Digital Commons Network^™

Fungal-Associated Deterioration Of Polythene Bags Collected From The Dumping Sites Of District Sialkot: A Preliminary Screening Study, Zarish Fatima, Brian Gagosh Nayyar, Ayesha Sarwar, Mah-E- Noor Abbas, Saira Fiaz, Wajiha Seerat

Journal of Bioresource Management

Polythene bags are highly inert plastic materials made from monomers of ethylene. Due to their durability, lightweight, and low-weight characteristics, polythene bags are in high demand among consumers and retailers worldwide. This widespread use of polythene bags has led to the generation of polythene waste in the environment. This study focused on the degradation of polythene bags through fungal strains in the desired region.  In this research, three identified fungal strains, namely Aspergillus niger, Aspergillus flavus, and Fusarium oxysporum, were screened using two synthetic media for degradation, such as the culture plate method (CPM) and Liquid media degradation (LMD). A …

Regenerating Publics - Developmental Inclusion: Neighborhood Opportunities And Public Realm Obstacles In Plymouth, Uk, Alessandro Aurigi

School of Art, Design and Architecture

The area around Union Street in Plymouth, UK, has been facing processes of decline. Key historical buildings sit empty, with deteriorating fabrics, epitomizing the socio-economic condition of the neighborhood. This paper explores perceptions of ‘inclusion’ in Union Street, and visions to improve it, through interviews with key stakeholders from community groups, the local authority, local businesses, landlords, local health organizations, visitors and designers. Whilst some local actors amplify inclusive processes - for example in the low-cost re-use of spaces to host micro, alternative businesses or community initiatives – these efforts clash with a general perception of a depleted and unsafe …

Early Insights On Delivering Pride In Place, Katharine Willis, Kasper De Graaf

School of Art, Design and Architecture

This paper presents early-stage insights from a research study commissioned by Key Cities (KC) and carried out by the Key Cities Innovation Network (KCIN) in partnership with the Centre for Place at the University of Plymouth. The study examines the implementation and early delivery of the Government’s flagship Pride in Place (PiP) Programme across a representative sample of Phase 1 and Phase 2 neighbourhoods within the Key Cities network.Findings are drawn from interviews with Members of Parliament and local authority representatives in six selected PiP neighbourhoods. At the time of writing, fieldwork in five of the six case-study areas has …

Extended-Phase Anticoagulation For Pediatric Venous Thromboembolism After Einstein Jr, Nathan Wilken, Jun Teruya

Faculty, Staff and Students Publications

No abstract provided.

Fgfr3::Tacc3 Fusion And Notch1 Loss-Of-Function In A Case Of Hpv-Associated Sinonasal Squamous Cell Carcinoma: Diagnostic Challenge And Implications For Targeted Therapy, Xu Cao, Hong Yu, Reham Hamdy Abdulazim Soliman, Pei Ying, Songlin Zhang, Li Liang

Faculty, Staff and Students Publications

Sinonasal squamous cell carcinoma (SNSCC) comprises a heterogeneous group of tumors with emerging molecular subtypes. Human papillomavirus (HPV)-associated SNSCC is a distinct entity, although actionable genomic alterations beyond HPV-driven pathways remain underexplored. Distinguishing HPV-associated SNSCC from carcinoma ex inverted papilloma can be particularly challenging in limited biopsy specimens, as these lesions may appear morphologically similar. We report a case of HPV-associated SNSCC with concurrent FGFR3::TACC3 fusion and NOTCH1 p.C1416 stop-gain mutation.

Oncocytic Intraductal Carcinoma Of The Parotid Gland With Strn::Alk Fusion, Reham H Soliman, Chris Shi, Kevin E Fisher, Hong Yu, Fouad El-Dana, Xu Cao, Li Liang, Pei Ying, Songlin Zhang

Faculty, Staff and Students Publications

Intraductal carcinoma (IDC) of the salivary gland is an uncommon epithelial neoplasm characterized by a predominantly intraductal or intracystic proliferation rimmed by a myoepithelial cell layer. Advances in molecular profiling have revealed recurrent gene fusions in IDC, most frequently involving RET, although fusions implicating other kinase genes have also been described. Among these, ALK rearrangements are rare and remain poorly characterized. Herein, we report a case of oncocytic IDC of the parotid gland harboring a STRN::ALK fusion, further expanding the molecular landscape of this tumor. Although this fusion has been previously reported in intercalated duct IDC, to our knowledge, this …

Leading Healthcare Improvement: An Implementation Strategy, Kelley Arredondo, Anthony Ecker, Lindsay Vaclavik, Jacquelene Shahin, Ashley Thompson, Molly Horstman, David Ramsey, Kyler M Godwin

Faculty, Staff and Students Publications

Introduction: Healthcare professionals often implement quality improvement (QI) initiatives but lack training to implement and sustain QI initiatives. Leading Healthcare Improvement (LHI) is a course that combines principles from change management, team science, and leadership effectiveness into an implementation strategy to enable clinicians to lead sustainable change.

Methods: LHI is a 6-session, 4-month interactive training. Learners work on an active QI project throughout the course. A Wilcoxon signed-rank test was conducted to evaluate pre- and post-course changes in learners' self-reported confidence across five QI competencies.

Results: Veterans Healthcare Administration clinicians and fellows completed the LHI pre- (n = 111) and …

Effect Of Androgen Receptor Polymorphism On Hypogonadism Severity And Efficacy Of Testosterone Replacement Therapy, Nelson W Mills, Beatriz S Hernandez, Peyton J Coady, Arnaav Walia, Gal Saffati, Daniela Orozco Rendon, Dalia Khera, Nadia Khera, Weitao Song, Mohit Khera

Faculty, Staff and Students Publications

Background: The preferred treatment for hypogonadism, testosterone replacement therapy (TRT), has a varying efficacy that is currently not fully understood. This observation may be explained by polymorphism of the androgen receptor (AR), a ligand-binding transcription factor whose polyglutamine tract length affects various health conditions and androgen sensitivity. It has been theorized that this polymorphism may also affect the severity of hypogonadism. This study sought to determine a correlation between hypogonadism severity, TRT efficacy, and number of CAG trinucleotide repeats in the AR gene.

Methods: One hundred sixty-two males presenting to a single institution with symptoms of hypogonadism were recruited for …

Attitudes Of Healthcare Staff Working In Older People’S Units Towards Urinary Catheter Care: An Evidence Implementation Project Report, Rashima Hamdan

South West Clinical School Journal

No abstract provided.

Caring For People Who Are At The End Of Their Life, Who Have Children: A Qualitative Study Of Community Nurses Lived Experiences, Catherine Bishop

South West Clinical School Journal

No abstract provided.

Artificial Intelligence In Academic Publishing: A South West Clinical School Journal Editorial, Holly Streeter

South West Clinical School Journal

No abstract provided.

Evaluating Patient Engagement And Experience With A Virtual Annual Review Pathway For Coeliac Disease: A Service Evaluation Project Proposal., Mike Persey

South West Clinical School Journal

No abstract provided.

Expiratory Muscle Strength Training After Total Laryngectomy: A People And Communities’ Consultation Report, Sarah Fletcher

South West Clinical School Journal

No abstract provided.

Identifying Patterns In Blood Transfusion Errors In Nhs Inpatient And Outpatient Specialist Haematology Areas: A Service Evaluation, Sarah Kneller, Jessica Mandizha

South West Clinical School Journal

No abstract provided.

Postoperative Wound Cleansing Practice In General Theatres: Compliance With Nice Ng125: A Clinical Audit, Andrei Niga

South West Clinical School Journal

No abstract provided.

Providing Education For Patients With Functional Neurological Disorder: Findings From A Literature Review, Ruth Stamp

South West Clinical School Journal

No abstract provided.

Referral Patterns To Physiotherapy Outpatient Services Following Withdrawal Of First Contact Physiotherapy: A Service Evaluation Project Proposal, Kadri Schoneich-Argent

South West Clinical School Journal

No abstract provided.

The Occupational Therapist’S Role In Child And Adolescent Mental Health Services, Sue Ritchie

South West Clinical School Journal

No abstract provided.

Cultural Heritage Management In Thailand: The Perspective From Regulation, Implementation, And Impediment Under Public-Private Partnership And Civil Society Participation, Ratchaphon Amsuk

Asia-Pacific Social Science Review

Following the new public management concept, public-private partnership has been instituted in the realm of public administration, transitioning the emphasis from primarily the public sector as the principal actor to encompass the private sector’s role in delivering public services. To enhance service inclusion, civil society has been incorporated as an additional social element to bolster public administration. This study aims to elucidate cultural heritage management in Thailand, focusing on regulations and action, including impediments through the public-private partnerships concept and the civil society concept. The qualitative approach included in-depth interviews and focus groups for data collection. The research revealed the …

From Metrics To Impact: Exploring Social Dimension Impact Within Employee Lens In Banking Sector, Meiwinda Mariana Sianturi, Marko S. Hermawan

Jurnal Akuntansi dan Keuangan Indonesia

Background: This study explores the integration of the social dimension of Environmental, Social, and Governance (ESG) principles within the banking sector, using the GRI 400 standards as a guiding framework. Method: Drawing on qualitative data from 18 employees at different levels ranging from outsourcing staff to Group Head level at one of Indonesian private bank. Findings: The findings reveal a clear gap between formal ESG metrics and employees’ real-life experiences. Employee awareness and perceptions differ notably by position, with higher level employees often showing greater responsiveness and a stronger intention to integrate sustainability into their daily work. Conversely, outsourced and …

Re: Conditional Approval Letter For The Final Revised Silver Bow Creek Conservation Area (Sbcca) Construction Quality Assurance Plan (Cqap) (Dated May 28, 2026) And The Final Silver Bow Creek Conservation Area (Sbcca) Construction Monitoring Quality Assurance Project Plan (Qapp) (Dated May 28, 2026), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Conditional Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Silver Bow Creek Conservation Area (Sbcca) Operations And Maintenance (O&M) Plan (Dated May 29, 2006), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Third Butte Rmap Biomonitoring (Phase 3) Report, Ramboll, Atlantic Richfield Company

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Sex-Based Differences In Clinical Outcomes Among Cardiogenic Shock Patients Treated With Mechanical Circulatory Support, Emmanuel Olumuyide, Ju Young Bae, Rongras Damrongwatanasuk, Ezaz Rahman, Barbara Malaga-Espinoza, Jiun-Ruey Hu, S. Elissa Altin

School of Medicine Publications

Despite advances in therapies, cardiogenic shock (CS) remains associated with high mortality rates, often necessitating mechanical circulatory support (MCS) to preserve end-organ perfusion. Despite increasing rates of MCS utilization, less is known about sex-related differences in clinical outcomes to guide practice. Additionally, standardized management protocols for CS patients requiring MCS that account for sex differences are lacking. In this study, we evaluate sex-specific outcomes in CS patients requiring MCS, examine patterns of MCS utilization by sex, and further stratify clinical outcomes by sex across the overall CS cohort, including the acute myocardial infarction-related CS (AMI-CS), acute heart failure-related CS (AHF-CS), …

Patterns And Determinants Of Measles Among Suspected Cases In Jakarta: Insight From Surveillance Data 2022-2024, Widya Inayah, Nurhayati Adnan Prihartono, Retno Henderiawati, Oktaviana Nugraheni, Dwi Gayatri

Jurnal Epidemiologi Kesehatan Indonesia

Measles remains a public health concern in Indonesia, including Jakarta, contributing to the country’s disease burden. Sustained transmission during 2022-2024, despite reported vaccination coverage above  90%, suggests the presence of vulnerable groups. This study aimed to describe patterns and identify factors associated with laboratory-confirmed measles in Jakarta during 2022-2024. A cross-sectional study was conducted using routine surveillance data from all individuals reported as suspected measles cases during the study period. Descriptive analysis summarizes the distribution, while multivariable analysis identifies associated factors. Of the 4,194 suspected cases of measles, 22.8% were laboratory-confirmed positive. Showed a fluctuating temporal pattern, increasing from 20.6 …

Activities Of Daily Living Limitations In Middle-Aged And Older Adults With Joint Disorders And Osteoporosis: Indonesia Longitudinal Aging Survey 2023, Desfalina Aryani, Mufti As Siddiq As Siddiq M. Irzal, Agustina Sianipar

Jurnal Epidemiologi Kesehatan Indonesia

Population ageing is associated with an increasing prevalence of limitations in activities of daily living. Joint disorders and osteoporosis are common health problems among older adults and may begin to emerge during middle age, potentially accelerating functional decline. However, studies examining the association between these conditions and limitations in activities of daily living in Indonesia remain limited. This study aimed to analyse the association between joint disorders and osteoporosis and limitations in activities of daily living among middle-aged and older adults in Indonesia. This study employed a cross-sectional design using data from the Indonesia Longitudinal Aging Survey (ILAS) 2023. The …

Determinants Of Hypertension Status Among Patients With Type 2 Diabetes Mellitus At Menteng Primary Health Center, 2024–2025, Ira Susanti Haryoso, Yudha Radityadana, Muthik Hanim Mufallahah, Lhuri Dwianti Rahmartani

Jurnal Epidemiologi Kesehatan Indonesia

Hypertension is a common comorbidity in patients with type 2 diabetes mellitus (T2DM) and substantially increases the risk of both macrovascular and microvascular complications. Data on the determinants of hypertension status among T2DM patients in primary healthcare settings remain limited. This study aimed to analyze the determinants of hypertension status in T2DM patients at Puskesmas Menteng during 2024–2025. This was an analytic observational study employing a cross-sectional design. Study subjects comprised T2DM patients registered and undergoing examinations at Puskesmas Menteng over the 2024– 2025 period. Data were extracted from electronic medical records, included age, sex, occupation, socioeconomic status, blood pressure, …

Associated Factors Of Quality Of Life In Hypertensive Patients: A Cross-Sectional Study In Riau Province, Indonesia, Dhimas Maybelliano, Rajunitrigo Rajunitrigo, Lita Lita, Abdurrahman Hamid, T Abdur Rasyid

Jurnal Epidemiologi Kesehatan Indonesia

Hypertension is a chronic condition that adversely affects quality of life (QoL). Identifying factors associated with QoL is essential for improving hypertension management. This study aimed to identify factors associated with QoL among hypertensive patients in Riau Province, Indonesia. A cross-sectional study was conducted from December 2024 to January 2025 at two public health centers in Riau Province: Puskesmas Rejosari in Pekanbaru City and Puskesmas Bagansiapi-api in Rokan Hilir Regency. A total of 150 hypertensive patients aged 25-59 years were enrolled. QoL was assessed using the WHOQOL-BREF questionnaire. Independent variables included sociodemographic characteristics, comorbidities, dietary patterns, and physical activity. Data …

Association Of Household Economic Status And Birth Order With Stunting Among Children Aged 24-35 Months: Malawi Mics 2019–20, Sibongire B. Ngoma, Asri C. Adisasmita, Renti Mahkota, Septyana Choirunisa, Melisa Nyamukondiwa

Jurnal Epidemiologi Kesehatan Indonesia

Stunting remains a major public health concern in Malawi, with a national prevalence of 35.5% among children under five. However, evidence on the independent and combined effects of household economic status and birth order on stunting among Malawian children aged 24-35 months remains limited. This study aimed to examine the independent and combined association of household economic status and birth order with stunting among children aged 24-35 months in Malawi. A secondary data analysis of a cross-sectional 2019-20 Malawi Multiple Indicator Cluster Survey (MICS) was conducted, and the final sample comprised 2,764 children aged 24-35 months with complete data. Stunting …

Urban-Rural Differences In The Association Between Physical Activity And Overweight/Obesity Among Indonesian Adolescents: A Cross-Sectional Study, Wahyu Wulandari, Mufti As Siddiq M. Irzal, Lady Farah Fatmawati

Jurnal Epidemiologi Kesehatan Indonesia

Adolescent overweight/obesity is an increasing public health concern and contributes to the risk of non-communicable diseases later in life. Physical activity plays an important role in weight regulation. However, its association with overweight/obesity may vary according to residential setting. This study aimed to examine the association between physical activity and overweight/obesity among adolescents living in rural and urban areas of Indonesia. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey. The study included 115,372 adolescents aged 10–18 years. Physical activity was classified based on total Metabolic Equivalent of Task (MET)-minutes per week (≥600 MET-minutes/week), while nutritional …