Digital Commons Network^™

A Study To Assess The Effectiveness Of Nurse-Led Rehabilitation Package On Knowledge And Skill Regarding Homecare Management Among Caregivers Of Neurosurgical Patients At Selected Hospital, Chennai., Arulmozhi Manavazhagan, Deepa M

Manipal Journal of Nursing and Health Sciences

Background: The neurosurgical patients require special care not only during the hospital stay but also in the home after discharge. Long-term care at home is provided by the caregivers of the patients at their home. Caregivers are referred to as “secondary patients,” who face lot of difficulties while they care for the neurosurgical patients at home.. Aim: The present study aims to assess the effectiveness of nurse-led rehabilitation package on knowledge and skill regarding homecare management among caregivers of neurosurgical patients at selected hospital, Chennai. Method: The research approach was quantitative in nature and Pre-experimental one group pre and post-test …

Prevalence And Dietary Predictors Of Anaemia Among Antenatal Mothers, Sneha Mol Antony, Minimol Joseph, Sreeja G Pillai

Manipal Journal of Nursing and Health Sciences

Introduction: Anemia in pregnancy is a significant public health concern in the developing countries like India. Objectives: The present study was conducted to estimate the prevalence and determine the dietary predictors of anemia among antenatal mothers. Method: A descriptive cross sectional research design was adopted for the study. Consecutive sampling technique was used to select 400 antenatal mothers. Data was collected by questionnaire, rating scale and check list and analyzed using descriptive and inferential statistics. Results: The prevalence of anemia among antenatal mothers was estimated as 24.84%. Within the sample 58% had mild anemia, 39.5% had moderate anemia and 02.5% …

A Study To Assess The Maternal Perceived Quality Of Life Among Postnatal Mothers In A Selected Hospital, Mangaluru., Clerita Joylen Lobo, Soumya George, Dr. Shiji P J, Deepika N C

Manipal Journal of Nursing and Health Sciences

Abstract

Introduction:

The postnatal period is a time of change and adjustment for mothers. It can be both blissful and stressful. Unfortunately, postnatal healthcare support is often neglected. Thus, mothers need good support systems to navigate this transition smoothly.

Objectives:

1. To assess the maternal perceived quality of life among postnatal mothers.
2. To determine the association of quality of life among postnatal mothers with selected demographic variables.

Method:

The study used a descriptive design. A quantitative research approach is used to assess the maternal perceived quality of life among postnatal mothers in a selected hospital, Mangalore. The study sample consists …

Awareness And Attitude Regarding Menstrual Cup Usage Among Nursing Students In Selected Areas Of Udupi District., Royden Gomes, Monica Dsouza, Neena Quadras, Wendy H. Sellate, Maria Pais, Ranjani P

Manipal Journal of Nursing and Health Sciences

Introduction

Menstruation is a complex, coordinated biological process that signals the start of a woman's reproductive life. Women and adolescent girls all across the world require menstrual hygiene management solutions that are safe, effective, and affordable. The market has a wide variety of alternatives, including sanitary napkins, tampons, menstrual cups, and more. Menstrual cups are one of the world's safest, most comfortable, environmentally friendly, and sustainable menstrual hygiene management options.

Methods

The current study used a descriptive survey methodology with a purposive sample to determine the awareness and attitude toward menstrual cup use among 60 nursing students. Structured questionnaires were …

Effect Of Palliative Care Integration On Healthcare Utilization And Quality Of Life In Acute Care Setting - A Systematic Review And Meta-Analysis Of Randomized Controlled Trial Protocol, Soumya Liz Jacob Ms, N Siva Mr.

Manipal Journal of Nursing and Health Sciences

Abstract

Background: The last few decades have shown a tremendous increase in the need for Palliative Care (PC). Although solitary evidence of PC in specialized settings and specific disease conditions is available, the effect of integrating this service in acute care settings is lacking. This study explores the realms of PC in healthcare utilization and the quality of life of patients and caregivers in acute care facilities.

Methods: Randomized Controlled Trials where PC is rendered in acute care facilities will be included. A comprehensive search strategy will be undertaken from selected databases including PubMed- Medline, CINHAL, ProQuest, Scopus, Web of …

Immigration - Lifeboat Earth - Is The Boat Full, Thomas Power

Articles

The Lifeboat Earth metaphor requires western liberals to consider answers to those normative questions posed by Hardin. But the answer to them possibly depends on the economic effects of immigration and this can come from both economic theory and research.

The George-Anne Inkwell Edition, Georgia Southern University

The Inkwell

No abstract provided.

Comprehensive Characterization Of Polyproline Tri-Helix Macrocyclic Nanoscaffolds For Predictive Ligand Positioning, Chia-Lung Tsai, Je-Wei Chang, Kum-Yi Cheng, Yu-Jing Lan, Yi-Cheng Hsu, Qun-Da Lin, Tzu-Yuan Chen, Orion Shih, Chih-Hsun Lin, Po-Hsun Chiang, Mantas Simenas, Vidmantas Kalendra, Yun-Wei Chiang, Chun-Hsien Chen, U-Ser Jeng, Sheng-Kai Wang

Faculty, Staff and Student Publications

Multivalent ligands hold promise for enhancing avidity and selectivity to simultaneously target multimeric proteins, as well as potentially modulating receptor signaling in pharmaceutical applications. Essential for these manipulations are nanosized scaffolds that precisely control ligand display patterns, which can be achieved by using polyproline oligo-helix macrocyclic nanoscaffolds via selective binding to protein oligomers and cell surface receptors. This work focuses on synthesis and structural characterization of different-sized polyproline tri-helix macrocyclic (PP3M) scaffolds. Through combined analysis of circular dichroism (CD), small- and wide-angle X-ray scattering (SWAXS), electron spin resonance (ESR) spectroscopy, and molecular modeling, a non-coplanar tri-helix loop structure with partially …

Short-Term Outcomes And Efficacy Of Percutaneous Deep Vein Arterialization For No-Option Critical Limb Ischemia: A Systematic Review And Meta-Analysis, Roshanak Roustazadeh, Alexander Gombert, Julia Krabbe, Michael Jacobs, Panagiotis Doukas

Faculty, Staff and Student Publications

BACKGROUND: Percutaneous deep vein arterialization (pDVA) is considered a treatment modality in patients with no-option critical limb ischemia. However, there is still a paucity of evidence regarding its safety and efficacy.

DATA SOURCES: MEDLINE (via PubMed), Embase and Web of Science databases as well as the CENTRAL registry up to the end of June 2023.

METHODS: This review adhered to the PRISMA guidelines (PROSPERO registration no. CRD42023445171). The risk of bias was assessed using the methodological index for non-randomized studies (MINORS). Primary endpoints included technical success, overall survival and limb salvage during the follow-up. Amputation-free survival at 30 days, 6 …

Home Blood Pressure Telemonitoring Technology For Patients With Asymptomatic Elevated Blood Pressure Discharged From The Emergency Department: Pilot Study, Karen C Tran, Meagan Mak, Laura M Kuyper, Jesse Bittman, Birinder Mangat, Heather Lindsay, Chad Kim Sing, Liang Xu, Hubert Wong, Martin Dawes, Nadia Khan, Kendall Ho

Faculty, Staff and Student Publications

BACKGROUND: Hypertension affects 1 in 5 Canadians and is the leading cause of morbidity and mortality globally. Hypertension control is declining due to multiple factors including lack of access to primary care. Consequently, patients with hypertension frequently visit the emergency department (ED) due to high blood pressure (BP). Telehealth for Emergency-Community Continuity of Care Connectivity via Home-Telemonitoring Blood Pressure is a pilot project that implements and evaluates a comprehensive home blood pressure telemonitoring (HBPT) and physician case management protocol designed as a postdischarge management strategy to support patients with asymptomatic elevated BP as they transition from the ED to home. …

Myd88 In Myofibroblasts Enhances Nonalcoholic Fatty Liver Disease-Related Hepatocarcinogenesis Via Promoting Macrophage M2 Polarization, Yu Liu, Haiqiang Chen, Xuanxuan Yan, Jie Zhang, Zhenzhong Deng, Maosheng Huang, Jianchun Gu, Jinhua Zhang

Faculty, Staff and Student Publications

Background: Nonalcoholic fatty liver disease (NAFLD) is a major cause of chronic liver diseases and has emerged as the leading factor in the pathogenesis of hepatocellular carcinoma (HCC). MyD88 contributes to the development of HCC. However, the underlying mechanism by which MyD88 in myofibroblasts regulates NAFLD-associated liver cancer development remains unknown.

Results: Myofibroblast MyD88-deficient (SMAMyD88-/-) mice were protected from diet-induced obesity and developed fewer and smaller liver tumors. MyD88 deficiency in myofibroblasts attenuated macrophage M2 polarization and fat accumulation in HCC tissues. Mechanistically, MyD88 signaling in myofibroblasts enhanced CCL9 secretion, thereby promoting macrophage M2 polarization. This process may depend on …

The Need For Accessibility Of Public Infrastructure For People With Physical Disabilities In Pelambuan, Banjarmasin City, Eviani Damastuti, Farah Dhafiya

Journal of ICSAR

This research’s background is from the needs of people with disabilities in Pelambuan regarding the accessibility of public infrastructure. The large number of physical disability people in Pelambuan who experience mobility difficulties demands an inclusive area. The need for accessibility of public infrastructure includes: pedestrian paths, parking areas, stairs and ramp for physical disabilities must be well provided. The purpose of this research in Pelambuan is to determine accessibility of public infrastructure for physical disability, such as pedestrian paths, parking areas, stairs and ramps. This research type is quantitative descriptive. The data sources are 50 people with physical disability and …

Technology Support For The Inclusion Of Deaf Students In Special School Sukabumi City, Deden Novan Setiawan Nugraha, Nurul Hermina

Journal of ICSAR

The COVID-19 pandemic brought rapid changes in various areas of life, including education and technology. One of the learning media that the deaf can use to improve their ability to compose sentence structures is I-CHAT (I Can Hear and Talk). I-CHAT is a portal that contains applications that function as tools for the deaf in language acquisition. In communicating, mastery of sentence structure is crucial. It is because with the correct sentence structure, other people will better understand what we are talking about, and besides that, communication becomes more effective and efficient. Communication barriers that occur in deaf children are …

Device-Assisted Enteroscopy In The Surveillance Of Intestinal Hamartomas In Peutz-Jeghers Syndrome, Omar Wahid Mohamed Elfeky, Suraj Panjwani, David Cave, Daniel Wild, Daniel Raines

School of Medicine Faculty Publications

Background: PJS is an autosomal dominant, genetic disorder characterized by the formation of hamartomatous polyps in the gastrointestinal tract. These polyps result in significant morbidity due to adverse events including intestinal obstruction, bleeding, and malignancy. The aim of this study was to describe the role of DAE in monitoring and prophylactic polypectomy within the small bowel. Methods: Electronic medical records were surveyed to identify all DAE procedures performed in patients with PJS within three U.S. referral centers between Jan 1st 2007 and January 1st 2020. Individual charts were reviewed to collect and analyze specific data points. Primary end points included …

Impaired Neutrophil Extracellular Trap-Forming Capacity Contributes To Susceptibility To Chronic Vaginitis In A Mouse Model Of Vulvovaginal Candidiasis, Junko Yano, Paul L. Fidel

School of Dentistry Faculty Publications

Vulvovaginal candidiasis (VVC), caused by is characterized by aberrant inflammation by polymorphonuclear neutrophils (PMNs) in the vaginal lumen. Data from the established murine model shows that despite potent antifungal properties, PMNs fail to clear due to local heparan sulfate that inhibits the interaction between PMNs and , resulting in chronic vaginal immunopathology. To understand the role of neutrophil extracellular traps (NETs) in defense against at the vaginal mucosa, we investigated the NET-forming capacity of PMNs in chronic VVC-susceptible (CVVC-S/C3H) and -resistant (CVVC-R/CD-1) mouse strains. Immunofluorescence revealed the formation of NETs (release of DNA with PMN-derived antimicrobial proteins) in PMN cocultures …

Fluorescent Ph Indicators For Classroom Demonstration Of Buffer Action, Mark Muyskens, Mariana Dykstra, Yejin Chung

University Faculty Publications and Creative Works

We report an attractive update to the demonstration of acid−base buffer action that is appropriate for ease of use and getting attention in the classroom. The twist is based on new fluorophore information and the recent availability of UV flashlights serving as an ideal, portable excitation light source. The pH-dependent fluorescence comes from a choice among three natural sources, namely narra tree wood extract, kidneywood extract, and scopoletin, which is a purchasable coumarin, that all perform equally well. We provide practical details for performing the buffer demonstration at scales of 100 and 1000 mL and give background information for context

Don’T Throw The Baby Out With The Bathwater: Preserving Children’S Undergraduate Nurse Education In The Move Towards Genericism In Nursing, Michael J Tatterton, Matthew Carey, Robin Hyde, Catherine Hewitt

School of Nursing and Midwifery

Approaches to nurse education vary internationally. Our approach in the United Kingdom (UK), together with countries including Germany, Italy, and Republic of Ireland is unusual, where field-specific undergraduate nurse education programmes are standard. This approach allows nurses to register as children’s nurses without undertaking generalist training beforehand. Recently, arguments have been made for a move back towards generalist nurse education (Purssell and Sagoo, 2023). This has been met with passionate refutation from children’s (Fallon, 2023), learning disability (Cogher, 2023), and mental health (Warrender, 2022) nursing colleagues.Internationally, generalist nurse education is standard (van Kraaij et al., 2023). In most countries, nurses …

Diversity In The Digital Age: How Consumers Respond To Diverse Virtual Influencers, Carla Ferraro, Sean Sands, Nives Zubcevic‐Basic, Colin L. Campbell

School of Business: Faculty Scholarship

In recent years the popularity of social media influencers has grown exponentially, in part because influencers tend to not be seen as advertising and they enable brands to reach engaged audiences. As such, influencer marketing is perceived as an effective and cost-effective marketing tool. However, like all areas of marketing there are broad-based shifts that are having significant effects on the domain of influencer marketing. First, there are calls for greater levels of diversity and broader representation of diverse communities. Second, digital innovation is having a profound effect on the field of influencer marketing, leading to the advent of virtual …

The Effect Of Compensation Policy And Work Discipline On Nurse Productivity At Dr. H. Marzoeki Mahdi Mental Hospital Bogor In 2023, Icha Tiara Devi Febrianti, Helen Andriani

Journal of Indonesian Health Policy and Administration

Health worker productivity problems due to suboptimal institutional management still often occur, including at the dr. H. Marzoeki Mahdi Mental Hospital (RSJMM). Nurses are the most significant number of health workers in hospitals with a high level of patient intervention; inappropriate treatment risks decreasing work productivity. This research aims to analyze the effect of financial compensation, non-financial compensation, and work discipline on nurse productivity at RSJMM. The research study used a quantitative approach by distributing questionnaires to 205 nurses. The results showed partially (1) financial compensation has no significant effect on nurse productivity (Sig. value 0.953 > 0.05, β=0.002); (2) Non-financial …

Design Of Computerized Patient Registration Application System At Tanjung Pati Health Center, Oktamianiza Oktamianiza, Vitratul Ilahi, Kalasta Ayunda Putri, Yulfa Yulia, Rahmadhani Rahmadhani

Journal of Indonesian Health Policy and Administration

One of the shortcomings of manual patient registration systems is the procedures that affect the efficiency of service care to patients. Therefore, researchers are interested in designing a computerized patient registration application using Microsoft Access software. The type of research used is Research and Development (R&D). This research was conducted at Tanjung Pati Community Health Center, with in-depth interviews with two registration officers. The research results show that the data elements needed to design the patient registration application system, sourced from the Patient Registration Book, will be developed by creating an application system using UML modeling. The application system undergoes …

Analysis Of Needs And Service Capacity Of Bpjs At First-Level Healthcare Facilities In Bandung District, Rizki Amalia Rahmah, Mursyid Hasan Basri

Journal of Indonesian Health Policy and Administration

The community's need for BPJS services at Primary Health Facilities (FKTP) can be well met if adequate service capacity is available. This research aims to analyze the gap between the needs and capacity of BPJS services in FKTPs in Bandung District. This quantitative study uses secondary data owned by Dinas Kesehatan Provinsi Jawa Barat and BPJS Kesehatan Kantor Cabang Soreang. The calculation of needs uses the number of BPJS participants registered in each FKTP, and the calculation of service capacity is based on the duration of service and the number of general practitioners in the FKTP. Out of the 187 …

Relationship Of Remuneration Policy To The Performance Of Specialist Doctors In The Kramat Jati Regional General Hospital In 2022, Roy Michael Suranta, Ascobat Gani, Adang Bachtiar

Journal of Indonesian Health Policy and Administration

The number and types of hospitals in Jakarta are constantly increasing, causing competition for customers or patients. Hospitals owned by the DKI Jakarta provincial government face challenges in providing specialist doctor services with the best performance for the community, this is closely related to the rewards offered to specialist doctors. One of the regional government's efforts to improve the performance of specialist doctors is by issuing regulations on remuneration for hospitals. This research aims to determine the relationship between remuneration policy and the performance of specialist doctors at Kramat Jati Regional Hospital. The research was conducted using a case study …

Expression Of Atoh1, Gfi1, And Pou4f3 In The Mature Cochlea Reprograms Nonsensory Cells Into Hair Cells, Melissa M Mcgovern, Ishwar V Hosamani, Yichi Niu, Ken Y Nguyen, Chenghang Zong, Andrew K Groves

Faculty, Staff and Students Publications

Mechanosensory hair cells of the mature mammalian organ of Corti do not regenerate; consequently, loss of hair cells leads to permanent hearing loss. Although nonmammalian vertebrates can regenerate hair cells from neighboring supporting cells, many humans with severe hearing loss lack both hair cells and supporting cells, with the organ of Corti being replaced by a flat epithelium of nonsensory cells. To determine whether the mature cochlea can produce hair cells in vivo, we reprogrammed nonsensory cells adjacent to the organ of Corti with three hair cell transcription factors: Gfi1, Atoh1, and Pou4f3. We generated numerous hair cell–like …

Frozen Tissue Coring And Layered Histological Analysis Improves Cell Type-Specific Proteogenomic Characterization Of Pancreatic Adenocarcinoma, Sara R Savage, Yuefan Wang, Lijun Chen, Scott Jewell, Chelsea Newton, Yongchao Dou, Qing Kay Li, Oliver F Bathe, Ana I Robles, Gilbert S Omenn, Mathangi Thiagarajan, Hui Zhang, Galen Hostetter, Bing Zhang

Faculty, Staff and Students Publications

BACKGROUND: Omics characterization of pancreatic adenocarcinoma tissue is complicated by the highly heterogeneous and mixed populations of cells. We evaluate the feasibility and potential benefit of using a coring method to enrich specific regions from bulk tissue and then perform proteogenomic analyses.

METHODS: We used the Biopsy Trifecta Extraction (BioTExt) technique to isolate cores of epithelial-enriched and stroma-enriched tissue from pancreatic tumor and adjacent tissue blocks. Histology was assessed at multiple depths throughout each core. DNA sequencing, RNA sequencing, and proteomics were performed on the cored and bulk tissue samples. Supervised and unsupervised analyses were performed based on integrated molecular …

Clinical Practice Guideline-Inconsistent Management Of Fever And Neutropenia In Pediatric Oncology: A Children's Oncology Group Study, L. Lee Dupuis, Brian T. Fisher, A. J. Sugalski, Allison Caren Grimes, Michelle Nuño, S. Ramakrishnan, M. P. Beauchemin, Paula D. Robinson, Nancy Santesso, Alexandra Walsh, A. R. Wrightson, Lolie Yu, Susan K. Parsons, Lillian Sung

School of Medicine Faculty Publications

Background: The primary objective was to measure the proportion of episodes where care delivery was inconsistent with selected recommendations of a clinical practice guideline (CPG) on fever and neutropenia (FN) management. The influence of site size on CPG-inconsistent care delivery, and association between patient outcomes and CPG-inconsistent care were described. Methods: This retrospective, multicenter study included patients less than 21 years old with cancer who were at high risk of poor FN outcomes and were previously enrolled to a Children's Oncology Group (COG) study at participating National Cancer Institute Community Oncology Research Program (NCORP) institutions from January 2014 through December …

The Negative Effects Of Tiktok On The Body Image Of The Grade 12 Dlsu-Taft Female Students, Fiona Ysabel S. Sy, Allysa Jamie L. Arroyo, Elle Carly C. Chong, Gabrielle Therese L. Concha

DLSU Senior High School Research Congress

The general concept of the mixed-media performance art is to show how Tiktok can be seen through the point of view of individuals and to show the reality that these women face, the struggles of one’s body image are negatively impacted by an online platform full of heavily edited and crucial content about body image. The objective of the artwork is to have the audience’s attention on the effects of TikTok on an individual. The researchers aim to create a mixed-media performance focusing on the interviewees' body language and responses. Painting and sculpting will be part of the artwork, which …

Public Policy And Advocacy In The Dietetics Curriculum: Challenges And Opportunities, Jessica Garay, Meghan Donnelly, Amy Herman, Kathryn Lawson, Sarah Martin, Leah Reed

Journal of Dietetic Education

Background: Registered Dietitian Nutritionists and other health professionals should be involved in advocacy efforts related to food access and health care. However, education about, and opportunities to actively participate in, public policy are often limited for dietetics students. The goal of this project was to identify how dietetics programs meet ACEND standards relating to public policy in their current and/or accredited program. Methods: An online survey was sent to dietetics faculty at U.S. higher education institutions. Survey questions focused on how programs currently meet ACEND standards for public policy or plan to meet standards in their dietetics program. Respondents were …

Incorporating Experiential Learning And Reflection Related To Sustainable Food Systems In Undergraduate Dietetics Courses, M Elizabeth (Beth) Miller, Kara Quigg, Cassidy Hanner, Iris Puthoff, Diana Cuy Castellanos

Journal of Dietetic Education

Objective: Knowledge and competence in sustainable food systems is a priority in dietetic programs and outlined in program accreditation standards and standards of practice for Registered Dietitian Nutritionists (RDNs). However, limited literature exists on how students are learning about sustainable food systems. The purpose of this study was to explore dietetic student experiences and perceptions after the inclusion of a farm-based experiential-learning activity. Methods: A qualitative approach was utilized to explore student reflections following their experiential-learning with sustainable food systems via university-based farms. Students completed sustainable food systems modules and completed five hours on the university farm. Students then wrote …

Student Perceptions Of An Undergraduate Nutrition Peer Mentoring Program, Sarah Hudnall, Rayanna Becker, Laura Meza Esparza, Sara Sanders, Ann Diker

Journal of Dietetic Education

Background: Peer mentoring programs help students navigate challenges and stressors in their undergraduate education. There is minimal research on the effectiveness of these programs in nutrition and dietetics. Objective: The objective was to explore the perceptions of student mentors and mentees in an undergraduate nutrition peer mentoring program. Design: This qualitative research study utilized thematic analysis of student reflection papers. One hundred students were contacted via email to provide consent to review reflection papers. Reflection papers were collected from 33 students: 11 mentees and 22 mentors. Papers were imported into NVivo qualitative analysis software and coded for themes. Participants: Thirty-three …

Stakeholder Perceptions Of A Hybrid Competency-Based Education Program In Dietetics, Kristen Heitman, Stephanie M. Fanelli, Jennifer A. Garner, Kristen M. Roberts, Marcia Nahikian-Nelms, Julie Kennel, Christopher A. Taylor

Journal of Dietetic Education

As requirements for entry-level dietitians advance to the master’s degree level, the Accreditation Council for Education in Nutrition and Dietetics has published a Future Education Model (FEM). At present, FEM utilizes Competency-Based Education (CBE) for optional program implementation at early adopter demonstration sites. A limited number of CBE programs exist within the field of dietetics, and there is little published literature on its use in this arena. The present study leverages focus groups with students and interviews with faculty and preceptors to evaluate use of a novel CBE program in dietetics and explore factors that facilitate or hinder implementation of …