Digital Commons Network^™

Factors Of Anxiety Symptoms Due To Large-Scale Social Restriction Policy During The Covid-19 Pandemic In Indonesia, Indri Hapsari Susilowati, Sudibyo Alimoeso, Susiana Nugraha, Bonardo Prayogo Hasiholan, Magda Sabrina Theofany Simanjuntak, Nur Rachmat Satria

Kesmas

The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part …

Advanced Quantification Pipeline Reveals New Spatial And Temporal Tumor Characteristics In Preclinical Multiple Myeloma, Zhixin Sun, Jacqueline M Godbe, Alexander Zheleznyak, Brad Manion, Junhao Hu, Julie L Prior, Kathleen Duncan, Ulugbek S Kamilov, Monica Shokeen

2020-Current year OA Pubs

BACKGROUND: Radiological imaging plays an indispensable role in both preclinical and clinical studies of multiple myeloma (MM). However, manual quantification in longitudinal small animal PET/CT is limited by annotator bias, signal artifacts from urinary/fecal excretion, and voxel misalignment due to non-rigid registration. To address these challenges and improve characterization of tumor biology, we developed a semi-automated PET/CT quantification pipeline targeting defined regions of interest (ROIs) within the bone marrow-rich mouse skeleton, achieving sub-organ spatial resolution, including in anatomically complex sites such as the pelvis. We applied this MM-specific preclinical pipeline to analyze tumor distribution in a longitudinal molecular PET study …

Implementation Of A Discharge Process For Pediatric Patients Hospitalized With Asthma Exacerbations To Improve Post-Discharge Follow-Up, Emiko N. Dudley

Doctor of Nursing Practice Final Project Abstract

Purpose

This quality improvement project aimed to improve pediatric pulmonary outpatient follow-up after hospital discharge for pediatric patients hospitalized with asthma exacerbations through the implementation of a standardized discharge process designed to improve communication, education, and care coordination.

Background

The project was completed in acute care and intermediate care units within a women's and children’s hospital in San Antonio, Texas.

Methodology

Following the IHI Improvement Model, serial PDSA cycles were completed over a 10-week period. An interprofessional team developed a standardized process map and interventions, including a discharge checklist, communication board, patient/family education, medications in hand at discharge, community asthma …

Husbandry And Management Interventions For The Conservation And Welfare Of Captive Animals – A Systematic Evidence Map, Anaelle Lemasson Lemasson

School of Biological and Marine Sciences

Zoos and aquariums are poised to play increasingly important roles in mitigating the global biodiversity crisis. However, the ultimate success of ex-situ conservation depends on animal welfare and effective husbandry and management practices. As such, an empirical understanding of ‘what works’ in zoo management is crucial for guiding success and embedding cost-effective practices. Here, we present the first systematic evidence map for husbandry and management interventions used in zoos and aquariums. We identified and extracted 1,070 articles spread across 45 journals, and examined patterns within taxonomic, spatial, temporal, and thematic categories. Studies originated from 516 institutions in 69 countries, and …

Angioedema: Is Icu Admission Warranted? A Single Institution Assessment, Madeleine Brill-Edwards, W. Chase Hamilton, Erika J. Yoo, Jennifer Costello, George J. Koenig, Murray J. Cohen, Joshua A. Marks

Department of Surgery Faculty Papers

INTRODUCTION: Angioedema has potential for rapid airway decompensation requiring intervention. Patients are often admitted to an ICU for "airway watch." There is a lack of evidence to support which patients require this.

AIM: We aimed to characterize admission patterns and outcomes of angioedema patients at our institution to assess resource utilization and necessity of ICU use. We hypothesized that patients not requiring intubation upon presentation are safe to manage outside the ICU.

MATERIALS AND METHODS: Retrospective chart review of patients admitted to our urban academic quaternary referral institution with angioedema ICD-10 codes between 2017 and 2020. Charts reviewed for demographics, …

High-Gamma And Beta Bursts In The Left Supramarginal Gyrus Can Differentiate Verbal Memory States And Performance, Shennan Aibel Weiss, Nicolás Sawczuk, Daniel Y. Rubinstein, Michael R Sperling, Katrina Wendel-Mitoraj, Päivi Österman, René Dumay-Roscher, Charles B. Mikell, Sima Mofakham, Kelly Coulehan, Petar M. Djuric, Diego Fernandez Slezak, Juan Esteban Kamienkowski

Department of Neurology Faculty Papers

INTRODUCTION: The left supramarginal gyrus (LSMG) contributes to attentional allocation for memory encoding and may also reflect memory state and performance. Given the roles of high-gamma and beta bursts in cognition and memory, this proof-of-concept study investigated whether these signals within the LSMG could classify memory state and performance.

METHODS: Using secondary data from 103 epilepsy patients undergoing presurgical iEEG evaluation, we analyzed 141 delayed verbal free recall experiments. Intracranial EEG (iEEG) data, recorded solely from LSMG electrode contacts, were processed to create two-dimensional (2D) tensors of convolved high-gamma (HG), and beta (15-40 Hz) burst activity. Convolutional neural networks (CNNs) …

The Influence Of Rhodolith Algae On Life History Of The Painted Urchin, Lytechinus Pictus, Celine X. De Jong

Master's Theses

Rhodolith beds are globally distributed hotspots of diversity and productivity and serve as nursery habitats for some marine invertebrates. Poorly understood is whether rhodolith beds are nurseries because invertebrate larvae actively select them for settlement or migrate to them at later life stages. We studied the nursery role of rhodolith beds for the painted urchin, Lytechinus pictus at Santa Catalina Island, CA, USA. Subtidal surveys showed that in areas with greater live rhodolith cover, urchin density increased as well as mean urchin size. In caged substrate choice experiments, urchins selected rhodolith substrate relative to carbonate sand, supporting the notion that …

Influences Of The Western Press On News Framing Of Global Events In Developing Countries: Examining Covid-19 And Climate Coverage In A Bangladeshi News Organization, Arif Md Tareque Habib

Communication ETDs

This study shows that a small number of Western news organizations (e.g., Reuters, The New York Times) may influence how local news organizations in developing countries frame global crises and that this influence may lead local news organizations to ignore locally relevant aspects of those crises. To test this thesis, two studies were conducted on the coverage of two crises -- COVID-19 and climate change -- by a news organization in Bangladesh, a developing country in South Asia. The news organization, www.bdnews24.com, serves both as a news agency or news supplier for local newspapers and an online newspaper for users. …

Shifting From Crisis To Prevention: Community-Generated Materials From The Core Sipp Listening Sessions (Version 1), Camille Velarde, Mahtab Soleimani, Yvonnie Baik, Theresa Cruz

Reports & Documents

The Core State Injury Prevention Program (CORE SIPP) in New Mexico sought to understand how communities can prevent injury and violence before crisis occurs. In 2025, the University of New Mexico Prevention Research Center, in partnership with the New Mexico Department of Health, listened to service providers, advocates, and community leaders working with youth and families across the state. Participants described overlapping challenges, including poverty, unsafe housing, limited mental health care, transportation gaps, and a lack of safe spaces for young people, and emphasized that real prevention must start early and address families’ basic needs. From these sessions, community members …

Global, Regional, And National Time Trends In Falls And Their Predictions: An Age-Period-Cohort Analysis Of The Global Burden Of Disease Study 2021, Huan Jiang, Ning Sun, Huiqi Yang, Ye Li, Lihong Jiang, Huicui Zhao, Yi Zeng, Chengyang Sun, Chun Xu, Yongqiang Lai, Jia Meng

Health & Biomedical Sciences Faculty Publications

Background: Falls are a global public health issue with a heavy disease and socioeconomic burden, with an increasing number of risky people. The aim of this study is to explore the global disease burden of falls and to provide a scientific basis for the prevention and management of falls.

Methods: This study used data from the Global Burden of Disease Study 2021 (GBD 2021) to analyse global, regional, and national temporal trends in falls. An age-period-cohort (APC) model was applied to analyse data from 1990 to 2021, with global predictions made through 2046.

Findings: Although the falls mortality of all …

Employing A Longitudinal Study Design In A Post-Conflict Zone: Strategies And Lessons Learned From The Field, Asia Mohamed Mohamud, Jennifer Sdunzik, Wilella D. Burgess, Abdirisak Dalmar, Mohamed Jimale

Somalia Education Evaluation Publications

Longitudinal methodology is a powerful study design that focuses on processes and patterns of change; yet it is rarely deployed in research to understand post-conflict circumstances. This article describes experiences and lessons learned from a longitudinal study of an education intervention programme in a post-conflict setting. It illustrates both challenges and successful mitigation strategies for conducting a longitudinal study in a fragile and demanding research environment. Our study identified both methodological (participant recruitment, attrition, contextual variability, instrument modifications and record-keeping) and contextual (community, environmental, security and civil perturbations) challenges that impact longitudinal studies in post-conflict societies. By describing the challenges …

A Retrospective Data Analysis Of Factors Contributing To Surgical Patients Not Achieving Normothermia, Joseph P. O'Rourke Jr, Megan Casselberry

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Postoperative hypothermia, defined as a core temperature below 36°C, is a prevalent and underrecognized complication in surgical settings, contributing to increased patient morbidity, prolonged recovery, and higher healthcare costs. This program evaluation project aimed to identify and address factors contributing to intraoperative and postoperative hypothermia by retrospectively analyzing patient records from a local hospital’s EPIC electronic health record system. Guided by the Iowa Model of Evidence-Based Practice and the W.K. Kellogg Foundation Program Evaluation Model, the project systematically reviewed perioperative temperature management protocols and warming interventions across diverse surgical specialties. Data extraction and analysis focused on patient demographics, procedural variables, …

Direct And Indirect Associations Of Childhood Adversities With Functional Impairment And Life Stress Among Military Personnel, Laura Campbell-Sills, Emily R. Edwards, Sam D. Strizver, Karmel W. Choi, Jason D. Kautz, Santiago Papini, James A. Naifeh, Pablo A. Aliaga, Paul B. Lester, Ronald C. Kessler, Robert J. Ursano, Murray B. Stein, Paul D. Biese

Faculty Publications

Background

Adverse childhood experiences (ACEs) are associated with physical and mental health difficulties in adulthood. This study examines the associations of ACEs with functional impairment and life stress among military personnel, a population disproportionately affected by ACEs. We also evaluate the extent to which the associations of ACEs with functional outcomes are mediated through internalizing and externalizing disorders.

Methods

The sample included 4,666 STARRS Longitudinal Study (STARRS-LS) participants who provided information about ACEs upon enlistment in the US Army (2011–2012). Mental disorders were assessed in wave 1 (LS1; 2016–2018), and functional impairment and life stress were evaluated in wave 2 …

Potential Of Institutional Zakāh Management In Socio-Economic Development Of Bangladesh, Md. Muhibur Rahman

Journal of King Abdulaziz University: Islamic Economics

This article presents a comprehensive analysis of the potential of Bangladesh's institutionalized Zakāh system in driving socio-economic advancement. The research meticulously evaluates the impact of the Zakāh fund, managed by both institutional and non-institutional entities, in providing substantial financial capital and income-generating assets. It aims to draw a clear comparison between the two systems, highlighting the institutional model's ability to ensure long-term self-sufficiency, income generation, employment opportunities, and support for training and scholarships. This study employs a descriptive-analytical strategy to facilitate these comparisons. The data for the current study were obtained through comprehensive field research. A total of 385 individuals …

Islamic Finance Performance During Crises: A Bibliometric Mapping And A Systematic Literature Review, Amel Farhat, Amal Hili, Ibtissem Gannoun

Journal of King Abdulaziz University: Islamic Economics

This study assesses the claim that Islamic finance, with its risk-sharing, low levels of indebtedness, and asset-backed characteristics, offers a viable alternative to conventional finance during crises. Through bibliometric mapping and a systematic literature review, we explore the performance of Islamic financial systems during various crises, including the recent COVID-19 pandemic. Using VOSviewer and RStudio, we analyze 555 articles from the Scopus database to identify prominent clusters in Islamic finance, particularly focusing on its resilience during crises. Our review provides theoretical evidence supporting the robustness of Islamic finance, highlighting its ethical features and its capability to safeguard investments during economic …

Evaluation Of Sustainability Reporting In Islamic Banks: The Case Of Albaraka Türk Participation Bank, Arzu Meriç

Journal of King Abdulaziz University: Islamic Economics

Sustainability refers to the capacity to meet the needs of both present and future generations. Given the serious dimensions of environmental destruction, sustainability is primarily associated with environmental concerns. Organizations that pursue sustainability goals usually disclose these goals to the public via sustainability reports. The objective of this study is to assess the compliance of sustainability reports published by Islamic banks in Türkiye within the framework outlined by the Capital Markets Board. The sample for this study consists of several sustainability reports published by Albaraka Türk Participation Bank in 2019, 2020, and 2021. These reports have been selected based on …

Community-Driven Stakeholder Engagement Strategies In Public Health Projects, Kelia N. Olughu

Harrisburg University Dissertations and Theses

Community-driven stakeholder engagement is vital for the success and sustainability of public health initiatives, yet its implementation is often hindered by significant challenges. This qualitative study explored the strategies, barriers, and lessons learned in stakeholder engagement within public health projects. Guided by Project Stakeholder Management from the PMBOK Guide and the Social-Ecological Model (SEM), this research conducted a thematic analysis of in-depth, semi-structured interviews with eleven public health professionals. The findings reveal that effective engagement strategies include early and continuous involvement, co-creation of solutions, and building on existing community trust. Key challenges identified were overcoming deep-seated community mistrust, navigating complex …

Women’S Empowerment And Household Decision-Making: The Role Of Socioeconomic Status In Indonesia, Irvel Christa Fabian, Rafa Fayza Afrizal

Jurnal Ekonomi Kependudukan dan Keluarga

Understanding how women's economic, educational, and social positions influence their roles and choices within households is crucial for promoting gender equality and sustainable development. Despite significant advancements in women's rights and gender equality globally, women in Indonesia continue to face substantial barriers in achieving true empowerment. These barriers are particularly evident in domestic settings, where traditional gender roles often persist, limiting women's influence in household decisions. This research aims to investigate the relationship between women's socioeconomic status and their empowerment in domestic decision-making, examining how various factors such as income, education, and employment status contribute to or hinder their ability …

Determinan Kesejahteraan Anak Usia Dini Dalam Keluarga Dengan Kepala Rumah Tangga Perempuan Di Indonesia, Axellina M. Setyanti, Wildan Syafitri

Jurnal Ekonomi Kependudukan dan Keluarga

This study analyzes the determinants of early childhood well-being in female-headed households in Indonesia using data from the 2022 National Socioeconomic Survey (SUSENAS), covering 85,074 households with children aged 0–5 years. Using binary logistic regression, the analysis focuses on four key indicators: complete immunization, food adequacy, access to improved sanitation, and access to safe drinking water. The results show that children in female-headed households are significantly less likely to receive adequate and diverse food as well as complete immunization, compared to those in male-headed households. However, these households are more likely to provide access to improved sanitation and safe drinking …

Kemiskinan Multidimensi Dan Ketahanan Pangan: Analisis Multilevel Di Kalimantan, Lina Agustina Pujiwati, Afriyanni Afriyanni, Dewi Harfina, Zainal Fatoni

Jurnal Ekonomi Kependudukan dan Keluarga

Food security is a crucial issue for sustainable development and is highly influenced by multidimensional poverty. This study measures food security and multidimensional poverty in Kalimantan Island, analyzes the determinants of household food security through a multilevel approach, and explores the influence of multidimensional poverty and regional context on food security. Data were obtained from the March 2022 National Socio-Economic Survey, comprising 33,201 households and integrated with district-level characteristics. Multidimensional poverty was measured using the Alkire-Foster method, while food security was measured based on energy consumption and the proportion of food expenditure. A multilevel ordinal logistic regression was employed to …

Side-Hustle Dalam Dinamika Kemiskinan Pekerja: Tinjauan Empiris Di Indonesia, Christiayu Natalia, Fx Gugus Febri Putranto

Jurnal Ekonomi Kependudukan dan Keluarga

Working poverty remains a persistent issue in Indonesia. The high prevalence of working poor underscores the urgent need for effective poverty alleviation efforts. This study analyzes the relationship between side hustles, excessive working hours, and working poverty in Indonesia. Utilizing microdata from the March 2023 Susenas and applying binary logistic regression, the study assesses the effect of side hustle status and excessive working hours on the likelihood of being categorized as working poor, based on the international working poverty line. The results indicate that engaging in a side hustle without excessive hours actually increases the risk of working poverty, while …

Unpaid Parental Caregiving And Employment Status In Indonesia, Christopher Willy, Rafa Fayza Afrizal, Irvel Christa Fabian, Muhammad Farras Samith

Jurnal Ekonomi Kependudukan dan Keluarga

This study examines the impact of unpaid parental caregiving on employment status and formal sector employment opportunities in Indonesia, using panel data from the 2007 and 2014 waves of the Indonesia Family Life Survey (IFLS). Propensity Score Matching (PSM) was applied to mitigate selection bias and estimate the Average Treatment effect on the Treated (ATT) for three caregiver categories: temporary, recent, and continuous. Results indicate that, after controlling for baseline characteristics, none of the caregiver categories significantly affected the probability of being employed or employed in the formal sector in 2014. The findings suggest that caregiving practices in Indonesia generally …

Effectiveness And Safety Of Abobotulinumtoxina In Pediatric Lower Limb Spasticity: A Phase Iv, Prospective, Observational, Multicenter Study, Mark E. Gormley, Edward Dabrowski, Mauricio R. Delgado, Ann Tilton, Asare Christian, Sarah Helen Evans, Anne-Sophie Grandoulier, Jumaah Goldberg

School of Medicine Faculty Publications

Aim: To assess the longitudinal attainment of patient-centered, function-related Goal Attainment Scaling Total (GAS T)-score after repeated abobotulinumtoxinA (AboBoNT-A) injections over a period of up to 30 months and up to 10 cycles. Method: In this prospective observational study, the investigators' clinical practices recruited patients aged 2 to 17 years with pediatric lower limb spasticity (PLLS). GAS T-scores were assessed for each injection, and goals could be redefined at each visit; scores of 50 reflected goal achievement. Adverse events were recorded. Results: Of 210 patients in the effectiveness population, 171 had cerebral palsy and 163 were previously treated with a …

Community-Based Intervention For Type 2 Diabetes Management In Developing Countries: A Systematic Review, Lutfian Lutfian, Izdihar Javier Wardika, Aufa Azizah, Fahmi Wildana, Yusti Muzdalifa Taplo, Riki Wartakusumah

Jurnal Keperawatan Indonesia

Type 2 Diabetes Mellitus (T2DM) poses a significant public health challenge, especially in developing countries with limited healthcare resources. There is a critical need for community-based interventions (CBIs) to promote healthy lifestyles for individuals with T2DM. This study explores CBIs to improve health behavior among T2DM patients in developing countries. It systematically reviews articles from PubMed, Scopus, CENTRAL, and CINAHL databases. The search strategy employed specific keywords following the PRISMA Extension for Systematic Reviews. The quality of the included articles was appraised using the Joanna Briggs Institute (JBI). A narrative synthesis summarized the key findings across the selected articles. The …

Assessing Effectiveness Of Runnel Restoration In New England Salt Marsh Habitats, David M. Burdick, Grant Mckown, Gregg Moore, Jenny Gibson, Wenley Ferguson, John Herbert, Nancy Pau, Susan Adamowicz, Geoff Wilson

Faculty Publications

Rising sea levels that increase flooding in salt marshes recovering from hydrologic impairments is reducing nesting habitat for salt marsh sparrows. Abandonment of colonial farming practices (1600s through 1900s) has resulted in large, waterlogged basins characterized by shallow depressions (pannes) dominated by short-form Spartina alterniflora and unvegetated megapools that are subsiding. A relatively new technique designed to provide regular tidal flooding and drainage to the waterlogged basins that have formed on the marsh is runnelling – creation of shallow hydrologic features on the marsh surface. Will runnels result in revegetation of pannes and pools with productive perennial grasses that are …

From Disappointment To Predominance: Medicare Advantage's Ascendancy And Transformation Of Medicare, Rick Mayes, Micah Johnson

Health Studies Faculty Publications

From 2004 to 2024, Medicare Advantage (MA) went from being a “policy disappointment,” covering 12% of all Medicare beneficiaries, to predominance, covering more than one-half (52%), with more growth predicted in the future. Drawing on an extensive review and synthesis of the literature, Medicare Payment Advisory Commission (MedPAC) reports, congressional committee hearings, and Centers for Medicare and Medicaid Services (CMS) data, this paper analyzes the evolution of Medicare and managed care in three parts. First, it briefly traces the early efforts to build an integrated managed care option to the traditional, fragmented fee-for-service Medicare program and highlights four key changes …

Becoming Culturally Responsive: Cultivating Reflexive Ethics And Inclusive Practices In Qualitative Research, Tito Dimas Atmawijaya

The Qualitative Report

Maria K. E. Lahman's An Introduction to Qualitative Research: Becoming Culturally Responsive (2025) offers a compelling framework for conducting qualitative inquiry with cultural humility, reflexivity, and ethical rigor. This review examines how Lahman interweaves theory and practice across three parts—foundations, data collection, and making the most of qualitative data—to guide researchers toward inclusive, justice-oriented scholarship. By analyzing the book’s structure, key themes, and pedagogical features, this review highlights its transformative potential for scholars, students, and practitioners committed to meaningful, culturally responsive research.

Strengthening Qualitative Research With Visualization: A Review Of Visual Displays In Qualitative And Mixed Method Research: A Comprehensive Guide, Dian Permatasari

The Qualitative Report

Visual Displays in Qualitative and Mixed Method Research: A Comprehensive Guide by Elizabeth G. Creamer (2025) offers a new perspective on the use of visualization to enhance qualitative and mixed methods research. This review examines the book’s content, which includes a variety of examples of visual displays (tables, diagrams, models) at various stages of research, from study design to reporting results. The book demonstrates how visual displays can be used not only to report results but also to enrich the research process from planning to analysis. With real-world examples from a variety of studies, the book is a valuable resource …

Virtual Screening Of Peptides That Can Prevent Insulin Aggregation, Thanh Tien Dao, Bidisha Sengupta, Steven Gwaltney

Research Experiences for Undergraduates in Computational Methods with Applications in Materials Science

Diabetes is a growing health concern, with almost 3% of the population of the United States using insulin injections to control blood sugar levels. Insulin is prone to aggregation during storage and injection. The toxic products of aggregation can cause an increase in the required dosage to achieve the desired therapeutic effect. The driving intermediate of aggregation is believed to be a partially folded insulin, derived from the insulin monomer. We hypothesize that stabilizing the insulin monomer with a peptide may prevent this unfolding process and subsequent aggregation. However, the space of all possible peptides is impossibly large to study …

Challenging Behavior In The Early Childhood Classroom, Ashley L. Hoag

Masters Projects

In early childhood classrooms, it is becoming increasingly common for students to exhibit challenging behaviors. These behaviors present as either internalizing behaviors, such as anxiety, or as externalizing behaviors, such as defiance and aggression. These behaviors are impacting student learning and contributing to an increase in teacher stress and burnout. Early childhood educators feel underprepared to address these behaviors effectively. The project is grounded in Behaviorist Theory and Constructivist Theory. These theories inform Positive Behavior Interventions and Supports (PBIS), which is an evidence-based approach to managing challenging behaviors by focusing on reinforcement, the structure of the environment, and building important …