Digital Commons Network^™

Making The Implicit Explicit: Leadership In Primary Care Dental Practice, Sally Hanks, Debby R.E. Cotton

Peninsula Dental School

Objectives: This paper reports on research aimed at understanding leadership activities in primary care dental practice, an under-explored area within the extant literature. Methods: The research employed a qualitative, exploratory paradigm, using Video Reflexive Ethnography (VRE) and Activity Theory (AT) to capture the lived experiences of seven participating dentists. Results: The research outlines the ways in which dentists demonstrate leadership skills in their daily work, identifying three interacting activity systems that define leadership in this setting: Patient Care (PC), Running the Surgery (RS), and Running the Practice (RP). Findings emphasise that leadership is directly related to patient care and is …

Investigating The Potential Utilisation Of Black Soldier Fly (Hermetia Illucens) As An Alternative Protein Source In Tilapia And Carp Feed, Sahya Maulu

School of Biological and Marine Sciences Theses

Three experimental trials were conducted to evaluate defatted black soldier fly (BSF; Hermetia illucens) larvae meal and BSF frass as alternative protein ingredients. Defatted BSF larvae meal was tested in diets for both Nile tilapia (Oreochromis niloticus) and mirror carp (Cyprinus carpio), whereas BSF frass was assessed only in Nile tilapia.In the first experiment, dietary inclusion of 20% and 40% BSF meal, replacing mainly soybean meal (SBM) and corn gluten meal (CGM), was evaluated in Nile tilapia over 5 weeks. BSF improved growth and feed utilisation in a dose-dependent manner, increased posterior intestinal fold length, muscularis thickness, and goblet cell …

Trialing A Novel Method Of Skin Mucus Sampling To Measure Stress And Reproductive Steroid Hormones In Mobula Species Mobula Alfredi And Mobula Munkiana, Bethany Faulkner

School of Biological and Marine Sciences Theses

Anthropogenic pressures, exacerbated by exceptionally slow population growth, have led to all mobulid species being listed on the IUCN Red List. Understanding stress and reproductive physiology is essential for improving mobulid conservation strategies. However, few studies have investigated the hormonal processes that underlie stress responses and reproductive physiology in mobulids. Studies on fish species have identified positive correlations between steroid hormone concentrations in blood and skin mucus, the collection of the latter being a much less invasive technique. This pilot study examined the feasibility of using skin mucus as a non-invasive matrix for detecting steroid hormones in two mobulid species. …

Current Status Of Aflatoxin Contamination And Mitigation Efforts In Mozambique: A Systematic Review, Ibraimo Teleha Chabite, Jamal Kussaga, Frida Nyamete, Rashid Suleiman

All Rsif Scholars' Publications

Aflatoxin continues to be a major problem for public health and trade in Mozambique. The use of products and sub-products based on maize, cassava, and groundnuts, which are susceptible to aflatoxin contamination is one of the main causes. This systematic review provides an overview of the current state of aflatoxin contamination and mitigation efforts in Mozambique. The study reviewed scientific articles published between 1st January 2004 and 31st July 2024 in peer reviewed journals, after conducting the evaluation process, 667 articles were excluded, and 68 articles fulfilled the inclusion criteria and were included in this review. Based on these included …

Detection Of Bacterial Internalization In Lettuce (Lactuca Sativa) Leaves Grown In Aquaponic Systems With Nile Tilapia (Oreochromis Niloticus) Under Microbial Challenge, Angélica Adiação Jossefa, Leonildo Dos Anjo Viagem, Karoline Moreira Barbuio, Brunno Da Silva Cerozi, Sebastian Wilson Chenyambuga

All Rsif Scholars' Publications

Aquaponic systems are increasingly recognized as sustainable technologies for integrated fish and vegetable production. However, concerns remain regarding the potential internalization of human pathogens into vegetables grown in these systems. This study assessed the risk of pathogen internalization in lettuce leaves grown in aquaponic systems with Nile tilapia challenged with Escherichia coli or Vibrio cholerae. The system comprised nine fish tanks, eighteen hydroponic pipes, and eighty-one lettuce plants, with tanks assigned to three treatments. Samples of water, fish gut, fish blood, and lettuce leaves were collected. Microbiological analyses included selective culture, biochemical assays, and molecular identification. Although colonies consistent with …

Bioeconomic Optimization Of Zinc And Iron Agronomic Biofortification In Cowpea (Vigna Unguiculata [L.] Walp.) In Mozambique Under Tropical Field Conditions, Tancredo José Carlos Carlos, Leonel Domingos Moiana, Omar Jorge Sabbag, Boniface Hussein J. Massawe

All Rsif Scholars' Publications

Agronomic biofortification with zinc (Zn) and iron (Fe) has emerged as a promising approach to enhance crop productivity while improving food and nutritional security. However, fertilizer recommendations based exclusively on maximum biological yield may not maximize farmers’ economic returns. This study integrated agronomic and economic analyses to identify the biologically and economically optimal Zn and Fe fertilization strategies for cowpea (Vigna unguiculata [L.] Walp.) under tropical field conditions in Mozambique. A randomized complete block design with a 3 × 4 × 4 factorial arrangement was used to evaluate three fertilization methods (soil, foliar, and combined soil + foliar) and …

Xrf And Xrd Approaches For Evaluation Of Heavy Metal Contamination And Physicochemical Properties Of Soil And Plants In Tungsten And Tin Mining Sites In Rwanda, Gaspard Bizimungu, S.K. Kolawole, D.O Afolayan

All Rsif Scholars' Publications

The increasing of tungsten (W) and tin (Sn) exploitation in some Rwandan mines requires an understanding of their distribution. It was also critical to assess the degradation of main and tertiary concentrates in soils, plants, and mining equipment. In this study, the concentration of elements, and the effect of contamination by W, Sn and other heavy metals (HMs) on soils and plants, as well as on the dump truck tyres were evaluated. The risks to humans, and the tyre composition degradation used at the mining sites, were also assessed. Metal compositions in the random samples collected at 50 m intervals …

Evaluating Quahog (Mercenaria Mercenaria) Nursery Methods And Production Costs To Support Diversification Of Maine’S Fisheries And Aquaculture Sector, Hannah G. Wolf

Honors Theses

Populations of wild and farmed quahogs in Maine are expanding, driven by warming waters, declining soft-shell clam populations, and the need to diversify fisheries. The Northern quahog (Mercenaria mercenaria) is a potential species to diversify Maine’s marine sector, as its geographical range is expanding, and they appear more resistant to green crab predation. Enhancing wild quahog stock provides economic and social advantages for both the aquaculture and wild harvest industries. However, there is limited understanding about the commercial viability of producing quahog seed on existing farms for wild shellfish enhancement in Maine. This research, part of a larger NOAA …

Relationship Between Turnover, And Resilience Among Critical Care Nurses In Oman. An Implication For Nursing Practice., Mohammed Qutishat

Health Professions Education

Background: Critical care nurses face numerous challenges, including increased anxiety, depression, and traumatic incidents. Workplace stress can lead to Burnout and turnover, with a significant percentage of global hospital nurses planning to leave within a year. Resilience and positive attitudes towards mental health are crucial for nurses, as they serve as societal leaders. In Oman, many nurses plan to leave their current jobs within a year, highlighting the need for healthcare organizations to create measures to avoid stressors and foster worker well-being.

Aim: To examine the relationship between turnover and resilience among critical care nurses in Oman.

Method: This study …

Tracing The Evolution Of Signature Technologies In Health Professions Education: Developments, Challenges, And Possibilities, Jacob Kelley, Kimberly B. Garza, Kelley Noll, Allison Chung

Health Professions Education

Purpose. This integrative literature review traces the evolution of signature technologies in health professions education and their impact on teaching and learning. By exploring these technologies, it highlights the ways these advancements shape learning experiences and the preparation of future healthcare professionals. While these technologies present opportunities for enhanced learning, they also introduce challenges related to accessibility, cost, and effectiveness.

Method. Using Torraco’s framework for integrative literature reviews, this article synthesizes existing scholarship to trace the historical development of signature technologies in health professions education. The authors conducted searches in PubMed, Scopus, and Google Scholar for literature published primarily between …

Peer Assisted Mentoring As A Catalyst For Academic Success In Final-Year Dental Students: An Action Research Approach, Manovijay Balagangadharan, Babyjohn John, Saranyan Ravi, Sabitha Gokulraj, D.N. Shrienitha

Health Professions Education

Purpose Peer-assisted mentoring (PAM) is increasingly recognized as an effective educational strategy in health professions education. It fosters collaborative learning, where mentors and mentees engage in knowledge exchange, critical thinking, and skill development. This study aimed to explore the influence of peer-assisted mentoring on the academic performance of final-year Bachelor of Dental Surgery (BDS) students, in comparison to their non-mentored counterparts, while also assessing its broader educational benefits.

Methodology An action research study was conducted during the 2023–2024 academic year at Vinayaka Mission’s Sankarachariyar Dental College, Salem, Tamil Nadu, and India. High-achieving dental interns were selected and trained to serve …

Medical Educator Portfolios As The Curriculum Vitae Of Educationists: A Comprehensive Review, Sami Mohamed

Health Professions Education

Purpose: Health professions education (HPE) continually evolves, driven by medical educators who hold dual roles as clinicians and educators. Medical Educator Portfolios (MEPs) provide a structured approach to documenting contributions within this context. The increasing complexity and diversity of personal and professional experiences highlight the need for a more comprehensive descriptor of accomplishments. Therefore, this review aims to outline core components of MEPs and comprehensively describe their sequential design, while highlighting their significance within HPE

Methods: This comprehensive narrative review was conducted through a systematic literature search across multiple databases, including PubMed, Scopus, and Google Scholar, focusing on …

Fostering Cross-Institutional And Cross-Disciplinary Peer Review Of Teaching In Health Sciences Programs, Snezana Kusljic, Nicole B Reinke, Tania N Crotti, Nidhish Francis, Sophie Paquet-Fifield, David Van Reyk, Roma Forbes

Health Professions Education

Purpose: The education of future health professionals brings with it a diversity of programs, the requirements for effective work-integrated learning experiences, and best use of discipline and clinical expertise. Peer review of teaching (PRT) is one mechanism whereby interdisciplinary connections are built to improve the quality of teaching and learning. This article introduces a novel perspective on the PRT process and highlights the importance of interdisciplinary collaboration. Methods: The Health Sciences Special Interest Group within the Higher Education and Research Development Society of Australasia initiated a cross-institutional PRT which included seven educators of varying academic experience from six Australian academic …

Determinants Of Postgraduate Education Pursuit Among South African Trained Paramedics: A Cross-Sectional Study, Naseef Abdullah, Patricia Mcinerney, Simpiwe Sobuwa

Health Professions Education

Introduction: The knowledge economy necessitates a highly skilled workforce, particularly in low- and middle-income countries (LMICs) navigating sustainable development trajectories. Within healthcare systems, paramedics represent a critical professional group whose advanced education directly impacts emergency care quality and system improve ment. While postgraduate qualifications are essential for paramedics to effectively develop and implement evidence- based emergency care and address unique healthcare challenges, the determinants influencing their educational advancement remain poorly understood. Methods: This descriptive cross-sectional study collected data from 265 Paramedics registered as Emergency Care Practitioners with the South African Health Professions Council through an online survey. Participants were recruited …

Nursing Education In Indonesia And The Global Demand For Quality Healthcare: A Systematic Review, Evelyn Hemme Tambunan

Health Professions Education

Purpose: This study systematically reviewed evidence (2019–2025) on Indonesian nursing education, focusing on accreditation, competency based curricula, and workforce readiness in relation to global standards

Methods: Following PRISMA 2020 guidelines, a systematic search was conducted across Scopus, PubMed/MEDLINE, DOAJ/PMC, and policy repositories. Eligible sources included peer reviewed studies, systematic reviews, and policy reports related to nursing education in Indonesia quality assurance, competency based learning, and workforce demand.

Results: Twelve studies and reports were included, producing three themes: accreditation and quality assurance, competency based education and curriculum innovation, and workforce readiness and global alignment. Accreditation reforms, particularly Indonesia’s 2025 outcomes based …

Climate Change Education In Medical Curricula: Integration, Collaboration, And Preparedness For Emerging Health Challenges, Sungkono Sungkono, Agus Santoso, Firdiawan Ekaputra, Firdian Makrufardi

Health Professions Education

Climate change poses increasing risks to global health, highlighting the need for healthcare professionals who understand the links between environmental change and health outcomes. Medical education is a key platform for fostering such competencies. This study aimed to examine the role of climate change education within medical curricula, focusing on its integration, the promotion of interdisciplinary collaboration, and its contribution to preparing students for emerging health challenges. This perspective paper provides an overview of current approaches to the integration of climate change education into medical training. Sources addressing curriculum design, knowledge acquisition, practical skill development, and collaborative learning were considered. …

Clay Modeling As An Effective Method Of Teaching-Learning Among Second-Year Medical Students In Pathology, Seema Umarji, Padmapriya K, Sulata Kamath

Health Professions Education

Introduction: Pathology is a core subject in undergraduate medical education, but students find it challenging to understand and retain microscopic concepts through lectures alone. Clay modeling, multisensory learning strategy, is shown to enhance comprehension in other subjects but remains understudied in pathology.

Purpose: To assess augmentation of learning using clay modeling, evaluate retention of knowledge after one month and explore student perceptions of clay modeling as a teaching method.

Methods: This interventional study involved 60 second-year MBBS students in the Department of Pathology over six months. Students were randomized into study and control groups. The study group used clay modelling …

The Predictive Ability Of Decision-Making For Cognitive Dissonance Among Nursing Students, Adnan Yousef Atoum, Omar Atallah Al-Adamat, Emran A. Abu Aqoulah, Aya Al-Ali, Marah Al-Smadi

Health Professions Education

Purpose: The present study aimed to examine the levels of cognitive dissonance and decision-making among nursing students at Irbid National University-Irbid, Jordan, and to investigate the predictive ability of decision-making for cognitive dissonance.

Method: The study sample consisted of (251) male and female nursing students at Irbid National University-Irbid, Jordan. The cognitive dissonance scale and the decision-making scale were used after assuring validity and reliability.

Results: The study results indicated that the level of cognitive dissonance was low, and the level of decision-making ability was high. The study results also indicated that decision-making variable explained 17.2% of …

Assessing Medical Professionalism In Future Physicians: A Nationwide Perspective From Saudi Arabia, Jawad S Albashri, Waad I Barnawi, Abdullah F Albukhari, Ahmed S Albashri, Abdullah S Algarni, Khalid Alzahrani, Ramy Samargandi

Health Professions Education

Background:

Medical professionalism is a core competency in medical education and a cornerstone of professional identity formation. In Saudi Arabia, where medical education is rapidly expanding under Vision 2030, limited nationwide evidence exists on professionalism among medical students.

Methods:

A cross-sectional study was conducted from October to November 2024 using the validated Learners’ Attitudes on Medical Professionalism Scale (LAMPS). A convenience sample of 1,234 students from the 2nd–6th years across all five regions and both governmental and private universities completed the survey. LAMPS scores were compared by academic year, gender, GPA, region, and university type using Mann-Whitney U …

An Exploration Of Npte Predictors Of Success In Nontraditional Pta To Dpt Bridge Students, Stefanie Anderson, Nicole Schroeder, Mario Baker, Sean Mcbride

Health Professions Education

Purpose: PTA to DPT Bridge programs are uniquely designed to bridge the skills of a working physical therapy assistant (PTA) and those needed to become a Doctor of Physical Therapy (DPT). The purpose of this study is to explore factors predictive of the National Physical Therapy Examination (NPTE) scores unique to the nontraditional PTA to DPT student.

Methods: This study utilized a quantitative, non-experimental design to examine predictive factors associated with DPT students’ performance on the NPTE. Student records from 86 graduates from the 2022 to 2024 cohorts, of a single PTA to DPT Bridge program were collected and …

Students’ Views On Professionalism As A Window Into Their Professional Identity Formation, Jennifer H. Kwon, Charles F. Shuler, Judith Walker, Hsingchi Von Bergmann

Health Professions Education

Purpose: Professional identity formation (PIF) provides a process-based framework for understanding professionalism, focusing on how individuals integrate professional values and roles into their broader sense of self. Limited research has examined how dental students perceive professionalism and how these perceptions shape their developing professional identities. Understanding these perspectives may provide insight into their PIF journey and help inform the design of educational strategies to address their need.

Method: An online survey, consisting of both open-ended and close-ended questions, was emailed to undergraduate students in the Faculty of Dentistry at one Canadian university. Descriptive statistics were conducted using JASP (Version 0.16.1; …

Design, Delivery And Impact: Practical Tips For Impactful Continuing Professional Development, Helen Mcgregor, Brett Vaughan, Louise Horstmanshof

Health Professions Education

Continuing professional development (CPD) is essential for maintaining competence and improving patient care, yet most approaches often have limited impact on practice. This Practice Brief draws on qualitative research with Australian allied health professionals to identify what motivates CPD engagement and supports meaningful learning. Participants highlighted that improving patient outcomes is the strongest driver, and that learning is most effective when it is relevant, actionable, socially interactive, and linked to real-world practice. We synthesised these insights into the PRACTICAL framework, outlining nine principles for CPD design: Patient Outcomes, Recipients, Actionable Takeaways, Co-design, Theory, Investment, Collaborative Learning, Assessment, and Link to …

Cohen's D In Medical Education Assessment: A Double-Edged Sword For Quality Assurance, Majid Ali

Health Professions Education

No abstract provided.

Integrating Ai-Enhanced Ultrasound Imaging Into A First-Semester Dpt Course: A Mixed-Methods Study Of Learner Perceptions And Palpation Self-Efficacy, Michael Morgan, Jeb Helms, John Imundi

Health Professions Education

Purpose: Accurate palpation skills and three-dimensional anatomical understanding are foundational outcomes of entry-level physical therapist education; however, novice learners often struggle to translate static anatomical knowledge into applied palpation experiences. Ultrasound imaging (USI) offers real-time visualization of living anatomy, and artificial intelligence (AI)-enhanced features may further support novice learners by scaffolding anatomical orientation. The purpose of this study was to examine first-semester Doctor of Physical Therapy (DPT) learners’ perceptions of AI-enhanced USI integration related to anatomical understanding, palpation self-efficacy, engagement, and perceived relevance to future practice.

Method: A single-group convergent mixed-methods study was conducted with 60 first-semester DPT learners in …

The Role Of Coursework In Promoting Doctoral Candidates’ Research Competence: A Case Study Of Professional Doctorates In Education, Fred Y. Mgata, Luqman Hakeem, Justo M. Lemesaya, Zhiyong Zhu, Huan Song, Jimmy E. Kihwele

Australian Journal of Teacher Education

Doctorate programs with coursework aim to develop research-competent graduates who can contribute knowledge and work outside academia. This study explored the influence of coursework on doctoral candidates' development of research competence. The study employed a qualitative case study approach within the Professional Doctorate in Education programs at a Chinese university. The researchers interviewed 13 doctoral candidates, reviewed 10 course syllabi, and conducted a thematic analysis of the data. The findings revealed that coursework contributes to candidates' knowledge base, research direction, skills, and critical thinking. Instructors and peers promote candidates' research competence through instruction, mentoring, collaborative research projects, and peer feedback. …

The Effects Of Speak Out! On Hypokinetic Dysarthria In Individuals With Idiopathic Parkinson’S Disease, Linden King

Murray State Theses and Dissertations

The purpose of this single subject research study was to prove the efficacy of SPEAK OUT! therapy in improving loudness, rate of speech, and quality of life for individuals who have hypokinetic dysarthria due to Parkinson’s Disease. In this A-B-A design, five weeks of SPEAK OUT! therapy was provided twice a week to four individuals with a diagnosis of Parkinson’s disease. Results showed an increase in loudness in conversation and improved quality of life measured by statistical and visual analysis. These findings contribute to the research behind the use of SPEAK OUT! therapy for individuals with HKD due to PD.

A Review Of The Effect The Kentucky Center For School Safety Has On Kentucky School District’S Safe Schools Data, Patricia Greer

Murray State Theses and Dissertations

The study examines the impact of the Kentucky Center for School Safety on safety data from Kentucky Schools. The data consisted of behavior events reported in the Safe Schools Data collected from the student information system, Infinite Campus. The analysis was conducted using interaction data from the Kentucky Center for School Safety and behavioral data from Kentucky Public Schools.

Perceptions Of Georgia Elementary School Administrators Toward Elementary Agricultural Education, Addie Tucker

Murray State Theses and Dissertations

Elementary agricultural education (EAE) is a growing component of K-12 agricultural education, yet limited research exists on how school leaders perceive its value. The purpose of this study was to explore the perceptions of Georgia elementary school administrators regarding the implementation and value of EAE programs. Specifically, this study examined elementary principals’ and district superintendents’ views on the benefits, effectiveness, and value of EAE. A descriptive research design was used. Georgia elementary principals and district superintendents with active EAE programs during the 2025-2026 academic year were surveyed in the fall of 2025. The sample consisted of 18 principals and 18 …

Identifying The Knowledge And Skills That Students Enrolled In Agricultural Systems Technology Degree Programs Need: Perspectives From University Faculty, Jerry Blake Kennedy

Murray State Theses and Dissertations

National trends have highlighted the need for a knowledgeable, skilled workforce in advanced agricultural systems. University-level Agricultural Systems Technology (AST) undergraduate degree programs and closely-related degree programs are vital to equipping the agricultural workforce with the knowledge and skills needed to support the industry. Ensuring that AST curricula are relevant and appropriate is vital to equipping undergraduate students in such programs with the knowledge and skills they need to succeed in the modern agricultural workforce. This study sought to identify the essential knowledge and skills needed by undergraduate AST degree program students from the perspectives of university-level faculty across the …

Beyond The Classroom: The Continuing Impact Of Brown V Board On Equitable Access To Career And Technical Education For Historically Underrepresented Students, Shannon Hood

Murray State Theses and Dissertations

Using a qualitative phenomenological design grounded in Critical Race Theory (CRT) and Culturally Relevant Pedagogy (CRP), this study examined how institutional structures, instructional practices, and community and industry partnerships shape equitable access, engagement, and outcomes in secondary Career and Technical Education (CTE) programs serving students from historically marginalized backgrounds. Semi-structured interviews were conducted with thirteen participants, including educators, administrators, and industry partners engaged in secondary CTE implementation. Thematic analysis identified recurring patterns related to leadership decision-making, instructional relevance, culturally responsive teaching practices, relational trust and advocacy, and authentic work-based learning (WBL) experiences. Findings indicate that equitable participation in CTE extends …