Digital Commons Network^™

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 …

Enhancement Of Functional Ability In Supraspinatus Tendinitis Using Ultrasound And Isotonic Exercise: Case Study, Tu Lidya Ike Putri, Christabelle Aurelia

Jurnal Fisioterapi Terapan Indonesia

Supraspinatus tendinitis is an inflammation of the supraspinatus tendon caused by the supraspinatus muscle tendon overlapping with the caput longus bicep tendon so that friction and repetitive pressure occur over a long period of time and result in damage to the supraspinatus muscle tendon and supraspinatus tendinitis occurs. Characterized by complaints of pain around the shoulder followed by limitation of motion in the shoulder joint. The clinical question arises "can the application of ultrasound and isotonic exercise reduce pain and functional ability improvement?". To be able to answer this question, an evidence search was conducted on 3 data bases, namely …

Perbandingan Konservatif Fisioterapi Dengan Core Stability Exercise Pada Kasus Nyeri Punggung Bawah, Angria Pradita, Nurul Halimah

Jurnal Fisioterapi Terapan Indonesia

ABSTRACT: Low back pain is a major complaint caused by multifactorial conditions. The most common factors of low back pain complaints are due to age, occupation and gender. This study aims to compare the differences in therapeutic effects of conservative physiotherapy with the provision of electrotherapy, namely; microwave diathermy combined with transcutaneous electrical nerve stimulation (TENS), core stability exercise techniques and a combination of electrotherapy with core stability exercise (CSE). This type of research is quasi experimental with a pre-post test design in a population of 90 low back pain patients who seek treatment at the Physiotherapy clinic. By using …

Pengaruh Religiusitas Terhadap Intensi Boikot Mahasiswa Ui Untuk Produk Terafiliasi Israel, Muhammad Haiqal Fauzi, Rifkanissa Azzahra, Raditya Akhdan Nirwasita, Muhammad Izzan

Jurnal Manajemen dan Usahawan Indonesia

This study aims to analyze the factors influencing students at Universitas Indonesia (UI) in participating in the boycott movement against products affiliated with Israel. Data were collected through an online survey of 408 UI students from the 2021–2024 cohorts. The sample was selected using the purposive sampling method. Analysis using Covariance-Based Structural Equation Modeling (CB-SEM) demonstrates that anger, empathy, and subjective norms have a positive and significant impact on boycott intentions, while religiosity is not significant. Economic threats are found to increase anger, which in turn drives boycott intentions. These findings emphasize that emotional factors and social pressure play a …

Improving Work Motivation Of Nutrition Implementers In Health Centers: Analysis Of The Influence Of Work Experience, Competence, And Rewards, Fauzie Rahman, Syamsul Arifin, Meitria Syahadatina Noor, Husaini Husaini, Rosihan Adhani, Muhammad Abdan Shadiqi, Neka Erlyani, Muhamad Muslim, Ifa Hafifah, Ha Thi Thu Trang

Media Kesehatan Masyarakat Indonesia

Success in addressing nutritional problems can be achieved when nutrition implementers possess strong abilities and skills in executing nutritional service program activities at community health centers. High work motivation among nutrition implementers significantly contributes to the successful implementation of these programs. This study aims to analyze the influence of work experience, competence, and reward provision on the work motivation of nutrition implementers. This research employs a quantitative approach with a cross-sectional design. The population consists of all nutrition implementers in South Kalimantan Community Health Centers' work area in Indonesia. A sample of 253 respondents was selected using purposive sampling. The …

Driving After A Concussion In Adolescents And Young Adults, What Is The Current Research And Consensus?, Melanie Kwok, Tamara Valovich Mccleod

Clinical Practice in Athletic Training

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Thoracic Mobility And The Effects It Has On The Human Body: An Evidence To Practice Review, Megan Kurzec, Barton E. Anderson

Clinical Practice in Athletic Training

Decreased thoracic mobility, stability, and strength are prevalent issues in athletes, contributing to various musculoskeletal problems. This Evidence to Practice Review synthesizes findings from a guiding systematic review that identified exercises targeting the thoracic spine in athletes. The review included a comprehensive search across six databases, five journals, and five social media platforms, yielding 38 exercises designed to improve thoracic mobility, motor control, work capacity, and strength. Despite the low level of evidence (Level D), these exercises are widely used in clinical practice. This review provides a framework for exercise prescription, offering athletic trainers a range of exercise options to …

Examining The Influence Of Digital Platforms On Purchase Decisions Of University Students In Tanzania, John Philemon Mwakyusa, Linda N. G. Nderumaki

Business Management Review

This study analyses the influence of the dimensions of digital platforms on the purchase decisions of university students in Tanzania. The study was based on an explanatory research design governed by the Theory of Planned Behavior. Data was collected through closed-ended questionnaires administered to 354 university students and analysed using Structural Equation Modeling through SmartPLS 4 software. The results indicated that all three dimensions: Consumer Attitude, Consumer Trust, and Consumer Presence positively and significantly influenced students' purchase decisions on digital platforms. Managerial implications suggest that firms prioritise enhancing user trust, adopting a refined approach to engagement, improving user experience, and …

Employee Involvement And Operational Performance Of Private Hospitals In Uganda: The Mediating Role Of Knowledge Management, Tibesigwa Warren, Juma J. Masele, Gerald Magova

Business Management Review

This study examines the mediating effect of knowledge management on the relationship between Employee Involvement and Operational Performance of hospitals in Uganda. A cross-sectional survey was conducted on 53 private general hospitals and primary data obtained. Data analysis was done using Partial Least Squares - Structural Equation Modeling (PLS-SEM) to test the study hypotheses. Results showed that employee involvement had an insignificant direct relationship with Operational Performance. Results further indicated that knowledge management had a positive significant effect on Operational Performance. More so, knowledge management fully mediated the relationship between employee involvement and Operational Performance. Hospitals were advised to create …

Institutional Support's Influence On Green Beekeeping Adoption In Resource-Constrained Biharamulo Forest Reserve, Tanzania: The Extended Theory Of Planned Behavior, Haruna Athumani, Ranger Kanan, Gerald Zachary Paga Tinali

Business Management Review

Green production practices are crucial for environmental conservation, yet scholarly research on green beekeeping remains limited. This study seeks to enhance the Theory of Planned Behavior (TPB) by developing an extended model of Institutional Support theory of Planned Behavior (ISTPB) to understand better beekeepers' behavior toward adopting green beekeeping practices. The model focuses on institutional support and its role in shaping individual behavior related to green beekeeping adoption. Using structural equation modeling (SEM), the study's empirical results show that institutional support and the three original TPB components, i.e., attitude, subjective norms, and perceived behavioral control, positively and significantly influence green …

Assessing The Drivers Of Customer Delight And Loyalty In Tanzanian Online Banking: An Integrative Framework, Ismail Kinogo, Dev Jani, John Mwakyusa

Business Management Review

This study aimed to empirically validate the theory of customer delight in the specific context of online banking in Tanzania, enhancing both theoretical comprehension and practical applications. This study examines how problem-solving, sociality, enjoyment, and transaction speed drive customer delight and loyalty among online banking customers in Tanzania. A deductive research approach was applied, collecting survey data from 391 qualified online banking customers in Tanzania through self-administered questionnaires in a convenience sample. Data were analyzed using Smart-PLS version 4.0 for measurement and structural model assessment. The findings reveal a significant positive influence of efficient problem-solving, sociality, enjoyment, and transaction speed …

The Influence Of Provision Of Public Services On Tax Compliance In Smes: Mediating Role Of Tax Morale, Menchidia Rwabunywenge, Mariamu Nchimbi, Said Juma Suluo

Business Management Review

This study investigates the relationship between the provision of public services, tax morale, and tax compliance in small and medium enterprises (SMEs) in Tanzania. A cross-sectional research design was employed, using a sample of 479 SMEs from Dar es Salaam, Tanzania, with data collected through self-administered questionnaires. Structural Equation Modeling (SEM) was used to test the hypotheses. The results indicate that the provision of public services has a significant positive effect on tax compliance, with tax morale acting as a partial mediator in this relationship. This suggests that taxpayers’ perceptions of the quality of public services influence their intrinsic motivation …

Partnerships To Improve Access To Healthcare For Refugees And Immigrants In Philadelphia, Jessica Deffler, Chelsea Salas-Tam, Jenna Gosnay, Marc Altshuler

Department of Family & Community Medicine Faculty Papers

The United States has welcomed refugees since World War II. Currently, the world is experiencing an unparalleled refugee crisis that calls for action by nations across the globe. There are over 82 million people who are forcibly displaced from their homes today (UNHCR Global Trends, Forced displacement in 2020. [cited 2021 Sep 28]. Available from: https://www.unhcr.org/flagship-reports/globaltrends/). Over the last decade, Philadelphia has become home to hundreds of refugees from countries in Southeast and Central Asia, Africa, the Middle East, as well as many others. For newly arrived refugees, finding stable housing, medical care, and employment is difficult due to cultural, …

Art Inquiries, Xix:1, Full Issue, Mysoon Rizk

Art Inquiries

No abstract provided.

Community Perceptions On Ecotourism Development In Sebangau National Park, Central Kalimantan, Indonesia, Lisna Yulianti, Yun Pratiwi, Susan M. Cheyne, Andi Muhammad Kadhafi

Journal of Indonesian Tourism and Policy Studies

Sebangau National Park (SNP), Central Kalimantan, Indonesia, is home to the world’s largest contiguous population of orangutans (Pongo pygmaeus wurmbii) and a vast number of other fauna and flora. Ecotourism is a developing activity in this region and has the support of regional and national governments and possibilities for local, national and international tourism are extensive. In this case study we investigate perceptions of the local community in the village of Kereng Bangkirai to ecotourism through the following topics: 1) Ecotourism Development, 2) public tourist presence and visits, 3) how involved local people are in SNP management, 4) …

Expenditure Control By Optimization Of Leftover Food In The Holiday Inn Hotel Kemayoran, Achmad Raihan Suryadi Ningrat

Journal of Indonesian Tourism and Policy Studies

The growth of tourism in Indonesia has positively impacted the hospitality sector, particularly in the kitchen department which is in charge of providing food and beverages to guests. Kitchen Hotel Holiday Inn Kemayoran wants to optimize the use of food scraps to control expenses without compromising food quality and hygiene. The results showed that there was a waste of food ingredients at the butcher and commissary in the hotel's main kitchen, such as chicken bones, shrimp shells, and vegetable ingredients. However, the leftovers can be processed with creative use into new dishes that reduce waste. This study provides theoretical benefits …

Composite Volume Learning Media Based On Augmented Reality To Enhance Students’ Visual-Spatial Intelligence, Ria Kurniawati, Susiswo Susiswo, Syamsul Hadi

Jurnal Pendidikan Sains

Augmented Reality (AR) technology, a three-dimensional visual tool that integrates virtual objects or environments into real-world displays in real time (Azuma et al., 2001), is particularly useful for grasping complex concepts such as the composite volume of solids, which often confuses students when they need to decompose solids into their individual components. While previous research has predominantly focused on the introduction of solids, spatial nets, and the volume of singular shapes, this study aims to develop composite volume learning media based on AR to enhance students’ visual-spatial intelligence in a valid, practical, and effective manner, aligning with their concrete operational …

Design Of Motivational-Realistic-Pancasila Learning In Mathematics, Marup Marup, Suradi Tahmir, Ahmad Talib, Nurzatulshima Kamaruddin

Jurnal Pendidikan Sains

Learning mathematics in class greatly influences students' learning success both in terms of knowledge and attitudes. In carrying out learning, a learning design is needed that can foster student motivation so that they provide learning outcomes to the learning objectives. Motivational-Realistic-Pancasila learning design is considered to be an alternative solution. Morela is a design that combines motivational, realistic indicators and Pancasila values. The teaching of mathematics in the classroom significantly influences students' academic success, both in terms of knowledge and attitude. To effectively carry out the teaching process, a well-designed instructional approach is necessary to foster students' motivation to achieve …

Urbanization And Work Ethic Culture Case Study: Sindang Workers, Kevin Adi Perdana, Rinaldo Sutanto Sinaga

Cities and Urban Development Journal

Background: Urbanization changes the demographic structure and lifestyle, and drives economic growth and the construction sector including Sindang Workers. Sindang Workers from Sindanglaut, Cirebon, play an important role in urban projects with a high work ethic. This study then links their work culture with the theory of social capital.

Aims: The study examines how social capital influences the work ethic culture of Sindang Workers through indicators of migration, work ethic culture, and work discipline.

Methods: This study uses a qualitative approach such as interviews and field observations to understand the factors driving the work ethic of Sindang Workers.

Results: The …

Betawi Culture As Cultural Capital In Resilience Against Flood Disasters, Muhammad Aminullah, Annisa Ananda Sari

Cities and Urban Development Journal

Background: As a region that is downstream of 13 rivers, Jakarta is called a water city that has a natural vulnerability to disasters. Thus, river management is a challenge for Jakarta.

Aims: This study examines how the cultural capital of the Betawi Community is currently being revived by the Padepokan Ciliwung Condet in managing the Ciliwung River and how this cultural capital can have an impact on disaster resilience.

Methods: This study uses a qualitative approach. This study conducted observations, in-depth interviews, and literature studies to identify the cultural capital used by the community.

Results: The results of the study …

The Role Of M Bloc Space As A Creative Space In Forming Popular Culture Among Youth In Jakarta, Abdul Latip, Lisa Aditia Putra, Nadia Imansari

Cities and Urban Development Journal

Background: Along with the development of the creative industry, more and more public spaces in the form of creative spaces are found as supporting infrastructure for this creative economic activity. This creative space is then indicated to be one of the factors forming popular culture in urban areas. M Bloc Space, a creative space located in South Jakarta. The space was built through the revitalization process of an old building owned by Perum Peruri into a dynamic creative activity center.

Aims: This study aims to analyze the role of M Bloc Space in the formation of popular culture among young …

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 …

Anthocyanin-Rich Extract From Purple Sweet Potatoes Modified Body Weight, Visceral Fat And Circulatory Il-10 In Stressed-Mice, Nia Kurnianingsih, Oktivani Adelathifa Rahma, Nabila Putri Prayogo, Qanitha Ailsya Rayhanna, Agwin Fahmi Fahanani, Ratih Paramita Suprapto, Ardani Galih Prakosa, Retty Ratnawati

Pharmaceutical Sciences and Research

Stress-induced inflammation and oxidative stress mechanisms thus plant bioactive compounds as anti-inflammation and antioxidants are placed as novel strategies to resist the adverse effects of stress. Purple sweet potatoes (PSP) as a rich source of macronutrients and anthocyanin showed health benefits as neuroprotective and metabolic diseases. However, limited research explored the effect of PSP extract on stressed animal models. This study aimed to evaluate the bioactive compound analysis of PSP and the effect on body weight gain (BW), visceral fat (VF), and interleukin-10 (IL-10) of stressed model mice. Adult male BALB/c mice (6-8 weeks) were divided into control (CTRL), and …

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 …

Harnessing Natural Medicine As A Resource For Socioeconomic Development, Eneojo Ogu, Martins Emeje, Munira Abdullahi

Journal of Bioresource Management

Natural medicine is currently gaining global acceptance among the developed and developing countries of the world due to its low toxicity, high efficacy and cost effectiveness. Developed countries are devising medicinal systems that require the use of medicinal plant products and resources. Thus, a marked increase in world demand for medicinal plant resources has emerged in the recent years and that has provided a great opportunity for medicinal plants exporting nations to expand their economy shares in this sector. Despite the Nigeria immense socio-economic promise, the country is in critical need following the fact that the multidimensional poverty rate is …

Phytochemical Screening And Medicinal Properties Of Caralluma Fimbriata And Moringa Oleifera, Ammara Tariq, Anum Ashfaq, Kalsoom Sughra, Ayesha Hameed

Journal of Bioresource Management

The research was intended to evaluate the medicinal properties of Caralluma fimbriata and Moringa oleifera, as these plants are well known for their therapeutic activities. Qualitative analysis of the phytochemical components of these plants was used to identify the existence of potentially useful therapeutic compounds. Antibacterial and antifungal activities of extracts were assessed and their antioxidant and anti-inflammatory properties were evaluated using the DPPH assay and the protein denaturation inhibition assay, respectively. The α-amylase and α-glucosidase inhibition tests were utilized to determine the plant extract's effectiveness as an antidiabetic agent. Phytochemical analysis showed the presence of medicinally beneficial compounds …

Balancing Governance And Tradition: Navigating Political, Social, Economic, And Cultural Dynamics In Indonesian Village-Owned Enterprises, Desti Fitriani, Elvia R. Shauki, Mohammad Istiaq Azim

ASEAN Journal of Community Engagement

This study examines the complex governance dynamics affecting Indonesian Badan Usaha Milik Desa (BUMDes) [village-owned enterprises], focusing on political, social, economic, and cultural pressures. Using a qualitative multi-case approach, including focus group discussions with 65 participants from West Java and West Nusa Tenggara, Indonesia, the study identified significant challenges: political interference, limited community engagement, economic dependence on government funds, and cultural norms that constrain BUMDes operations. Village elites frequently influence governance, limited capital access, and ingrained cultural values hinder transparency and open dialogue. To address these challenges, this study recommends a comprehensive approach comprising four key strategies: enhancing the institutional …