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Variability Of Immune Response To Coronavac In The Indonesian Population: A Retrospective Cohort Study In Bantaeng, South Sulawesi,Indonesia, Sitti Musafirah Arif, Juliani Ibrahim, Antariksa P. Winarno, Andi Nur Anna, Andi Weri Sompa, Ami Febriza S. Achmad, Nurdiana Nurdiana, Zulkifli Zulkifli, Irwan Ashari Aug 2025

Variability Of Immune Response To Coronavac In The Indonesian Population: A Retrospective Cohort Study In Bantaeng, South Sulawesi,Indonesia, Sitti Musafirah Arif, Juliani Ibrahim, Antariksa P. Winarno, Andi Nur Anna, Andi Weri Sompa, Ami Febriza S. Achmad, Nurdiana Nurdiana, Zulkifli Zulkifli, Irwan Ashari

Journal of Health Research

Background: The COVID-19 vaccine, including CoronaVac, is crucial in reducing severe infections and mortality due to COVID-19. However, variability in antibody responses across different populations remains a subject of investigation. This study aimed to evaluate the impact of age and BMI on Immunoglobulin G (IgG) antibody levels three months post-CoronaVac vaccination in a healthy Indonesian cohort.

Methods: A retrospective cohort study was conducted on 299 healthy individuals aged 18–70 in Bantaeng, South Sulawesi, Indonesia. IgG levels against the SARS-CoV-2 spike protein receptor-binding domain (RBD) were measured using enzyme-linked immunosorbent assay (ELISA). Blood samples were collected about 90 ± 7 days …


Pulse Diagnosis In Thai Traditional Medicine: Comparing Tri-Dhātu Characteristics In Each Innate Body Element Between Experts And Device, Athippat Tantiwongsekunakorn, Suksalin Booranasubkajorn, Thanaphak Chaopeerapong, Angkana Apichartvorakit, Pravit Akarasereenont Aug 2025

Pulse Diagnosis In Thai Traditional Medicine: Comparing Tri-Dhātu Characteristics In Each Innate Body Element Between Experts And Device, Athippat Tantiwongsekunakorn, Suksalin Booranasubkajorn, Thanaphak Chaopeerapong, Angkana Apichartvorakit, Pravit Akarasereenont

Journal of Health Research

Background: Pulse diagnosis in Thai Traditional Medicine (TTM) evaluates the balance of the Tri-Dhātu—Vata, Pitta, and Semha—and their interaction with innate body elements (Dhātu Chao Ruean; DCR). Despite its clinical significance, scientific evidence and quantitative tools remain limited. This study aimed to compare Tri-Dhātu pulse characteristics across different DCR types using expert assessment and the DMP-Life™ pulse diagnostic device.

Method: One-way ANOVA with post hoc analysis was applied to data from 159 participants, each evaluated at six pulse positions for shape, depth, power, and rhythm by Applied Thai Traditional Medicine (ATM) experts and the DMP-Life™ device.

Results: There were no …


Managing Covid-19-Related Stigma In Border Trade Communities: A Qualitative Study In Mae Hong Son, Thailand, Siwaporn Mahathamnuchock Aug 2025

Managing Covid-19-Related Stigma In Border Trade Communities: A Qualitative Study In Mae Hong Son, Thailand, Siwaporn Mahathamnuchock

Journal of Health Research

Background: In the border trade communities of Mae Hong Son Province, Thailand, misinformation and fear surrounding COVID-19 led to increased discrimination.

Method: This study aims to: (1) examine the different forms of stigma, (2) understand how affected individuals manage and cope with stigma, and (3) investigate community-based interventions to reduce stigma in border regions. An interpretative paradigm was used in a qualitative research design. A total of 18 participants—including local traders, housewives facing mobility challenges, a community leader, and healthcare workers were interviewed semi-structurally from August to December 2022. Key data patterns were identified by thematic analysis.

Results: There …


Classification Of Dental Adverse Events Using Iterative Qualitative Analysis, Kiti Siriwatana, Sathirakorn Pongpanich Aug 2025

Classification Of Dental Adverse Events Using Iterative Qualitative Analysis, Kiti Siriwatana, Sathirakorn Pongpanich

Journal of Health Research

Background: Effective incident reporting systems (IRS) are essential in dentistry for identifying and preventing adverse events (AEs), with standardized classifications ensuring consistent incident categorization. This study aimed to develop and validate a classification system for dental patient safety incidents based on a 5-year case study at the Dental Hospital at Chulalongkorn University, Thailand.

Methods: An iterative qualitative approach was used. A literature review explored existing accreditation standards and AE classification systems. Incident reports from 2018–2022 informed a draft classification system aligned with Thailand’s National Reporting and Learning System and accreditation standards. Reports from 2023 were used for validation. An expert …


Identifying Gaps In The Multidrug-Resistant Tuberculosis (Mdr-Tb) Cascade Of Care: Barriers And Improvement Opportunities In North Maluku, Indonesia, Eko Sudarmo Dahad Prihanto, Prayudi Santoso, Elsa Pudji Setiawati, Rovina Ruslami Aug 2025

Identifying Gaps In The Multidrug-Resistant Tuberculosis (Mdr-Tb) Cascade Of Care: Barriers And Improvement Opportunities In North Maluku, Indonesia, Eko Sudarmo Dahad Prihanto, Prayudi Santoso, Elsa Pudji Setiawati, Rovina Ruslami

Journal of Health Research

Background: The Multidrug-Resistant-Tuberculosis (MDR-TB) Cascade of Care includes MDR-TB treatments from suspicion to completion. Implementation gaps can lower treatment success. This study aimed to identify gap causes and opportunities to improve MDR-TB treatment in North Maluku, Indonesia

Methods: To identify gaps, we conducted in-depth interviews and focus group discussions with health workers at Puskesmas (Indonesian government's primary healthcare centers) and hospitals, MDR-TB patients, and patients’ families. Thematic analysis was conducted using the Consolidated Framework for Implementation Research (CFIR) for health workersand the health belief model (HBM) approach for patients and their families.

Results: Significant gaps were found …


Effects Of The Case Management With Community Support Program On Health Behaviors And Outcomes In Thai Buddhist Monks With Type 2 Diabetes And Early-Stage Chronic Kidney Disease, Napawadee Tangtrongvisolkit, Noppawan Piaseu, Porntip Malathum, Basia Belza Aug 2025

Effects Of The Case Management With Community Support Program On Health Behaviors And Outcomes In Thai Buddhist Monks With Type 2 Diabetes And Early-Stage Chronic Kidney Disease, Napawadee Tangtrongvisolkit, Noppawan Piaseu, Porntip Malathum, Basia Belza

Journal of Health Research

Background: Patient engagement and community support are vital for promoting self-care in monks with early-stage chronic kidney disease (CKD). This study investigated the impact of an 18-week Case Management with Community Support Program (CMCSP) on self-care activities and health outcomes (hemoglobin A1c, HbA1c), blood pressure, and estimated glomerular filtration rate (eGFR) in Thai Buddhist monks with type 2 diabetes mellitus (T2DM) and CKD.

Methods: A Randomized Controlled Trial (RCT) with pretest and post-test measures was employed. Eighty-two monks with T2DM and stage 1–2 CKD were recruited from 33 subdistricts in Thailand and randomly assigned into experimental (n = …


A Reception And Luncheon In Honour Of His Highness Prince Karim Aga Khan And Celebrating The Agreement Between Aga Khan University And Mcmaster University Aug 2025

A Reception And Luncheon In Honour Of His Highness Prince Karim Aga Khan And Celebrating The Agreement Between Aga Khan University And Mcmaster University

Inaugural addresses and related documents

No abstract provided.


Charter Presentation Ceremony Programme – The Aga Khan University Aug 2025

Charter Presentation Ceremony Programme – The Aga Khan University

Inaugural addresses and related documents

No abstract provided.


First Convocation Programme - Graduating Class – Aga Khan University Medical College (1989) Aug 2025

First Convocation Programme - Graduating Class – Aga Khan University Medical College (1989)

Inaugural addresses and related documents

No abstract provided.


Peer-Led Recovery: Developing A Mentorship Program For Veterans With Spinal Cord Injuries At The Va, Alexis Smich Aug 2025

Peer-Led Recovery: Developing A Mentorship Program For Veterans With Spinal Cord Injuries At The Va, Alexis Smich

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.


Supporting Parent Confidence Through Accessible Education In Pediatric Occupational Therapy, Dylan Spruill Aug 2025

Supporting Parent Confidence Through Accessible Education In Pediatric Occupational Therapy, Dylan Spruill

Department of Occupational Therapy Entry-Level Capstone Projects

This capstone project explored strategies to enhance parent confidence and engagement in pediatric occupational therapy. Guided by a needs assessment drawn from literature, clinical observation, and parent input, the project identified a lack of accessible, affirming educational materials for families. In response, strengths-based, plain-language resources were developed and distributed in both print and digital formats. These materials supported parent understanding of therapeutic goals and encouraged home-based carryover of clinical strategies. Additionally, participation in small-group summer programming and one-on-one parent conversations provided insight into family needs and informed the resource design process. Outcomes suggest that empowering parents through targeted education can …


Inspiring Internationalization For Students Across Asia With Aapi-Ot, Mike D. Palou-Morales Aug 2025

Inspiring Internationalization For Students Across Asia With Aapi-Ot, Mike D. Palou-Morales

Department of Occupational Therapy Entry-Level Capstone Projects

This capstone project aimed to
provide opportunities for internationalization between occupational therapy (OT) students across Asia, specifically in Japan and South Korea, with the assistance of the Asian-American and Pacific-Islander (AAPI-OT) and student organizations at my capstone site. I developed educational material and provided opportunities for discourse on the benefits of internationalization and collaboration through the student platform for occupational therapy (SPOT) Europe and Americas.


Supporting The Fourth Trimester: An Occupational Therapy Approach To Maternal Function And Recovery, Cedrica Durham Aug 2025

Supporting The Fourth Trimester: An Occupational Therapy Approach To Maternal Function And Recovery, Cedrica Durham

Department of Occupational Therapy Entry-Level Capstone Projects

This capstone project focused on supporting mothers and infants during the prenatal and postpartum periods through a blend of occupational therapy, doula practices, and lactation support. The project investigated how occupational therapists can work with other maternal professionals to promote maternal recovery and overall wellbeing. This capstone project addresses this gap by implementing a brief, occupation-based screening tool that can be used by lactation consultants, maternal health professionals, and home health providers to identify clients who may benefit from occupational therapy services


Supporting Participation In Daily Occupations, Quality Of Life, And Well-Being For Individuals With Dementia In Nursing Homes, Julianne M. Sta.Ana Aug 2025

Supporting Participation In Daily Occupations, Quality Of Life, And Well-Being For Individuals With Dementia In Nursing Homes, Julianne M. Sta.Ana

Department of Occupational Therapy Entry-Level Capstone Projects

This capstone project aimed to enhance the quality of life, well-being, and occupational participation of individuals with dementia residing in nursing homes through the implementation of an eight-week occupational therapy-based program. By addressing unmet needs through personalized, meaningful activities such as cognitive stimulation, physical activities, and social engagement, this project seeks to reduce cognitive decline and improve emotional well-being. The SLUMS and GDS were used to evaluate the program’s effectiveness. Ultimately, this project sought to understand occupational therapy’s role in supporting dementia care in nursing homes.


Next-Gen Leaders: Cultivating Board Room Readiness For Emerging Nurse Professionals, Cheryl Nikol Hamilton Aug 2025

Next-Gen Leaders: Cultivating Board Room Readiness For Emerging Nurse Professionals, Cheryl Nikol Hamilton

Doctor of Nursing Practice Projects

This Doctor of Nursing Practice (DNP) project addressed the critical underrepresentation of nurses on healthcare boards by implementing an evidence-based intervention to improve board readiness among emerging nurse leaders in Arkansas. The purpose of the project was to assess and enhance nurses’ self-perceived competencies in governance through a structured educational program and the SHIP-BC© readiness assessment tool. A quasi-experimental pre-post design was utilized with honorees from two leadership programs within a statewide nursing organization. Participants first completed the SHIP-BC© survey to establish baseline perceptions of board readiness across domains of analytical, interpersonal, and organizational skills. Following a four-week microlearning board …


Enhancing Nurse Well-Being Through Mandatory Rest Breaks At A Hospital, Elise Njang Aug 2025

Enhancing Nurse Well-Being Through Mandatory Rest Breaks At A Hospital, Elise Njang

Doctor of Nursing Practice Projects

Nurses are essential to the healthcare system, yet their demanding 12-hour shifts in hospital settings often leave little opportunity for adequate rest. The absence of structured rest breaks not only endangers nurses' well-being but may also compromise the quality of patient care. This quality improvement (QI) project aimed to evaluate the effects of implementing structured, mandatory 15-minute rest breaks on nurse burnout and job satisfaction. The initiative addressed a critical gap at the project site, where nurses typically received only one 30-minute lunch break per shift, despite evidence supporting the benefits of more frequent rest breaks. A quasi-experimental pre- and …


Utilizing Wearable Technology To Improve Pots Diagnostic Testing, Monique Watson, Damen Wilson, Matthew Ward Aug 2025

Utilizing Wearable Technology To Improve Pots Diagnostic Testing, Monique Watson, Damen Wilson, Matthew Ward

Discovery Undergraduate Interdisciplinary Research Internship

Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia characterized by a heart rate (HR) increase ≥30 beats/minute (bpm) within 10 minutes of standing from a supine position, without a significant blood pressure drop. POTS can diminish quality of life with symptoms including tachycardia, headaches, and fatigue. Despite established diagnostic criteria, POTS is often underrecognized or misdiagnosed due to its episodic nature. Symptoms may not consistently be present during diagnostic testing, leading to false negatives during in-office testing. Wearables offer a promising solution through continuous physiological monitoring. Individuals with hypermobile Ehler-Danlos Syndrome (hEDS), a population in which POTS is …


Improving Anxiety Screening In Active-Duty Military: Policy Recommendation For Implementing Ham-A Alongside Gad-7, Alex Judkins Aug 2025

Improving Anxiety Screening In Active-Duty Military: Policy Recommendation For Implementing Ham-A Alongside Gad-7, Alex Judkins

Student Scholarly Projects

Practice Problem: Military personnel appear to be at increased risk for mood and stress-related conditions, such as anxiety and depression. These are frequently associated with traumatic brain injury (TBI), yet existing policies and practices may not fully capture this symptom complexity.

PICOT: For healthcare policymakers and providers (P), how does a policy review and recommendation for implementing the HAM-A screening tool for anxiety (I), compared to continued reliance on GAD-7 (C), impact the early identification and policy alignment for somatic and psychic anxiety management among active-duty military personnel (O)?

Evidence: Investigating psychological illnesses and their physiological manifestations in isolation fails …


The Impact Of Cell Phones And Social Media On Social And Emotional Development Of High School Students, Laura Nash Aug 2025

The Impact Of Cell Phones And Social Media On Social And Emotional Development Of High School Students, Laura Nash

Masters Projects

Studies suggest that social media can have a negative impact on the social and emotional development of adolescents when overused or abused. This paper examines the benefits of social media and several of the adverse effects of problematic social media use. A few of the adverse effects can carry over into the school setting, resulting in students missing valuable instruction time and not being fully engaged in the learning environment. This project proposal is intended to educate parents and school employees about hazards of problematic social media use and the tools that are readily available to monitor the content that …


Comparative Dosimetric Evaluation Of Single-Beam And Two-Beam Grid Therapy In Head And Neck Cancers, Stephanie Scott Stinson Aug 2025

Comparative Dosimetric Evaluation Of Single-Beam And Two-Beam Grid Therapy In Head And Neck Cancers, Stephanie Scott Stinson

Masters Projects

This study aimed to evaluate whether a single-beam or two-beam configuration in GRID therapy offers superior tumor coverage to the Gross target volume(GTV) and organ-at-risk (OAR) sparing in head and neck cancer patients. Ten patients previously treated with GRID therapy to the left neck were retrospectively selected. For each patient, single-beam and two-beam plans were generated using consistent field size and energy. Dosimetric comparisons were performed using dose-volume histograms (DVHs), focusing on the highest dose received at any single point( dmax) and the average radiation dose delivered across an entire volume (dmean), and the volume covered by the 70% and …


Rashonna Ransom V. Greatplains Finance Llc Aug 2025

Rashonna Ransom V. Greatplains Finance Llc

2025 Decisions

USDC for the District of New Jersey


Quality Improvement Project Impacting Healthcare Providers’ Knowledge And Self-Efficacy On Peripheral Artery Disease In An Outpatient Cardiovascular Clinic, Nikki Naphaphone Phanyoraj Aug 2025

Quality Improvement Project Impacting Healthcare Providers’ Knowledge And Self-Efficacy On Peripheral Artery Disease In An Outpatient Cardiovascular Clinic, Nikki Naphaphone Phanyoraj

Doctor of Nursing Practice Projects

Peripheral artery disease (PAD) affects over 200 million people worldwide and contributes to functional limitations, decline in quality of life, and increased risk of cardiovascular morbidity and mortality. Failure to effectively screen patients for PAD can lead to delayed treatment and poorer health outcomes. Early detection and intervention are key to altering the disease progression, reducing complications, and improving health outcomes. The purpose of the quality improvement project is to impact the knowledge and self-efficacy of the healthcare providers working in the outpatient cardiovascular clinic on PAD. A quasi-experimental design with pre- and post-test PAD knowledge exam and a pre- …


Predation, Survivorship, And Growth Of Outplanted Fragments Of Orbicella Faveolata In Southeast Florida, Us, Alex S. Wagner Aug 2025

Predation, Survivorship, And Growth Of Outplanted Fragments Of Orbicella Faveolata In Southeast Florida, Us, Alex S. Wagner

All HCAS Student Capstones, Theses, and Dissertations

Boulder-coral populations, particularly Orbicella spp., have declined recently in the Caribbean and Florida due mainly to stony coral tissue loss disease, leading to their classification as threatened in the US Endangered Species Act (ESA). Over 300 corals>2 m in diameter were previously surveyed and mapped in southeast Florida; the majority being Orbicella faveolata up to 320 years old. Many have died or suffered extensive tissue loss, leading to low densities. Restoring healthy tissue to their structures is vital for reinstating ecological function and staving off bioerosion. Therefore, O. faveolata fragments of healthy-looking disease-resistant donor colonies were propagated through …


Proceedings Of Nordes 2025: Relational Design, Andrew Morrison, Alma Culén, Laurence Habib Aug 2025

Proceedings Of Nordes 2025: Relational Design, Andrew Morrison, Alma Culén, Laurence Habib

DRS Conference Volumes

This volume is the proceedings of the 11th biennial Nordes conference, hosted by OsloMet - Oslo Metropolitan University, 6 – 8 August 2025. All contributions relate in different ways to the overall theme, ‘Relational Design’.


Yo Soy Minnesota: Bridging Health Equity Gaps With Culturally And Linguistically Inclusive Resources For Hispanics In Central Minnesota, Liz Damaris Vincente Berrios Aug 2025

Yo Soy Minnesota: Bridging Health Equity Gaps With Culturally And Linguistically Inclusive Resources For Hispanics In Central Minnesota, Liz Damaris Vincente Berrios

DNP Projects

Health disparities are preventable yet persist due to systemic inequities in social, economic, and healthcare structures. Rooted in historical injustices and social determinants of health, these disparities disproportionately impact minority communities, including Hispanics in Central Minnesota. Barriers such as limited English proficiency (LEP), provider biases, and inadequate health literacy further exacerbate inequitable health outcomes. Culturally and Linguistically Appropriate Services (CLAS) offer a modifiable solution to mitigate these disparities by ensuring healthcare resources align with diverse beliefs, practices, and linguistic needs. This project focuses on CLAS as a modifiable factor affecting Hispanics in Central Minnesota and explores the impact of "Yo …


Data Registration Techniques For Optical Functional Brain Mapping, Abigail Magee Aug 2025

Data Registration Techniques For Optical Functional Brain Mapping, Abigail Magee

McKelvey School of Engineering Graduate Student Theses & Dissertations

Optical functional brain mapping presents a versatile, portable, and cost-effective alternative to conventional functional imaging techniques such as functional magnetic resonance imaging (fMRI). However, optical imaging does not inherently capture anatomical details and relies on existing structural imaging to generate accurate brain maps. By employing head models that incorporate participant-specific anatomy, imaging array placement, and the optical properties of underlying tissues, optical functional brain mapping can achieve results comparable to those of fMRI. Despite advances in registration techniques, the creation of atlas-derived yet participant-specific head models remains a significant challenge. My research endeavors to develop innovative registration and analysis pipelines …


Maladjustment In Minority Youth From Community Network Disparities In The Covid-19 Lockdown Environment, Michael Okoronkwo, Aaron Mack, Keyana Varnado, Michael Alfred, Kevin Hardy, Amarachi Osuji, Percy Takyi, Gabriel I. Onor, Oluwatomi Akingbola, Rahn Bailey Aug 2025

Maladjustment In Minority Youth From Community Network Disparities In The Covid-19 Lockdown Environment, Michael Okoronkwo, Aaron Mack, Keyana Varnado, Michael Alfred, Kevin Hardy, Amarachi Osuji, Percy Takyi, Gabriel I. Onor, Oluwatomi Akingbola, Rahn Bailey

Department of Medicine Faculty Papers

Pandemic lockdown orders resulted in closures to critical community networks. One such infrastructure was community recreation centers/parks. This infrastructure serves a critical role in building psychosocial wellness for youth. Socioeconomic minority youth face baseline disparity in center/park distribution and services. Youth recreation activity declined 50% as result of lockdown orders with corresponding decline in youth mental health status. Despite overall youth activity decline, White and high socioeconomic demographic categories were associated with greatest recreation access during the pandemic. Thus, the pandemic exacerbated preexisting disparities in recreation access for minority youth and its benefit towards adaptive development. Minority youth experienced greater …


Department Of Hous. Preserv. & Dev. Of The City Of N.Y. V. 2647 Broadway Apts Llc Aug 2025

Department Of Hous. Preserv. & Dev. Of The City Of N.Y. V. 2647 Broadway Apts Llc

All Decisions

The court imposed massive civil penalties of $2,124,845 against the landlord and its principals for their failure to correct 148 open housing violations and for harassing tenants. The landlord failed to comply with multiple court orders to fix the conditions and to participate in pre-trial discovery, and the court found its defenses to be without merit. The court relied on the DHPD website as prima facie evidence of the violations' continued existence. The judgment was entered as a lien against the building. The petition was dismissed against three of the named respondents who were found to have no legal connection …


Understanding And Addressing Chronic Absenteeism: Interviewing Parents Of Chronically Absent Students, Patrick Stickley Aug 2025

Understanding And Addressing Chronic Absenteeism: Interviewing Parents Of Chronically Absent Students, Patrick Stickley

LMU Theses and Dissertations

Understanding and Addressing Chronic Absenteeism: Interviewing Parents of Chronically Absent Students The more any child is chronically absent from school, opportunities dwindle for growth academically, intellectually, and socially (Gottfried, 2014). The problem is finding long term solutions to chronic absenteeism. A large percentage of chronically absent students are from the marginalized Black and Latinx student groups, creating a dire social justice situation for those students and their communities (Allison et al., 2019). This purpose of this qualitative study was to find reasons for and suggestions to address the wicked problem of chronic absenteeism by interviewing parents of chronically absent students. …


Optimization Of Light Spectrum During The Early Grow-Out Of Caribbean Corals, Liam A. Abrams Aug 2025

Optimization Of Light Spectrum During The Early Grow-Out Of Caribbean Corals, Liam A. Abrams

All HCAS Student Capstones, Theses, and Dissertations

For at least half a century, numerous direct and indirect anthropogenic stressors have led to the decline of coral populations globally. To minimize this decline and preserve genetic diversity, land-based nurseries have been sexually propagating corals to repopulate reefs. While the techniques to induce corals to spawn and rear their larvae are relatively well-established, the grow-out, i.e. rearing from newly settled to a size suitable for outplanting, remains yet to be fully optimized. Specifically, light spectrum, food quantity and quality and algal control require optimization. This study investigated the post-settlement survival and growth of the Caribbean reef building corals Colpophyllia …