Digital Commons Network^™

Treatment Trials - The Need For An End-Of-Life Policy, Mary Ellen Wurzbach

General Submissions: Nursing as Profession

Currently, there is an epidemic of elders in nursing homes with swallowing difficulties, Alzheimer's, and other maladies, which cause diminished decision-making capacity and initiate the discussion of whether to insert a gastrostomy tube. Furthermore, there is an overriding belief among health care practitioners that once inserted the tube will remain until the death of the resident.

The need for policy provisions related to treatment trials of gastrostomy tubes at the end-of-life is discussed. The arguments supporting and opposing treatment trials as applied to the individual and to the community are articulated and the benefits of such a policy discussed from …

Reducing Food Insecurity In Pediatric Patients And Families, Alexandra Yusah Cramer

General Submissions: Clinical Settings Materials

This pilot was designed to evaluate the feasibility of implementing food insecurity interventions on our pediatric general surgery and orthopedic inpatient unit.

Efficacy Of Aloe Vera Gel Topical Application On Radiation Induced Mucositis In Head And Neck Malignancy: A Double-Blind, Randomised Clinical Trial In Mumbai, India, Rita Lakhani, A. Y. Kshirsagar, Rupal Chedha

General Submissions: Clinical Settings Materials

One word that is even more daunting than the death itself and eats up a person from the inside is cancer. Head and neck malignancy (HNM) is a heterogeneous disease characterized by complex clinical and pathologic presentations. The treatment of HNM has undergone a gradual evolution over the past 3 decades, with an increased emphasis placed on organ preservation and multimodality management, including the use of radiotherapy (RT) and chemotherapy. RT approach, however, is associated with increasing rates of muco-toxicity that have been well documented in the context of numerous clinical trials in light of the radiation oncology literature and …

An Exercise In The Provision Of Care For An Adult Patient Under Investigation (Pui) For Ebola: A Patient Care Drill, Justin Mast, Julie Poore, Evelyn Stephenson, Alisha Harter, Debra Fawcett, Claire Roembke, Vicki Harden, Mary Kay Foster, Shawn Gibbs, Amy Voris, Melissa Mcmasters

General Submissions: Clinical Settings Materials

In October of 2014 Indianapolis found itself, like many communities, preparing for the unknown realities of providing care to a Patient under Investigation (PUI) for Ebola Virus Disease (EVD). A group of clinical experts from local facilities gathered to discuss clinical management, guidelines, challenges, and opportunities. Trainings and exercises with local EMS agencies had already begun within the community. But more in depth hospital exercises had not yet been conducted. The clinicians recommended developing an exercise specific to patient care areas where a PUI would be taken care of.

Preventing And Mitigating Nurse Fatigue In Health Care, Registered Nurses' Association Of Ontario

General Submissions: Clinical Settings Materials

This best practice guideline has been developed to identify and describe:

• practices that result in preventing and mitigating fatigue for nurses and other health-care professionals
• system resources that support practices to prevent fatigue
• organizational culture, values and resources that support effective practices to prevent fatigue
• personal resources that can be used to prevent or mitigate fatigue
• anticipated outcomes when fatigue is effectively managed

Culturally Competent Care At The End Of Life- A Hindu Perspective, Sujatha Shanmugasundaram, Margaret O'Connor, Ken Sellick

General Submissions: Clinical Settings Materials

Knowledge of particular cultural requirements is especially important in times of transition such as at the end of life, where issues of death and dying require great sensitivity to cultural and religious differences. Healthcare professionals need to understand different cultures and deliver care accordingly. This article explores the cultural aspects of end of life care among Hindus who live in places other than India and is based on a study of Hindus in Australia. The purpose of this study was to investigate the experience of families of terminally ill Indian patients. This article will explore aspects of the Hindu faith …

Wellness And Discrimination In Counselor Education, Brett K. Gleason, Madeline Clark, Lena Salpietro, Rachel Jacoby

Teaching and Supervision in Counseling

Wellness and diversity are cornerstones of professional counseling; however, both have received little attention in terms of counselor educators and their students. The results of a quantitative study (N = 301) explored the relationship between wellness and experiences of discrimination for counselor educators, doctoral students, and master’s counseling students. Researchers utilized the Five Factor Wellness Inventory, Everyday Discrimination Scale, and a demographic questionnaire to conduct both a hierarchical linear regression and a factorial ANOVA to answer research questions. Results of the study indicated that both perceived discrimination and identity factors significantly impact wellness levels for individuals within counselor education. Implications …

Removal Of Selenium Ions From Contaminated Aqueous Solutions By Adsorption Using Lemon Peels As A Non-Conventional Medium, Alanood A. Alsarayreh, Suha Anwer Ibrahim, Salem Jawad Alhamd, Thekra Atta Ibrahim, Mohammed Nsaif Abbas

Karbala International Journal of Modern Science

The disposal of heavy metals from various activities has become a pervasive issue. The investigation of sustain-able, low-cost adsorbents for the remediation of these hazardous pollutants has been widely disregarded. This research emphasizes the recovery of selenium ions from contaminated water using lemon peels as a cost-effective adsorbent. The adsorption was explored in a batch unit under various operational parameters, including initial selenium concentration (1-90 ppm), pH (1-11), agitation speed (100-500 rpm), adsorbent dose (0.4-5.5 g), contact time (5-180 minutes), and temperature (25-55 °C). The BET surface area of the lemon peels was found to be 27.86 m²/g before adsorption …

Exploring The Interconnectivity Between Soilless Substrate Hydraulic Properties And Plant Root Morphology, Kristopher S. Criscione

LSU Doctoral Dissertations

Horticultural container production heavily relies upon porous soilless substrates to mass produce specialty crops. Soilless substrates are responsible for continuously maintaining optimal water, mineral nutrients, and air balances to promote healthy root growth and support productive shoot yield (foliage or fruit). Increasing evidence of substrate research continues to highlight the strong relationships associated with root development and substrate physiochemical properties. Despite the importance of the root system for overall plant health, most horticultural research to-date has focused on shoot development. Research tends to report total root biomass as the primary root-growth metric; however, this results in several developmental features becoming …

The Rider (2024-10-28), Natalie Lapsley

The Rider Archives

Vol.10 No.10

Preparedness For Practice Of Health Professionals In Papua New Guinea: A Cross-Sectional Survey Of Nurses And Community Health Workers., Mary Kililo, Julie Dopsie, Sulpain Passingan, Julie Kep, Nina Joseph, Russel Kitau, Mary Roroi, Chris Rossiter, Jenny Sim, Di Brown, Caroline Havery, Ali Moloney, Michele Rumsey

Pacific Journal of Health

Introduction

Papua New Guinea (PNG) experiences widespread health inequity and shortage of health professionals, exacerbated by poverty, isolation, gender-based violence and limited infrastructure, transport and accessible services. Nurses and community health workers (CHW) represent 72% of health workforce. However, health professional education programs are outdated and not aligned with national health priorities. We aimed to explore the adequacy of current curricula for nurses and CHWs by examining graduate competencies and preparedness for practice.

Methods

Cross-sectional study with four cohorts: 1) 130 new nurse graduates, 2) 75 nurses who supervised them, 3) 105 new CHW graduates and 4) 65 CHW supervisors. …

Social Determinants Of Health And How They Affect A Small Rural Community (Case Study) Eastern Shore Of Maryland, Kristopher S. Durham, Lindsay Gietzen

Pacific Journal of Health

The Eastern Shore of Maryland is rural and is characterized by prevalent poverty, housing instability, lack of access to healthcare, chronic diseases, substance abuse, and issues with transportation to access healthcare services. The same problems exist for the population in Maryland and the United States. Understanding the challenges experienced by rural communities in Maryland is critical to addressing the vulnerable population. This study is an explanatory case study that examines the social determinants of health and how those affect small rural communities on the Eastern Shore of Maryland by examining literature published between 2016 and 2024. The literature reviewed resulted …

Assessing The Impact Of Dietary Supplements On Diabetic Quality Of Life: Insights From The Eq-5d Model, Inas Rifaat Ibrahim

Maaen Journal for Medical Sciences

The use of dietary supplements (DS) has been observed to be increasing among patients with diabetes. However, the effect of DS on health-related quality of life (HRQoL) is still an understudied area. This study aims to evaluate the prevalence of DS use among diabetic patients, their attitudes toward these supplements, and their effect on HRQoL. A cross-sectional study was conducted among diabetic patients attending an outpatient facility in Iraq. A validated survey instrument was used to collect data on DS use, attitudes, and HRQoL using EQ-5D measures. The study found that 73.8% of patients used DS, including omega-3 fatty acids, …

Iron Deficiency And Internalizing Symptoms Among Adolescents In The National Health And Nutrition Examination Survey, Dimitri Fiani, Solangia Engler, Yang Ni, Sherecce Fields, Chadi Calarge

Faculty, Staff and Students Publications

Background: Iron Deficiency (ID) affects two billion people worldwide, predominantly adolescent girls, and may be associated with increased psychopathology. The associations between ID and symptoms of depression and anxiety in adolescents were examined using data from the National Health and Nutrition Examination Survey (NHANES), a cross-sectional survey of a nationally representative sample of non-institutionalized Americans.

Methods: The current analysis included survey cycles where both iron-related markers and mental health-related outcomes were collected in adolescents 12 to 17 years old. Acute and serious medical conditions, acute inflammation, and abnormal birth weight led to exclusion. Linear multivariable regression analyses examined the association …

Advanced Statistical Analysis Of The Development Tendency Of Mortality From Malignant Neoplasms And The Lifestyle Of Patients Sick From Malignant Neoplasms In R. N. Macedonia, Ismail Ferati, Vlatko Tanevski, Jezair Idrizi, Durim Alia, Reyhana Luma

UBT International Conference

The primary goals of this research are: to determine the development tendency of mortality from malignant neoplasms in R. N. Macedonia and to determine the impact of diet and lifestyle on the appearance and development of malignant neoplasms. The analysis of the dynamics of mortality from malignant neoplasms in R.N. Macedonia used data obtained from the Institute for Public Health of R.N. Macedonia on the mortality rate from malignant neoplasms in 20102021. To determine the impact of diet and lifestyle on the appearance and development of malignant neoplasms, an online survey was conducted on 217 respondents diagnosed with cancer (201 …

Prevalence Of Bad Oral Habits And Their Effects On The Occlusion Of Children Aged 3-6 Years In Prishtina, Kosovo, Vesel Rrustemaj

UBT International Conference

Purpose: Bad oral habits are risk factors for the incidence of malocclusions. Diagnosing parafunctional and functional habits is crucial, as they can interfere with normal growth and development of the jaws, occlusion, and dental arches, leading to malocclusions. Investigating factors associated with malocclusions is essential for public health policies. This study aims to assess the prevalence of bad oral habits and malocclusions in the primary dentition of children aged 3-6 years in kindergartens in Prishtina, Kosovo, to provide an epidemiological reference for early interceptive and preventive policies. Methodology: A total of 655 Kosovar children (378 boys and 277 girls aged …

The Impact Of Price And Advertisement On Sales Enlighted Through The Coefficient Of The Multiple Regression Model For The Frozen Picas Factory, Ardian Uka, Erzana Uka

UBT International Conference

This study examines how different factors, with a particular focus on pricing and advertising expenditure, affect the demand for frozen picas. Pica sales, expressed in units per week, are the dependent variable in this analysis; the independent variables are price (in euros) and advertisement (in euros). In order to support a multivariate regression analysis, data were gathered over a period of 15 weeks. The percentage of the overall variance in pica sales that can be attributed to the pricing and advertising variables taken together was evaluated using the coefficient of multiple determination (R²). This study's analysis of the overall impact …

13th International Conference On Business, Technology And Innovation 2024, University For Business And Technology - Ubt

UBT International Conference

Welcome to IC – UBT 2024

UBT Annual International Conference is the 13th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development. The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make …

Evaluation Of Some Physics-Chemical Parameters Of Drinking Water In A School Institution, Sami Gashi, Vehebi Sofiu, Hyrie Turkilmaz, Fatlum Daҫaj

UBT International Conference

The supply of drinking water in the Prizren region still represents a challenge for local and central governments. The water provided by these sources is often unsuitable and unsafe because it is treated with simple sand filters and with a small concentration of chlorination. The purpose of this study is to evaluate the quality and safety of drinking water in a school institution and a total of three samples were taken. Water quality is an important tool to protect public health. The samples were subjected to laboratory analysis evaluating the physics-chemical parameters. And they were analyzed in the water testing …

The Comparison Of The Quality And Safety Of Peach Juice In Tetrapak Packaging And Glass Bottles, Verona Morina, Violeta Lajqi, Namik Durmishi

UBT International Conference

Seeing the importance of liquids in our daily diet, especially for children, because of the unique flavors and nutritional values, it is necessary to analyze the interest and safety of these liquids in different types of packaging. This study evaluates the impact of packaging type on the quality and safety of peach juice, comparing Glass bottles and Tetrapak cartons. Analysis of the peach juice revealed that glass bottles better preserve Vitamin C, total acidity, and Brix value, indicating superior nutrient retention and consistency in flavor compared to Tetrapak cartons. Additionally, glass bottles maintained a higher pH, suggesting more effective preservation …

The Importance Of Fruit, Vegetables And Dietary Fiber In Cardiovascular Diseases And Different Types Of Cancer And Their Consumption In The Municipality Of Pristina, Eglantina Kraja Bardhi, Butrint Mujku

UBT International Conference

Eating healthy should be the goal of every person. A diet rich in fruits, vegetables and dietary fiber is one of the foundations of any diet. Their consumption is recommended for their ability to reduce the risk of cardiovascular diseases as well as various types of cancer. The purpose of this study is to learn and examine the role of fruits, vegetables and dietary fiber in our health, the relationship between the consumption of these food groups in cardiovascular diseases, cancer and mortality. For the realization of this study, a questionnaire was used which focused on the residents of the …

Surveillance Of Milk Adulteration And Its Impact In Phys-Ico-Chemical Characteristics And Microbiological Quality In Kosovos Milk, Arta Demaj, Era Gavazi

UBT International Conference

The consumption of milk and dairy products has found significant applicability in our country and around the world, considering the high nutritional values of milk. However, the practice of milk adulteration has created a global concern. Milk adulteration is carried out with various chemicals that undoubtedly reduce the quality of milk and can negatively impact human health, leading to various diseases, including potentially fatal ones. Therefore, high care must be taken in selecting unadulterated milk. This study was conducted to gather detailed information on the adulteration of cow's milk by performing physical analyses such as density, freezing point, and acidity, …

Degration Of Food Nutrients From The Addition Of Water To Fresh Milk In Some Random Farms In Ferizaj And Gjilan Region, Medin Zeqiri, Valon Derguti, Fidan Feka, Xhavit Bytyçi, Mergim Mestani, Veton Haziri, Vezir Jonuzi, Ylli Bicoku

UBT International Conference

In Kosovo, milk production represents one of the main economic activities from agriculture for thousands of households. Recently, a disturbing practice that is damaging the quality of this vital product has been observed, namely the adulteration of milk by adding water to it, a practice used by some unscrupulous producers. This irresponsible practice not only damages the milk industry and producers, but also has an effect in the reduction of milk quality, especially in the chemical parameters of protein, fat and in the physical parameters of its density. In addition, the presence of adulterated milk in the consumer market undermines …

Morphological Characterization Of Characters Some Culti-Vars Plum In Albania Country, Tatjana Koka

UBT International Conference

Plums in our country are spread very early, they are very old, they have been spread since ancient times. According to the literature, the Pelaz-ges brought them to the Balkan peninsula 4000 years ago. Over the years, passionate people, farmers, farmers, later breeders, breeders, research, etc. have created new varieties of plums, some of them have the names of coun-tries and regions, such as Vlonjate plums, Tropojane plums, Elbasani double plums. Shengjinse plums, Gjatore plums, etc. There are varieties of plums that came from Macedonia, such as Vardare plums. Each plum name has its synonym according to the area where …

Consumption Of Energy Drinks And Their Impact On Children’S Health, Vlora Rama Demiri, Ornela Zhuniqi, Dua Kabashi, Leonita Thaqi, Neila Kadrija, Syhejla Myftiu, Venera Salihu

UBT International Conference

A new trend that has included children is the consumption of energy drinks. However, there is not much data on how much they and their parents are in-formed about the impact of energy drinks on their health. This study investi-gates the consumption of energy drinks and their impact on children's health through a comprehensive survey targeting parents. The research aims to assess parental awareness and knowledge regarding the prevalence and effects of energy drink consumption among children. The survey encompasses questions related to frequency of consumption, perceived health impacts, and parental attitudes towards energy drinks. Preliminary findings indicate a significant …

Who Suffers From Temporomandibular Joint Disorders, The Factors That Cause This Problem, And How We Treat It, Burim Kiseri, Vlora Berisha, Teuta Komoni, Arta Gjikolli, Dugagjin Sokoli, Jeta Kiseri Kubati, Genc Demjaha

UBT International Conference

A range of problems affecting the masticatory muscles, the temporomandibular joint (TMJ), and related structures are together referred to as temporomandibular disorder (TMD). (15). Several signs and symptoms, including chronic pain, soreness in the jaw muscles, headaches, bruxism, tenderness upon palpation, a limited range of jaw movement, and clicking or creaking sounds coming from the temporomandibular joint make up the etiological background of temporomandibular joint disorder. Several types of arthritis, dental issues, occlusal disharmony, autoimmune disorders, hormonal factors, psychological factors, stress, anxiety, trauma and microtrauma, and mandibular instability are only a few of the numerous causes. The ability of the …

International Conference On Dental Science, University For Business And Technology - Ubt

UBT International Conference

UBT Annual International Conference is the 13th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development. The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make them be aware of the recent …

International Conference On Pharmaceutical And Natural Sciences, University For Business And Technology - Ubt

UBT International Conference

UBT Annual International Conference is the 13th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development. The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make them be aware of the recent …

International Conference On Food Science, Nutrition And Agriculture, University For Business And Technology - Ubt

UBT International Conference

UBT Annual International Conference is the 13th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development. The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make them be aware of the recent …

Digital, Social Micro-Interventions To Promote Physical Activity Among Midlife Adults With Elevated Cardiovascular Risk: An Ambulatory Feasibility Study With Momentary Randomization., Danielle Arigo, Leah M Schumacher, Kiri Baga, Jacqueline A Mogle

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Although regular physical activity (PA) mitigates the risk for cardiovascular disease (CVD) during midlife, existing PA interventions are minimally effective. Harnessing social influences in daily life shows promise: digital micro-interventions could effectively engage these influences on PA and require testing.

PURPOSE: This feasibility study employed ecological momentary assessment with embedded micro-randomization to activate two types of social influences (i.e., comparison, support; NCT04711512).

METHODS: Midlife adults (N = 30, MAge = 51, MBMI = 31.5 kg/m2, 43% racial/ethnic minority) with ≥1 CVD risk conditions completed four mobile surveys per day for 7 days while wearing PA monitors. After 3 days …