Digital Commons Network^™

Biosocial Determinants Of Health Among Patients With Chronic Liver Disease And Liver Cancer, Tagari Samanta, Jun Hyoung Park, Benny Abraham Kaipparettu

Faculty, Staff and Students Publications

Background: Metabolic disorders and chronic liver disease (CLD) play crucial roles in the development and progression of liver cancer (LC). Since the ethnic minority population increasingly suffers from CLD and LC, it is vital to understand the biosocial factors contributing to CLD and LC. The 'All of Us' database, with significant participation from minority populations, provides a valuable tool for studies in different racial/ethnic groups. Using different databases, including the 'All of Us' and 'The Cancer Genome Atlas', this study aimed to understand the biosocial factors contributing to CLD and LC.

Methods: Using 'All of Us' data, confounding factors like …

Lived Experiences Of Rural Female Veterans Seeking Mental Health Counseling, Tina Marie Tarryk

Walden Dissertations and Doctoral Studies

Over the past 20 years, the number of female veterans in the United States has doubled. Research has shown a gap in the literature regarding the lived experiences of female veterans seeking mental health care services in rural areas. The purpose of this qualitative phenomenological study was to explore the lived experiences of female veterans seeking mental health services in rural areas. A hermeneutic phenomenological theoretical framework through the lens of health care utilization theory was used to guide the study. Nine women meeting the inclusion criteria of being a veteran, being 18 years or older, having at least 2 …

Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar

Walden Dissertations and Doctoral Studies

Individuals in underserved communities face barriers to the management of chronic disease compounded by the lack of consideration of the social determinants of health in health education interventions. This qualitative study explored the perspectives and experiences of adults living in underserved communities who have graduated from an integrated program in a large metropolitan area in the United States. Mobile integrated health programs, conducted by community paramedics, work in underserved communities within citizens' homes, managing chronic disease. Limited research exists regarding the perspectives of participants who have received interventions from integrated programs and the perceived impact these interventions have on reducing …

The Correlation Between The Amount Of Weight Gain And Physical Activity Levels In Depot Medroxyprogesterone Acetate (Dmpa) Users, Zumroh Hasanah, Desiana Merawati, Raja Mohammed Firhad Raja Azidin, Dessy Amelia, Alifia Candra Puriastuti, Rizqie Putri Novembriani, Nurya Viandika, Putri Nurika Dewi

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: DMPA is a widely used contraceptive in Indonesia due to its accessibility and effectiveness. However, side effects such as weight gain are a concern, with more than 90% of the 600 users in 2022-2023 experiencing them. Objective: This study aimed to examine the correlation between the amount of weight gain and physical activity levels in DMPA users. Methods: This study used a cross-sectional design with consecutive sampling, involving 82 women (aged 19-51 years, average weight 58 kg) selected using the Slovin formula. Data were collected through structured interviews and questionnaires covering demographics, medical history, and physical activity level based …

The Synergistic Effects Of Circuit Training And Diet On Weight Loss, Body Fat Percentage, And Bmi In Obese Indonesian Females: A Randomized Controlled Trial, Ali Muthahhari Rahim, Ahmad Nasrulloh

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Despite the popularity of circuit training and dietary interventions, their combined effects on obese Southeast Asian populations remain underexplored.  Objective: This study aims to examine the effects of circuit training (using free weights and body weight) and dietary interventions (low-calorie diet and intermittent fasting using the OCD method), as well as their interaction, on weight loss, body fat percentage, and body mass index in obese individuals. Methods: This type of research is an experiment using a 2 x 2 factorial design. This experimental study used four groups that received different treatments, namely the provision of circuit training with free …

Wearable Technology For Cardiovascular Performance: A Systematic Review Of Smartwatch Applications In Fitness Training, Moch. Yunus, Nanang Tri Wahyudi, Ronal Surya Aditya, Alifia Candra Puriastuti, Daifallah M. Alrazeeni, Gadis Meinar Sari, Farsya Hidayah Septiananda, Lintang Nirmalasari Gemalochaya Manggolono

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Wearable technologies such as smartwatches have revolutionized cardiovascular fitness training through real-time monitoring and personalized exercise interventions. However, the effectiveness of smartwatch apps in improving cardiovascular performance still needs to be systematically evaluated.  Objective: This study aims to assess the contribution of smartwatch apps in improving cardiovascular fitness training using a systematic review based on the PRISMA framework. Methods: The research questions were designed using the PICO (Population, Intervention, Comparison, Outcome) model. A literature search was conducted in PubMed, Scopus, Google Scholar, Web of Science, and Crossref, focusing on articles published in 2020-2025 that met the inclusion criteria. Result: …

Muscle-Specific Errγ Activation Mitigates Muscle Atrophy After Acl Injury, Aiping Lu, Katie J Sikes, Ping Guo, Matthieu Huard, Shelbi Green, Kelly Santangelo, Jacob Singer, Ashley Groesbeck, Scott Tashman, Vihang A Narkar, Johnny Huard

Faculty, Staff and Student Publications

Anterior cruciate ligament (ACL) injury adversely affects skeletal muscle, leading to muscle atrophy and weakness, significantly impacting clinical outcomes. This study aimed to determine if estrogen-related receptor gamma (ERRγ) overexpression in skeletal muscle could mitigate muscle atrophy after ACL injury. An animal model with selective overexpression of ERRγ in skeletal muscle (ERR-gamma transgenic mice, TG) and WT control mice were used for this study. All the mice received a mechanical ACL rupture and were euthanized at 4- and 8-week post-injury. Muscle histology, atrophy, and function were evaluated and compared between the TG and WT mice. Muscle-specific ERRγ activation in TG …

Board Of Trustees Minutes, Feb. 28 2025, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Reducing Burnout Among Physiatry Trainees During The Pandemic: Instituting A Wellness Retreat, Edwin Amirianfar, Oliver Acosta, Eduard Tiozzo, Joslyn Gober, Monica Verduzco-Gutierrez

Journal of Wellness

Introduction: Burnout has been described as “a state of mental and physical exhaustion related to work or caregiving activities.” Among resident physicians, burnout is a serious concern that can lead to medical errors and negative patient outcomes. To combat burnout among physiatry trainees during the COVID-19 pandemic, an innovative wellness retreat was created and implemented at the University of Miami’s Physical Medicine and Rehabilitation (PM&R) Residency Program in March 2021 and February 2022.

Methods: The retreat curriculum was designed by the PM&R Residency Wellness Committee and supported by departmental funding. The retreat(s) consisted of three strategies: education and discussion on …

A Nursing Education Intervention In An Adult Inpatient Setting To Improve Compliance Rate With Pressure Injury Prevention Intervention, Brooklynn Jane Janke

Doctoral Dissertations and Projects

Pressure injuries can lead to life-threatening health complications for patients and cause physical, psychological, and financial stress to patients suffering from them. The literature review demonstrated that bedside nursing staff often have not received the appropriate education about pressure injury prevention and care. The literature review also revealed that nurses prefer to be educated one-on-one and peer-to-peer. Therefore, providing focused and frequent education on pressure injury prevention and improving nurses’ understanding of the importance of pressure injury prevention can improve the quality of care a nurse provides, and patients receive, thus reducing the number of health care-acquired pressure injuries. The …

Implementing An Exercise Program In Prediabetic Patients On Glp-1 Ras To Increase Self-Efficacy And Decrease Hgba1c, Bmi, And Weight, Tamara Alston

Doctoral Dissertations and Projects

Obesity is a significant factor in the progression from prediabetes to type 2 diabetes mellitus. Obesity is a condition of excess adipose tissue caused by an imbalance between the calories a person takes in, the absorption of those calories, and energy expenditure or how many of those calories a person burns. In 2022, the total cost of care for people with diabetes was $413 billion. Evidence indicates increased physical activity is directly associated with weight loss and decreased waist circumference. The literature supports that 150 minutes of weekly exercise can reduce HgbA1c, weight, and body mass index. Additionally, improved self-efficacy …

A Quantitative Study: The Association Between College Selection Methodology And Sense Of Belongingness Among First-Year, Full-Time Residential College Students, Tamara Reese

Doctoral Dissertations and Projects

College selection methodology can be traced back to the 1920s when colleges had to rely on their to travel through word of mouth, catalogs, pictures, and brochures. Although virtual tours can be dated back to 1994, COVID-19 catapulted the popularity of traveling through virtual reality. While many studies have sought to measure the impact of visitation on student enrollment propensities, none have made a noteworthy effort to account for a potential endogenous link between the student's college choice methodology and a student's sense of belongingness at their college or university campus. The purpose of this quantitative quasi-experimental study is to …

Thai Sugar-Sweetened Beverage Tax: Does It Really Help?, Sitaporn Suriya, Buraskorn Torut

Kesmas

A solution recommended by the World Health Organization to prevent and control noncommunicable diseases is the Sugar-Sweetened Beverage (SSB) tax. This study aimed to evaluate the Thai SSB tax efficiency affecting the change in post-tax individual-level consumption and find causal explanations for the people’s consumption behavior after the SSB tax was implemented. This study used a Productivity Model, and stratified random sampling was conducted by selecting 1,200 people. An in-depth interview was conducted to seek causal explanations for post-SSB tax consumption behavior with 15 key informants. The results revealed the SSB tax’s efficiency in terms of perception and understanding at …

Microplastics And Nanoplastics In Tea: Sources, Characteristics And Potential Impacts, Neamatollah Jaafarzadeh Haghighi Fard, Faezeh Jahedi, Andrew Turner

School of Geography, Earth and Environmental Sciences

Recent scientific studies have raised concerns about the presence and potential impacts of microplastics and nanoplastics (MNPs) in tea-based drinks. This review critically examines publications relating to MNPs in tea, with focus on the type of sample involved, methods and techniques employed to isolate and identify MNPs, and the main qualitative and quantitative findings. Sources of MNPs in tea include production water, plastic packaging and contaminated tea leaves but the most important source is teabags when steeped in boiling water. Here, more than 10⁹ MNPs have been reported to be released per plastic teabag. However, significant quantities of MNPs …

How Regulators Can Use Ai, John J. Nay, Troy A. Paredes

Vanderbilt Law Review En Banc

No abstract provided.

Is There A Duty To Use Lethal Autonomous Weapons? How Ai Will Change Warfare And The International Order, Bryan Hance

Penn State Journal of Law & International Affairs (2012 - Present)

No abstract provided.

The Chanticleer, 2025-02-27, Coastal Carolina University

The Chanticleer Student Newspaper

The editorially independent student produced weekly newspaper of Coastal Carolina University.

Constraints Interfering With The Goals Of Child Maltreatment Programs In Northwestern Wyoming, Barbara Andersen

Walden Dissertations and Doctoral Studies

Child abuse and neglect occurs in the United States and Wyoming. There are numerous variables that influence caregivers to abuse, and if unresolved, these variables can contribute to future events of child maltreatment. This study focused on the programs assigned to achieve reunification and the constraints observed by the program providers that interfere in resolving the variables that cause child maltreatment. The research questions were: What specific factors or constraints impede the successful achievement of program goals? In what ways do the identified constraints hinder the effectiveness of the programs? What strategies could be implemented to overcome constraints and improve …

Executive Functioning, Diabetes Distress, And Diabetes Management Among Adolescents With Type 1 Diabetes: Youth And Parent Perspectives, Allison Choe, Emily M. Fredericks, Dana L. Albright, Joyce M. Lee, Julie M. Sturza, Hurley O. Riley, Niko Kaciroti, Katherine W. Bauer, Allison L. Miller

Health Services and Informatics Research

Objective: Most adolescents with Type 1 Diabetes (T1D) do not achieve recommended glycemic targets, placing them at risk for long-term complications. Executive functioning (EF), or the cognitive processes that support goal-directed action and management of behavior, emotion, and cognition, is proposed to support effective T1D management and contribute to glycemic stability. We sought to examine associations of EF with T1D management behaviors and diabetes-related distress in adolescents with T1D.

Methods: Participants were 13–17-year-olds (M = 15.44, SD = 1.38 years) from a randomized controlled trial (N = 88). We conducted secondary analyses of preintervention data. Youth and their …

More Than Numbers: Black Adolescents’ Journey With Type 1 Diabetes Management, Vanessa Di Felice

Walden Dissertations and Doctoral Studies

Black adolescents with Type 1 diabetes mellitus (T1DM) face significant health disparities, yet their unique treatment journeys remain largely underreported. This phenomenological qualitative study explored the lived experiences of Black adolescents with T1DM. The study addressed two research questions examining how these individuals experience and navigate T1DM self-management, self-efficacy beliefs, and perceived barriers and facilitators to optimal self-care. Virtual semi-structured interviews were conducted with 15 Black adolescents with T1DM recruited from a pediatric hospital in Washington, DC. The study utilized Bandura's social cognitive theory as the theoretical framework. Thematic data analysis identified four key themes: (1) character development through knowledge …

Frogeye Leaf Spot And Black Rot On Apple [Factsheet], Bo Liu

UNH Cooperative Extension

No abstract provided.

Improving Public Health Data Collection Approaches Across Populations: Findings From A National Evaluation Of Fruit And Vegetable Incentives, Carmen Byker Shanks, Betty T. Izumi, Jenna Eastman, Teala W. Alvord, Amy L. Yaroch

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective: Public health approaches for addressing diet-related health in the United States (US) include nutrition incentive (NI) and produce prescription (PPR) projects. These projects, funded through the US Department of Agriculture Gus Schumacher Nutrition Incentive Program (GusNIP), aim to support intake of fruits and vegetables through healthy food incentives. Measuring GusNIP impact is vital to assessing the ability of incentives to improve public health nutrition outcomes across populations. Shared measures used across GusNIP projects assess fruit and vegetable intake, food security, demographics, among other variables, through a participant survey. This study explored challenges and opportunities to support evaluation across GusNIP. …

Neurocriminology: A Beginner’S Guide, Jerrod Brown

Forensic Scholars Today

No abstract provided.

The Ability Of Chatgpt To Aid In The Rapid Development Of Inoculation Message Treatments: A Case Study And Recommendations, Alicia Mason, Josh Compton, Griffin Cooper

Faculty Submissions

One of the most widely known types of AI technologies in recent years is ChatGPT. ChatGPT is a state-of-the-art language model that has revolutionized natural language processing by generating human-like text with context and coherence, enabling new possibilities for human-AI interaction (Brown et al., 2020). This case study reports on a 10-week conversational AI training initiative to assess whether ChatGPT4 can (a) identify the structural elements and features of conventional inoculation messages (i.e., forewarnings and preemptive refutations); (b) augment inoculation message design features (i.e., linguistic signatures, language, and length); (c) adapt messages for specific audiences (i.e., younger populations, experts); and …

Development Of A Self-Management Tool For Individuals With Seizure Clusters: Trial Design And Methodological Report, Molly Mcvoy, Eytan Hirsch, Luisa Londono, Kari Colón-Zimmermann, Jin Seok Cho, Evelyn K. Shih, Martha Sajatovic

Faculty Scholarship

Background: Despite advances in anti-seizure medications (ASMs) for people with epilepsy (PWE), adverse outcomes, negative health events (NHEs), and breakthrough seizures remain common. Rescue medication (RM) can better manage repetitive seizures, but barriers to RM use persist. Self-management for PWE and a history of NHEs (SMART) is an evidence-based epilepsy self-management program aimed at reducing barriers and maximizing facilitators to self-care in high-risk PWE. Methods: This 2-phase, ongoing clinical trial adapts SMART to integrate RM support for PWE with repetitive seizures. Phase 1, now completed, used input from an advisory board (AB) of PWE, caregivers, and clinicians to adapt the …

Comprehensive Notes Of Y-Serve Participants, Yoshihiko Ariizumi

Learning, Teaching, & Researching Optimization

This is a 80 page comprehensive list of students' notes who participated in the Y-Serve programs. Through this material you can peek into the internal picture of students' experiences. It is beautifully revealing.

Annual Report 2024 Oah, Office Of Allied Health

Office of Allied Health (OAH) Archives

• Dean’s Message
• A Year of Progress, A Future of Possibilities
• Advancing Initiatives for Allied Health Faculty Development:
• Academic Development
• Student Initiative
• Research Development
• Collaboration and Networking
• Elevating the Profile of Allied Health Professions
• Allied Health Events by Departments

Design And Validation Of A Cross-Cultural Virtual Exchange Experience Among Bilingual Medical Students, John R. Vaile, Cierrah Doran, Arlene R. Maheu, Valentina Jaramillo, Daniela A. Perez-Chadid, Tomas Fernandez, Carissa Walkosak, Dinah Roll Velez, Sara Carolina Bedoya Osorio, Courtney Seebadri-White, Susan Truong, Dimitrios Papanagnou, Andres Fernandez, Rosemary Frasso

Department of Medicine Faculty Papers

Exposure to cross-cultural medical education is essential for professionals aiming to work in global health or serve diverse communities. However, traditional in-person exchange programs can be complex, costly, and restricted, particularly during times when travel is limited, such as during the COVID-19 pandemic. These challenges prompted us to explore novel approaches to support cross-cultural exchange programs. We designed, piloted, and evaluated a cross-cultural virtual exchange experience using case-based learning (CBL). Our study involved 14 bilingual medical students from the United States and Colombia who participated in four virtual CBL sessions. Following each session, participants engaged in guided discussions to reflect …

My Compliments To The Chef: Researcher Studies Robots In The Kitchen, Clara Turnage

University of Mississippi News

OXFORD, Miss. – Walking into your favorite restaurant and seeing a robot chef in the kitchen may seem far-fetched, but a University of Mississippi professor's research suggests that bots could be a solution to persistent labor shortages in the industry.

Education Module To Improve Staff Medication Administration Practice, Linda Ikegwuoha

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Education Module to Improve Staff Medication Administration Practice by Linda C. Ikegwuoha BSN, Austin Community College, 2021 ADN, Austin Community College, 2019 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2025