Digital Commons Network^™

The Consideration Of Two Scalarization Methods For The Multi-Objective Nurse-To-Patient Assignment Problem, Ilgın Acar, Steven E. Butt, Aydın Sipahioğlu, İslam Altın

Mathematical Modelling and Numerical Simulation with Applications

In this research, the application of two scalarization methods, namely the conic scalarization method and the $\varepsilon$-constraint method, is investigated within the context of a multi-objective optimization problem. These methods are used to address the challenge of assigning nurses to patients on a hospital unit during a shift. The two objective functions of this assignment problem are based on patient workload metrics and unit-related travel distance measures. The proposed solution approach demonstrates the ability to generate solutions that eluded the previous mathematical programming techniques that relied on simplistic weightings of conflicting objective functions. In addition, it is found that the …

Dynamics And Optimal Intervention Strategies In A Shigellosis Transmission Model, Mehmet Gümüs, Shewafera Wondimagegnhu Teklu, Kemal Türk

Mathematical Modelling and Numerical Simulation with Applications

This research explores how water treatment contributes to limiting the transmission of Shigellosis, an infection caused by bacteria from the Shigella genus. A mathematical framework is formulated to evaluate the influence of protective strategies and water purification on the spread of the disease. To confirm the model's biological relevance, its well-posedness is investigated. The basic reproduction number $(\mathfrak{R}_0)$, a critical indicator of disease behavior, is derived using the matrix operator method. Findings indicate that if $\mathfrak{R}_01$, the infection persists, with the endemic equilibrium exhibiting local asymptotic stability. A comprehensive cost-effectiveness analysis reveals that combining environmental protection with water treatment represents …

Htlv-1 And Atll: Epidemiology, Oncogenesis, And Opportunities For Community-Informed Research In The United States, Adrian D. Altieri, Sean P. Reilly, Abu Mansalay, Alan Khoo, Nettie Johnson, Zafar K. Khan, Amy Leader, Pooja Jain, Pierluigi Porcu

Kimmel Cancer Center Faculty Papers

Human T-cell leukemia virus type 1 (HTLV-1), the first oncogenic human retrovirus, causes adult T-cell leukemia/lymphoma (ATLL), an aggressive neoplasm of mature CD4+ T-cells that is incurable in most patients and is associated with a median survival of less than 1 year. HTLV-1 also causes inflammatory disorders, including HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and uveitis. The estimated lifetime risks of ATLL and HAM/TSP in HTLV-1 carriers are 3-5% and 0.25-1.8%, respectively. Although there is uncertainty about other health effects of HTLV-1, a recent meta-analysis showed an association between HTLV-1 and cardiovascular, cerebrovascular, and metabolic diseases and a 57% increased risk …

Ketorolac Use Following Operative Clavicle Fracture Fixation Is Not Associated With Increased Nonunion Or Surgical Complications: A Propensity-Matched Analysis, Tuckerman Jones, Tej Joshi, Akhil Katakam, Daniella Ogilvie, Sefy Paulose, Balazs Galdi

Wills Eye Hospital Papers

OBJECTIVES: Nonsteroidal anti-inflammatory drugs (NSAIDs), including ketorolac, are commonly used for postoperative pain management. Concerns about their potential impact on bone healing have been raised. This study investigated the relationship between ketorolac use and postoperative complications following clavicle surgery, including nonunion rates.

METHODS: This retrospective cohort study used the TriNetX Research Database to identify patients who underwent surgical fixation of clavicle fractures between 2002 and 2022. Two propensity-matched cohorts were created: patients who received postoperative ketorolac and those who did not. Primary outcomes included nonunion diagnosis and revision surgery; secondary outcomes included opioid use, wound disruption, surgical site infection, and …

Neutrosophic Set Model For Controlling Electronic Waste Requirements Management Policies To Minimize Ecological Impact And Improving Resilience And Sustainability, Mohamed Abouhawwash, Nitin Mittal, Sudeep Tanwar

Neutrosophic Systems with Applications

The growing issue of electronic waste (e-waste) necessitates management approaches that promote sustainability and resilience while reducing environmental effects, particularly considering global disruptions and pressure on manufacturers to implement extended producer responsibility laws. There is a research gap in our knowledge of the link between sustainability and resilience since most of the literature currently available on e-waste management focuses on either operational efficiency or sustainability. This study proposes multi-criteria decision making (MCDM) methodology for controlling electronic waste requirements management policies to minimize ecological impact and improving resilience and sustainability. We use the EDAS methodology to rank the alternatives. The criteria …

Application Of Dematel Based On Bipolar Neutrosophic Sets For Sustainable Agriculture Practices, Lazim Abdullah, Nor Liyana Amalini Binti Mohd Kamal

Neutrosophic Systems with Applications

The development of natural capital is a fundamental objective within sustainable agricultural systems, where the optimization of both crop and livestock production is vital to addressing global food demands. Despite this imperative, major agricultural sectors such as paddy and rubber production, often fall short of satisfying consumption needs. This study aims to identify and prioritize the most influential criteria for sustainable agriculture using the Bipolar Neutrosophic Set-based Decision-Making Trial and Evaluation Laboratory (BNS-DEMATEL) method. Expert evaluations were elicited from five agricultural specialists using linguistic assessments to analyze the performance and interdependencies among sustainability criteria. Computational analyses were conducted using MATLAB …

Evaluating And Ranking Genai Chatbots Under Uncertainty: A Type-2 Neutrosophic Rancom–Marcos Mcdm Framework, Hend Ahmed, Abduallah Gamal

Neutrosophic Systems with Applications

Owing to integrate GenAI chatbots to enhance productivity across various tasks, this research presents T2NN-RANCOM-MARCOS multi-attribute decision-making model, which employs Type-2 Neutrosophic Number (T2NN) to handle uncertain data, the RANCOM method, distinguished by its easy, highly repeatable, less time consuming, more appropriate to deal with problems exceeds 5 criteria with expert errors to assign subjective weights to criteria and MARCOS method to evaluate and rank eight GenAI chatbots against six main criteria are included 23 sub-criteria: Quality of Information, Understanding and Reasoning, Expression Style and Persona, Safety and Harm, Trust and Confidence and Economic are primarily derived from QUEST evaluation …

The Lived Experiences Of Mothers Facing Phubbing From Their Adolescent Children, Mye Alexis

Walden Dissertations and Doctoral Studies

Widespread use of technology, particularly smartphones, introduced new challenges involving parent–adolescent attachment. Although existing literature primarily examines parental phubbing of adolescents, there is a significant gap in research exploring the experiences of mothers who are phubbed by their adolescent children. To address this gap, the central research question guiding this study was: What are the lived experiences of mothers who have been phubbed by their adolescent (ages 14-18) children? Grounded in Bowlby’s attachment theory, this phenomenological qualitative study aimed to deepen understanding of the emotional impacts of phubbing on mothers’ emotional wellbeing, emotional bonding, and mother–adolescent attachment. A homogeneous convenience …

Review On Exploring The Potential Of Black Soldier Fly (Hermetia Illucens) As A Novel Feed Ingredient For Poultry, Muhammad Naeem Jan, Nasir Rajput, Muhammad Naeem, Sher Ali, Ghulam Shabir Barham, Tehseen Fatima Miano

Journal of Bioresource Management

Poultry provides both direct and indirect employment opportunities to individuals. Every farm owner desires a reduced investment with more earnings. Over 50 % of the overall cost of chicken rearing is allocated to feed stuff. Among all feed ingredients, protein sources are the most expensive, yet protein is essential for production and growth. This exorbitant price cannot be sustained by the small-scale farmers. Consequently, contemporary scientists are attempting to substitute the protein supply with black soldier fly in their formulations. This review study examines the advantageous effect of utilizing Black Soldier Fly powder, larvae or oil, as demonstrated in scientific …

Blue Economy Policy Implementation And Its Ecological Implications In Tomini Bay, Abdul Wahab Podungge, Dwi Indah Yuliyani Solihin, Yulianty Adipu, Yanti Aneta

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Industrial and mining activities around Tomini Bay have significantly impacted marine ecosystems. This study aims to analyze the formulation process of the blue economy policy using an institutional approach, which includes the structure and process of decision-making, the role of key actors, and the impact of norms, rules, and regulations on the policy. In addition, this study evaluates the policy from a sustainable ecosystem perspective. Employing a qualitative approach combined with a research-action model, this study focuses on collaboration between researchers and stakeholders to identify problems, develop solutions, and implement practical changes. Findings reveal that the blue economy in Tomini …

The Familiarity Effect In Prioritizing Distant Solutions: A Discrete Choice Experiment On Development Planners In Indonesia, Timothy Pieter Christian Siahaan

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Development planning ideally requires accurate information to translate distant solutions, where actions and impacts are separated by significant delays. However, the attention theory suggests that the attention of planners is constrained by familiarity bias, shaped by organizational procedures and communication channels. This study argues that planners are less likely to prioritize distant solutions due to a stronger sense of perceived self-efficacy. Even when presented with favorable information, decision-makers tend to rely on heuristics that filter out unfamiliar information. Employing a mixed-method approach by combining a discrete choice experiment and qualitative interviews with regional planners in Indonesia, this study discovers that …

Charting Truth, Trust, And Transformers: A Critical Look At Ai Text Detection And Recommendations For Medical Journals, Hari Mudipalli, Mahtab Milburn, Souritya Saha, Jamie Fairclough

Journal of Patient-Centered Research and Reviews

This editorial provides an overview of large language models (LLMs), the risks associated with their use, and the challenges involved in using artificial intelligence (AI) to determine the extent to which LLMs have been used to write text, including articles for publication in medical journals. As narratives generated by LLMs become increasingly difficult to distinguish from human writing, concerns have emerged about their impact on scholarly communication, particularly in health and medicine. The medical community is becoming more aware of various tools that can detect AI-generated text; however, adopting these tools comes with unique challenges. The purpose of this article …

Perspectives On Communicating Information And Shared Decision-Making In Patients Undergoing Transtibial Amputation, Lina Walther Sjödin, Lasse J. Lapidus, Eva Torbjörnsson

Journal of Patient-Centered Research and Reviews

Purpose: Patients undergoing lower extremity amputation often desire to take an active part in decision-making. The primary aim of this study was to explore patients’ experiences of the care trajectory and information provided after a new care program was introduced. The secondary aim was to explore patients' perspectives of their involvement and participation in shared decision-making throughout the care process. The care program features new educational material, recommendations for the sagittal surgical technique, and information about a rigid removable dressing, early liner treatment, and a multidisciplinary team follow up three weeks after amputation.

Methods: Fifteen participants who underwent transtibial amputation …

Self-Management And Support Needs Of Patients Experiencing Persistent Symptoms Consistent With Hypothyroidism: A Qualitative Study, Marike De Reuver-Schuurman, Esther C. Bakker, Lilian Lechner, Liset Van Dijk

Journal of Patient-Centered Research and Reviews

Purpose: To gain insight into the self-management and support needs of patients experiencing persistent symptoms consistent with hypothyroidism, despite thyroid laboratory values within the normal range.

Methods: A qualitative study using the phenomenological approach was conducted. Semi-structured interviews including 19 patients diagnosed with persistent symptoms consistent with hypothyroidism, despite receiving adequate replacement therapy, were performed. Respondents were recruited using purposive sampling via Schildklier Organisatie Nederland (Dutch Thyroid Organization) (www.schildklier.nl). After transcription and coding, a thematic analysis was performed.

Results: All respondents reported that the persistent symptoms reduced their quality of life. The patients’ main focus was on finding the cause …

Understanding The Burden Of Myocardial Infarction And Patient Preferences For Treatment: A Real-World Study Assessing Patients’ Perspectives Via An Online Survey, M. Cecilia Bahit, Serge Korjian, Gerald Chi, Yazan Daaboul, Alberto Castro Molina, Ginger Jiang, Christiana Dangas, Mudit Tandon, Deepak L. Bhatt, Roxana Mehran, Harriette G.C. Van Spall, Paul Nara, Alka Shaunik, Charles Michael Gibson

Journal of Patient-Centered Research and Reviews

Purpose: Myocardial infarction (MI) remains to be associated with a high risk of recurrent cardiovascular events and disease burden. This study assessed patient perspectives on the burden of disease and treatment in the first year post-MI.

Methods: Data were collected via a self-administered online questionnaire posted on the Carenity patient platform in the United States (10/30/2022−12/30/2022). Only patients who had an MI in the prior year were eligible for inclusion.

Results: A total of 151 patients completed the survey. The majority were men (69%), median age was 50 years, and 38% had an MI within the previous 90 days. Overall, …

The Convergence Of Diversity, Equity, And Inclusion (Dei): Implications For Research, Maria Caridad H. Tarroja, Joseph Ching Velasco

Asia-Pacific Social Science Review

No abstract provided.

Electronic Device Usage During Covid-19 And Suspected Developmental Delay In Rural Thai Children: A Case-Control Study, Kunnara Maneekunwong, Pimkanabhon Trakooltorwong, Salisa Kodyee, Nathamon Wutthipan, Chompunut Sopajaree, Katemanee Moonpanane

Asia-Pacific Social Science Review

The COVID-19 pandemic has significantly altered the way in which people interact with and use technology, particularly in early childhood. This study investigated the relationship between electronic device usage during the COVID-19 pandemic in rural Thailand and suspected developmental delay (SDD) in early childhood. A case-control study aimed to investigate the relationship between suspected SDD and electronic device usage among children aged 2–5 and their primary caregivers in Chiang Rai province, Thailand. The cases were children with SDD, whereas the controls were children with age-appropriate development. The Developmental Surveillance and Promotion Manual (DSPM) and the Screen Media Exposure (SME) questionnaire …

Characteristics And Frequency Of Use Of People Who Use Cannabis In Thailand: Results From A Web-Based Survey, Francois R. Lamy, Seung Chun Paek, Natthani Meemon

Asia-Pacific Social Science Review

In the past two decades, the medical and recreational use of cannabis has been linked to an increase in cannabis- related harms, especially among frequent cannabis users. Amid the recent legalization of recreational use of cannabis in Thailand, this paper provides initial information regarding the frequency of usage, sociodemographic characteristics, reasons and patterns of cannabis use, as well as the characteristics associated with frequent usage among people who use cannabis. A cross-sectional anonymous online survey was conducted (July-August 2022) with 476 Thais who use cannabis recruited via the Line and Facebook apps. Descriptive statistics and multiple logistic regression analysis were …

Queering The Classrooms: Filipino Teachers’ Perspectives And Practices Of Queer Pedagogy, Holden Kenneth G. Alcazaren, Jonalou S. Labor

Asia-Pacific Social Science Review

With the increasing progress of queer perspectives in the academic setting, there have been calls for LGBTQ+-inclusive teaching practices. In the Philippines, attempts have been implemented to produce curricula and materials that are more gender-responsive and gender-sensitive. However, these initiatives are without their barriers as conservative traditions and sexist ideologies still affect the eradication of gender-based discrimination in the classrooms. To fully grasp these issues, the present study aimed to elicit insights from queer Filipino teachers about their views and perspectives on using queer pedagogy in their classrooms. With these pedagogical choices, the study tried to understand the queering process …

Faith-Based Transnationalism: Conceptualizing The Role Of Religion In Transnational Families, Evangeline Katigbak-Montoya

Asia-Pacific Social Science Review

This research brief introduces the concept of “faith-based transnationalism,” or the cross-border travels of religious practices, beliefs, identities, and moralities that not only connect migrants and their left-behind families but also lead to the reconstitution of relationships, spirituality, and landscapes. Faith-based transnationalism is an important analytical framework in the study of the intersections of geographies of religion/faith and transnational migration. This is crucial in contemporary times given the unabated and continuing flows of migrants across international borders, with implications on reshaping identities, consocialities, and places.

What Works, For Whom, In What Circumstances And Why, When Integrating Voluntary And Statutory Community Mental Health Services: A Realist Evaluation Case Study, Charley Hobson-Merrett, Rebecca Hardwick, Jane Yeandle, Beccy Wardle, Catherine Connor, John Gibson, Vanessa Pinfold, Alexandra Stirzaker, Richard Byng

Peninsula Medical School

Background: Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.Methods: A realist evaluation of Framework implementation in Somerset was undertaken. The extent of change, and how, why and under what circumstances change occurred were evaluated. Embedded researchers collected observational and interview data, and reviewed internal records. Realist qualitative analysis created and tested a programme theory exploring the extent, cause, and impact of change.Results: Services worked …

Inter-Rater Reliability Of Glasgow Coma Scale At A Referral Care Facility In Uganda: Effect Of An Educational Intervention Among Health Workers, Peter Nyakuni, Betty Kinkuhaire, Diana Mbattude, Laura Brennaman

School of Nursing & Midwifery, East Africa

Background: The Glasgow Coma Scale is a widely used tool in the assessment and tracking of patients with acute head and brain insults. However, its reliability and application in low-resource clinical settings have been least explored.

Purpose: The study aimed at determining the IRR of GCS among health workers and evaluating the effect of a standardized GCS Aid as an educational intervention in improving the accuracy and IRR of the GCS when assessing patients with neurological deficits at a tertiary facility in Uganda.

Methods and Materials: The study employed a pre-test, post-test quasi-experimental design. Participants included health workers working within …

Rethinking School Nutrition Via Community Engagement: A Review With Implications For Indonesia’S Mbg Program, Adnan Achiruddin Saleh, Suparman Abdullah, Rahmat Muhammad, Muhammad Yusran Amir, Sulvinajayanti Sulvinajayanti

Media Kesehatan Masyarakat Indonesia

Community engagement has become a growing concern in the implementation of school nutrition programs, particularly in addressing issues of child malnutrition, food insecurity, and educational outcomes. However, definitions and levels of participation remain conceptually fragmented across various studies. This study aims to systematically review the scope, forms, and implications of community engagement in school-based nutrition programs. A Systematic Literature Review (SLR) was conducted on 89 Scopus-indexed publications from 1984 to 2025 using the PRISMA 2020 protocol. Thematic analysis was employed to identify the conceptual, methodological, and contextual variations of community involvement. Data were collected through document analysis of peer-reviewed journal …

Cost-Effectiveness And Feasibility Of Anemia Management In Pregnant Women: A Systematic Review, Della Winanti, Isra Yanti, Nurul Fitriyah, Sirajul Munira, Mufdlillah Mufdlillah, Firdaus Hafidz

Media Kesehatan Masyarakat Indonesia

Anemia among expectant mothers is a major health issue worldwide, especially in developing countries, where prevalence reaches 37%. Various interventions, such as micronutrient supplementation and intravenous iron administration, have been widely implemented. However, limited systematic reviews have comprehensively evaluated both the cost-effectiveness and feasibility of such interventions in low- and middle-income countries (LMICs). This study aims to systematically evaluate recent evidence on the feasibility and cost-effectiveness of anemia management interventions for pregnant women in developing countries. The review followed the 2020 PRISMA guidelines and was registered in PROSPERO (CRD420251089753). Article searches were conducted across five primary databases (CINAHL, CENTRAL, PubMed, …

Indoor Air Quality And Sick Building Syndrome In Selected Public Buildings In Shah Alam, Selangor, Ismaniza Ismail, Mohamad Solehin Zulkarnain, Ilyas Syafiq Darul Ridzuan, Yahya Thamrin, Nasrul Hamidin

Media Kesehatan Masyarakat Indonesia

Indoor Air Quality (IAQ) is always associated with Sick Building Syndromes (SBS) despite the age of the buildings, particularly in buildings where indoor air pollutants may affect occupants’ health and productivity. This study assessed IAQ parameters and SBS symptoms in five selected public buildings aged 10 and above in Shah Alam, Selangor. Physical, chemical and biological parameters were measured, while structured questionnaires were completed by 87 respondents occupying the buildings. Most IAQ parameters were within the ranges of the Industry Code of Practice on IAQ (ICOP IAQ 2010), except for air velocity, formaldehyde and Total Volatile Organic Compound (TVOC) in …

Understanding Cardiovascular Risk: Insights From Coastal Communities In Southeast Sulawesi, Syahrianti Syahrianti, Lilin Rosyanti, Reni Revianti Usman, Ismail Ismail, Agus Bintara Birawida, Sumarheni Sumarheni, Muhammad Fahmi Aziz

Media Kesehatan Masyarakat Indonesia

Cardiovascular Disease (CVD) remains the leading cause of death worldwide, with a greater impact on low- and middle-income countries, particularly coastal communities that depend on fragile ecosystems. This study explores the effects of sociodemographic, behavioral, and metabolic factors on CVD incidence among the coastal population of Soropia, Konawe, Southeast Sulawesi. This research employs a quantitative approach with a cross-sectional design and applies Structural Equation Modeling (SEM) using Smart PLS software. Data collection was conducted through standardized questionnaires and physical examinations. The findings reveal that age significantly reduces CVD risk (p = 0.043, Exp(B) = 0.378), while gender and occupation show …

Understanding The Impact Of Pictorial Health Warnings On Smoking Behavior Among Adolescents, Pandji Winata Nurikhwan, Hadrianti Haji Darise Lasari, Dessy Maulina, Mustafa Mustafa, Abdillah Ahsan, Anis Kamila Saleha, Indra Haryanto Ali

Media Kesehatan Masyarakat Indonesia

Smoking behavior remains a health challenge in Indonesian society. Riskesdas data shows an increase in smoking prevalence in adolescent groups. One of the control efforts is the implementation of PHW (Pictorial Health Warnings) on cigarette packs in accordance with Permenkes RI No. 28 of 2013. This study aims to determine the effectiveness of cigarette packs in influencing smoking intention and behavior PHW among adolescents in Tanah Bumbu Regency, Banjarbaru City and Banjarmasin City. The study used a quantitative method with a cross-sectional design. Samples were obtained through an accidental sampling technique, obtaining 315 smoking adolescents and 62 non-smoking adolescents. The …

Relationship Between Cadres Knowledge And Ability To Document Arumdalu Integrated Service Posts (Posyandu) Information System Reports, Devi Pramita Sari, Andi Zulkifli

Media Kesehatan Masyarakat Indonesia

The high demands of administration and activities report at Integrated Service Posts (Posyandu) requiring cadres skills in documenting data accurately. In this field, the reality shows that many cadres lack adequate knowledge regarding. The Posyandu information system, especially the Arumdalu Posyandu. Therefore, this study aimed to determine the relationship between cadres' knowledge and ability to document reports on the Arumdalu Posyandu information system. The quantitative analytical research design used a cross-sectional, longitudinal (pre-post digital training), and mixed methods approach, complemented by Social Network Analysis (SNA). The research sample consisted of 60 Posyandu cadres at the Arumdalu Posyandu …

Executive Committee - Agenda, 09/30/2025, Academic Senate

Academic Senate Agendas

No abstract provided.

Whose Burden, Whose Benefit? Revisiting Ethical Trade-Offs In The Who Guidelines On Scaling Up Mass Azithromycin Administration, Maple Goh, A. M. Viens, Safura Abdool Karim, Aaron S. Kesselheim, Kevin Outterson

Faculty Scholarship

Author summary

• New evidence suggests that mass drug administration of azithromycin (MDAA) can significantly reduce childhood mortality in high-burden, low-resource settings, yet the World Health Organization’s (WHO) 2020 guidelines take a cautious approach due to concerns about antimicrobial resistance (AMR).
• While the WHO guidelines cite ethical principles, they insufficiently address key considerations, such as intergenerational justice, equitable burden sharing, and the structural determinants of health that shape infectious disease vulnerability.
• Global AMR policy often prioritizes conservation over access in ways that disproportionately burden low-income countries, despite high-income countries also bearing significant responsibility for the emergence and spread of AMR.
• A …