Digital Commons Network^™

Implications Of Myocardial Strain In Primary Mitral Regurgitation-A Cardiovascular Magnetic Resonance Study, Simone Romano, Danai Kitkungvan, Duc T Nguyen, Carlos El-Tallawi, Edward A Graviss, Afshin Farzaneh-Far, Dipan J Shah

Faculty, Staff and Student Publications

Aims: Chronic primary mitral regurgitation (MR) results in progressive left ventricular (LV) remodelling. Abnormal myocardial deformation (strain) can be present despite preserved ejection fraction (EF). Cardiovascular magnetic resonance (CMR) feature-tracking techniques allow assessment of global longitudinal strain (GLS) from routine cine images. The aim of this study is to evaluate the prognostic value of CMR feature tracking-derived GLS in patients with primary MR.

Methods and results: Consecutive patients undergoing CMR for chronic MR from January 2012 to June 2018 were enrolled. Patients with LVEF < 50% were excluded. The composite primary outcome aiming to detect decompensation related to MR comprised (i) referral for mitral surgery owing to symptoms or LV systolic dysfunction or (ii) cardiovascular death. The secondary outcome was all-cause death. A total of 422 patients were followed for a median of 2.7 years, and the primary endpoint was met in 93 patients (34 patients reported symptoms at baseline). At multivariable analysis, GLS≥ -16.6% was associated with primary outcome [hazard ratio (HR) 1.90, P = 0.01]. In moderate MR cohort, patients with GLS≥ -16.6% had worse event-free survival, whereas there was no significant difference in mild or severe MR groups. GLS≥ -16.0% remained associated with all-cause death after adjusting for other covariates including the MR severity (HR 2.24, P = 0.02).

Conclusion: In patients with primary MR with preserved systolic function, GLS was associated with our composite …

Technology Emancipative And Traditionalist Value In Cross-Cultural Market Segmentation, Maria Petrescu, Burak Cankaya, Marie-Odile Richard, Aidin Namin

Publications

This article identifies five key consumer segments based on digital technology-related behavior, attitudes toward technology (ATT), and cultural values, using cross-cultural data from the large-scale World Values Survey and national data from Pew Research data, and a combination of traditional clustering, latent class analysis, and explainable artificial intelligence (XAI) methods. The segments— Moderate Tech Enthusiasts, Highly Religious Traditionalists, Tech-Savvy Cosmopolitans, Secular Emancipatives, and Conservative Technophobes— reveal varying degrees of technology adoption and cosmopolitanism across cultures. The results indicate the interconnectedness between consumer behavior and attitudes toward technology, emancipative values, religiosity, political orientation, and cosmopolitanism, as well as the influence of …

Acute Myocarditis Secondary To Human Metapneumovirus: A Case Series And Mini-Review, Hussam Al Hennawi, Aamna Khan, Alexander Shpilman, Jennifer A. Mazzoni

Abington Jefferson Health Papers

Among viral myocarditis, human metapneumovirus (hMPV) is a rare causative agent with associated cardiac complications. This report provides insight into the disease progression and sheds light on reported cases from the literature. We present the clinical courses of two patients, aged 68 and 58, who developed myocarditis secondary to hMPV infection. Despite the typical severity associated with viral myocarditis in older populations, both patients experienced significant improvement in their condition and ultimately survived. This report highlights the necessity of recognizing hMPV as a potential cause of myocarditis, particularly in older adults presenting with simultaneous respiratory and cardiac symptoms. The recovery …

Daddy Goggles, Mason J. Rohr

Graduate Medical Education Research Journal

N/A

Accelerating The Uptake Of Home Haemodialysis: An Evidence-Informed Implementation Project In Cornwall, Emmanuel Asimah

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Exploring The Factors Influencing Retention Of Internationally Educated Nurses At Torbay And South Devon Nhs Foundation Trust: A Service Improvement Project, Abdul-Manan Alhassan

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Home Treatment Team Response For People With Complex Emotional Difficulties: Evidence Informing Service Development, Chloe Parkin, Lauren Oliver, Yasemin Demir

South West Clinical School Journal

#400WORDS: KNOWLEDGE + ACTION

Identifying The Key Factors For Education During Physiotherapy Treatment Of Patients With Frozen Shoulder: Developing An Educational Intervention, Laura Tapp

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

The Role Of Interactive Control Systems In Strengthening Esg Practices And Investment Efficiency: Mcs-Loc Insights, Idrianita Anis, Regina Jansen Arsjah, Hartini Hartini

Jurnal Akuntansi dan Keuangan Indonesia

This research aims to develop an Environmental, Social, and Governance (ESG) practices model and index based on sustainable finance regulation from a Management Control System Four Levers of Control (MCS-LoC) perspective. The ESG index was developed by utilizing content analysis of information disclosure in annual and sustainability reports of ten non-financial industry sectors listed in the Indonesia Stock Exchange from 2015 to 2022 (640 observations). Subsequently, the effect of the ESG Index on Investment Efficiency (IE) was tested with the moderating role of Interactive Control (INTR). The results indicate that companies are in the second stage of the sustainable business …

2024 Scholarly Productivity Report, Missouri University Of Science And Technology

Civil, Architectural and Environmental Engineering Scholarly Productivity Reports

No abstract provided.

Women's Involvement In Fisheries Co-Management Of The World's Largest Desert Lake, Turkana, Kenya, Maurice O. Ogoma, Judith C. Koskey

Journal of Bioresource Management

Despite their significant presence in the fisheries workforce, women's roles are often less recognized compared to men's. This study investigated the participation of women in beach management units (BMUs) and fisheries activities in Lake Turkana, the world’s largest permanent desert Lake. Data were collected from 200 women respondents across eight purposively sampled BMUs, focusing on gender representation, leadership roles, participation in fisheries activities, factors influencing participation, and strategies for promoting gender equity. Descriptive statistical analysis was conducted to provide an in-depth understanding of women's involvement in fisheries activities. Findings indicated that while gender representation aligned with Kenya's constitutional one-third gender …

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 …

Research Focusing On Protective Factors: From Individual To Community And Societal Strengths, Maria Caridad H. Tarroja

Asia-Pacific Social Science Review

No abstract provided.

Entrepreneurial Self-Efficacy And Extreme Decision-Making: The Unexpected Influence Of Entrepreneurial Personality, Chatchai Chatpunyakul, Sarist Gulthawatvichai

Asia-Pacific Social Science Review

The two main goals of this paper are to (a) examine how entrepreneurial self-efficacy (ESE) affects decision- making among nascent entrepreneurs and (b) examine the moderating role of entrepreneurial personality. A 2x2 between- subjects online randomized experiment was carried out. A sample of 48 Bangkok-based business school students who functioned as the study’s nascent entrepreneurs’ representatives was used to collect data for two sessions. Multiple linear regression was used to assess the research hypotheses. The findings show that extreme decision-making and nascent entrepreneurs’ ESE are positively correlated; an increase in ESE causes an increase in extreme decision-making. The effect of …

Development And Validation Of The Malaysia Cybervictimization Scale For Adolescents In Malay And Chinese Version, Poh Chua Siah, Xiang Yi Tee, Chee-Seng Tan, Joanna Tjin Ai Tan, Komathi Lokithasan, Sew Kim Low, Chin Choo Yap

Asia-Pacific Social Science Review

The increasing rate of cybervictimization has been documented in various countries, including Malaysia. However, there is a dearth of measurement tools with sound psychometric properties suitable for the Malaysian context. To address this methodological gap, the Malaysia Cybervictimization Scale for Adolescents (MyCVS-A) was developed based on qualitative inputs from adolescents in Malaysia. It was subsequently translated into Malay (MyCVS-A-M) and Chinese (MyCVS-A-C). Two studies were conducted to examine the psychometric properties of these two translated versions. In Study 1, 281 secondary school students completed the MyCVS-A-M, the Malay version of the cybervictimization subscale of the European Cyberbullying Intervention Project Questionnaire …

High-Frequency Gold Price Forecasting: Optimizing Multi-Layer Perceptron With Genetic Algorithm, Vrtagic Sabahudin, Fatih Dogan

Materials Science and Engineering Faculty Research & Creative Works

Accurately forecasting gold price actions is critical in financial markets due to gold's role as a safe-haven asset. This paper addresses the challenge of forecasting gold prices by applying a Genetic Algorithm (GA) with a Multi-Layer Perceptron (MLP) model. The research exploits historical financial data from various instruments, including gold futures, Bitcoin, and key currency pairs, to improve prediction accuracy. By optimizing the MLP's hyper parameters through GA, the model efficiently captures complex relationships in high-frequency data, achieving a remarkable R² score of 0.9993. This level of precision demonstrates the model's potential for providing actionable insights for traders and investors. …

Roselle And Red Ginger: A Potential Combination Of Medicinal Plants For Hypertension Therapy, Ranum Wanudya Yunas, Siti Irma Rahmawati, Fadlina Chany Saputri, Asep Bayu, Giuseppina Chianese, Masteria Yunovilsa Putra

Pharmaceutical Sciences and Research

Hypertension is a prevalent cardiovascular condition that significantly increases the risk of heart disease and stroke. Effective management is essential to prevent severe complications. Roselle (Hibiscus sabdariffa L.) and red ginger (Zingiber officinale var. rubrum) are two medicinal plants known for their antihypertensive properties. Roselle contains bioactive compounds such as anthocyanins that exhibit vasodilatory and angiotensin-converting enzyme (ACE) inhibition, while red ginger is rich in gingerols and shogaols, which possess anti-inflammatory and vasodilatory properties. The complementary mechanisms of action of these two plants, including ACE inhibition, antioxidant activity, and modulation of vascular tone, result in a more …

Investigating The Bioactivity Potential And Standardization Of Two Stingless Bee Propolis From East Kalimantan, Paula Mariana Kustiawan, Muhammad Ali Syahbana, Rika Pratika, Muhammad Nor Ichsan, Ika Ayu Mentari, Indah Hairunnisa, Irfan Muris Setiawan, Putri Hawa Syaifie, Donny Ramadhan, Chanpen Chanchao

Pharmaceutical Sciences and Research

The standardization of raw materials from nature is essential before they are made into products. Until now, there is still limited information regarding the standardization of propolis from stingless bees. This research aims to determine the bioactivity with standardized specific and non-specific parameters of ethanol extracts from Homotrigona apicalis and Homotrigona fimbriata propolis. The methods include organoleptic tests, tests for water-soluble and ethanol-soluble compound content, drying shrinkage tests, specific gravity tests, water content tests, metal contamination tests, phytochemical screening, and determining total phenolic and flavonoid content. The free radical scavenging capacity was measured using the DPPH (1,1-diphenyl-2-picrylhydrazyl) method, and antimicrobial …

Optimization Of External Disintegrating Materials In Wet Granulation Formulation Of Ondansetron Tablets, Yandi Permana, Syahrul Tuba, Taufik Riyadi, Sugindro Sugindro

Pharmaceutical Sciences and Research

Inadequate management of chemotherapy-induced side effects, including nausea and vomiting, can impact the healing response of cancer patients. Ondansetron, a preferred medication for the treatment, is classified as a biopharmaceutic classification system (BCS) class II drug, which limits its bioavailability. To enhance its solubility, sodium starch glycolate (SSG) and pregelatinized starch (PG) are used as super disintegrants. This study investigates the impact of these super disintegrants on ondansetron dissolution and identifies the optimal formulation. Ondansetron tablets were prepared using the wet granulation method, with nine formulations varying in SSG and PG concentrations (0%, 1%, 3%, 5%, and 7%). The tablets …

Utilizing Water Hyacinth (Eichhornia Crassipes) From Srandakan Bantul, Indonesia For ‘Bright Fever Patch’ As An Alternative Children’S Fever Therapy, Anggita Kamalia Niswara, Nabillah Ainun Kusrinanti, Rizqi Amalia Firdaus, Azis Ikhsanudin

Pharmaceutical Sciences and Research

In 2022, Indonesia experienced a public health crisis involving acute kidney failure in children, traced to paracetamol syrup contaminated with ethylene glycol and diethylene glycol. This underscores the urgent need for safer antipyretic alternatives. This study investigates the antipyretic potential of transdermal patches formulated with ethanol extract of water hyacinth (Eichhornia crassipes) leaves sourced from Srandakan, Bantul, Yogyakarta. Extract concentrations of 0.8%, 1.0%, and 1.2% were tested, alongside a negative control (no extract) and a positive control (paracetamol). The patches underwent evaluations for organoleptic properties, weight uniformity (0.41±0.02 to 0.52±0.02 g), thickness (0.36±0.03 to 0.41±0.03 mm), water absorption …

Rdn Diagnosed Malnutrition At St. Jude Children’S Research Hospital: Onset To Resolution Using And/Aspen Criteria, Madison Domek

Electronic Theses and Dissertations Archive

This quality improvement (QI) project investigates the incidence and management of malnutrition in pediatric oncology patients at St. Jude Children’s Research Hospital (SJCRH) from October 2022 to September 2023. The study aims to quantify malnutrition diagnoses made by registered dietitian nutritionists (RDNs) and to identify patients at higher risk of severe malnutrition based on their primary cancer diagnosis and clinic location. A total of 161 patients were identified, resulting in 238 documented instances of malnutrition, classified as mild, moderate, or severe. The majority of unresolved cases were attributed to inadequate follow-up, particularly in the Hematology Clinic, which had a 100% …

Front Matter

The Writing Center Journal

Front matter for The Writing Center Journal 42:3 (2024).

Tourism Carrying Capacity At Petungkriyono Forest And Its Supporting Areas, Nurwidya Ambarwati

Journal of Environmental Science and Sustainable Development

Supported by a variety of diversity and landscapes, the development of tourism in the Petungkriyono area is growing rapidly. Optimizing ecotourism services in the Petungkriyono forest without disrupting the ecosystem and damaging the environment can be done by limiting the number of visitors at tourism sites. This study aims to find out information about the tourism capacity of some tourist attractions in the local forest. This study uses the Cifuentes model to predict the maximum number of visitor capacities that can be accommodated in a tourist attraction called Physical Carrying Capacity (PCC), Real Carrying Capacity (RCC), and Effective Carrying Capacity …

Forecasting Air Pollution Driven By Vehicle Growth, Public Transport, Industry, And Household Waste, Chandra Harjono, Ludy Gianto, Rachmattullah Sidik, Dyah Lestari Widaningrum

Journal of Environmental Science and Sustainable Development

Jakarta, Indonesia's bustling capital, is grappling with escalating air pollution levels attributed to a confluence of socio-economic and infrastructural factors. This study employs Vensim modelling to project PM2.5 pollution trends through 2040, analysing the dynamic interplay among major contributors: increased vehicular emissions, industrial activities, public transportation deficiencies, and waste management inefficiencies. Materials and Methods: The method that will be used in this air pollution analysis is to integrate empirical data spanning three years to construct a predictive model underpinned by a robust causal loop diagram that elucidates the relationships between system variables and air quality. The results of this paper …

Implementing A Patient Reported Experience Measure To A Home-Based Intermediate Care Service In Cornwall, Bethan Allen

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Digital Inclusion - Establishing And Understanding The Problem In A Digital First Musculoskeletal Physiotherapy Service: A Practice Improvement Project, Andrew Deare

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Professional Identities, Culture And Pillars, Ralph Hammond

South West Clinical School Journal

No abstract provided.

Evaluating The Impact Of Staff Attitudes And Behaviours On Hospital-Associated Deconditioning, Cheryl Kent

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS

Effect Of Alternative Rearing Substrates On The Growth, Reproduction And Nutritional Composition Of The African Field Cricket Gyrllus Bimaculatus (Orthoptera: Gryllidae), Atujune Katabaro, Blanka Joseph, Anitha Philbert

Tanzania Journal of Science

The increasing demand for animal protein to cater to the ever-growing human population has prompted the quest for alternative protein sources from insects. The field cricket Gyrllus bimaculatus, is one of the species of major interest, however, rearing of this species depends on the commercial chicken feed, which is expensive. This study explored the suitability of food remains in the rearing of this species. Three experimental food types were formulated from various food remains, and fed to crickets along with the commercial chicken feed for 14 weeks. Crickets that were fed on a combined diet of mixed food types performed …

Finite Element Models For Predicting Moisture Effects On Bolt Embedment And Connection In Timber, Henry Meleki Kiwelu

Tanzania Journal of Science

The mechanical performances of timber connections are particularly important for timber engineers involved in the design of the wood structures. The mechanism of connection must be well understood in order to design a safer connection and avoid catastrophic failure. Often connections are made weak fuse elements by deliberate intent to ensure that if structural systems fail it will be by controllable ductile deformation of connections in load paths. Model method of determining engineering design capacities of laterally loaded dowel fasteners, such as bolts, screws and nails was developed. It should however be pointed out that FE and similar continuum model …