Digital Commons Network^™

Conceptual Model For Protecting Personal Data By Depersonalization In Information Systems: Principles, Components, And Life Cycle, Zarina Ildarovna Azizova

Chemical Technology, Control and Management

This article presents a systematic approach to personal data protection through depersonalization in the context of regulatory pressure and growing cyber threats. It proposes a comprehensive conceptual model that formalizes the de-identification process as a manageable sequence of steps, from attribute classification and method selection to mandatory verification of the result. The article also provides a comparative analysis of existing depersonalization methods in terms of their applicability within the proposed model. The model serves as a basis for the development of specific algorithms, as demonstrated by the example of a data shuffling approach.

Ai-Based Environmental Economic - Modeling: A Case Of Germany (1994–2024), Zahraa Taha Naqee

Journal of Economics and Administrative Sciences

This research aims to analyse the impact of economic and energy variables on carbon emissions in Germany during the period (1994–2024), within the framework of environmental economic modelling based on artificial intelligence techniques. The study is based on the hypothesis that the nature of the energy structure and the level of economic activity contribute to explaining changes in carbon dioxide emissions to varying degrees. To verify this hypothesis, an artificial neural network model was adopted to analyse the relationship between a set of independent variables represented by total energy consumption, total energy production, the proportion of renewable energy in total …

Staff Education To Improve Culturally Responsive Mental Health Care For African Immigrants, Martha Eseh

Walden Dissertations and Doctoral Studies

Mental health disparities among African immigrant populations are often influenced by cultural stigma, limited mental health literacy, and providers’ insufficient understanding of culturally specific beliefs and help-seeking behaviors. In outpatient psychiatric settings, these gaps can negatively affect engagement, diagnosis, and treatment outcomes. The purpose of this quality improvement project was to evaluate whether a structured staff education program could improve provider knowledge of culturally responsive care for African immigrant patients. Guided by the Johns Hopkins Evidence-Based Practice model, a pretest–posttest design was implemented with 13 interprofessional staff members, including psychiatric providers, therapists, and support staff, in an outpatient mental health …

The Effect Of Education Using The Lecture Method And Puzzle Games On The Level Of Knowledge And Attitude Toward Balanced Nutrition Among Students Of Sdn Pakintelan 01 In Gunung Pati District, Semarang City, Erlin Nurlina, Syifa Qolbiyah Nasir

Indonesian Journal of Public Health Nutrition (IJPHN)

Fulfilled nutritional needs play an important role at school age. The beginning of nutritional problems occurs due to knowledge factors, so it is necessary to implement efforts to provide information about balanced nutrition. Nutrition education research using lecture and puzzle game methods was conducted at SDN Pakintelan 01 aimed at determining changes in the level of knowledge and attitudes of students regarding balanced nutrition. The type of research is Quasy Experiment and uses a pretest-post test design with control group design. The sampling technique uses stratified random sampling. The number of samples of the control group given education (lecture method) …

Fiber Content, Total Sugar, And Glycemic Index Of Jackfruit Seed And Pigeon Pea Flour Snack Bar, Dhiyaa Septi Kirana, Tesa Rafkhani

Indonesian Journal of Public Health Nutrition (IJPHN)

Diabetes Mellitus (DM) in Indonesia is the 7th leading cause of death. Diets high in sugar and glycemic index, and low in fiber are known to trigger hyperglycemia. Snack bars high in fiber and low in glycemic index are known to reduce blood glucose levels. This research aims to determine a snack bar formulation made from jackfruit seed and pigeon pea flour and analyze fiber content, total sugar, and glycemic index value. This study used a completely randomized design analyzing three different proportions of jackfruit seed and pigeon pea flour, namely F1 (30%:70%), F2 (40%:60%), and F3 (50%:50%) with two …

The Relationship Between Consumption Frequency And Energy Intake Of Ultra-Processed Food And Obesity Based On Body Fat Percentage Among Fph Ui Students In 2025, Sarah Keisya Budiargo, Triyanti Triyanti, Asih Setiarini, Dieta Nurrika

Indonesian Journal of Public Health Nutrition (IJPHN)

Obesity is the accumulation of excessive body fat and increases the risk of various non-communicable diseases. Obesity prevalence among FPH UI students based on health examination data in 2022-2024 has reached 13.6%, exceeding the public health concern threshold and requiring more accurate measurement than Body Mass Index. This study aimed to determine the relationship between ultra-processed food (UPF) consumption frequency and energy intake with obesity incidence based on body fat percentage among 147 FPH UI students in 2025. This cross-sectional study utilized the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) based on NOVA classification to assess UPF intake. Body fat percentage was …

The Relationship Between Parenting Styles And Breakfast Habits With Adolescent Eating Behavior, Nailul Nufarohah, Siti Soraya, Hilda Carmitha Panjaitan

Indonesian Journal of Public Health Nutrition (IJPHN)

Adolescence is a critical transitional period requiring adequate and balanced nutrition to support optimal physical growth and psychosocial development. However, unhealthy Eating Behaviors such as skipping breakfast, consuming unbalanced diets, and frequent intake of foods high in sugar, salt, and fat are still commonly observed. Parenting styles and breakfast habits are considered important factors influencing adolescents’ Eating Behavior. This study aimed to analyze the relationship between parenting styles and breakfast habits with Eating Behavior among adolescents. This study employed a quantitative approach with a cross-sectional design conducted at SMK Negeri 62 Jakarta, South Jakarta. The population consisted of 578 active …

The Relationship Between Obesity Among Children And Adolescents With Dietary Intake And Physical Activity: A Scoping Review, Devi Dwi Yolani, Tania Okta Wardhani, Rani Aqilah Ni’Matul Maula, Almira Sitasari, Tri Siswati

Indonesian Journal of Public Health Nutrition (IJPHN)

Childhood and adolescent obesity remain a significant public health issue worldwide. This review summarizes research on the relationship among obesity, physical activity, and diet. This study aims to investigate the relationship between children's and adolescents' obesity, their physical activity levels, and diet. A scoping review was conducted by assessing 81 research journal articles from 2014 to 2023 from electronic databases such as Google Scholar and PubMed. The search strategy used Boolean operators as follows: (“child*” OR “adolescent”) AND (“obesity”) AND (“diet” OR “food intake”) AND (“physical activity”), selected based on the inclusion criteria of children and adolescents aged 1-18 years …

Quantifying Clinical Encounters For Orthopaedic Hip And Knee Surgeries: A Retrospective Analysis Of Provider Workload, Adam Rana, Zoë A Walsh, Janel Sewell Ms, Amanda Sirisoma, Kamli Faour, Brian J. Mcgrory

Costas T. Lambrew Research Retreat 2026

Care delivery for total hip arthroplasty (THA) and total knee arthroplasty (TKA) has evolved substantially over the past decade, with major reductions in hospital length of stay (LOS) and a shift toward discharge to home.

Attainment Of Substantial Clinical Benefit Following Primary Total Knee Arthroplasty Is Impacted By Preoperative Patient-Reported Outcome Measures, Catherine M. Call, Zoë A Walsh, Johanna Mackenzie, George Babikian, Brian J. Mcgrory, Adam Rana

Costas T. Lambrew Research Retreat 2026

Our study evaluated pre-operative characteristics among patients who did or did not meet SCB to help surgeons maximize patient outcomes and comply with CMS policies following TKA.

Assessing Ecg Electrode Placement Landmarks In Women Using Sagittal Ct Images, Edwin L. Clopton

Costas T. Lambrew Research Retreat 2026

No abstract provided.

Air Pollution And Your Heart At Bedside: A Fellows Clinic Infographic Experience, Cashel O'Brien Do, Maria A. Khalil Md, Darcy Chandler Rn, Robert Bolster Ma, Maxwell Afari Md, Laura Onderko Md, Wendy Craig Phd, Colin Phillips Md

Costas T. Lambrew Research Retreat 2026

Introduction

• Many patients remain uninformed to the link between air pollution & cardiovascular disease

• American College of Cardiology (ACC) designed infographic to communicate health risks & offer mitigation strategies

• We sought to integrate this infographic into clinical care within Cardiology Fellows Clinic

Physical Activity Programming To Improve Qol In Pediatric Ibd Patients, Anna Briley, George Russell, Anya K. Cutler, Anna Furr, Julia Fritz, Kevin Sztam, Birgitta Polson, Rebecca Edwards, Noah Hoffman

Costas T. Lambrew Research Retreat 2026

This work contributes to limited literature supporting the positive impact of PA in a target population and provides novel guidelines to implement an accessible PA program proven to be effective and well-liked by patients & families. Findings support incorporation of PA into the holistic care of pediatric patients with IBD.

Using The Scottish Prom To Measure The Impact Of A Fundamentals Of Care- Informed Education Program For Spiritual Care Providers, Heather Weidemann, Airin Wolf

Costas T. Lambrew Research Retreat 2026

Integrating the Fundamentals of Care Framework into a clinical education program for spiritual care providers can improve patient experience and outcomes.

Optimizing Intermittent Compression Device Use To Reduce Vte In Surgical Patients: A Process Improvement Project, Allison Jones, Sonja Orff, Stephanie Verwys, Nora Fagan, Scott Statman

Costas T. Lambrew Research Retreat 2026

No abstract provided.

Can You Dig It?, Emily Rich, J Frye, E Bovino, Michael Defrancisco Rn, Kristen Stogsdill, J Dibiase, Mary Weatherbee

Costas T. Lambrew Research Retreat 2026

ICU nursed talk about the Dirigo Resiliency Training (DiRT) pilot program in their own words.

Aligning Practice With Evidence: Improving Adherence To The 2021 Aap Well Appearing Febrile Infant Clinical Practice Guideline Within A Rural Health System, Emma E. Freeman Md, Leah Mallory Md, Leah Seften, T Palnitkar, Anya J. Cutler, Jillian Gregory Do, Meredith Jackson Md

Costas T. Lambrew Research Retreat 2026

Introduction: The American Academy of Pediatrics (AAP) published their first-ever Clinical Practice Guideline (CPG) on the management of well appearing febrile infants aged 8-60 days in 2021. A system specific CPG and order set for the management of well-appearing febrile infants has been published across a rural health system to align with the AAP.

A Comparative Study Of Traditional Training And Xr-Based Simulation In Healthcare Professional Education, Fazal Qudus Khan, Gohar Khan, Ibrar Ahmad, Owais Khan, Suleman Shah

All Works

Immersive Virtual Reality or VR/VX stands poised to revolutionize healthcare education through interactive learning modules, overcoming current deficiencies in existing methodologies for instruction. This research compared the effectiveness of VR/VX-based training to traditional CT scanner operator training using a within-subjects design, involving 30 subjects, and concluded the effectiveness of using VR/VX in enhancing knowledge retention, task accomplishment, and engagement, and proved it by showing significant enhancement in immediate knowledge acquisition scores (Δ = 8.87, t(29) = 6.71, p < .0001), relative to delayed knowledge retention scores (Δ = 11.03, t(29) = 6.85, p < .0001), procedural achievement scores (Δ = 5.40, t(29) = 4.45, p = .0001), reduced overall task completion time using VR/VX for increased speed of execution (t(29) = 10.74, p < .0001), as well as reduced task errors for lower error rates using VR/VX in comparison to existing methodologies, as testified by the results, t(29) = 8.14, p < .0001, respectively, while showing no significant difference in usability, although assessed superior in terms of engagement and relative usefulness by the involved subjects.

Prevalence Of Musculoskeletal Pain Among Nursing Students In A Tertiary Care Teaching Institution In South Kerala, Ajas Sn, Nalam Middleton A, Asha Raby N

Muthanna Medical Journal

Background: Musculoskeletal pain (MSP) is a common occupational health concern among nursing students due to physically demanding academic and clinical training. This study assessed the prevalence, severity, and risk factors of MSP among nursing students in South Kerala. Methods: A cross-sectional study was conducted at Mount Zion Nursing College, Adoor, from March–June 2025. Universal sampling included all undergraduate nursing students (N = 198), with 175 participants (response rate: 88%). Data were collected using a self-administered online questionnaire incorporating the Standardized Nordic Musculoskeletal Questionnaire. Analysis was performed using SPSS version 28 using descriptive statistics, t-tests, ANOVA with Tukey post-hoc tests, Chi-square/Fisher's …

Comparative In Vitro Antifungal Activity Of Virgin Coconut Oil And Conventional Antifungal Agents Against Fluconazole-Resistant Candida Albicans Isolated From Vaginal Infections, Thariat Abdualrahman Al-Joubori, Mohammed A. Mahdi, Ahmed Mustafa Ahmed

Muthanna Medical Journal

Vaginal infections are one of the most prevalent gynecological diseases in the world among women of reproductive age, frequently caused by Candida albicans and opportunistic pathogenic bacteria. The development of antifungal resistance, in particular of azoles, requires additional or adjunctive treatments. Therefore, our goal in this study was the isolation and identification of microorganisms associated with vaginal infection, the frequency of C. albicans and bacterial pathogens and to check antifungal effect of 100% coconut oil with respect to conventional antifungals as well as synergistic combination. Vaginal swabs were requested from 18–45 year old women, and analyzed by standard culture techniques …

Prevalence Of Internet Addiction And Its Related Determinants Among Medical Students At Al-Kindy College Of Medicine, Qays Ahmed Hassan, Shaymaa Khalid Abdulqader, Afram Ayman Mousa, Malak Muneer Qasim, Farah Majed Salman

Muthanna Medical Journal

Background: Internet addiction has emerged as a contemporary issue. Medical students in particular are at higher risk to internet addiction due to high academic pressures. Methods: A descriptive, cross-sectional study was conducted among medical students at Al-Kindy College of Medicine during the academic year 2024–2025. A total of 200 students completed the 10- item modified Internet Addiction Diagnostic Questionnaire survey which was disseminated through the official university platform. Results: A total of 200 participants enrolled, 133 (66.5%) were female, and most were in the third stage of study (63.5%). Spending more than 6 hours daily on screens features by 49% …

Prevalence Of Polypharmacy And Its Association With Adverse Drug Effects Among Elderly Individuals In An Urban Field Practice Area Of A Tertiary Care Institution In South Kerala, Ajas Sn, Shameer Hakkim, Asha Raby N

Muthanna Medical Journal

Background: Polypharmacy (≥ 5 medications) is increasingly common among the elderly due to multimorbidity, longer life expectancy, and fragmented care, and is linked to adverse drug effects (ADEs). In urban Thiruvananthapuram, community-level evidence on its burden and ADE association is limited.This study was done to estimate the prevalence of polypharmacy among community-dwelling elderly and examine its independent association with self-reported ADEs. Methods: A community-based cross-sectional analytical study (March–December 2024) was conducted among 420 elderly individuals (≥ 60 years) selected via systematic random sampling. A validated interviewer-administered questionnaire (CVI = 0.94; ICC = 0.87) assessed medication use (past 30 days), ADEs, …

Integrating Nutrition Education To Improve The Effectiveness And Sustainability Of Makan Bergizi Gratis Programs, Akifa Laila Rusyda, Dewi Firda Sari, Ida Fransiska Pandiangan, Putri Mulifajar Gintings

Indonesian Journal of Public Health Nutrition (IJPHN)

The Makan Bergizi Gratis (MBG) program represents Indonesia's strategic effort to strengthen human capital by addressing malnutrition among school-aged. However, evidence suggests that school feeding alone is insufficient without structured nutrition education to promote sustained behavioral change. The present study examines opportunities and feasibility for embedding nutrition education within MBG implementation. Two-stage design was performed, including curriculum content reviews and qualitative case study design. A systematic curriculum content analysis was conducted across the school-based curriculum (KTSP) (2006), K-13 curriculum (2013 – 2017), and the Merdeka curriculum (2022 - present), using predefined nutrition competencies and behavioral domains as analytical frameworks. Purposive …

Reclaiming The Writing Process Using Ai: A Scaffolded Writing Assignment That Promotes Critical Thinking, Reflection, And Accountability, Hannah M. Schapiro, Manuela Tripepi, Julia Blackley

College of Life Sciences Faculty Papers

As the educational landscape changes with the widespread use of generative artificial intelligence (AI), we have made the deliberate choice to adapt with intention through the constructive integration of this tool within the curriculum. Writing assignments are often vulnerable to AI shortcuts, and therefore, we reimagined the project in our online microbiology lab to incorporate AI in a structured and pedagogically sound way that prioritizes both the writing process and the final product. Students must work with AI to create a script for a 5-minute video which they then illustrate and record on the differences between Staphylococcus aureus and methicillin-resistant …

Genetic Variation In Slc6a4 And Cytochrome P450 Enzymes: Implications For Personalized Antidepressant Treatment In Major Depressive Disorder, Claudia Buda

Harriet L Wilkes Honors College Theses

Depression is one of the most common psychiatric disorders worldwide, with a significant impact on quality of life and global health. Despite the widespread use of selective serotonin reuptake inhibitors (SSRIs) as first-line treatment, individual responses vary significantly due to genetic differences. Variations in the serotonin transporter gene (SLC6A4) and the cytochrome P450 (CYP450) enzyme family have been identified as key factors influencing the efficacy, metabolism, and tolerability of SSRIs. This thesis examines the impact of polymorphisms in SLC6A4 and CYP450 on SSRI pharmacodynamics and pharmacokinetics, explores their potential for guiding personalized antidepressant therapy, and discusses the ethical and practical …

The Hollywood Rap And Trap Culture Industry And Its Portrayal Of Crime, Youth Socialization, And Anti-Social Behavioral Norms, Ishika Sen

Honors Theses

This thesis synthesizes and reflects on media effects and hip-hop studies to examine how the Hollywood rap/trap industry participates in the influence of normalization of crime and anti-social behaviors, substance use, and the sexualization of women among youth (ages 13–21). I integrate analytic evidence on media violence with lyric/content analyses of rap and critiques of the criminal justice system in hip-hop. Specific subtopics from my outline include: theoretical frameworks (media-violence, social learning, cultivation, cultural criminology); corporate marketing and social-media amplification; youth vulnerability; and three patterned domains which include substance abuse, gun violence, and the sexualization of women, often leading to …

Changing Pseudo-Nitzschia And Dinophysis Distributions In The North Sea And Western Approaches (Ne Atlantic) And Their Potential Use In Biodiversity Assessments, Matthew M. Holland, Eileen Bresnan, Martin Edwards, Matthew Faith, Clare Ostle, Rowena Stern, Paul Tett, Claire Widdicombe, Callum Whyte, Abigail Mcquatters-Gollop

School of Biological and Marine Sciences

Pseudo-nitzschia and Dinophysis are two commonly occurring phytoplankton genera along Europe’s Atlantic coast. Species within these genera can produce toxins that accumulate in shellfish and pose health risks if consumed. Sustained monitoring of shellfish growing waters has generated decades-long time-series for these two genera, which have been considered for use in statutory biodiversity assessments as proxies for diatoms and dinoflagellates. There is also evidence that distributions are shifting; It is important to document these changes to anticipate risks for shellfisheries, and higher trophic levels. We assessed whether Pseudo‑nitzschia and Dinophysis data could support statutory biodiversity assessments and quantified distributional change …

Inherited Tbx4 Frameshifting Variants Predicted To Escape Nonsense Mediated Decay In Two Families With Variable Phenotypes, Including Lethal Lung Developmental Disorders, Shruti A Pande, Hiuling Chan Joiner, Przemyslaw Szafranski, Tomasz Gambin, Michelle Wright, Qian Wang, Maiah Walters, Jan M Friedman, Jessica Saunders, Nicholas Avdimiretz, Cornelius F Boerkoel, Nahir Cortes-Santiago, Gail Deutsch, Pawel Stankiewicz

Faculty, Staff and Students Publications

Background: Pathogenic variants involving the transcription factor TBX4 gene have been associated with various skeletal and pulmonary abnormalities, including lethal lung developmental disorders (LLDD).

Methods: Whole-genome sequencing (WGS) with AI-powered platform for variant detection and interpretation followed by Sanger sequencing targeted variant segregation analysis were used. Reverse transcription quantitative PCR (RT-qPCR) and immunohistochemistry (IHC) studies were performed to assess gene and protein expression levels, respectively.

Results: We describe two unrelated families with intrafamilial variability in the TBX4 phenotypic expressivity, including LLDDs. WGS analyses revealed two frameshift variants, c.1019del; p.(Arg340GlnfsTer40) in the penultimate exon and c.1167dup; p.(Arg390GlnfsTer30) in the last exon …

Global Study On Newborn Hospitalization And Parental Experiences (Hope): Rationale And Design Of A Multinational Cross-Sectional Mixed-Methods Online Survey, Hope Study Working Group, Julia Hoffmann, Ruth Kemper, Helmut Hummler, Ayse Düzenli, Luc J I Zimmermann, Silke Mader, Christina Tischer, Jos Latour

School of Nursing and Midwifery

INTRODUCTION: Newborns who are born too soon, too small or sick are a vulnerable group who require special/high-dependency/intensive care after birth. Infant and Family-Centred Developmental Care (IFCDC) is an integrated healthcare approach that prioritises and values parental/familial involvement and participation by fostering competencies in essential newborn care skills and thus parental empowerment. There is a paucity of data globally on the IFCDC practice and the challenges faced by parents/caregivers during hospitalisation and post-discharge and the potential country-specific support.

OBJECTIVE: The primary objective of the HOPE study (Global Study on Newborn HOspitalization and Parental Experiences) is to assess parents'/caregivers' experiences, needs …

Mislabeling And Inappropriate Analysis Render Interpretations From “The Effect Of The Participatory Heat Education And Awareness Tools (Heat) Intervention On Agricultural Worker Physiological Heat Strain: Results From A Parallel, Comparison, Group Randomized Study” Unreliable, Chelsi M Webster, Yasaman Jamshidi-Naeini, Lilian Golzarri-Arroyo, Colby J Vorland, Zachary J Schlader, Blair D Johnson, David B Allison

Faculty, Staff and Students Publications

No abstract provided.