Digital Commons Network^™

Strategies To Address Employee Shortages In Allied Health, John O. Delozier

Walden Dissertations and Doctoral Studies

Continuing shortages of allied health (AH) workers have become a critical business challenge for health care organizations, driven by an aging population, rising service demand, and the lasting effects of the COVID 19 pandemic. AH leaders remain concerned about meeting essential staffing requirements, as persistent recruitment and retention difficulties threaten the delivery of high-quality health care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies successful health care leaders used to recruit and retain skilled AH employees. The participants were seven Maryland health care leaders with experience successfully implementing recruitment and retention strategies …

Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno

Walden Dissertations and Doctoral Studies

The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …

The Role Of Glu/Gly/Zif-8 Edible Film In Improving The Superior Rheological And Water Vapor Barrier Properties And Antibacterial Activity For Active Food Packaging, Nancy Siti Djenar, Kardian Rinaldi, Dina Nur Rahma, Dina Kustiana

Chimica et Natura Acta

The low barrier to water vapor and gas is a critical limitation of glycerol-plasticized gluten-based edible films (GBEF) for food packaging applications. In this study, gluten (Glu) and glycerol (Gly) were cross-linked with 0.25–1.00% (w/v) zeolitic imidazolate framework-8 (ZIF-8) to improve interfacial compatibility and enhance the structural integrity of the film matrix. The formation of hydrogen bonds and electrostatic interactions between ZIF-8 and the Glu/Gly matrix strengthened the chemical network, resulting in increased tensile strength (TS). The water vapor transmission rate (WVTR) of Glu/Gly/ZIF-8 edible films (Glu/Gly/ZIF-8 EF) ranged from 1.085 to 1.453 g/m²/24 h, indicating significantly improved barrier properties. …

Evaluation Of Thrombotic Markers In Diabetic Septic Foot: A Study Of Coagulation And Hematological Parameters In Khartoum State, Anwar S. Alhussan, Sahar Elbagir, Sarah O. Alsawmhi, Hassn Pyar

Chimica et Natura Acta

Diabetes mellitus is a globally prevalent chronic disease. It is characterized by a metabolic dysregulation in insulin secretion, resulting in persistent hyperglycemia. Uncontrolled HbA1c levels may lead to various complications, including diabetic Septic foot (DSF), which in severe cases can progress to lower limb amputation. Therefore, this study aimed to evaluate coagulation profiles and hematological parameters as potential thrombotic and inflammatory markers associated with diabetic foot infections. Preventive measures, patient education, and proper diabetic foot care remain the cornerstone strategies for reducing the risk and progression of such complications. The Total of 120 participants were divided into three groups by …

Correlation Between Ftir Fingerprint Spectra And Inhibition Of Α-Glucosidase Activity Of Andrographis Paniculata Using Partial Least Squares Regression Analysis, Mohamad Rafi, Stevanus Stevanus, Zuhelmi Aziz, Retti Hanggia Anggela, Agus Saputra

Chimica et Natura Acta

Andrographis paniculata has been used empirically by people as traditional medicine to treat diabetes. In this study, we correlated the FTIR spectra and α-glucosidase inhibition by using chemometrics analysis to obtain a functional group from the metabolite present in A. paniculata herb exhibited α-glucosidase inhibitory activity. A. paniculata herb powder was extracted using water, ethanol, ethyl acetate, and n-hexane using ultrasonication method. The dried extract obtained was then measured for its FTIR spectra and determined for α-glucosidase inhibitory activity. Absorbance data from the FTIR spectra of A. paniculata herb extracts were used as a principal component analysis (PCA) variable for …

A Prolonged Nightly Fasting Plus Telehealth Coaching Intervention (Pnf+) For Men On Androgen Deprivation Therapy For Pca: A Pilot Feasibility Randomized Controlled Trial, Kuang-Yi Wen, Julianne Freedman, Kevin K. Zarrabi, Rachel Slamon, Rita Smith, Jessica Liang, Patrick Mille, William J. Tester, William Kevin Kelly

Department of Medical Oncology Faculty Papers

Background/Objectives: This study aimed to assess the feasibility and acceptability of a 3-month health coaching intervention to promote PNF and healthy diet for men on ADT for PCa.

Methods: The study was carried out via a two-armed randomized controlled trial including 40 patients with PCa at a medical center in Philadelphia. During the 3-month period, the intervention group (PNF+) received health coaching utilizing an interactive text message system, and the control group received healthy eating text messages for the same duration. The outcome variables were feasibility and acceptability.

Results: The PNF+ group (n = 27) had high …

A Phenomenological Study Of The Experiences Of Higher Education Faculty Towards Inclusion Of Racial And Ethnic Minority Students With Disabilities, Aimee Grace Regala

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of higher education faculty toward the inclusion of racial and ethnic minority students with disabilities at a historically Black college and university in the mid-Atlantic region in the United States. The theory guiding this study was Alexander Astin's input-environment-outcome (I-E-O) model. Transcendental study captured the essence of higher education faculty's experiences in implementing inclusive practices for racial and ethnic minority students with disabilities. Data were collected through in-depth interviews, observations, and focus group interviews. Data were analyzed through epoché, phenomenological reduction, and imaginative variation to answer the …

Pelvic Floor Muscle Training For Stress Urinary Incontinence In Pre-And-Postmenopausal Women, Iesha L. Schorer

Doctoral Dissertations and Projects

There is a plethora of women in the pre- and post-menopausal phase who have stress urinary incontinence (SUI), which means accidentally leaking urine while coughing and sneezing, and not being able to hold urine for a brief period once they have the urge to void. Kegels have been the suggested treatment for centuries. Currently, numerous research articles on pelvic floor muscle training (PFMT) or pelvic floor muscle exercises (PFMEs), such as Kegels, electrical stimulation, laser treatment, Botox injections, and pharmaceuticals, do not provide conclusive evidence. The deprivation of evidence leads to a gap in research on the reduction or elimination …

Development, Validation, And Comparative Evaluation Of A Rheotaxis-Based Microfluidic Device To Isolate A Subpopulation Of High-Performance Human Spermatozoa, Charlene S. Fournier

Electronic Theses and Dissertations 2020 - Present

Fertility has declined over the past decades, and male infertility is now recognized as contributing equally to the need for Assisted Reproductive Technologies (ART). Current clinical sperm processing methods rely on multiple centrifugation steps, which are time- and labor-intensive and may be detrimental to spermatozoa. Therefore, improved methodologies are needed to select functional, healthy spermatozoa while mimicking natural sperm selection. Microfluidics has expanded in reproductive biology and offers an efficient approach to selecting spermatozoa based on progressive motility and rheotaxis—their natural ability to swim against a constant flow. In this study, I developed a rheotaxis-based microfluidic device to isolate highly …

Characterizing The Diet, Movement, And Hooking Frequency Of Pier-Hooked Juvenile Green Turtles (Chelonia Mydas), Cody R. Mott

Electronic Theses and Dissertations 2020 - Present

Green sea turtles are impacted by their interactions with recreational fishing piers, but how these interactions affect their diet, behavior, and hooking risk remains poorly understood. The objective of this study was to characterize and quantify interactions between juvenile green turtles (Chelonia mydas) and a recreational fishing pier in southeast Florida. The goals were to evaluate how proximity to the pier influences turtle diet, behavior, and incidental hooking. We compared pier-hooked turtles with individuals captured on an adjacent reef and at a control site lacking a nearby pier. Dietary preferences were assessed using nitrogenous blood analytes and stable isotope analysis. …

Sorghum-Sudangrass Production Guide, Dakota Boren, Matt Yost, Luree Johnson, Tina Sullivan, Earl Creech, Grant Cardon, Corey Ransom, Randall Violett, Cheyenne Reid, Cody Zesiger, Kalen Taylor, Jacob Hadfield, Michael Pace, Jody Gale

All Current Publications

Sudex is a warm-season forage crop that performs well in Utah’s dry climate due to its drought tolerance. It can be especially useful during drought years or when irrigation supplies are limited. As well as being a high-quality feed, Sudex has many benefits, including weed suppression and soil-building properties. Although there are concerns for prussic acid and nitrate poisoning, these concerns can be reduced and often eliminated with proper management. This fact sheet provides information to producers about using Sudex and best production practices. Much of the information may also apply to forage sorghum and a few of the major …

A Study Of The Lived Experiences And Identity Of Sexual And Gender Minority Young Adults, Hillary T. Coolbaugh

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of sexual and/or gender minority young adults with autism spectrum disorder traits and borderline personality disorder features in Grand Rapids, Michigan. Guided by the Minority Stress Model, this study explored how distal and proximal stressors influence mental health, relational functioning, identity formation, and coping processes within this population. Moustakas’ modification of van Kaam’s transcendental phenomenological method guided data coding and analysis. Semi-structured interviews were conducted with participants who met the inclusion criteria. Data analysis followed established phenomenological procedures, including horizontalization and development of textural and structural descriptions …

Relative Impact Of Multidomain Lifestyle Interventions On Deficit Accumulation Frailty Over 24 Months In The U.S. Pointer Trial, Mark A Espeland, Kayloni Olson, Christy C Tangney, Darren R Gitelman, Maryjo Cleveland, Amber A Thro, Yitbarek N Demesie, Heather M Snyder, Rachel A Whitmer, Pankaja Desai, Rifat Alam, Lucia Crivelli, Thomas M Holland, Olivia Preissle, Rema Raman, Michele K York, Laura D Baker

Faculty, Staff and Students Publications

Background: Multidomain lifestyle interventions hold promise as approaches to slow aging. Deficit accumulation frailty indices (FIs) are increasingly used to capture aging processes. Frailty is highly associated with increased mortality and chronic disease risk, but the degree to which multidomain lifestyle changes impact frailty is not clear.

Methods: The U.S. Study to Protect Brain Health through Lifestyle Intervention to Reduce Risk (U.S. POINTER) was a 2-year randomized clinical trial to compare two multidomain lifestyle interventions designed to increase exercise, improve diet, and promote social and cognitive stimulating activities and health monitoring. The Structured intervention incorporated greater structure, intensity, and accountability …

Reproductive Performance Of Friesian Holstein Crossbred Dairy Cattle After A Foot-And-Mouth Disease Outbreak In Lembang, Indonesia, Hanunghanindito Pamungkas, Septiyani Septiyani, Nurcholidah Solihati

Jurnal Ilmu Ternak Universitas Padjadjaran

Foot-and-mouth disease (FMD) is a highly contagious viral disease that may impair reproductive efficiency in dairy cattle. This study aimed to evaluate changes in the reproductive performance of Friesian Holstein crossbred dairy cows following an FMD outbreak at UPTD BPTSP and HPT Cikole, Lembang, West Java, Indonesia. A retrospective study was conducted using reproductive records collected from 2019 to 2023. The reproductive parameters analyzed were calving interval, service per conception, conception rate, service period, and first mating postpartum. Differences between the pre- and post-FMD periods were assessed using paired sample t-tests. The results showed significant differences in calving interval, service …

The Potency Of Inulin Extraction Waste Fermentation From Local Tubers As A Feed Additive, Mohamad Septian, Danes Suhendra, Mikael Sihite, Dyah Saputri

Jurnal Ilmu Ternak Universitas Padjadjaran

This study aims to determine the potential of inulin extraction waste fermentation as a feed additive based on the content of lactic acid, dry matter, pH, and Fleigh points. This research was conducted from March to June 2022 at the Animal Husbandry and Fisheries Laboratory, Tidar University. The experimental design used in this study was a Completely Randomized Design with 4 treatments (fermentation of inulin extraction waste: T1 Dioscorea alata (uwi), T2: ganyong (Dioscorea alata discolor), T3: gadung(Dioscorea hispida), and T4: umbi ungu (Ipomoea batatas). Each treatment was replicated 5 times. The variables …

Replacing Field Grass By Cassava Leaf Silage Added With Kefir On Productivity Of Lactating Dairy Cow, Azhar Amir, Afton Atabany, Ade Mubarak, Hilda Susanty

Jurnal Ilmu Ternak Universitas Padjadjaran

This study aimed to analyze the effect of cassava leaf silage (CLS) with added kefir on the productivity of lactating dairy cows when replacing field grass. Four Holstein Friesian cows in the early lactation phase (66 ± 11 days in lactation) in the second lactation cycle were randomly divided into four dietary treatments based on a 4×4 Latin square design. Diet treatments consisted of control (50% field grass + 25% concentrate + 25% tofu dregs); CLS 0 Kf (30% field grass + 20% CLS with no added kefir + 25% concentrate + 25% tofu dregs); CLS 2.5 Kf (30% field …

Community Perception Of Wild Boar Meat Consumption Based On A Halal Perspective, Roudhotul Jannah, Hamzah Siswara, Yuny Erwanto, Meireni Cahyowati

Jurnal Ilmu Ternak Universitas Padjadjaran

Consuming wild boar meat is still popular among the people of Sekaran Village, Tuban Regency, even though the religion they believe in is Islam. The aim of this research is to investigate people's perceptions of the consumption of wild boar meat, to know the background of people who consume wild boar meat and to know the distribution of wild boar meat in the Tuban area. This research was carried out in several stages, namely observation, interviews using a sample of 100 respondents and documentation. Perception measurement uses a likert scale with an assessment score of 1-3 scores and data processing …

The Potential Of Bioactive Peptides From Goat Milk Kefir With Antibacterial Activity As An Antibiotic Substitute, Dhea Athillah, Jajang Gumilar, Eka Wulandari

Jurnal Ilmu Ternak Universitas Padjadjaran

This study aims to determine the optimal incubation time for goat milk kefir that produces the highest antibacterial peptides, and to determine the antibacterial activity of purified goat milk kefir. Protein levels were determined using the microassay method. Kefir, which is known to have the best incubation time for producing the highest antibacterial activity when ultrafiltered with a 10 kDa cut-off membrane, was analyzed for its molecular weight using SDS-PAGE. The antibacterial activity was tested against pathogenic bacteria E. coli and S. aureus. The highest soluble protein content was found in kefir incubated for 36 hours, with a soluble …

Effect Comparison Of Moringa Oleifera L. Extract Supplementation To Cauda Epididymis Plasma Diluent On Simmental Semen, Arsya Aldinsyah, Nur Ducha, Dhanis Fitriana

Jurnal Ilmu Ternak Universitas Padjadjaran

The success of Artificial Insemination (AI) programs in cattle largely depends on the quality of semen after freezing. This study aimed to evaluate the effect of supplementing cauda epididymis plasma (CEP) diluent by Moringa oleifera seed extract (MSE) on the post-thaw quality of Simmental bull semen. Semen samples were collected by bulls by individual motility ≥70% and processed at the Singosari Artificial Insemination Center between October and December 2024. The study employed a Completely Randomized Design (CRD) by four MSE concentrations: 0, 1, 5, and 10 mg/mL of MSE. each tested replicated in six for motility, viability, and membrane integrity. …

Evaluation Of Biomass Production And Sugar Content Of Samurai 2 Variety Of Sorghum At Different Cutting Ages And Urea Fertilizer Applications, Anwar Harahap, Arsyadi Ali, Fitri Harianti

Jurnal Ilmu Ternak Universitas Padjadjaran

Sorghum bicolor var Samurai 2 is a well growing variety in dry land. The purpose of this study was to investigate the best total forage biomass production and sugar content in stems as results of different cutting age and urea doses at primary cut and cutting after first and second ratoon. The study used a factorial randomized block design (3 x 3) with 4 replications. The first factor was different age consisting of 80, 85, and 90 days and the second factor was different doses of urea consisting of 200, 300, and 400 kg ha^-1. The results showed …

Increased Medications In Patients With Burning Mouth Syndrome Should Not Be Overlooked, Especially For Older Women, Yang-Zhou Huang, Zhou-Hui Wu

Journal of Dental Sciences

No abstract provided.

Oral Ulceration Caused By Direct Contact With Residual Ferrous Sulfate, Yasuaki Okuma, Noriaki Aoki, Junichi Baba, Toshinori Iwai

Journal of Dental Sciences

No abstract provided.

A Scientometric Study On Research Trends And Characteristics Of Oral Health-Related Quality Of Life Among Head And Neck Cancer Patients, Yue Chen, Huanhuan Wang, Wei Liu, Lili Yang, Yan Mao

Journal of Dental Sciences

No abstract provided.

Comparison Of Methods For Estimating The Timing Of Linear Enamel Hypoplasia Formation: Clinical Validation Against A Known Systemicevent, Chuan-Hang Yu

Journal of Dental Sciences

No abstract provided.

Graph Neural Network-Based Prediction Of All-Cause And Cardiovascular Mortality Using Periodontal Site-Level Data From National Health And Nutrition Examination Survey (Nhanes), Tsung-Po Chen, Hui-Chieh Yu, Wen-Yuan Lin, Yu-Chao Chang

Journal of Dental Sciences

No abstract provided.

Assessment Of Effectiveness Of Oral Medicine Course For Medical Students: A Presurvey And Postsurvey Evaluation, Hung-Pin Lin, Tzu-Chiang Lin, Feng-Chou Cheng, Chun-Pin Chiang

Journal of Dental Sciences

No abstract provided.

Modulation Of Pro-Inflammatory Cytokines By Melaleuca Leucadendron (L.) Gel In Oral Wound Healing: An In Vivo Study, Alqarama Mahardhika Thalib, Khanisyah Erza Gumilar, Bahruddin Thalib, Shang-Ming Wang, Chung-Ming Liu

Journal of Dental Sciences

No abstract provided.

Association Between Tongue Pressure, Masticatory Function, And Salivary Bacterial Load In Older Adults Requiring Long-Term Care, Madoka Funahara, Akira Imakiire, Ryuichiro Funahara, Sakiko Soutome, Atsuko Nakamichi

Journal of Dental Sciences

No abstract provided.

Association Between Periodontitis And Anemia: Results From The National Health And Nutrition Examination Survey, Cheng Lin, Xing Xing, Ye Han, Jianxia Hou, He Zhu

Journal of Dental Sciences

No abstract provided.

Intersecting Determinants Of Health: Correlating Food Insecurity And Sleep Deprivation Across Southern Adventist University Demographics*, Heaven Robles, Jesica Paralafox Ramirez, Kimberly Mongare, Joshua C. Jenkins, Melany Castillo, Philip Chen Dr, Aaron Corbit Dr

Campus Research Month

For university students, social determinants of health such as food security and sleep patterns heavily dictate both health outcomes and academic success. Using a cross-sectional study design, statistical analyses will be conducted using the Jamovi software platform to compare mean sleep durations and food access scores across multiple academic departments and ethnic demographic groups. The study evaluates four primary hypotheses: (1) Consistent food access positively correlates with sleep quality; (2) Food security and sleep metrics vary significantly across academic departments; (3) Systemic ethnic disparities exist in food accessibility; and (4) Underrepresented ethnic groups experience a compounded burden of food insecurity …