Digital Commons Network^™

American Society For Metabolic And Bariatric Surgery Review Of Body Composition, Jonathan Carter, Farah Husain, Pavlos Papasavas, Salvatore Docimo, Vance Albaugh, Laura Aylward, Cynthia Blalock, Sue Benson-Davies

School of Medicine Faculty Publications

Although the body mass index (BMI) has been used as a measure of obesity for decades, it is now possible to measure adiposity more directly with technologies that can quantitate body fat and other tissues. The purpose of this review is to understand body composition, describe the different ways to measure it, review changes in body composition after metabolic and bariatric surgery (MBS), and provide guidance on how providers can introduce measurements of body composition into their everyday practice.

American Society For Metabolic And Bariatric Surgery Review Of The Body Mass Index, Jonathan Carter, Farah Husain, Pavlos Papasavas, Salvatore Docimo, Vance Albaugh, Laura Aylward, Cynthia Blalock, Sue Benson-Davies

School of Medicine Faculty Publications

The body mass index was first described almost 200 years ago and has since been used as a measure of obesity. This review describes the history, advantages, disadvantages, and alternatives to the body mass index in the care of the metabolic and bariatric surgical patient.

Ecolabel Persuasion Effect Across Cultures: A Comprehensive Meta-Analysis, Franklin Velasco, Omar S. Itani, Paul Cajina

Marketing Faculty Publications

Purpose: Companies around the world have included ecolabels as a marketing strategy to convince consumers to choose products with lower environmental impact. However, the literature lacks a consensus on the effectiveness of ecolabels in persuading consumers to choose green products. The present meta-analysis addresses this gap by, first, evaluating the net persuasion effect of using ecolabels and, second, investigating the role of cultural orientations, operationalized at the country level, in this effect.

Methodology: This cross-cultural meta-analysis analyzed data from 26,116 consumers across 18 countries, encompassing 75 papers published between 1995 and 2023. Univariate and meta-regression analyses were utilized.

Findings: …

Psychological Interventions For Internalized Weight Stigma: A Systematic Scoping Review Of Feasibility, Acceptability, And Preliminary Efficacy, Laura D'Adamo, Abigail T Shonrock, Lawrence Monocello, Jake Goldberg, Lauren H Yaeger, Rebecca L Pearl, Denise E Wilfley

2020-Current year OA Pubs

BACKGROUND: Internalized weight stigma (IWS) is highly prevalent and associated with deleterious mental and physical health outcomes. Initiatives are needed to address IWS and promote effective coping and resilience among individuals who are exposed to weight stigma. We conducted a systematic scoping review of the literature on psychological interventions for IWS and explored their intervention components, feasibility, acceptability, and preliminary efficacy at reducing IWS and related negative physiological and psychological health outcomes.

METHODS: Eight databases were searched. Inclusion criteria included: (1) Psychological intervention; (2) Published in English; and (3) Included IWS as an outcome. Exclusion criteria included: (1) Commentary or …

Building Capacity In Dissemination And Implementation Research: The Presence And Impact Of Advice Networks, Allison J L'Hotta, Rebekah R Jacob, Stephanie Mazzucca-Ragan, Russell E Glasgow, Sharon E Straus, Wynne E Norton, Ross C Brownson

2020-Current year OA Pubs

BACKGROUND: As dissemination and implementation (D&I) research increases, we must continue to expand training capacity and research networks. Documenting, understanding, and enhancing advice networks identifies key connectors and areas where networks are less established. In 2012 Norton et al. mapped D&I science advice and collaboration networks. The current study builds on this work and aims to map current D&I research advice networks.

METHODS: D&I researchers in the United States (US) and Canada were identified through a combination of publication metrics, and key persons identified networks and were invited to participate (n = 1,576). In this social network analysis study, participants …

An Evaluation Of A Multidisciplinary Care Planning Tool For People With Intellectual Disabilities And Behaviours Of Concern, Rohit Shankar

Peninsula Medical School

No abstract provided.

Association Between Spinal Manipulation, Butalbital Prescription, And Medication Overuse Headache In Adults With Tension-Type Headache: Retrospective Cohort Study, Robert J. Trager, Pratheek S. Makineni, Lindsay H. Morris

Faculty Scholarship

Background and Aims: Butalbital is an acute headache medication commonly prescribed for tension-type headache (TTH), although discouraged by guidelines due to a risk of medication overuse headache (MOH). Considering spinal manipulative therapy (SMT) may reduce TTH frequency and intensity, we hypothesized adults with TTH receiving chiropractic SMT would be less likely to receive a butalbital prescription over 2 years versus matched controls not receiving SMT. We secondarily compared likelihood of MOH between cohorts. Methods: We searched a United States medical records database of patients attending academic medical centers for adults with TTH, from 2013 to 2024, excluding those diagnosed with …

Multi-Temporal Analysis Of Urbanization-Driven Slope And Ecological Impact Using Machine-Learning And Remote Sensing Techniques, Zhang Hao, Muhammad Haseeb, Zheng Xiangtian, Zainab Tahir, Syed Amer Mahmood, Aqil Tariq, Rana Waqar Aslam, M. Abdullah-Al-Wadud, Hesham El-Askary

Mathematics, Physics, and Computer Science Faculty Articles and Research

Rapid urbanization in Lahore, Pakistan, has led to significant ecological and thermal challenges, particularly the intensification of Urban Heat Island (UHI) effects and increased thermal stress as measured by the Urban Thermal Field Variance Index (UTFVI). This study employs a multi-temporal evaluation of Landsat satellite imagery and GIS-based analysis to investigate the Spatio-temporal trends in land-use and land-cover (LULC) changes from 1994 to 2024. We detected substantial changes in urban growth, vegetation cover, and barren areas using supervised classification (Random Forest) methods and remote sensing indices such as NDVI (Normalized Difference Vegetation Index), NDMI (Normalized Difference Moisture Index), NDBI (Normalized …

Renewable Assignments: Comparing Faculty And Student Perceptions, Julie Lazzara, Matthew Bloom, Virginia Clinton-Lisell

Education, Health & Behavior Studies Faculty Publications

This study examined faculty and student perceptions of renewable assignments within an OER-enabled pedagogy framework. Building on Wiley and Hilton’s (2018) framework, this study focused on the subset of practices that result in renewable assignments. Renewable assignments leverage OER permissions (reuse, redistribute, retain, remix, revise) to produce student work with value beyond the classroom. The study compared college students’ (N = 24) perceptions of value, interest, motivation, and reward for renewable assignments versus those of the instructor (N = 1) in one online class. Students reported that the value, interest, motivation, and reward of the renewable assignment were somewhat better …

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …

Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob

Walden Dissertations and Doctoral Studies

Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …

Id1 And Id3 Functions In The Modulation Of The Tumour Immune Microenvironment In Adult Patients With B-Cell Acute Lymphoblastic Leukaemia, Nathaly Poveda-Garavito, Carlos A. Orozco Castaño, Yulieth Torres-Llanos, Nataly Cruz-Rodriguez, Rafael Parra-Medina, Sandra Quijano, Jovanny Zabaleta, Alba Lucia Combita

School of Medicine Faculty Publications

Introduction: B-cell acute lymphoblastic leukemia (B-ALL) in adults often presents a poor prognosis. ID1 and ID3 genes have been identified as predictors of poor response in Colombian adult B-ALL patients, contributing to cancer development. In various cancer models, these genes have been associated with immune regulatory populations within the tumor immune microenvironment (TIME). B-ALL progression alters immune cell composition and the bone marrow (BM) microenvironment, impacting disease progression and therapy response. This study investigates the relationship between ID1 and ID3 expression, TIME dynamics, and immune evasion mechanisms in adult B-ALL patients. Methods: This exploratory study analysed BM samples from 10 …

Effectiveness Of Interventions To Address Nursing Students' Mental Health: An Integrative Review, Aimee Dickson, Shelby Carter

Master's Projects

Background:

The rigors of the nursing school curriculum are associated with higher levels of stress, anxiety, and depression, resulting in unhealthy habits and ineffective coping strategies that lead to initial difficulties in the academic environment and burnout as professional nurses advance into their careers. This phenomenon further burdens the already taxed workforce, leading to ongoing turnover and compromising care. This integrative review aims to look at what coping strategies have proven most successful in fostering nursing students' well-being, leading to lifelong practices that promote strength while addressing the rigors of academia and, later, the workforce.

Methods:

The literature review search …

International Cross-Sectional Survey On Current And Updated Definitions Of Intra-Abdominal Hypertension And Abdominal Compartment Syndrome, Rosemary Lee

All Publications

Background: The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines.

Methods: A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or …

Mortalidad Por Cirrosis En Guatemala 2018: Patrones E Inequidades, Cristian Ramírez, Luis Pablo Méndez-Alburez, María Fernanda Piedrasanta, Alejandro Cerón

Anthropology: Faculty Scholarship

El presente estudio busca analizar la mortalidad por cirrosis en Guatemala. El propósito es identificar posibles criterios epidemiológicos que orienten la priorización de acciones de salud pública. El riesgo de morir por cirrosis en Guatemala muestra marcadas desigualdades por departamento, las cuales son mayores al comparar por municipio. El riesgo de morir es también más alto en hombres, en personas mestizas o ladinas, en niveles educativos bajos, y en personas que se dedican a ocupaciones elementales. Las medidas de salud pública orientadas a los municipios y grupos en mayor riesgo son de suma importancia para la prevención de muerte por …

Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block

Walden Dissertations and Doctoral Studies

Media attention on the fatal use of force by law enforcement personnel has worsened the divide amongst the police and minority communities, intensifying the lack of confidence between groups. Further research is called for to understand how the fatal use of force by law enforcement is influenced by officer race, suspect race, and characteristics of the alleged crime. Implicit bias theory and procedural justice theory were used as theoretical and conceptual frameworks. The three research questions examined the extent to which characteristics of the officer, characteristics of the alleged perpetrator, and circumstances of the homicide predicted (a) perpetrator mental illness, …

Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob

Walden Dissertations and Doctoral Studies

Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …

Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming

Walden Dissertations and Doctoral Studies

A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. …

Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold

Walden Dissertations and Doctoral Studies

African American mothers have the highest infant mortality rate of any other racial group, in the United States. In Milwaukee, the rates for non-Hispanic African Americans were two to three times higher than those for non-Hispanic Whites and Hispanics between 2016 and 2018. According to the Wisconsin Department of Health Services in 2022, the infant mortality rate in 2021 was 12.9 for every 1,000 live births. This cross-sectional quantitative epidemiological study explores risk factors correlated with high infant mortality rates among Wisconsin African American mothers who gave birth to live infants between 2011 and 2021. To determine whether there is …

Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas

Walden Dissertations and Doctoral Studies

Some Human Resource Managers (HRMs) and team leaders in customer service settings struggle to effectively implement conflict resolution strategies. HRMs are particularly concerned about the impact of unresolved conflicts, as they can lead to higher employee turnover. Grounded in emotional intelligence (EI), the purpose of this qualitative pragmatic inquiry study was to explore strategies that six HRMs in the United States use to retain customer service employees. Data were collected using semistructured interviews, public documents, websites, and professional artifacts that included direct involvement in managing teams within customer service settings. Through thematic analysis, four key themes were identified: conflict management …

Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede

Walden Dissertations and Doctoral Studies

Summary The persistent misdiagnosis of bipolar disorder in this psychiatric practice was thought to be due to the provider's lack of knowledge and confidence in using assessment tools. Rapid Mood Screener (RMS) is a validated brief screening tool that differentiates between bipolar disorder and unipolar depression. In this project, I educated outpatient psychiatric nurse practitioners and staff in using RMS. The project practice-focused question was: Will an educational intervention improve the knowledge and self-efficacy of the outpatient mental health providers and staff regarding using Rapid Mood Screener? I followed the ADDIE framework and incorporated Knowles' adult learning theory for the …

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …

Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan

Walden Dissertations and Doctoral Studies

Summary Walden University College of Nursing This is to certify that the doctoral study by Lovester Duncan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Kristina Bohm, Committee Chairperson, Nursing Faculty Dr. Mary Martin, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The DNP project aimed to increase healthcare providers’ knowledge, awareness, and comfort with prescribing medication-Assisted Treatments (MATs). Inadequate treatment and higher overdose and death risks result from providers lacking experience with …

Untangling Language Labeling And Mental Health: The Relationship Between Middle School Students’ Language Acquisition Status And Self-Reported Mental Health, Lauren Judith Mcclearn

LMU Theses and Dissertations

Across the United States, public K-12 schools are more diverse today than ever before. In the last two decades, there has been a significant rise in the prevalence of mental health conditions among children and adolescents. What’s more, mental health has garnered increased public attention with concern whether the novel coronavirus pandemic has exacerbated pre-existing or resulted in the onset of new mental health conditions. While scholars have analyzed mental health disparities among racial and ethnic minorities, there has been scarce investigation into English language acquisition status. Thus, the study described the difference among English Learner (EL), English Only (EO), …

“It’S Not Because They’Re Gypsy”: Practitioners Perspectives Of Gypsies, Travellers And Crime And Justice, Raegan Booth, Kirsty Koral, Kitty Lymperopoulou

School of Law, Humanities and Social Sciences

In dominant public, political and media narratives of Gypsy and Traveller communities, they have often been associated with criminality, deviance, violence, idleness and reluctance to assimilate into settled society. A discourse of othering predicated on negative stereotypes further affect their marginalisation and social exclusion. This empirical article critically examines reflections on, and responses to, these dominant narratives among practitioners who have engaged with Gypsy and Travellers operationally and strategically, in relation to crime and criminal justice. We find evidence of compliance with dominant narratives which include perceptions that deny and minimise experiences of victimisation and racism, while also suggesting a …

Early Detection Of Risk Factor For Suicidal Ideation Among Senior High School Students In Jakarta: Updated Measurement, Nova R. Yusuf, Sabarinah Prasetyo, Byron J. Good

Kesmas

The key strategy to address suicide in adolescents is school-based suicidal prevention by adapting a screening instrument to the local culture and policymakers’ perception of suicide. This study aimed to develop an instrument for the early detection of risk for suicidal ideation and identify influential risk factors for suicidal ideation among high school students in Jakarta, Indonesia. This study was conducted in 2018 with a mixed-method design (quantitative and qualitative approaches). It was found that 5% of students had suicidal ideation in July–November 2018, and 13.8% had a high-risk factor for suicidal ideation. The instrument developed in this study consisted …

Household Food Expenditure Typology And Its Association With Child Stunting And Anemia In Indonesia, Ratu Ayu Dewi Sartika, Yusnita Yusnita, Winda M. Ningsih, Ririn Arminsih Wulandari, Siti A. Pujonarti, Fadila Wirawan

Kesmas

Stunting and anemia remain the coexisting nutritional problems among Indonesian children. However, evidence of household-level food expenditure and its association with child stunting and anemia is limited. This study aimed to observe the association between household food expenditure typology and child stunting and anemia in Indonesia. Data was obtained from the 2007 and 2014 Indonesia Family Life Survey (IFLS). The household food expenditure, child nutritional status, and anemia were observed in 2007 and 2014. Latent class analysis was taken to identify the food expenditure pattern. Binary logistic regression was applied to analyze the association between household food expenditure patterns and …

Dietary Diversity As A Dominant Factor Of Energy Intake Among Breastfeeding Mothers In Depok City, Indonesia, Cornelia Lugita Santoso, Ratu Ayu Dewi Sartika, Sandra Fikawati, Fadila Wirawan, Primasti Nuryandari Putri, Nurul Husna Mohd Shukri

Kesmas

Maternal nutritional needs increase during lactation. However, the energy intake of breastfeeding mothers usually still falls short of the recommended adequacy levels. This study aimed to identify the dominant factor of energy intake in breastfeeding mothers in Sawangan District, Depok City, Indonesia. This quantitative study used a cross-sectional design from July 2022 to February 2023. Energy intake, dietary diversity, and eating frequency were collected using 24-hour food recall. Other variables were collected through interviews with structured questionnaires. Data were analyzed using the Chi-square test and binary logistic regression. A total of 217 breastfeeding mothers participated in this study. This study …

Assessment Of Free Drinking Water Facilities And Its Potential Health Risks: A Study In The University X, Indah Actry Zane Lumbantobing, Bambang Wispriyono, Fitri Kurniasari, Sifa Fauzia, Muhammad Nur Ihsan Ayyasy, Alissa Siti Haura, Ghina Labibah, Muhammad Abiyyu Akmal, Kirana Mahadewi Heryadi, Firda Alfianti, Nuranida Fauziyah

Kesmas

University X offers free drinking water facilities. However, it has a significant problem in accessing safe drinking water. This study aimed to examine the microbial and chemical parameters of the free drinking water facilities at University X. The microbial quality was assessed by evaluating the total coliform bacteria, and the chemical parameter assessment, substances such as nitrate, iron, manganese, hexavalent chromium, and fluoride were analyzed across 12 water samples from various locations within the university. Among these, only total coliform and fluoride levels exceeded the guidelines of the World Health Organization (WHO) and the Indonesian Ministry of Health. An Environmental …