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Development Of A Telenursing-Based Self-Assessment Questionnaire For Diabetic Foot Ulcer Risk, Ratna Wirawati Rosyida, Sugiyarto Sugiyarto

Jurnal Keperawatan Indonesia

Development of a Telenursing-Based Self-Assessment Questionnaire for Diabetic Foot Ulcer Risk. Early identification of the risk of diabetic foot ulcers (DFU) is crucial in preventing ulcers. Caring for diabetic patients, including early detection of the risk of DFU with telenursing, will improve accessibility to health facilities and also help the work of nurses. Currently, there are many instruments or tools to detect the risk of DFU, but instruments that apply telenursing and can be used independently and easily by patients are still limited. This study aimed to develop a digital self-assessment questionnaire for DFU risk in type 2 Diabetes Mellitus …

Effectiveness Of Intradialytic Resistance Training On Muscle Mass And Strength In Patients On Hemodialysis, Sandra Vasquien, I Ketut Swarjana, A.A.A. Yuliati Darmini, I Nyoman Arya Maha Putra

Jurnal Keperawatan Indonesia

Hemodialysis (HD) patients with chronic kidney disease (CKD) lose muscle mass and strength due to protein energy wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis (BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test …

Stage- And Smoking-Associated Microrna Expression In Lung Adenocarcinoma, Min Huang, Yimin Ge, Huiqin Chen, Caimiao Wei, David Cogdell, Cristina Ivan, Meng Chen, Wei Zhang, George A Calin, Ming Guo

Faculty, Staff and Student Publications

Background: Altered expression of microRNAs (miRNAs) is implicated in lung carcinogenesis, but little research has investigated the association of miRNA alterations with lung cancer stage or smoking status. To identify such alterations in lung adenocarcinoma, we conducted miRNA profiling.

Methods: Lung adenocarcinoma specimens and paired nonneoplastic lung tissues from 58 patients who had received no preoperative therapy and underwent tumor resection from 1991 to 2006 were collected from tumor tissue banks. Thirty (52%) of the tumors were stage I and 28 (48%) stage II or higher. Twenty-five (43%) patients were nonsmokers and 33 (57%) were smokers. To identify miRNAs of …

Real-World First-Line Outcomes Of Alectinib And Brigatinib In Anaplastic Lymphoma Kinase-Positive Non-Small Cell Lung Cancer: A Nationwide South Korean Cohort Study Using The Health Insurance Review And Assessment Data, Hee Jun Kim, Eunyoung Angela Lee, Jin-Hee Park, Hyun Woo Lee

Faculty, Staff and Student Publications

Background: Lung cancer remains the leading cause of cancer-related mortality worldwide. Anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) presents unique clinical challenges, including frequent central nervous system (CNS) metastases. At present, comparative real-world data on ALK inhibitors remain limited. This study aimed to compare real-world progression-free survival (PFS) and overall survival (OS) among patients with ALK-positive NSCLC treated with first-line alectinib or brigatinib using nationwide South Korean data.

Methods: This retrospective cohort study analyzed anonymized data from South Korea's Health Insurance Review and Assessment Service, covering January 2007 to December 2023. Patients diagnosed with ALK-positive NSCLC (ICD-10: C34x) …

Assessing Hesitancy Towards Paediatric Vaccines Among Healthcare Professionals: A Descriptive Cross-Sectional Study From The United Arab Emirates, Drishti D. Kampani, Kamel A. Samara, Mohammed Mahfouz, Ahmad Hisham Al-Anoud, Amna Basel Al-Beer, Humaid Altaheri, Hiba Jawdat Barqawi, Eman Abu-Gharbieh

Abington Jefferson Health Papers

BACKGROUND: Vaccination is one of the most effective public health interventions, preventing millions of deaths globally. However, vaccine hesitancy persists, not only among the public, but also among healthcare professionals (HCPs), who serve as key sources of vaccine information. This study assesses HCPs' vaccination attitudes and estimates the prevalence and determinants of vaccine hesitancy in the UAE.

DESIGN AND METHODS: This cross-sectional, descriptive study surveyed HCPs across the UAE from March to October 2024 using a 57-item questionnaire adapted from previous literature. Univariate, bivariate (chi-squared test), and multivariate (logistic regression) analyses were conducted.

RESULTS: HCPs demonstrated generally positive attitudes towards …

Kalayaan (Freedom), Hanapbuhay (Livelihood), And Pagsisibat (Persisting): A Conceptual Unpacking Of Freelance Work In The Philippines, Theresa Anne Nadine L. Rellamas, Danika M. Geronimo, Hazel A. Lao

Social Transformations Journal of the Global South

This article is a conceptual but empirically grounded exploration of how Filipino freelance creatives construct and navigate freelance work. Using the sibat (spear) as a metaphor for movement and survival, the paper unpacks freelance work as hanapbuhay (livelihood) pursued in the quest for kalayaan (freedom). Building from emic narratives of sixteen (16) freelance creatives, the paper develops a conceptual model of freedom through three movements: Kalayaang Magsibat (freedom to enter), Kalayaan sa Pagsisibat (freedom to persist), and Kalayaang Sumibat (freedom to exit). These narratives of freelance work reveal a continual negotiation of autonomy under precarious conditions. Anchored and interpreted through …

Application Of The Surgical Apgar Score To Predict Intensive Care Unit Admission And Post-Operative Outcomes In Cesarean Hysterectomy For Placenta Accreta Spectrum, Emily Root, Jacqueline Curbelo, Patrick Ramsey, Jessian L Munoz

Faculty, Staff and Students Publications

Background and Objective: Placenta Accreta Spectrum (PAS) encompasses a continuum of abnormal placentation conditions associated with significant maternal and fetal morbidity. Management of PAS requires coordinated cesarean hysterectomy. Associated morbidities include blood transfusion, coagulopathy, and intensive care unit (ICU) admission. Accurate prediction of ICU admission allows for enhanced multidisciplinary management, coordination of care and utilization of resources. Scoring systems exist in other surgical specialties that can predict the likelihood of ICU admission, but these have not been applied to an obstetric population. The SAS is a 10-point scale that has been validated for the prediction of ICU-level care requirements within …

Potential Mechanisms Of Influence Between Spiritual Practices And Cognitive Health: A Systematic Review And Conceptual Model, Katherine Carroll Britt, Hayoung Oh, Augustine Cassis Obeng Boateng, Sherry Morgan, Sato Ashida, Corey Nagel, Roland J Thorpe, Harold G Koenig

Staff and Researcher Publications

Background/Objectives: This systematic review summarizes the evidence regarding potential mechanisms underlying the relationship between spiritual practices and cognitive health in adults. The review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Methods: An extensive search of six electronic databases (i.e., PubMed, PsycINFO, Embase, Sociological Abstracts, ATLA, CINAHL) was conducted using keywords related to spiritual practices, religious activities, and cognitive health from 1 January 2000 to December 2025. The quality of the included studies was assessed using the Mixed Methods Appraisal tool aligned with the study design.

Results: A total of …

Assessing Knowledge, Attitudes, And Consumption Of Traditional Chinese Herbal Medicine Among Filipinos Post Covid-19 Pandemic, Jane Yugioksing

Social Transformations Journal of the Global South

Traditional Chinese Medicine (TCM) in the Philippines has existed as early as the first wave of migrants but has remained confined within a prescribed settlement in the Manila district known as Parian. Over the years, TCM has existed independently as a modality of treatment to improve one’s health, mostly catering only to the Chinese in the country. At the height of the COVID-19 pandemic, the Philippines’s Food and Drug Administration (FDA) approved the use of the TCM capsule Lian Hua Qing Wen as part of the COVID-19 treatment option, which was highly patronized by the mainstream Philippine society at that …

Emergent Bedside Re-Sternotomy: An Innovative Simulation Model For Training Pediatric Cardiac Intensive Care Teams, Toluwani Akinpelu, Nikhil R. Shah, Mohammed Alhendy, Malarvizhi Thangavelu, Karen Weaver, Nicole Muller, James Mcelroy, Utpal Bhalala

School of Medicine Publications

Introduction: Cardiac tamponade after cardiac surgery is a life-threatening event that requires simultaneous resuscitation and emergent re-sternotomy by the intensive care team. A simulated scenario using an innovative mannequin with sternotomy wound has the capability of reproducing cardiac arrest associated with postoperative tamponade. We evaluated the validity of this mannequin to investigate the confidence level and crisis resource management skills of the team during bedside re-sternotomy to manage postoperative cardiac tamponade.

Methods: The simulation scenario was developed using the sternotomy mannequin for a pediatric cardiac intensive care unit (CICU) team. The case involved a 3-year-old male, intubated, mechanically ventilated after …

The Founding History Of The Journal Of Conscious Evolution, Charles H. Silverstein

Journal of Conscious Evolution

This article traces the founding history of the Journal of Conscious Evolution (JCE), established by Allan Leslie Combs in 2005. The narrative explores three distinct perspectives on conscious evolution that influenced the journal’s creation: Barbara Marx Hubbard’s emphasis on humanity’s interconnectedness and creative potential, the General Evolution Research Group’s systems theory approach led by Ervin László, and Combs’s integration of the developmental growth of states and structures of consciousness within a conscious evolution framework. The article details how Combs developed the curriculum for the first accredited Master of Arts degree program in Conscious Evolution at The Graduate Institute in Connecticut …

Promoting Competence And Confidence: Simulation-Based Basic Life Support Training For Jordanian Nurses, Yousef Shukry Abu-Wardeh, Wan Muhamad Amir W Ahmad, Mohd Shaharudin Shah Che Hamzah, Intan Idiana Hassan

Jurnal Keperawatan Indonesia

Cardiopulmonary arrest is a major health issue that affects healthcare providers. The COVID-19 pandemic has added a new risk to rescuers who may be attempting to resuscitate victims. It is essential to strike a balance between resuscitation and the need to protect oneself from infection. The study aims to evaluate the effectiveness of simulation training in enhancing the Basic Life Support (BLS) knowledge, skills, and confidence levels of newly employed nurses. The study employed a single-masked, prospective, randomized controlled trial design, which consisted of three phases: a pre-test, an immediate post-test, and a post-test conducted three months later. The American …

Ai-Driven Innovations For Sustainable Healthcare Architecture In Developing Countries And Remote Areas: Enhancing Efficiency Through Futuristic Design, Esraa Elazab, Ahmed Eltawil

HBRC Journal

Access to healthcare in developing countries and remote areas remains a critical challenge due to geographic isolation, inadequate infrastructure, and limited medical resources. Communities in these regions face significant barriers in obtaining timely and adequate healthcare services, exacerbating public health issues. In response, artificial intelligence (AI) has emerged as a transformative technology, offering solutions that enhance healthcare systems by optimizing operational workflows, reducing human error, and improving resource management. When combined with sustainable design principles, AI-driven innovations provide a comprehensive approach to healthcare access and environmental sustainability. This paper presents a conceptual design proposal for a futuristic healthcare station aimed …

Cycling Network Planning Through Urban Form Analysis: A Contextual Gis Model, Nora Osama Ahmed, Rania Adham Sayed, Mona Mahrous Abdel Wahed

HBRC Journal

Promoting cycling as a sustainable mode of urban mobility requires a deep understanding of how urban form influences cyclists’ route choices. This study investigates the influence of urban form on cyclists’ route selection in an attempt to enhance context-sensitive cycling network planning. Five factors of urban form density, transportation infrastructure, housing/building type, land use, and street layout are examined to determine if any of them have a contributing factor to route selection. Based on an extensive review of the literature, the research develops an Urban Form–Cyclist Route Priority Matrix (UF-CRP Matrix) that categorizes urban conditions into three levels of desirability …

Investigating Affordability Of Eco Housing With Ceb And Clustered Urban Form, Mohammad Fahmy, Ayman Ibrahim, Omar Galal

HBRC Journal

This study examines the affordability of eco-housing through the integration of Compressed Earth Blocks (CEB) and clustered urban form. It hypothesizes that the combined approach of sustainable building materials and climate-responsive neighbourhood planning enhances cost and energy efficiency while maintaining social housing accessibility. By assessing economic feasibility alongside environmental and urban design strategies, the research aims to provide insights into sustainable solutions towards future urban developments and a 5th generation for Egyptian cities. Computational simulations utilizing ENVI-met for urban microclimate assessment and Design Builder for indoor environment evaluation demonstrated improved results for outdoor and indoor environments. For outdoor assessment, design …

The Squeezed Middle: Housing Affordability Challenges, Nazli Dongez, Almula Koksal

HBRC Journal

Neoliberalism has deepened economic inequality, which is now spreading globally. Even though this economic inequality affects mostly lower-income households, international reports show that inequality has spread to the middle-income group. The decline in the purchasing power of the middle-income group has led to the issue of housing affordability, referred to as the squeezed middle-income group. Despite the global scope of this problem, only a limited number of academic studies have conducted a comprehensive assessment. Therefore, this study aims to analyze the problem of housing affordability for the middle-income group. The study employed the systematic literature review method. The Web of …

Factors Affecting The Cost Of Dynamic Architecture During The Execution Phase, Lamiaa Mohamed Said Elsherif, Eman N. Shaqour, Abdullah Badawy Mohammed, Sherif Mohamed Sabry El Attar

HBRC Journal

This study is part of a larger study on the factors affecting the cost of dynamic architecture during three phases (design, execution and operation), A research paper on the design phase has been published. and we will specialize in this research by studying the execution phase.

This research study is based on identifying the main factors affecting the cost of dynamic, buildings by conducting a questionnaire and analyzing it statistically by using IBM SPSS Statistics 25. To get to the definition of dynamic architecture and Types of movement directions in dynamic buildings.

By studying each of the principles of movement …

Assessment Of Urban Resiliance By Using (Ahp) In Relation With (Anp), Sara Mahmood Al-Jawari

HBRC Journal

Urban resilience is an important part of the sustainable urban development agenda, providing a proactive approach to the growing challenges within cities and making them more responsive and safer for the future. Therefore, the research problem was to ask: How can the integration of the Analytical Hierarchy Process (AHP) and Analytical Network Process (ANP) be used to determine which cities have the most resilient systems in the event of an emergency? It is assumed that the use of integration between the AHP and ANP will facilitate the initial assessment of the resilience of city systems and the development of policies …

Users’ Expectations Of The Water Element As A Recreational Feature On University Campuses, Zubaidah Nadhem Mahmood Alzubaidi, Gökçen Firdevs Yücel Caymaz

HBRC Journal

Water is an important element in campus landscaping. Hence the importance of the lake opposite the Department of Architecture at the University of Mosul. However, the lake and its surroundings are currently neglected and in need of development. But any development must consider the expectations of the users, as the lake is there for them. Therefore, the research aims to identify users’ expectations of the lake as a recreational element on the campus, which can be used in any development of the lake. To this end, the literature review identified several characteristics related to the lake, such as size, movement, …

A Classification Framework For Egyptian Governorates According To Strategic Plan Implementation Requirements, Noor El Hoda Hamdy, Sammy Amin Ammer, Walid Nabil Bayomi

HBRC Journal

The implementation of strategic plans varies across regions based on their developmental typologies and the distribution of economic, natural, and human resources. This study explores differentiated approaches to strategic plan implementation by identifying typologies of development management, their mechanisms, and criteria for application. Drawing upon theoretical frameworks and global experiences, the research employs a comparative methodology to align the requirements of each development management model with the socio-economic and administrative characteristics of various Egyptian governorates. It further examines the prerequisites and success factors of each model, highlighting the suitability of each region. Key findings include the development of a novel …

Assessment Of The Relationship Between Performance Attributes And The Social Sustainability Framework Of Construction Projects, Van Luy Tong, Truong Van Luu

HBRC Journal

The study addresses the missing aspect of assessing social sustainability in construction project performance evaluation. While environmental and economic aspects have been widely considered, social sustainability remains largely unexplored. The study seeks to analyze whether 11 performance attributes (including 5 short-term project performance attributes and 6 long-term project performance attributes) in the construction project performance model being implemented in Vietnam reflect social sustainability in construction projects. The study applies structural equation modeling (SEM) to examine the relationship between these 11 performance attributes and the social sustainability criteria framework. A questionnaire was designed to collect data from stakeholders involved in construction …

High User Perception Of The Social Housing Of The State Intervenor In The South Suburban Zone, Tamaulipas, Mexico, Laura Del Carmen Moreno-Chimely, Yolanda Guadalupe Aranda-Jiménez, Carlos Alberto Fuentes-Pérez

HBRC Journal

Uninhabited social housing in the Southern Conurbation Zone of the state of Tamaulipas, Mexico (Tampico, Altamira) reflects 21.19%. Currently 11.32% is located in Altamira in subdivisions built by the private sector during the facilitator state. The social housing of the public sector of the intervenor state by governmental institutions such as INFONAVIT and FOVISSSTE, located in Tampico with more than 50 years old are almost entirely inhabited even with deteriorated constructive characteristics and economic depreciation. The objective of the research is to analyze the perception of the users of the housing state intervenor prior to 1992 and state facilitator 1993–2010 …

Accuracy Of Student Career Choice: Analysis Of Interest And Personality Match In The Industry 4.0 Era, Nikon Aritonang, I Nyoman Sudana Degeng, M Ramli, Adi Atmoko

Buletin Konseling Inovatif

This study aims to clarify the high number of college students choosing unsuitable career choices. The impact of choosing an unsuitable career path can significantly hinder the development of Indonesian human resources in the context of the industry 4.0 era. This is caused by shifting paradigms in the recruitment process of most companies or institutions that no longer prioritize a diploma as the key factor in seeking new hires. Instead, there is greater emphasis on the employee's skills, interests, creativity, and innovation, followed by a diploma and achievement index. Descriptive-qualitative design was employed. Samples were collected from college students at …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

A New Goodness-Of-Fit Test For Azzalini’S Skew-T Distribution Based On The Energy Distance Framework With Applications, Joseph Njuki, Abeer M. Hasan

Mathematics and Statistics

In response to the growing need for flexible parametric models for skewed and heavy-tailed data, this paper introduces a novel goodness-of-fit test for the Skew-t distribution, a widely used flexible parametric probability distribution. Traditional methods often fail to capture the complex behavior of data in fields such as engineering, public health, and the social sciences. Our proposed test, based on energy statistics, provides practitioners with a robust and powerful tool for assessing the suitability of the Skew-t distribution for their data. We present a comprehensive methodological evaluation, including a comparative study that highlights the advantages of our approach over traditional …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Implementing And Evaluating Visual Key Information Pages Compared To Text-Based Key Information: Protocol For A Stepped-Wedge Cluster Randomized Trial, Krista E Cooksey, Eliana C Goldstein, Clara N Lee, Jessica Mozersky, Kimberly A Kaphingst, Jingxia Liu, Shuang Wu, Molly Volkmar, Victor Catalan-Gallegos, Mary C Politi

2020-Current year OA Pubs

BACKGROUND: Informed consent is a key aspect of conducting research studies, yet many participants do not understand critical study details after reviewing long, complex consent documents. The 2018 Common Rule aimed to address this challenge by requiring a key information section, a "concise and focused" presentation of important and relevant study information. In our ongoing work, we developed a template and toolkit to improve the presentation of key information by incorporating health literacy best practices, including color and visual icons. The goal of this study is to assess the impact of the visual key information (KI) pages at both the …

A Rare Titin Gene Mutation Causing Hypertrophic Cardiomyopathy In An Omani Individual, Kumayl Al-Lawati, Madan M. Maddali

Sultan Qaboos University Medical Journal

Hypertrophic cardiomyopathy is a genetic disorder in which the interventricular septum is typically more severely hypertrophied compared to other segments of the myocardium. We report a 18-year-old woman who presented in 2024 to a tertiary cardiac care centre in Muscat, Oman, with a history of anterolateral accessory pathway ablation who developed burning chest pain after stress. Transthoracic echocardiography revealed generalised left ventricular hypertrophy with maximal thickness in the infero-lateral wall with mid-cavity obstruction. The symptoms necessitated bisoprolol and disopyramide treatment. As there was an increased risk of sudden cardiac death due to left ventricular wall thickness of more than 30 …

Toward Resilience In Broadacre Agriculture: A Methodological Review Of Remote Sensing In Crop Productivity, Phenology, And Environmental Stress Detection, Jenny Shen, Hai Wang, Hasnein Tareque

Agriculture Research Articles

Highlights

What are the main findings?

• Remote sensing methodologies for crop performance monitoring were systematically reviewed across the themes of productivity, phenology, and environmental stress.
• Advances and challenges were identified within individual themes and in their integration toward holistic monitoring.

What are the implications of the main findings?

• Emerging integration approaches offer pathways beyond monitoring toward decision-support systems for broadacre agriculture.
• Future directions of advancing resilience-focused applications of remote sensing are proposed.

Abstract

Large-scale rainfed cropping systems (broadacre agriculture) face intensifying climate and resource stresses that undermine yield stability and farm livelihoods. Remote sensing (RS) offers critical tools for improving …

Early Determination Of The Dorsal-Ventral Axis In Endochondral Ossification In Mice, Sixun Wu, Hirotaka Matsumoto, Jumpei Morita, Mina Yamabe, Azumi Noguchi, Shinsuke Ohba, Noriaki Ono, Yuki Matsushita

Faculty, Staff and Student Publications

Endochondral ossification is a highly coordinated process involving distinct progenitor cell populations within the mesenchymal condensation and subsequent cartilage anlage and perichondrium, all of which drive skeletal formation. Cell-type specific lineage tracing conducted to understand fetal bone development has revealed various fates of early skeletal cells. However, the underlying continuous and precise cellular dynamics of fetal skeletal cells, particularly along the dorsoventral axis, remain unclear. Here, we show that spatiotemporally specific skeletal progenitor cells in the early developmental stage contribute to the dorsal-ventral axis in a manner that is strictly determined during initial developmental stages. Lineage-tracing experiments using Fgfr3-creER and …