Digital Commons Network^™

Exploration Of Therapists' Use Of Bibliotherapy As A Clinical Strategy For Military Children, Destiny Huff

Walden Dissertations and Doctoral Studies

Military-connected children face unique life stressors related to their parents serving in the military. Therapists play an integral role in supporting these families. Specifically, research on therapists’ use of bibliotherapy as a clinical strategy to support these children’s needs is recommended. Bibliotherapy uses written material such as books, stories, and poems to address clients’ needs. The purpose of this interpretive descriptive qualitative study was to explore therapists’ use of bibliotherapy as a clinical strategy to address the unique stressors faced by military children ages 3-8 years old. Shrodes’s model of bibliotherapy was used as the theoretical framework. Data were collected …

Use Of A Community-Based Mentoring Program To Reduce Juvenile Delinquency And Crime In Adolescents, Andida Prince

Walden Dissertations and Doctoral Studies

The risk factors of juvenile delinquency and crime fail to acknowledge the systemic injustices, environmental stressors, and challenges youths bring to mentoring programs. Community-based mentoring programs are in place to assist with deterrence and reduction of juvenile delinquency and crime. The purpose of this qualitative study was to understand delinquency and crime in adolescents through the theoretical lens of social control theory. The goal was to explore the theories and understand what can be done to counteract the risk factors from the perspective of mentoring professionals. The research questions focused on community-based mentoring programs’ role in an adolescent’s life and …

Relationship Between Geographic Location, Race, And Socioeconomic Status On Adolescent Male Hpv Vaccination In The United States, Stacy Herb

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) represents the most prevalent sexually transmitted infection in the United States. Despite readily available safe and effective vaccines and established knowledge of influencing factors, HPV vaccination rates in the United States remain suboptimal, particularly among adolescent males. This quantitative study addressed this gap by investigating the association between geographic location, race, and socioeconomic status with HPV vaccination uptake in adolescent males. A secondary data analysis was conducted using the 2022 National Immunization Survey (NIS)—Teen, comprised of 22,667 adolescent males. The fundamental cause theory served as the theoretical framework, guiding the exploration of why a safe and effective …

Educator Feedback On A Farm Tractor And Machinery Safety Training Program: Implications For Program Content And Success, Linda Fetzer, Brenna Butler, Judd Michael

Journal of Extension

This article provides results from a survey of instructors who have offered the National Safe Tractor and Machinery Operation Program (NSTMOP) to youth planning to work in agriculture. Youth younger than age 16 who wish to be employed on non-family farms are required to complete an approved safety training program to operate tractors and other powered machinery. A survey of educators who offered the NSTMOP program was conducted to learn more about their successes, challenges, and feedback related to the instructor training course and program materials. Results provide direction to the instructors’ programmatic needs with respect to teaching safety-related topics.

Crossing Boundaries, University Of Dayton. School Of Education And Health Sciences

School of Education and Health Sciences Blog Archive

The School of Education and Health Sciences presented its inaugural Crossing Boundaries Award to Meredith Montgomery, assistant professor in the Department of Counselor Education and Human Services.

Laser-Induced Electrochemical Biosensor Modified With Graphene-Based Ink For Label-Free Detection Of Alpha-Fetoprotein And 17Β-Estradiol, Ridma Tabassum, Pritu P. Sarkar, Ahmed Hasnain Jalal, Ali Ashraf, Nazmul Islam

Mechanical Engineering Faculty Publications

In this research, a novel electrochemical biosensor is proposed based on inducing graphene formation on polyimide substrate via laser engraving. Graphene polyaniline (G-PANI) conductive ink was synthesized by planetary mixing and applied to the working zone of the developed sensor to effectively enhance the electrical signals. The laser-induced graphene (LIG) sensor was used to detect alpha-fetoprotein (AFP) and 17β-Estradiol (E2) in the phosphate buffer saline (PBS) buffer and human serum. The electrochemical performance of the biosensor in determining these biomarkers was investigated by differential pulse voltammetry (DPV) and chronoamperometry (CA). In a buffer environment, alpha-fetoprotein (AFP) and 17β-Estradiol detection range …

Developing Future Managers Through Business Simulation Gaming In The Uk And Hong Kong: Exploring The Interplay Between Cognitive Realism, Decision-Making And Performance, Jonathan Lean, Robert Newbery, Jonathan Moizer, Mohamed Haddoud, Wai Mun Lim

Plymouth Business School

PurposeThis paper investigates how individuals' decision-making approach and perceptions of a game's cognitive realism affect the performance of virtual businesses in a web-based simulation game.Design/methodology/approachSurvey data are collected from 274 business simulation game users and is analysed using the fsQCA technique.FindingsThe study identifies three alternative pathways to high and low performance in a business simulation game. Results indicate that a flexible decision-making approach exists in all high performance pathway solutions. Where a game is perceived to be realistic, a more focused decision-making approach is associated with high performance. However, where perceived cognitive realism is absent, a less focused experimental decision-making …

Minimally Invasive Mitral Valve Surgery Using A Cold Fibrillatory Cardiac Arrest Technique In Patients With Prior Cardiac Surgery, Ahmed Ali, Zachary Gray, Gabriel Loor, Alexis E Shafii, Todd K Rosengart, Kenneth K Liao

The Texas Heart Institute Journal

OBJECTIVE: Minimally invasive mitral valve surgery (mini-MVS) is typically reserved for patients who have not undergone open cardiac surgery. In the reoperative setting, using intrapericardial dissection for crossclamping the aorta through a minimally invasive approach can be difficult and, at times, risky. Cold fibrillatory cardiac arrest (CFCA) with systemic cardiopulmonary bypass without cross-clamping is a well-described technique; however, data about its safety for patients who undergo reoperative mini-MVS are limited.

METHODS: Data for 34 patients who underwent reoperative mini-MVS with CFCA from March 2017 to March 2022 were reviewed retrospectively. A mini right thoracotomy (n = 30) or robotic (n …

Artificial Chordae Implantation Vs Posterior Leaflet Preservation: A Comparison Of Midterm Results After Mitral Valve Replacement, Salih Salihi, Bilhan Özalp, Fatih Toptan, Ibrahim Kara

The Texas Heart Institute Journal

BACKGROUND: Various techniques have been proposed for the preservation of the subvalvular apparatus (SVA) in mitral valve replacement. This study aimed to compare the midterm results of posterior leaflet preservation with the results of selective preservation of the SVA involving artificial chordae implantation in terms of left ventricular performance in patients undergoing mitral valve replacement.

METHODS: In total, 127 patients were included in this study. Patients were allocated to 1 of 2 groups according to the techniques used to preserve the SVA. Patients in group 1 underwent posterior leaflet preservation: The anterior leaflet was completely resected, and the posterior leaflet …

Repetitive Subconcussive Head Impacts In Sports And Their Impact On Brain Anatomy And Function: A Systematic Review, Lukas Hack, Bhagyashree Singh, Ferdinand Binkofski, Ingo Helmich

Exercise and Sport Studies: Faculty Publications

Repetitive subconcussive head impacts occur regularly in sports. However, the exact relationship between their biomechanical properties and their consequences on brain structure and function has not been clarified yet. We therefore reviewed prospective cohort studies that objectively reported the biomechanical characteristics of repetitive subconcussive head impacts and their impact on brain anatomy and function. Only studies with a pre- to post-measurement design were included. Twenty-four studies met the inclusion criteria. Structural white matter alterations, such as reduced fractional anisotropy and an increase in mean diffusivity values, seem to be evident in athletes exposed to repetitive subconcussive head impacts exceeding 10 …

Engaging Home Literacy Environments: Building A Partnership Between School And Home, Robert E. Samuels Iii

Masters Projects

The reading proficiency levels of fourth grade students in the United States has been stagnant or declining for nearly two decades, an issue only amplified by school closures during the pandemic. Struggling third graders, including those at Fennville Elementary School, are beginning fourth grade without a solid grasp of their foundational reading skills These skills are necessary for accessing complex text in fourth grade and later. A lack of parental involvement and absence of an engaging home literacy environment has added to these reading deficits. This project analyzes educational theories and research to determine the importance of parent and family …

An Observational Study To Compare The Anti Anginal Efficacy Of Ranolazine Versus Nicorandil In Ischemic Heart Disease Patients Attending A Tertiary Care Hospital In Kolkata, Arup Mallick, Pradip Saha, Ishita Sengupta, Gairik Sengupta, Paramartha Bhattacharya, Soumya Dutta

Pharmacology and Clinical Pharmacy Research

Ischemic Heart disease (IHD) occurs due to an imbalance between myocardial oxygen supply and demand. In stable IHD, second-line anti-anginal drugs like Ranolazine and Nicorandil are used as add-on therapy with first-line agents like Nitrates and beta-blockers. Our study compared the efficacy of Ranolazine versus Nicorandil utilizing the patient’s responses to the Short Seattle Angina Questionnaire (SAQ7) score. A prospective observational study on stable IHD patients attending the cardiology Outpatient Department (OPD) of IPGME&R and SSKM Hospital, Kolkata, with either Ranolazine or Nicorandil as add-on therapy (50 patients in each group). SAQ7 score was recorded at baseline and three follow-up …

Adverse Events Of Bedaquiline Drug Use In The Treatment Of Multidrug-Resistant Tuberculosis (Mdr-Tb) Patients: A Review Artcile, Nabilah Nihlah, Bilqis Nailah, Imam Wicaksono

Pharmacology and Clinical Pharmacy Research

Adverse Drug Reaction (ADR) is any unfavorable and unexpected drug response in patients dosed for prevention, diagnosis, or therapy. Tuberculosis is a contagious infectious disease caused by the bacterium Mycobacterium tuberculosis. Multi-drug resistance Tuberculosis (MDR TB) is caused by bacteria that are resistant to the two most powerful first-line anti-TB drugs - isoniazid and rifampicin; cases of resistance to both drugs result in worse treatment outcomes, longer treatment duration, high costs, and various other complications. All medications used to treat MDR TB patients have the potential to cause mild, moderate, and severe side effects, especially Bedaquiline. This article will explain …

Modeling Hyperglycemia With Induction Variants In Mice As Preclinical Test Animals, Setiyo Santoso, Widarika Hapsari, Deksa Putra

Pharmacology and Clinical Pharmacy Research

Inducing hyperglycemia in animal models is crucial for preclinical research on anti-diabetic drug development, especially when genetically diabetic test animals are unavailable. Various induction methods have been employed to elevate glycemic levels in test animals. However, there is a lack of substantial literature proving the effectiveness and stability of these induction alternatives. This study aims to compare the stability of glycemic levels and assess histopathological changes in mice induced by dextrose, streptozotocin, and alloxan. Our protocol involved dividing mice into six groups of five, each with a control group. Mice in Groups A and D were exposed to alloxan monohydrate, …

Prescribing Pattern Of Corticosteroid In Dermatologic Disorder At Tertiary Care Teaching Hospital In Western Indian, Zankrut Patel, Dhiren Patel, Jatin Patel, Sumit Patel

Pharmacology and Clinical Pharmacy Research

Based on their potent immunosuppressive and anti-inflammatory properties, corticosteroids are essential for treating several skin disorders. Due to their lesser systemic toxicity, topical treatments are recommended. The use of corticosteroids in Indian dermatology practice, however, is not well documented. This study aims to analyze the prescribing patterns of corticosteroids for dermatologic disorders. In the outpatient dermatology department of GCS Hospital, Ahmedabad, a cross-sectional, observational study was conducted for six months, from March 2021 to August 2021. We looked at prevalent skin problems and prescribing patterns in 500 prescriptions. A descriptive statistical analysis was done following the compilation of all the …

Evaluation Of Antibiotic Use In Pediatric Inpatients At One Of Bandung Regional Hospitals In August 2023, Purti Maharani, Imam Wicaksono, Falerina Puspita, Hijrah Zainudin

Pharmacology and Clinical Pharmacy Research

Infectious diseases are a major concern in the field of health, especially in developing countries like Indonesia. Children are vulnerable to infections because their immune systems are not fully developed. Proper management is necessary for the prevention and treatment of infectious diseases in pediatric patients. Antibiotics are the primary choice for addressing bacterial infections. However, the increased use of antibiotic can contribute to high levels of antimicrobial resistance (AMR), rendering infection treatment ineffective. The evaluation of antibiotic use can be conducted through the ATC/DDD method, which focuses on the quantity and types of antibiotics used. Although this method provides a …

Teacher Knowledge And Confidence Integrating Social Change Concepts In K–12 Classrooms, Amy White, Fran Reed, Tina Marshall-Bradley, Kathy Strang

Journal of Sustainable Social Impact

The purpose of this survey research was to examine the perspectives of K–12 classroom teachers about their knowledge of social change concepts and their confidence in implementing these into their existing curriculum. A questionnaire was used to (a) examine the perspectives of K–12 classroom teachers about the knowledge, skills, and resources they need to implement social change concepts into their teaching and (b) define areas of social change that teachers struggle to implement in K–12 classrooms. We employed Wilcoxen signed rank tests to determine if differences existed between what teachers reported they knew and their confidence in integrating 11 social …

Analysis Of Cost-Effectiveness Of Antihypertensive Therapy In Hypertension Patients At Al-Ihsan Regional Public Hospital In 2023, Masyitah Isnaini, Widiah Widiarti, Miski Khairinisa

Pharmacology and Clinical Pharmacy Research

Hypertension is a disease that causes an abnormal increase in blood pressure, which causes cardiovascular disease. Long-term hypertension therapy requires large costs. Apart from that, existing antihypertensives are also very varied, so a cost-effectiveness analysis is needed in order to choose medications that balance costs and advantages. This study aims to determine the most economical antihypertensive medication at Al-Ihsan Regional Public Hospital in Baleendah. Based on patient medical records, this study was carried out retrospectively. Therapy data and treatment costs are the basis for the data collection process. The data is processed descriptively. The reduction in blood pressure that meets …

The Last Resort: Reducing Avoidable Employee Harm By Improving The Application Of The Disciplinary Policy And Process, Andrew Cooper, Kevin Rui-Han Teoh, Ruth Madine, Adrian Neal, Aled Jones, Ammarah Hussain, Doris A. Behrens

School of Nursing and Midwifery

Introduction: There is growing evidence within the healthcare sector that employee investigations can harm individuals involved in the process, an organization’s culture and the delivery of its services.MethodsThis paper details an intervention developed by an NHS Wales organization to reduce the number of its employee investigations through an organization-wide focus that promoted a ‘last resort’ approach and introduced the concept of ‘avoidable employee harm’. A range of associated improvement initiatives were developed to support behavior change among those responsible for determining whether an employee investigation should be initiated.Results: Over a 13-month period, organizational records showed an annual reduction of 71% …

Navigating Global Engineering Education Accreditation: Assessing Ethical Integration And Charting Pathways For Progress, Shannon M. Chance, J Seniuk Cicek, A R Bielefeld, S Hladik, Diana Adela Martin, D M Riley

Research Outputs: 2025-Present

Accreditation in engineering has been widely adopted, enabled by notable harmonization among accrediting bodies worldwide. This alignment, facilitated by accords among nations and regions, fosters a shared understanding of expectations critical for the globalized engineering profession. While ensuring graduates are equipped with essential skills for international collaboration, engineering education grapples with defining and instilling ethics, and the problematic nature of this endeavor is complicated by vague and ambiguous terminology within accreditation documents. Addressing this gap requires navigating power dynamics among education, accreditation, and licensure alongside creating localized, meaningful educational experiences. This paper overviews one section from the forthcoming Routledge International …

Workshop Wine Wednesdays: Improving Knowledge And Motivations About Local Wines., Aude A. Watrelot, Sarah Al-Mazroa Smith, Sarah L. Francis

Journal of Extension

The grape and wine industry in Iowa is based on non-Vitis vinifera grapes, which are not well-known by consumers and come with their own set of challenges, such as promotion. The Wine Wednesdays workshop focused on promoting awareness and knowledge of local wines and grapes. Results indicate gain in self-perceived knowledge and intention of behavior changes toward local grapes and wines. These workshops also participate in the development of relationships among wineries, which is overall beneficial for the local grape and wine industry.

Erratum: Hematologic Dnmt3a Reduction And High-Fat Diet Synergize To Promote Weight Gain And Tissue Inflammation, Angelina S Bortoletto, Carina Rosas, Chun-Wei Chen, Sarah M Waldvogel, Anna G Guzman, Rogelio Aguilar, Sinjini Gupta, Ling Liu, Matthew T Buckley, Kalyani R Patel, Andrea N Marcogliese, Yumei Li, Choladda V Curry, Thomas A Rando, Anne Brunet, Ronald J Parchem, Rachel E Rau, Margaret A Goodell

Faculty, Staff and Students Publications

This corrects the article "Hematologic DNMT3A reduction and high-fat diet synergize to promote weight gain and tissue inflammation", 109122.

Assessing Breast Disease With Deep Learning Model Using Bimodal Bi-View Ultrasound Images And Clinical Information, Tong Ren, Qiao Ji, Yanan Guo, Xiang Li, Yajuan Sui, Xiaohui Xie, Lanqing Han, Yuanqing Li, Yong Ren, Zuofeng Xu

Faculty, Staff and Students Publications

Breast cancer is the second leading cause of carcinoma-linked death in women. We developed a multi-modal deep-learning model (BreNet) to differentiate breast cancer from benign lesions. BreNet was constructed and trained on 10,108 images from one center and tested on 3,762 images from two centers in three steps. The diagnostic ability of BreNet was first compared with that of six radiologists; a BreNet-aided scheme was constructed to improve the diagnostic ability of the radiologists; and the diagnosis of real-world radiologists' scheme was then compared with the BreNet-aided scheme. The diagnostic performance of BreNet was superior to that of the radiologists …

Novel Mutation Leading To Splice Donor Loss In A Conserved Site Of Dmd Gene Causes Duchenne Muscular Dystrophy With Cryptorchidism, Kun Zhang, Hongzheng Dai, Guanglin He, Fuping Li, Li Zeng, Chuanzhu Fan, Huayan Xu

Faculty, Staff and Students Publications

Background: As one of the most common congenital abnormalities in male births, cryptorchidism has been found to have a polygenic aetiology according to previous studies of common variants. However, little is known about genetic predisposition of rare variants for cryptorchidism, since rare variants have larger effective size on diseases than common variants.

Methods: In this study, a cohort of 115 Chinese probands with cryptorchidism was analysed using whole-genome sequencing, alongside 19 parental controls and 2136 unaffected men. Additionally, CRISPR-Cas9 editing of a conserved variant was performed in a mouse model, with MRI screening used to observe the phenotype.

Results: In …

Potential Value Of Brazzein-Yeast As A Broiler Chicken Feed Additive, Lauren Ruth Neuleib

Theses and Dissertations

A variety of flavors, including sweeteners, have been used in animal feeds to improve feed palatability and increase feed intake by livestock (Chen et al., 2020). While many of these sweeteners are found in the form of carbohydrates, brazzein is a sweet-tasting protein. This study was conducted to identify the potential of brazzein to influence feed intake by livestock, using poultry as a model. The preliminary study's purpose was to develop methods appropriate for the subsequent feeding study. In the preliminary study, eight pens of five birds were fed one of four treatment diets: Control or the Control plus one …

Queer Coding And Representation: The Motion Picture Production Code And Its Impact On The Lgbtq Community, Amber Leech

English and Creative Writing Summer Fellows

The Motion Picture Production Code was a set of guidelines for films imposed between 1934 and 1968 that prevented them from depicting immoral themes such as profanity, blasphemy, and glorification of criminal activity. While homosexuality was never explicitly mentioned, it was banned in films through a rule prohibiting the depiction of sex perversion. This resulted in many films using a technique called queer coding in which they could imply that a character was queer without alerting the Production Code Administration. Because queer characters could not be depicted without glamorizing homosexuality, however, many of these characters were villains, died in the …

Pathways Between Early Socioeconomic Deprivation And Alcohol-Related Problems In Emerging Adulthood: Examination Of Environmental And Psychosocial Determinants, Kevin William Campbell

Electronic Theses and Dissertations Archive

The alcohol harm paradox (AHP) has been proposed to account for findings that socioeconomically deprived individuals experience disproportionate rates of alcohol-related harm, despite consuming similar or lower amounts of alcohol relative to more advantaged groups. However, the underlying mechanisms responsible are not well understood. Hogarth proposed the existence of three etiological pathways underpinning the AHP. Emerging adults (EAs) ages 21.5 to 25 (N = 466; Mage = 22.6, 57.5% female, 49.4% White, 38.6% Black, 31.1% non-college EAs), who reported consuming 3/4+ alcoholic drinks (for women/men) at least twice in the past month provided information on childhood family poverty, adverse childhood …

Effort-Reward Imbalance Among Student Athletes: Relationships With Exploitation, Well-Being, Performance Satisfaction, And Burnout, Joseph Michael White

Electronic Theses and Dissertations Archive

College athletics has changed dramatically since the first conception of “sports clubs” centuries ago. The effort required by student-athletes and the rewards they receive for participation have increased in tandem with the money involved in college athletics. Recent changes that allow student-athletes to be paid for use of their name, image, and likeness have further complicated relationships among effort, reward, and outcomes. In the effort-reward imbalance (ERI) model, effort without adequate reward produces stress and poor health-related outcomes, and research has supported this contention with regard to outcomes such as lower well-being and poorer performance among workers. However, few studies …

The Value Of Using Validated Competency-Based Assessments Across The Career Span Of An Athletic Trainer, Matthew Drescher, Lindsey Eberman

Clinical Practice in Athletic Training

No abstract provided.

Perceptions And Use Of The Athletic Training Milestones In Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie L. Van Lunen, Lindsey E. Eberman

Clinical Practice in Athletic Training

The Athletic Training Milestones (AT Milestones) were developed as an evaluation tool to capture the breadth and depth of athletic training knowledge, skills, and behavior. However, it is unclear whether athletic training programs are implementing this tool or how they are implementing it to gauge the clinical progression of students or residents in athletic training. We aimed to explore the perceptions and use of the AT Milestones among educators in athletic training programs. We used a cross-sectional, web- based survey with open-ended questions to collect data from athletic training programs on if and how they implement the AT Milestones at …