On-Scene Predictors Of Injury Severity, Deterioration, And Death Following Road Injury: A Systematic Scoping Review Of Information Available To Responders And Its Use In Triage Tools, Jake Gluyas-Harris, George Stephen Russam, Nicholas Aveyard, Tim Nutbeam

Peninsula Medical School

Background: Road injury including motor vehicle collisions (MVCs) remain a leading cause of death and disability worldwide. Early recognition of injury severity at the scene is critical to optimise emergency response, yet existing triage systems under- and over-triage substantial numbers of patients. This scoping review aimed to identify physiological, mechanistic, and contextual indicators available at the scene that predict injury severity, deterioration, or death, and to map these indicators across clinical responders, professional bystanders, and lay responders. Methods: We conducted a systematic scoping review in accordance with PRISMA-ScR guidelines. Nine electronic databases and the Cochrane Library were searched from inception …

Anesthetic Management Of A High-Risk Cirrhotic Patient With Severe Aortic Stenosis And Massive Ascites Undergoing Elective Hernia Repair, Sadi Abukhalaf, Farzad Ebrahimi

Advocate GME

No abstract provided.

Emergency Preparedness Education And Simulation Training For Nursing Students In Southern India, Kevin C. Cameron, Taryn Mccoy, Laura Gray, David Phillippi

DNP Projects

Introduction

To address the identified gap in emergency preparedness education and training among nursing students at a teaching hospital in southern India, a private university in the southeastern United States partnered with the site to develop a quality improvement initiative aimed at strengthening these skills. Nursing students at the partner hospital have limited access to simulation-based training opportunities due to constraints in both curriculum and availability of simulation resources. This lack of exposure may hinder the development of critical emergency preparedness competencies

Methods

Educational content focused on triage and basic life support (BLS). One hundred twenty-four students participated in the …

Standardizing The Use Of The Sinc Screening Tool In A Rural Clinic, Madison Foss

DNP Projects

Unmet contraceptive need represents a persistent quality gap in rural primary care, where reproductive health discussions are often inconsistently addressed. A rural primary care clinic in Shelbyville, Tennessee lacked a standardized, evidence-based process for screening women of childbearing age (15–44 years) for contraceptive needs. This quality improvement project evaluated the feasibility and effectiveness of implementing the Self-Identified Need for Contraception (SINC) screening tool to support routine, patient-centered care. The SINC tool consists of a single validated question designed to identify patients who wish to discuss contraception or pregnancy prevention during clinical visits. Plan–Do–Study–Act cycles were used to integrate the tool …

Are We Leaving Donors Behind? An Evaluation Of Accessibility Of Higher Education Donor Webpages And Leadership Priorities, Lauren E. Baldwin

Electronic Theses & Dissertations

This study investigated the web accessibility and readability of U.S.-based nonprofit higher education institutions (HEIs) across the Foundation home, donation, and contact pages of selected websites. Utilizing a combination of manual verification and computer-automated analysis techniques, this study analyzes (n=101) institutional websites. Quantitative analysis reveals these webpages frequently contain WCAG 2.1 Level AA accessibility error types that are likely to affect the perceivability, operability, and understandability of the user’s experience, especially for individuals with disabilities or limited English proficiency. Further, these tests reveal significant differences by sector across multiple WCAG 2.1 Level AA accessibility error types, indicating that …

Study Of Isocyanate-Free Vegetable Oil-Based Polyurethane Coating With A Silicon-Based Compound For Coating Properties, Ajay Kumar

Electronic Theses & Dissertations

The development of sustainable and environmentally friendly polyurethane coatings has garnered significant attention in recent years. This research focuses on the development of isocyanate-free coatings derived from carbonated soybean oil (CSBO) using a solvent- and catalyst-free approach. The coatings were synthesized by reacting CSBO with ethylenediamine (EDA) and varying weight percentages of 3-aminopropyltriethoxysilane (APTES), which were added to enhance the coating property, as it contains silicon in it, to evaluate their mechanical and thermal properties. Fourier Transform Infrared Spectroscopy (FTIR) confirmed the successful formation of urethane linkages, with a significant reduction in C=O peak intensity after 10 days of curing, …

Suprasegmentals And Small Talk Skills: An Adult Esl/Efl Teacher Training And Curriculum Design, Katya Davida Landau

Master's Projects and Capstones

There is inadequate education and training for Adult ESL teachers on how to teach pronunciation, especially the essential suprasegmental feature of intonation. This leads to the perpetuated issue of lowered intelligibility amongst ESOL learners, which limits their opportunities in English-speaking settings. Through the provision of innovative curriculum and teacher training videos that share pedagogical content knowledge (PCK) on the subject of suprasegmental phonemes, these issues can be addressed.

Any curriculum developed to teach suprasegmentals must consider the role of creative and engaging activities to inspire learners, comprehensibility and intelligibility, embodied pronunciation techniques, and the impact of explicit, communicative, and task-based …

How The Intake Of Pulses May Impact Metabolic Disorders And Dementia Risk: A Narrative Review, Lisa Michelle Belzer Salinas, Maricarmen Marroquin, Mariana Mendez, Isabel Omaña-Guzmán, Juan Carlos López-Alvarenga

Health & Biomedical Sciences Faculty Publications

We present a narrative review focusing on pulses’ geographical origin and distribution, their impact on human evolution and history, and their influence on human health. Pulses, including dry peas, beans, and lentils, are renowned for their richness in chemical antioxidants. Despite containing antinutrients, processing techniques preserve their health advantages. Epidemiological research has consistently demonstrated that the consumption of pulses is associated with favorable effects on metabolism. This evidence is further supported by molecular and clinical research, which has elucidated potential nutrigenomic mechanisms and effects on gut microbiota composition underlying their health benefits. However, the literature lacks randomized controlled clinical trials …

Sex Disparities In Prescription Opioids Associated Cardiovascular Adverse Events, Li Ma

Theses and Dissertations

The opioid crisis in the United States has evolved from a medical response to pain into a nationwide public health emergency. The prescription opioids (POs) – associated cardiovascular adverse events (CVAEs) remain insufficiently studied, especially in relation to sex disparities. This dissertation investigates sex disparities in PO-associated cardiovascular adverse events (CVAEs) through an analytic framework integrating artificial-intelligence-assisted literature mining and real-world pharmacovigilance analytics. In the analytic framework, first, AI powered topic modeling was employed to uncover POs-associated CVAEs risks with a focus on sex differences. A total of 1,837 PubMed abstracts were analyzed using two methods, Latent Dirichlet Allocation (LDA) …

Courage To Lead Translational, Dissemination And Implementation Sciences, Mary A. Dolansky

Biennial Convention (CONV)

This presentation describes the bold foundations of nursing leadership in evidence-based quality improvement and patient safety and points to present and future directions in the field. National initiatives have surged forward to achieve the goal of safe, timely, effective, efficient, equitable and patient centered care. The nursing perspective in this rapidly expanding field of translational science is essential to achieve the greatest impact on best practices, strong care systems, and improved population health.

National Resources To Maximize Nursing’S Implementation Capacity And Influence, Kathleen R. Stevens

Biennial Convention (CONV)

This presentation will describe the current availability of capacity building resources, pointing to ways of leveraging existing national resources and adding the nursing perspective. The panel’s consensus strategies will be outlined. Panelists will engage the broad base of nurse scholars in attendance to further delineate strategies. Recommendations will be solicited regarding implementation science theories, methods, and strategies that inform practice change and implementation science research through a nursing lens. The session will be summarized with a focus on the next bold steps to increase nursing capacity and influence on implementation science in research and practice.

Represent: Glmc Bringing Sigma’S Global Regions Together, Viji George, Dorette Sugg Welk, Juana Mercedes Gutierrez Valverde, Elizabeth Wescott

Biennial Convention (CONV)

As professional nurses and Sigma members, the Global Leadership Mentoring Community (GLMC), with its outreach, connects Sigma’s vast diversity and capability of representing global nurses, a Sigma Call to Action (2023-2025).¹

Purpose: To understand the impact of GLMC on serving as ambassadors of Sigma, coming together through mentoring relationships to build a cross-cultural leadership platform, and seeking collective solutions for global healthcare issues.

Background: Sigma brings nursing expertise across the globe and emphasizes how nurses play key role in achieving Sustainable Development Goals (SDM),² Global nurse leaders impact healthcare and cost-effectiveness on quality, safety, and outcomes.³ Mentorship …

Respect: Glmc Forming Cross Cultural Values And Relationships, Yeow Chye Ng, Kylie Patricia Russell, Intima Alrimawi, Krista A. White, Sylvia Oger Ofosu Dwamena, Jennifer Bail, Beth Tigges, Wendy Sergeant, Maureen P. Lall, Jennifer J. Miller, Miriam Wagoro

Biennial Convention (CONV)

Introduction: In leadership, the mentor-mentee relationship fosters professional growth and development. Central to this dynamic is the principle of respect, which serves as the foundation for effective cross-cultural communication, trust, and empowerment.^1,2

Purpose: This paper explores the significance of respect in mentor-mentee interactions within the fifth cohort of the Global Leadership Mentoring Community (GLMC), which spans from 2023 to 2025 and includes participants from six continents across Sigma Theta Tau International’s Global Regions. Through real-life examples, we will illustrate the profound impact of respect on mentoring relationships and leadership development.

Implications: Throughout this program, we have learned that …

Respond: Glmc Investing In Nursing Leadership To Address Global Health Challenges, Elizabeth Rosser, Julie Grady, Sylvia Waweru, Beth Chiatti, Katherine Chike-Harris

Biennial Convention (CONV)

Introduction: Responding to the global challenges of investing in nursing leadership and the demands of modern nursing care is a key aspect of the Sigma Call to Action.¹ The World Health Organization² and the International Council of Nurses³ both recognize the health, economic, social, and emotional benefits of investing in nursing leadership to the individual, the workforce, and the wider community and, by being more culturally aware,⁴ influence health more widely.⁵ Sigma’s Global Leadership Mentoring Community is one strategy that responds to this challenge.^6,7

Purpose: To present insights into participants’ expectations and short-term achievements …

The Cytotoxicity And Anti-Inflammatory Properties Of 1’S-1’-Acetoxychavicol Acetate (Aca) On Oral Cells, Nur Umairah Atiqah Sabri, Nor Syazwani Muhammad Zahidan, Zulfahmi Said, Siti Noor Adnalizawati Adnan, Normaliza Ab Malik

Journal of Dentistry Indonesia

Objective: Mouthwash is widely used to maintain oral health by reducing the prevalence of pathogenic microbiomes. Nonetheless, chlorhexidine, a common active ingredient, is associated with side effects including teeth staining, mucosal peeling, mouth and tongue numbness. This has prompted interest in natural alternatives. This study aimed to identify the cytotoxicity and anti-inflammatory properties of 1’S-1’-acetoxychavicol acetate (ACA) isolated from Alpinia conchigera rhizome against human primary gingival fibroblast and keratinocyte (HPGF and HPGK). Methods: Cytotoxicity of ACA (1.57 mg/mL) against HPGF and HPGK was assessed using the MTT assay. Meanwhile, the anti-inflammatory property of ACA was analyzed based on …

Factors Affecting Interest In Orthodontic Treatment Among Adults In Jakarta, Joko Kusnoto, Lia Hapsari Andayani, Budi Kusnoto

Journal of Dentistry Indonesia

Objectives: The misalignment of teeth and/or jaws caused by abnormalities in the dynamic process of craniofacial growth and development is known as malocclusion. Over half of children and adolescents worldwide experience some form of malocclusion. Orthodontic treatment is the process of adjusting the position of teeth and jaws to achieve optimal occlusion. In recent decades, there has been a global surge in the need for orthodontic treatment among adults. This study aims to evaluate the factors affecting interest in orthodontic treatment among adults in Jakarta. Methods: This cross-sectional study was conducted from October to December 2023. A total …

Prevalence Of Bruxism And Its Association With Stress Among Dental Students: A Questionnaire-Based Cross-Sectional Study, Ketavatu Durga Prasad Naik, Prasanthi Gortha, Madhu Varma, Mohan Kumar, Rama Laxmi Koruprolu, Mounika Rameswarapu

Journal of Dentistry Indonesia

Objective: Bruxism has been described as a parafunction associated with a multifactorial etiology, but primarily as a psychological factor. This study determined the prevalence of bruxism among dental students and explored the potential contributing factors. Methods: A cross-sectional self-administered questionnaire survey was conducted among dental students across various academic years. The prevalence of bruxism (awake and during sleep) was assessed along with stress levels, lifestyle factors, and demographic variables. Statistical analyses were performed using the chi-square test and multivariate logistic regression. Results: The prevalence of bruxism was significantly associated with stress and academic workload. Most participants exhibited moderate to severe …

Dental Students’ Preferences In Selecting Artificial Teeth For Older Adults' Dentures, Muhammad Afif Sapie, Nur Hanim Farhana Mohamad Hilmi, Aiemeeza Rajali, Nik Rahayyu Nik Zulkifeli, Nor Wati Nur Atikah Mustafa, Hazem Mofreh Dakhilallah Al Tarawneh

Journal of Dentistry Indonesia

Objective: Selecting and arranging acrylic resin teeth for dentures is essential to achieve a natural appearance; however, limited understanding and older adults’ aesthetic expectations may result in inconsistencies and increased patient visits. This study aimed to explore the methods and factors dental students prefer when selecting artificial teeth for dentures for older adults. Method: A validated questionnaire, including consent, demographics, and six domains of the methods with related factors for selecting acrylic teeth, was distributed to dental students of the Universiti Teknologi MARA (UiTM). The participants responded using a five-point Likert scale and closed-ended questions. Result: 161 dental students participated …

Evaluation Of Maxillary Posterior Teeth Proximity To The Adjacent Sinuses In A Turkish Subpopulation: Implications For Dental Education And Clinical Practice, Damla Yiğit, Gizem Dolaşir, Sabri Çelik, Rüya Sessiz, Raif Alan

Journal of Dentistry Indonesia

Objectives: This study aimed to evaluate the proximity of upper posterior tooth roots to adjacent sinus borders using cone-beam computed tomography (CBCT) in a Turkish subpopulation and to assess dental students’ competence in identifying this anatomical relationship. Methods: CBCT scans of 171 patients were analyzed. The vertical relationship between premolars and molar roots, and the maxillary sinus (MS) border was categorized into four types (Type 0–3). Interrater agreement between three final-year dental students and an experienced radiologist was measured. Results: Type 0 was the most frequent classification, except for first molars, where Type 2 and Type 3 predominated. MS-root distances …

Musculoskeletal Disorders In Dentistry: An Insight Into Dental Techniques And Practices, Mehwash Kashif, Aman Ashar, Amna Rehman, Abdul Aleem, Sidra-Tul-Muntaha Hashmi, Muhammad Yousuf Ali

Journal of Dentistry Indonesia

Objective: Musculoskeletal disorders (MSDs) are common workplace hazards in dentistry resulting from poor ergonomics and static postures, which lead to back, neck, and upper limb (shoulder, elbow, wrist, and hand) problems among dentists, resulting in harm to their health, productivity, and career. This study aimed to assess the frequency of MSDs, risk factors related to MSDs, and awareness of ergonomics among clinicians. Methods: Data were collected from 400 dental professionals, including house officers, postgraduate trainees, general dentists, and teachers/consultants, each with at least 12 months of practice. Data were collected using a structured, closed-ended questionnaire. Before data collection, ethical approval …

Matrix Metalloproteinase-9 (Mmp-9) Levels In Dentinal Fluid As A Diagnostic Biomarker For Irreversible Pulpitis, Aryo Megantoro, Valeria Widita Wairooy, Ratna Meidyawati, Endang Winiati Bachtiar

Journal of Dentistry Indonesia

Objective: Pulpitis is an inflammatory condition of the dental pulp. The inflammatory status can be accurately assessed by histological examination. Biomarkers, such as matrix metalloproteinases (MMPs), are effective indicators of inflammation severity. Among these, matrix metalloproteinase-9 (MMP-9) has emerged as a key mediator of inflammatory processes associated with pulpitis. However, its clinical application as a biomarker remains limited owing to challenges in its extraction. This study aimed to evaluate the effectiveness of MMP-9 extracted from the dentinal fluid as a biomarker for pulpitis. Methods: Dentinal fluid was collected using the blunt tip of a sterile paper point, following clean …

Individualized Oral Care Using Photobiomodulation And Tailored Brushing Method In A Patient With Maxillofacial Trauma – A Case Report, Shruthi Reghunath, Roshni Ramesh, S Santhosh Kumar, Anoop Sasi, Shahana C. Mohamed, Bilha Joy, Aswathy Jayasree

Journal of Dentistry Indonesia

Patients who report to the dental outpatient department following maxillofacial trauma often exhibit suboptimal oral hygiene, which is frequently attributed to challenges in sustaining oral care stemming from pain and restricted mouth opening after the injury. This case report aims to provide an individualized protocol of oral care and pain management for patients with maxillofacial trauma. Case report: A treatment protocol combining the Tailored Brushing Method (TBM), a personalized approach for at-home oral hygiene, and photobiomodulation using low-level laser was performed on a 24-year-old patient with maxillofacial trauma and poor oral hygiene. Results: The TBM is successful in achieving good …

Cv: Joanna Maravilla (Literacy), Joanna Maravilla

Education Department Faculty Curricula Vitae

No abstract provided.

Rebuttal Comments To The Us Trade Representative On The Operation Of The Usmca Agreement, Barry Appleton

Other Publications

These rebuttal comments incorporate insights from US Trade Representative Jamieson Greer's public remarks on December 10, 2025 to the Atlantic Council,2 that sheds additional light on the administration’s approach to the USMCA, its overall US trade strategy, and the nature of this review. This better understanding of the USTR’s approach permits a more informed rebuttal commentary. My core submission remains the same as in my oral statement: law, not leverage, builds North American prosperity.

Concurrent Tb And Hiv Therapies Control Tb Reactivation During Co-Infection But Not Chronic Immune Activation, Riti Sharan, Yi Zou, Bindu Singh, Vinay Shivanna, Edward J Dick, Shannan Hall-Ursone, Xi Luo, Guanlin Guo, Shabaana A Khader, Xavier Alvarez, Jyothi Rengarajan, Zhao Lai, Smriti Mehra, Hulin Wu, Deepak Kaushal

Faculty, Staff and Student Publications

Most HIV-negative individuals exposed to Mycobacterium tuberculosis (Mtb) control infection as latent TB infection (LTBI), but HIV co-infection greatly increases progression to tuberculosis (TB), the leading cause of death in people living with HIV (PLHIV). Although combination antiretroviral therapy (cART) reduces LTBI reactivation, immune control of Mtb is not fully restored, as shown by persistent TB incidence in PLHIV on cART. In macaques, skewed pulmonary effector memory CD4⁺ T-cell (TEM) responses and new TB lesions persist despite cART. We hypothesize that concurrent anti-TB therapy with cART would improve bacterial control and immune restoration compared to cART alone. Using …

Growth Of Porang (Amorphopallus Muelleri) Seedlings As Influenced By Seed Maturity And The Presence Of Sarcotesta, Indri Fariroh, Restiani Sih Harsanti, Aminatun Nisa, Didik Pudji Restanto, Rizky Anugerah Putra

Jurnal Kultivasi

Porang seed maturity based its position on spadix position significantly impacts germination. The presence of the seed coat (sarcotesta) also influenced germination and initial seedling growth. This study aimed to explore the effect of seed maturity and the presence of sarcotesta to the seedling growth. The experiment was conducted from January to June 2023. A two factor Randomized Complete Block Design was employed, examining three maturity levels based on spadix position (physiological maturity seed from the tip spadix (red colour), half physiological maturity seed from the middle spadix (orange colour), and immature seed from the base spadix (green colour)), and …

Production Analysis Of Seed-Derived Tea Plants (Camellia Sinensis (L.) O. Kuntze) Across Two Different Seasons, Nurlita Rahmawati, Yudithia Maxiselly, Intan Ratna Dewi Anjarsari, Heri Syahrian Khomaeni, Gerry Renaldi, Agung Karuniawan

Jurnal Kultivasi

Tea (Camellia sinensis (L.) O. Kuntze) is a major economic crop in Indonesia, yet its productivity is strongly influenced by environmental variability, particularly rainfall seasonality. Fluctuating yields under dry and wet conditions pose challenges for sustainable tea production. This study aimed to assess the effects of contrasting seasonal rainfall on seed-derived tea plants' yield and yield components. The research was conducted at a seed-derived tea plantation block in IRITC, West Java, across dry and wet seasons using field observations on tea yield, shoot proliferation, plucking quality, and environmental parameters. Statistical analyses included independent t-tests to compare seasonal differences and Pearson …

Enhancing Flu Vaccination Rates Through Improved Electronic Health Record User Workflow Training, Grace Sayre

Master's Projects and Capstones

A quality improvement project was implemented at an urban community health clinic primarily serving low-income, underinsured, and Latinx individuals. The site had a history of poorly organized flu vaccine rollout and low vaccination rates among the patient population. Seasonal influenza infects millions of people across the US each year, resulting in hundreds of thousands of deaths (Garza et al., 2023), and vaccination is the best prevention. Electronic health record training has been shown to reduce user burnout and improve efficiency (Gordon et al., 2022). The QI project aims to increase medical assistant satisfaction with the flu vaccine rollout by 15%, …

Charting The Course: Improving Psychotropic Medication Documentation Through Staff Education To Promote Patient Safety And Cms Compliance, Anne J. Bertram Rn

Master's Projects and Capstones

The University of San Francisco master’s level nursing program culminates with a clinical nurse leader (CNL) quality improvement project. The objective of this project is to reinforce the program’s didactic CNL classes by allowing students the opportunity to design, implement, and analyze a quality improvement project in a microsystem. SETTING: Skilled nursing facilities often prescribe psychotropic medications to help manage residents’ behavioral and psychological symptoms. Due to the possibility of side effects and increased sedation, there are concerns for patient safety and quality of life. Inadequate management of these patients and symptoms compromises patient safety and breaches state and federal …

Improving Chemotherapy Patients' Confidence And Preparedness Through Dual-Format Teaching, Jasmine Esther Aminpour, Harshpreet Kaur, Ana Ruvalcaba, Sarah Muwanas

Master's Projects and Capstones

Section I: Abstract

Objective

Chemotherapy initiation is widely recognized as a period of heightened anxiety and cognitive overload for oncology patients, often limiting their ability to retain essential information during traditional one-time, nurse-led education sessions (Gucuyener & Karabacak, 2025; Howell et al., 2020). This quality improvement (QI) project sought to address gaps in comprehension, preparedness, and digital engagement within an outpatient oncology infusion microsystem by integrating evidence-based digital chemotherapy education with structured follow-up support.

Aim

The project aimed to determine whether a nurse-guided walkthrough of a digital chemotherapy education platform, paired with standardized follow-up calls, would improve patient comprehension, confidence …