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Cover for Volume 6 Issue 4 of the HCA Healthcare Journal of Medicine.

The Role Of Digital Media In Enhancing The Cultural And Civilizational Value Of Camels In The Kingdom Of Saudi Arabia: "The Year Of Camels 2024 As A Model", Mohamad Jebreel Alzilaei

Journal of King Abdulaziz University: Arts and Humanities

This study aimed to explore the role of digital media in enhancing the cultural and civilizational value of camels in the Kingdom of Saudi Arabia, using the "Year of the Camel 2024" as a case study within the framework of the theory of media richness. The study falls under the descriptive research category and employs an applied methodology. It utilized a survey conducted on a sample of executive master's students in digital media at King Abdulaziz University. Additionally, content analysis was performed on the content related to the Year of the Camel 2024 from December 17, 2023, to January 16, …

Methodological Insights From Evaluating A Family Member's Voice Reorientation Programme: An Interpretive Descriptive Approach., Johnson U. Gideon, Towell-Barnard Amanda, Mclean Christopher, Robert Glenn, Ewens Beverley

Research outputs 2022 to 2026

Background: Delirium is a prevalent acute brain dysfunction in patients within intensive care units. Delirium is marked by a fluctuating mental state, inattention, and altered consciousness. This condition affects a substantial proportion of patients in intensive care units, and which leads to increased mortality, severe physiological and psychological consequences, and a significant economic burden on healthcare systems. Despite the evidence that supports the use of non-pharmacological interventions to prevent or minimise the impact of delirium such as orientation, sensory stimulation, early mobilisation, and family involvement, their implementation in intensive care units remains inconsistent. The involvement of family members in the …

Patient Education On Conversion From Oral Art/Prep To Long-Acting Injectable (Lai) To Improve Patient Treatment Adherence, Marnel Reina Mae M. Hernandez

Doctor of Nursing Practice Final Manuscripts

Patient Education on conversion from oral ART/PrEP to Long-Acting Injectable (LAI) improves patient adherence.

Marnel Reina Mae Hernandez, MSN, RN

Joseph, F. Burkard, DNSc, CRNA, EBP-C

Background: Long-acting injectables (LAI) have been shown to be equally effective in viral load suppression. Implementing nurse led educational interventions in the use of oral treatment to LAI will address if LAI prescriptions can improve adherence and patient retention. Despite the availability of LAI for ART (antiretroviral treatment) and PrEP (pre-exposure prophylaxis for HIV) patients continue to have a low appointment adherence which can impact adherence and overall viral detectability. LAIs will continue to …

Risk Factors Of Acute Gastroenteritis And The Implementation Of Community-Based Total Sanitation In Banyuwangi, Indonesia: A Cross-Sectional Study, Citra Al Karina, Juniastuti Juniastuti, Budi Utomo, I Made Dwi Mertha Adnyana

Makara Journal of Health Research

Background: In Banyuwangi Regency, Indonesia, diarrhea remains a major health problem, even though the community-based total sanitation (CBTS) program has been implemented for ten years. This household survey study aimed to identify the risk factors of acute gastroenteritis (AGE) and to evaluate the implementation of CBTS in Banyuwangi Regency.

Methods: A cross-sectional study was conducted in Banyuwangi Regency. Characteristic data from patients with AGE were collected from the two primary healthcare working areas, followed by collecting data of their family members and CBTS in their houses. Data were obtained through interviews and direct observation. The CBTS evaluation results …

A Study On Nutritional Status Among Regular Gym Goers In And Around Chennai, India, Ettiyappan Thirumurugan, Kalpana Devi Venkatesan, Pavithra Tamilmani, Devika Preetha, Joyce Albert Princy Mariya Selvanathan, Dhanyasree Mohandas, Ameer Basha Sathik, Santhosh Kumar Manjunathan, Ashika Kannadhas Sheeba

Makara Journal of Health Research

Background: The increasing sales of sports supplements indicate a concerning trend, as many gym-goers may misuse these products owing to misinformation and insufficient knowledge, potentially impacting their performance. This issue is further compounded by specific gym trainers who may lack comprehensive information and inadvertently influence their clients' choices. To address this concern, the present study evaluated dietary supplement practices and sports nutrition knowledge among regular gym-goers at fitness centers in Chennai, India.

Methods: A cross-sectional survey was conducted from November 2023 to May 2024 using a validated questionnaire distributed across Chennai, India. A total of 450 participants were …

Raising Provider Awareness Of Fluid Status In Women Undergoing Elective Cesarean Section Through The Use Of A Preoperative Checklist To Assess Fluid Status: A Quality Improvement Project, Marcus Miller, Michael Sorge

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Abstract

Maternal hypotension following neuraxial anesthesia during cesarean section is a common and potentially harmful complication. While vasopressors are often used for this issue, they carry risks to fetal well-being. Goal-directed fluid therapy (GDFT) provides an individualized approach that may improve outcomes by optimizing fluid status perioperatively. This quality improvement project aimed to increase provider awareness of fluid status through the implementation of a preoperative checklist that assessed fluid status in women undergoing cesarean section. A preoperative fluid assessment checklist was developed using evidence-based predictors of fluid status and integrated into anesthesia workflow. The project followed the Plan-Do-Study-Act cycle and …

Bridging The Gap: Harnessing Emerging Technology To Narrow The Academic Achievement Gaps Of Minority Students, Dionne Williams, Terence Vinson, Kristi Young, Danielle Williams, James R. Mixon

The Journal of the Research Association of Minority Professors

The academic achievement gap of Black, Hispanic, and Native American students has historically lagged as it relates to Caucasian students. This work defines academic achievement as standardized test scores, graduation rates, and college completion rates. The persistent educational disparities faced by minority students remain a significant challenge for school systems. The integration of technology offers a promising solution to help narrow these academic achievement gaps and provide equitable learning opportunities. Technology offers educators the ability to utilize self-paced instructional programming, ensuring that the educational needs and deficiencies of minority students are addressed. This work explores how innovative technological tools, ranging …

Transforming Education Through The Cohort Model In Graduate Schools Of Education, Kristi Young, James R. Mixon, Dionne Williams, Danielle Williams

The Journal of the Research Association of Minority Professors

The cohort model has emerged as a transformative approach in graduate schools of education for fostering a collaborative learning environment, providing professional networking opportunities, increasing community, and fostering a sense of belonging. This analysis is framed within Mead, Vygotsky’s, and Wenger’s theoretical framework on the interconnectedness of social interaction and cognitive development. Increased engagement, learning opportunities, promoting student success, enhanced leadership development, and improved program components are noted benefits of utilizing the cohort model in graduate schools of education. These authors noted some challenges to the cohort model, such as group dynamics and cohesion, diversity and inclusion, rigid structure, pressure …

Initial Coin Offerings As An Alternative Method For Raising Capital: Legal Considerations And Regulatory Solutions In Indonesia, Juwita Patty Pasaribu, Febby Mutiara Nelson, Topo Santoso, Fransiska Ari

Indonesia Law Review

Blockchain technology has been used in various sectors, notably in facilitating crypto asset transactions, specifically for processing an Initial Coin Offering (ICO) or token sales that were first introduced in 2013. In Indonesia, it can be observed that there are several legal issues in the execution that expose them to potential misuse in the ICO transaction, leading to criminal activities. Additionally, Indonesia was ranked as the second-highest country in the world to experience crypto asset fraud schemes in 2019. To address legal issues related to ICO, this study aims to provide a comprehensive legal assessment of ICO as a modern …

Optimizing The Role Of Notaries In Digital Property Inheritance: A Comparative Legal Analysis, Tjhong Sendrawan, Rosa Agustina, Edmon Makarim, Arman Nefi, Josephine Rus Indra Sapti Ipfelkofer

Indonesia Law Review

One of the provisions in inheritance laws regarding the transfer of digital property after someone's death is a relatively new and evolving area of legal consideration. Inheritance laws were developed long before the widespread adoption of digital property, such as cryptocurrencies, non-fungible tokens (NFTs), online accounts, and other forms of digital property. As a result, existing inheritance laws often lack clear guidance on how to control the legal transfer of these digital assets upon the owner's death. This article aims to analyze the legal concept of digital property to be inherited and to provide solutions for current digital property inheritance …

Molding Leominster's Plastics Industry: The Impact Of Italian Immigrant Labor, Kimberly M. King

Graduate Masters Theses

This thesis examines the centrality of Italian immigrant labor in launching Leominster, Massachusetts’ transformative plastics industry. The study traces the arc of the immigrants’ stories from their arrival at the turn of the twentieth century, when their unskilled labor helped Leominster transition from artisan comb production to industrial celluloid manufacturing, to their rise as new technical experts and company owners in the 1940s. They endured hazardous work conditions and social marginalization to create better lives for themselves and their families.

Ultimately, their efforts were critical to the expansion and global recognition of Leominster’s plastics industry. Yet the role of immigrant …

Choked: How Decades Of Failures To Address Air Pollution And Housing Shortages Exacerbated Mortality In Pittsburgh During The Influenza Pandemic Of 1918, Virginia Montanez

Graduate Masters Theses

Pittsburgh experienced the highest death rate of all major U.S. cities during the 1918 H1N1 influenza pandemic. This record mortality was not due to inadequate, absent, or ignored nonpharmaceutical interventions and mandates. Instead, for decades prior, city officials prioritized industry at the expense of the collective health of the laboring class. They were especially egregious in permitting industrial smoke pollution and overcrowded housing to persist in immigrant-heavy working-class wards, leaving residents susceptible to respiratory disease incidence and mortality. As a result, Pittsburgh’s annual influenza and pneumonia death rates were drastically the worst in the nation to such an extent that …

Sugar: A Sequence Unfolding Based Transformer Model For Group Activity Recognition, Yash U. Gondkar

Graduate Masters Theses

Large Language Models have improved significantly in the past couple of years due to the adoption of transformers. However, transformers still find it challenging to process videos due to limited context size caused by their quadratic computing cost. Therefore, we studied a booming field in machine learning which powers applications like social scene analysis and video surveillance systems called Group Activity Recognition (GAR). We found that recent models were able to achieve more than 90% accuracy on popular datasets like the Volleyball dataset, however, it turned out that even they relied on transformers.

Therefore, in this work, we developed a …

Assessing Stages Of Objective Memory Impairment And Neuroimaging As Risk Factors Of Incident Cognitive Impairment, Kellen K Petersen, Ali Ezzati, Bhargav T Nallapu, Richard B Lipton, Reisa A Sperling, Kathryn V Papp, Dorene M Rentz, Keith A Johnson, Ellen Grober

2020-Current year OA Pubs

OBJECTIVE: The Stages of Objective Memory Impairment (SOMI) system, based on the Free and Cued Selective Reminding Test (FCSRT), is a potential marker of subtle cognitive impairment in cognitively normal persons defined by a Clinical Dementia Rating (CDR) = 0. We investigated SOMI's ability to predict incident cognitive impairment (CDR >0) in combination with demographic features and neuroimaging biomarkers.

METHODS: Cognitively unimpaired participants (CDR = 0) from the Harvard Aging Brain Study had baseline FCSRT scores, MRI, FDG-PET, and PiB-PET as well as follow-up CDRs for 5 years. Cox proportional hazards models with correction for multiple testing assessed the predictive …

Valoración De La Composición Corporal, Por Antropometría, En Atleta Paralímpico, Eliana Patricia Cuellar Carvajal, Juan Sebastián Torres Quijano

Ciencias del Deporte y la Educación Física

La evaluación de la composición corporal es de suma importancia en la preparación del paratleta, pues se ha convertido en un aspecto de interés, gracias a las investigaciones en las ciencias del deporte. Es posible determinar un perfil de la composición corporal para una modalidad deportiva, que contribuya al éxito competitivo y es importante considerar el impacto y tipo de discapacidad en el deportista, a fin de garantizar un asesoramiento en el paratleta que oriente de modo adecuado su plan de entrenamiento deportivo que genere un impacto positivo en su rendimiento.

The Effect Of Maternal Diet On Neonatal Jaundice: A Case-Control Study, Marzieh Mahdipoor, Alireza J. Motlagh, Hamid S. Baghbanan, Mahmood Bakhtiyari, Zohreh Khodaii, Sara E. Saeieh

Sultan Qaboos University Medical Journal

Objectives: This study aims to investigate the influence of dietary heat intensity in maternal diets on the incidence of neonatal jaundice. Specifically, we examine whether maternal consumption of "dietary heat intensity" foods affects neonatal bilirubin levels, while controlling for potential demographic and obstetric confounding factors. Methods: This retrospective case-control study was conducted between October 2023 and September 2024. The study population consisted of mothers and their newborns attending healthcare centers in Alborz Province, Iran. Based on predefined inclusion and exclusion criteria, 152 newborns were enrolled, comprising 75 non-jaundiced and 77 jaundiced infants. Data were collected using an information-gathering form and …

Managing Crowdfunding Risks In Terrorism Financing: A Mediated Analysis Of Government Intervention And Donation Intentions, Fithriadi Muslim, Eva Achjani Zulfa, Muhamad Syauqillah

Indonesia Law Review

Crowdfunding has emerged as a popular platform for collective funding of social, charitable, and commercial projects. However, its increasing use has raised concerns over potential misuse, including as a source of terrorism financing. This study investigates the relationship between donation intentions using crowdfunding and the risk of crowdfunding being used as a source of terrorism financing. Furthermore, it explores the mediating role of government intervention in this relationship. Using a Structural Equation Modeling-Partial Least Squares (SEM-PLS) second-order approach, the research evaluates the interaction between donor intentions, crowdfunding risks, and government regulations. Findings reveal that while donor intentions significantly impact the …

Legal Perspectives On Information Asymmetry In Investor Selection For Public-Private Partnership Projects Under O&M Contract, Nhu Thi Thuy Cao, An Quoc Chau, Sang Minh Luu, Thao Minh Phuong Ngo, Ha Loc Pham, Anh Phuong Nguyen

Indonesia Law Review

Information asymmetry is a common barrier in selecting investors in the form of Public-Private Partnerships (PPPs), especially in the Operation and Maintenance (O&M) contracts. This issue arises from the natural information advantage of the construction contractor and the incumbent investor in construction and operation. Although it does not stem from misconduct, such asymmetry still affects competitiveness and selection efficiency. The article analyzes the causes and legal consequences of this phenomenon through a comparative review of Vietnamese and Canadian legal frameworks while also assessing selected projects. The research methodology includes theoretical analysis, legal comparison, and a review of practical literature. The …

Counterterrorism Legislation And Its Impacts On Human Rights In Malaysia, Noor Maarof Bin Idris, Ying Hooi Khoo

Indonesia Law Review

In the aftermath of 11 September 2001, terrorism overshadowed other global security concerns. Since then, there has been significant growth in security and counterterrorism legislation and policies worldwide. The United Nations Security Council (UNSC) Resolution 1373 (2001) and 1456 (2003) authorized states to implement national legislative measures to combat terrorism while emphasizing the promotion and protection of human rights and the rule of law. In Malaysia, counterterrorism efforts have been reinforced through the Security Offences (Special Measures) Act 2012 (SOSMA), the Prevention of Crime Act 1959 (POCA) (as amended in 2015), and the Prevention of Terrorism Act 2015 (POTA). This …

Newsletter, Summer 2025, Cedar Oaks Guild

Cedar Oaks Guild Newsletter

No abstract provided.

Implementation Of An Epidural Catheter Assessment Tool To Reduce The Risk Of Racial And Ethnic Disparities Associated With The Conversion To General Anesthesia In Cesarean Deliveries: A Quality Improvement Project, Marjani A. Saunders, Tyler-Nicole Pannell

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Neuraxial anesthesia has significantly reduced anesthesia-related maternal morbidity during the peri-partum period. Despite these advancements, racial disparities persist in obstetric anesthesia care and Black women continue to experience disproportionately higher rates of general anesthesia (GA) for cesarean delivery when compared to non-Hispanic White patients. This quality improvement (QI) project sought to decrease the conversion from epidural anesthesia to GA for cesarean sections in laboring women by creating an epidural catheter assessment tool. The epidural catheter assessment tool provided uniform assessment and documentation of labor epidurals by anesthesia providers to reduce the use of general anesthesia for unplanned cesarean section deliveries. …

Enhancing Patient Outcomes: Developing A Comprehensive Database For Tracking Post- Dural Puncture Headache Incidence And Contributing Factors, Meredith B. Auge, Brittany Bogonovich

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Post-dural puncture headache (PDPH) is a debilitating complication following labor analgesia, often resulting from unintentional dural puncture (UDP). While national incidence is approximately 1.5%, institutional rates may vary due to provider experience, documentation practices, and patient factors. This Doctor of Nurse Anesthesia Practice (DNAP) quality improvement project aimed to improve identification and monitoring of UDP and PDPH through a revised tracking tool, retrospective review of 2024 data, and planning for an electronic registry. A multidisciplinary team of anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs), Student Registered Nurse Anesthetists (SRNAs), and IT and quality specialists revised an existing tracking tool to better …

"Improved Obstetric Hemorrhage Care Through Toolkit Revision: A Quality Improvement Project", Amber M. Woodring, Samantha Kalkstein

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Obstetric hemorrhage (OBH) remains a leading cause of preventable maternal morbidity and mortality in the United States. Accurate risk identification is critical for initiating timely interventions; however, current risk assessment practices vary significantly. This quality improvement (QI) project aimed to implement the California Maternal Quality Care Collaborative (CMQCC) OBH Risk Assessment Tool on the labor and delivery (L&D) unit of a community-based hospital to standardize risk stratification and improve interdisciplinary communication. Guided by the Johns Hopkins Nursing Evidence-Based Practice model, the project involved a gap analysis, staff education, and the introduction of a paper-based CMQCC tool formatted for visibility and …

Quality Improvement Initiative For Emergency Cesarean Delivery: Implementation Of Rapid Sequence Spinal Anesthesia, Hunter L. Baselj, Joseph A. Gabster

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Abstract

Background: General anesthesia (GA) for emergency cesarean sections (EmCS) poses potential risks Rapid Sequence Spinal Anesthesia (RSSA) offers a promising alternative that preserves benefits of neuraxial anesthesia while accommodating the urgency of EmCS. This quality improvement (QI) project aimed to implement and evaluate the use of RSSA at a teaching hospital, utilizing a decision-tree tool to enhance clinical efficiency and assess provider perceptions regarding its impact on airway complications and post-operative pain outcomes. Methods: A RSSA decision-making chart was developed and introduced to anesthesia providers at a teaching hospital. A total of 16 providers, including CRNAs, SRNAs, and anesthesiologists, …

Utilizing Simulation Training To Understand Maternal Cardiac Arrest Precipitated By Amniotic Fluid Embolism: A Quality Improvement Project, Erica L. Wright, Megan L. Tiernan, Michael W. Neft, Paige Spagiare, Erica Coffin

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Background and Problem: Maternal cardiac arrest precipitated by amniotic fluid embolism is among the leading direct causes of death among laboring women (Enomoto et al., 2022). Because it presents suddenly without any immediate apparent cause and lacks specific diagnostic tests, frontline obstetric caregivers must be vigilant, competent, and prepared to handle this potentially catastrophic emergency. Coordination among multiple disciplines is paramount since two lives, not just one, are at risk. Unfortunately, the rarity of maternal cardiac arrest significantly limits opportunities for staff to learn how to identify and manage these events successfully. Method: This quality improvement project established a simulation-based …

Improved Obstetric Hemorrhage Care Through Toolkit Revision: A Quality Improvement Project, Samantha Kalkstein, Amber Woodring

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Obstetric hemorrhage (OBH) remains a leading cause of preventable maternal morbidity and mortality in the United States. Accurate risk identification is critical for initiating timely interventions; however, current risk assessment practices vary significantly. This quality improvement (QI) project aimed to implement the California Maternal Quality Care Collaborative (CMQCC) OBH Risk Assessment Tool on the labor and delivery (L&D) unit of a community-based hospital to standardize risk stratification and improve interdisciplinary communication. Guided by the Johns Hopkins Nursing Evidence-Based Practice model, the project involved a gap analysis, staff education, and the introduction of a paper-based CMQCC tool formatted for visibility and …

Native Spaces: The Struggle For Colleges To Incorporate Native Frameworks Into Curriculums, Eleanor A. Gelb

Honors Scholar Theses

Out of the thousands of universities in America, there are only thirty-seven Native American Serving Nontribal Institutions (NASNTIs), schools with ten percent or more of the total student population being of Native American descent. While many typical American colleges offer courses on Native American history for students with Native American studies majors and minors, the students involved in these programs are often taught through the lens of traditional schooling, which negates the full effectiveness of these classes. Native leaders across the country are pushing for Native frameworks to be adopted by universities so that past and contemporary Native histories may …

Optimizing Processes To Improve Relative Value Units For Healthcare Providers, Amalia Vaca

Master's Projects and Capstones

Problem: An outpatient epilepsy clinic receives reimbursement for services rendered based on three relative value units (RVUs). Nurse practitioners (NPs) in the clinic are not meeting their expected RVUs based on current productivity limitations.

Context: The clinic assessment revealed workflow gaps limiting NPs’ ability to increase productivity. The clinic is high-performing, and the staff worked collaboratively to improve the work RVUs. However, dissatisfaction can occur in other microsystems if collaboration breaks down.

Intervention: A microsystem assessment, NP interviews, and clinic template revisions were discussed with leadership and implemented.

Measures: Monthly productivity reports and pre- and post-intervention visit templates were collected …

Pipeline Vs. Choice: The Global Gender Gap In Stem Applications, Isaac Ahimbisibwe, Adam Altjmed, Georgy Artemov, Andres Barrios-Fernandez, Aspasia Bizopoulou, Martti Kaila, Jin-Tan Liu, Rigissa Megalokonomou, José Montalban, Christopher Neilson, Jintao Sun, Sebastian Otero, Xiaoyang Ye

Cowles Foundation Discussion Papers

Women account for only 35% of global STEM graduates, a share unchanged for a decade. We use administrative microdata from centralized university admissions in ten systems to deliver the first crossnational decomposition of the STEM gender gap into a pipeline gap (academic preparedness) and a choice gap (first-choice field conditional on eligibility). In deferred-acceptance platforms where eligibility is score-based, we isolate preferences from access. The pipeline gap varies widely, from -19 to +31 percentage points across education systems. By contrast, the choice gap is remarkably stable: high-scoring women are 25 percentage points less likely than men to rank STEM first.