (Hazard Identification, Risk Assessment, and Determining Control) method. Identification was carried out through direct observation and interviews with artisans, followed …

Relationship Between Personal Hygiene And Environmental Sanitation To The Presence Of Escherichia Coli Bacteria In Food, Erica Ardhana Fathimah Azzahra, Vivi Novianti, Muhammad Al-Irsyad

Preventia: The Indonesian Journal of Public Health

Food safety is one of the significant public health issues, especially in developing countries. The extraordinary incidence of food poisoning and a high number of cases of gastrointestinal infections in Malang City indicate infection with the bacteria that cause dysentery, namely E.coli. This study evaluated hygiene-sanitation practices at food stalls in Area Terusan Ambarawa Malang City. This study aimed to identify Escherichia coli bacteria in 11 food stalls and assess the relationship of environmental sanitation and personal hygiene of food handlers to the presence of E.coli. This study used a quantitative descriptive design with a cross-sectional approach, data collection using …

Effective Anterior Cruciate Ligament Injury Prevention Programming In Young Female Athletes: An Evidence-To-Practice Review, Janay Ward, Kina M. Ingram, Jackson Biffle, Emily E. Hildebrand, Peter Lisman

Clinical Practice in Athletic Training

Anterior cruciate ligament (ACL) injuries are common in adolescents, in particular females participating in sports requiring frequent jumping, pivoting, and rapid acceleration. Consequently, the prevention of ACL injury is a principal concern of athletic trainers and other sports medicine professionals. Neuromuscular training (NMT) programs have been effective in reducing ACL injury risk in athletic populations, though additional clarity on programmatic factors, such as exercise selection, timing, and training dosage is warranted. Therefore, the primary purpose of this evidence-to-practice review was to present which components of NMT programs have been found to be most effective in reducing ACL injury incidence in …

Participation Of Trans-Women In Females' Sports Competitions: Fairness Vs. Rights To Participating In Sports?, Muhamad Dzadit Taqwa, Valentino Rafael Carofin, Stefanie Gloria, Alvin Tjiang

Indonesia Law Review

A trans-woman is someone who is biologically male at birth and then undergoes gender-affirming surgery, which can include genital feminization surgery, or may not undergo gender-affirming surgery but undergoes other therapies such as cross-sex hormone therapy or other physical organ surgeries apart from genital surgery, in order to be identified as a woman. The participation of trans-women in females' sports has sparked a debate, addressing issues of fairness on one side and transgender rights to participate in sports on the other. The fairness argument is based on the physical advantages that males have when competing against females. Generally, male athletes …

Relocating Inclusionary Housing Obligations To The New Capital Nusantara: Legal And Policy Implications, Muhammad Ilham Hermawan, Nasywa Ananda Herliana

Indonesia Law Review

The philosophical meaning of balanced housing lies in achieving a harmonious and equitable life among various social strata. To realize this philosophical essence, regulatory engineering is required, aimed at fulfilling the goals of balanced housing. The obligation for balanced housing is theoretically known in the literature of several countries as an inclusionary housing policy. Triggered by the need for residential development in the new capital city (IKN), the Government has "relocated" the previously unfulfilled balanced housing obligation to IKN. The IKN Law explicitly regulates “exceptions to the provisions of legislation in the field of housing and residential areas.” There …

Supporting Teams With Designing For Dissemination And Sustainability: The Design, Development, And Usability Of A Digital Interactive Platform, Maura M Kepper, Allison J L'Hotta, Thembekile Shato, Bethany M Kwan, Russell E Glasgow, Douglas Luke, Andrea K Graham, Ana A Baumann, Ross C Brownson, Brad Morse

2020-Current year OA Pubs

BACKGROUND: Designing for Dissemination and Sustainability (D4DS) principles and methods can support the development of research products (interventions, tools, findings) that match well with the needs and context of the intended audience and setting. D4DS principles and methods are not well-known or used during clinical and public health research; research teams would benefit from applying D4DS. This paper presents the development of a new digital platform for research teams to learn and apply a D4DS process to their work.

METHODS: A user-centered design (UCD) approach engaged users (n = 14) and an expert panel (n = 6) in an iterative …

Head-To-Head Comparison Of Aptamer- And Antibody-Based Proteomic Platforms In Human Cerebrospinal Fluid Samples From A Real-World Memory Clinic Cohort, Raquel Puerta, Yun Ju Sung, Carlos Cruchaga, Et Al.

2020-Current year OA Pubs

High-throughput proteomic platforms are crucial to identify novel Alzheimer's disease (AD) biomarkers and pathways. In this study, we evaluated the reproducibility and reliability of aptamer-based (SomaScan

Automated Differentiation Of Wide Qrs Complex Tachycardia Using Qrs Complex Polarity, Adam M May, Bhavesh B Katbamna, Preet A Shaikh, Sarah Lococo, Elena Deych, Ruiwen Zhou, Lei Liu, Krasimira M Mikhova, Rugheed Ghadban, Phillip S Cuculich, Daniel H Cooper, Thomas M Maddox, Peter A Noseworthy, Anthony Kashou

2020-Current year OA Pubs

BACKGROUND: Wide QRS complex tachycardia (WCT) differentiation into ventricular tachycardia (VT) and supraventricular wide complex tachycardia (SWCT) remains challenging despite numerous 12-lead electrocardiogram (ECG) criteria and algorithms. Automated solutions leveraging computerized ECG interpretation (CEI) measurements and engineered features offer practical ways to improve diagnostic accuracy. We propose automated algorithms based on (i) WCT QRS polarity direction (WCT Polarity Code [WCT-PC]) and (ii) QRS polarity shifts between WCT and baseline ECGs (QRS Polarity Shift [QRS-PS]).

METHODS: In a three-part study, we derive and validate machine learning (ML) models-logistic regression (LR), artificial neural network (ANN), Random Forests (RF), support vector machine (SVM), …

Saponin Tql1055 Adjuvant-Containing Vaccine Confers Protection Upon Mycobacterium Tuberculosis Challenge In Mice, Mushtaq Ahmed, Eric Farris, Rosemary V Swanson, Shibali Das, Yan Yang, Tyler Martin, Shabaana A Khader

2020-Current year OA Pubs

Tuberculosis (TB), caused by the intracellular pathogen

Quantitative Risk Assessment In Thermo-Chemical Waste-To-Energy Facilities, Fakhrul R. Ridzwan, Syaza Izyanni Ahmad

Platform: A Journal of Engineering (PAJE)

This study presents a Quantitative Risk Assessment (QRA) of thermo-chemical Waste-to-Energy (WtE) technologies, specifically incineration and gasification, by utilising simulation tools PHAST and SAFETI. Hazard identification, consequence analysis, and risk assessment were conducted to compare the safety profiles of these two technologies and proposed risk reduction strategies for a safer design. Accident scenarios were modelled for Tuas South Incineration and Borregaard Gasification facilities to analyse dispersion and effects of fire and explosion. Hazards indicated that only gasification exclusively involves flammable releases because it reacts as a partial combustion, with carbon monoxide and hydrogen as flammable byproducts. Results revealed that while …

Decreasing Antibiotic Turnaround Time In The Medical Intensive Care Unit: A Quality Improvement Project, Kacie Wright

Doctor of Nursing Practice Final Project Abstract

Purpose: This QI project aimed to increase the percentage of first-dose antibiotics administered within one hour of order placement to 80% in the ICU by 12/31/24.

Background: Antibiotic Turnaround Time (ATT) is the time between antibiotic order placement and administration. Prolonged ATT can cause adverse outcomes by delaying treatment. In 2023, only 54% of first-dose antibiotics were given within the EBP standard of one-hour in our 36-bed Medical ICU.

Methodology: The Six Sigma DMAIC model identified barriers and interventions to achieving target ATT using stakeholder input, process mapping, and root cause analysis. Multidisciplinary Plan-Do-Study-Act (PDSA) cycles were created to evaluate …

Wilson’S Disease Presenting As Acute Hepatitis In Pregnancy With Successful Maternal And Neonatal Outcomes: A Case Report, Paribesh Gyawali, Ranjan Regmi, Shambu Khanal, Rajan Bhandari, Shivani Gupta, Gunjan Arora

Graduate Medical Education Research Journal

Background: Wilson’s disease is a rare genetic disorder characterized by copper accumulation, leading to multi-organ symptoms. It affects between 1 in 30,000 to 1 in 100,000 individuals, with a mean age at diagnosis of 13.2 years. The diagnosis may be overlooked due to its numerous presentations, which can range from non-specific symptoms such as fever, fatigue, and behavioral changes to fulminant hepatic failure. Its clinical manifestations vary widely, making diagnosis during pregnancy particularly challenging. Wilson’s disease complicates pregnancy, as untreated cases can lead to significant morbidity and mortality; excess copper can disrupt metabolic processes and contribute to recurrent miscarriages.

Case: …

Pumping Iron, Straining Hearts: Androgen Building Cardiomyopathy In A Middle Aged Bodybuilding Enthusiast, Milan Terzic, Yash B. Patel

Graduate Medical Education Research Journal

A 46-year-old bodybuilder presenting with new onset dyspnea found to have a new onset non-ischemic cardiomyopathy (CM) attributed to exogenous trenbolone and testosterone use. Steroid cessation and guideline-directed heart failure therapy led to notable recovery in left ventricular function supported by global longitudinal strain, ejection fraction and symptomatology.

Anabolic steroid-induced CM involves multiple mechanisms including lipid disturbances, hypertrophy, reduced receptor sensitivity, and cell damage. This case emphasizes the importance of recognizing anabolic steroid misuse as a potential cause of non-ischemic cardiomyopathy in middle aged men. With prompt discontinuation of steroids, remained abstinence and early initiation of guideline-directed medical therapy, myocardial …

The Use Of Abdominal Fascial Plane Blocks For Post-Operative Analgesia In Intestinal Rehabilitation Patients – A Retrospective Comparative Study, Brittany A. Brown, Lauren E. Costello, Elizabeth C. Ternent-Recht, Trevor J. Wilke, Cale A. Kassel

Graduate Medical Education Research Journal

Background: Short gut syndrome affects both pediatric and adult patients often requiring multiple surgical procedures to improve intestinal function. Identifying methods to improve pain control and reduce opioid consumption is an important consideration for this patient population.

Methods: A retrospective chart review of 115 patients less than 12 years of age undergoing abdominal procedures between August 1, 2012, and December 31, 2019, was performed. From this group, 64 patients had a perioperative abdominal wall fascial plane block performed and were compared to 51 patients who did not have a block performed.

Results: Mean opioid use defined as morphine equivalent daily …

A Novel Interactive Video Module For Providers Improves Knowledge Of Best-Practices For Treating Alcohol Use Disorder, Patrick Twohig, Zachary P. Slocum, Alena Balasanova, Nathalie Khoury, Allison Ashford, Kyle Scholten, Josh Warner, John Gallagher, Thoetchai Peeraphatdit

Graduate Medical Education Research Journal

Background: Despite the availability of efficacious treatment for alcohol use disorder (AUD), providers and patients are often unaware of available treatment options and how to pursue them. Prior studies have found that providers desire more training to effectively treat AUD. Our aim was to develop a standardized video to educate providers about AUD treatment.

Methods: Prospective single-center cohort study evaluating the impact of a novel, interactive educational video module (EVM) for providers about AUD treatment. The EVM discusses treatment, motivational interviewing (MI) and harm reduction strategies, and case examples. The EVM was hosted on our hospital’s website, and available to …

Factors Associated With Healthcare Students’ Cognitive Levels Measured By The Classroom Test Of Scientific Reasoning., Alberto J. De Armendi, Amir L. Butt, Kathryn M.L Konrad, Mohanad Shukry, Edmund A. Marek Ii

Graduate Medical Education Research Journal

Introduction: Healthcare student acceptance into graduate and professional school is based on Grade Point Average (GPA), Graduate Record Examination (GRE) scores, interviews, and letters of recommendation, but not on cognition levels. However, educators need to understand students’ cognitive levels to facilitate constructivist learning theory and inquiry-based learning. The aim of this study is to understand the influence of cognition in healthcare students through the administration of the Classroom Test of Scientific Reasoning (CTSR).

Methods: Medical and baccalaureate nursing students were enrolled to answer demographic questions and complete the CTSR. The CTSR rubric score were used to define four operational cognitive …

Perioperative Outcomes And Mortality In Liver Transplant Patients 65 And Older, Nathaniel S. Pester, Trevor J. Wilke, V K. Shostrom, Cale A. Kassel

Graduate Medical Education Research Journal

Background: The number of patients over the age of 65 awaiting liver transplantation (LT) continues to grow and an increasing number of patients will undergo liver transplantation. While age is not an absolute contraindication to liver transplantation, understanding the risks to older patients remains essential to ensure good outcomes with the limited number of grafts available.

Methods: This retrospective study included patients undergoing LT at the University of Nebraska Medical Center. A total of 421 patients were enrolled and stratified to patients under 65 years old (351 patients) and patients over 65 (70 patients). Geriatric patients were defined as aged …

Prosthetic Valve Endocarditis With Cardiobacterium Hominis: A Case Report, Kaci Griffin, Timothy Jang, Rees Adomako, Jasmine R. Marcelin, Jonathan H. Ryder

Graduate Medical Education Research Journal

Background: Cardiobacterium hominis (C. hominis) is an uncommon cause of infective endocarditis and often presents sub-acutely with fevers, cardiac murmurs, or embolic phenomena. We present a rare case of C. hominis infective prosthetic valve endocarditis that presented with new-onset atrial flutter and systemic emboli.

Case: A 38-year-old male presented to the emergency department with palpitations, shortness of breath, and chest tightness and was found to be in atrial flutter. He underwent a transesophageal echocardiogram-guided cardioversion and was incidentally found to have a one-centimeter echodensity on the ventricular side of his prosthetic aortic valve. (Figure 1.) He …

Effective Strategies In Improving Internal Medicine In-Training Exam Performance - A Systematic Review, Derek Clar, Ryan Juneau, Valentina Mcneal, Dhara Patel, Prutha Patel, Amro Ilaiwy

Graduate Medical Education Research Journal

Background: The IM-ITE is administered annually to provide residents and program leadership with a measure of the residents' knowledge compared with that of their peers nationwide. Several approaches have been used to improve IM-ITE scores as a means of achieving higher first-time board examination pass rates. While these interventions helped improve outcomes in target programs, it remains unclear whether one approach was superior to another and how different program demographics may have played a role in the outcome of the intervention. Objective: To identify the most effective methods used to improve IM-ITE scores in the literature. Methods: We searched MEDLINE …

Students’ Concept Maps Profile On Environmental Pollution Material During The Covid-19 Pandemic, Sunarni Sunarni, Sri Widoretno, Puguh Karyanto, Bowo Sugiharto, Sri Dwiastuti, Chandra Adi Prabowo

Jurnal Pendidikan Sains

The study investigates the performance of students in constructing Concept Maps (CM) related to environmental pollution material during the COVID-19 pandemic. The data reveals that the overall achievement in CM construction was suboptimal, with no component reaching more than half of its maximum potential. The highest achievement was recorded in the valid relationship component, which attained 9.75% of its maximum possible score. This was followed by the hierarchy component, achieving 7.34%, and the branching component at 3.42%. The pattern component ranked fourth with 1.31%, closely followed by the example component at 1.30%. The lowest performance was observed in the crosslink …

Occupational Therapy Using Cbt To Improve Work Productivity In Schizophrenia: A Case Study, Artha Nisa Thohiroh Triyantari, Reza Nur Arsyi, Muhammad Luthfi, Ayleen Alicia K, Hermito Gideon, Zulfa Khoirunisah, Putri Dirgantara, Purnama Betty R. Sitorus

Jurnal Fisioterapi Terapan Indonesia

Schizophrenia is a chronic mental disorder that often impairs an individual's social and occupational functioning, including productivity-related activities. Patients with schizophrenia frequently face challenges in maintaining employment or running an independent business due to cognitive and emotional disturbances affecting their adaptive skills. This single-case study integrates Cognitive Behavioral Therapy (CBT) into occupational therapy to enhance productivity in a schizophrenia patient through an entrepreneurial activity—independently opening a coffee shop. The study subject is a 50-year-old male diagnosed with schizophrenia undergoing psychosocial rehabilitation at RSJ Dr. Soeharto Heerdjan. The CBT-based intervention was designed to develop adaptive thinking patterns and occupational skills through …