Digital Commons Network^™

Strategies For Managing Change In Home Health Care Businesses, Halbert Brown

Walden Dissertations and Doctoral Studies

Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …

Staff Education To Improve Nursing Knowledge On Pressure Injury Prevention, Kheeda Kimberly Gopaul

Walden Dissertations and Doctoral Studies

Staff education in this project was focused on improving nursing staff’s knowledge on pressure injury prevention, inspired by the persistent care quality gap. The gap in practice as of 2024 related to hospital-acquired pressure injury (HAPI) at the host health organization was reported to be approximately 0.2 per 1,000 discharges. It was apparent that education could benefit the nursing staff to improve their knowledge in pressure injury prevention. The education in service focused on continuous nursing skin assessments, to ensure over prolonged hospitalization, patients’ skin does not deteriorate with the development of pressure injuries or advancing of pre-existing pressure ulcers. …

Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski

Walden Dissertations and Doctoral Studies

Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …

7th International Workshop On Sox Transcription Factors., Aya Uchida

Faculty Research 2026

Marking the 20th anniversary of a well-established meeting series focused on the biological and clinical importance of SOX genes as regulators of cell fate, the 7th International Workshop on SOX Transcription Factors held from 8-11 September 2025 at the Prince Resort MICE Karuizawa in Nagano, Japan, brought together 83 participants from 17 countries. The meeting showcased the foundations of SOX gene research and recent technological and conceptual breakthroughs across diverse model systems and human research, illustrating the field's evolution and emerging directions for future research. Reflecting the breadth of SOX biology - from early embryonic development and sex determination to …

Meeting The Needs Of Individuals With Avoidant/Restrictive Food Intake Disorder Through Occupational Therapy, Tianna Matthews

Occupational Therapy Doctoral Capstones

Avoidant/Restrictive Food Intake Disorder (ARFID) is a relatively new and complex disorder that results in a significant impact on one’s overall health, well-being, and quality of life. The research study was designed to address practitioner knowledge and confidence gaps as they relate to ARFID care by assessing whether an educational in-service could increase pediatric healthcare practitioners’ knowledge of ARFID, confidence with treating ARFID, and their understanding of OT’s role on an interdisciplinary ARFID team.

Undergraduate Student Perceptions Of Student-Faculty Interactions In Relation To Academic Anxiety In An Online Learning Environment, Alexandria Ward

Seton Hall University Dissertations and Theses (ETDs)

The expansion of online learning in higher education, particularly following the COVID-19 pandemic, has significantly reshaped student experiences and communication practices. While existing research has explored online learning environments, student engagement, and mental health, there remains a gap in understanding how undergraduate students perceive student-faculty interactions in online learning environments and how these interactions impact academic anxiety. Guided by Transactional Distance Theory, which emphasizes dialogue, structure, and learner autonomy, this qualitative phenomenological study addressed three research questions: how students describe their experiences with faculty interactions in online learning environments in relation to academic anxiety, what aspects of communication contribute to …

Probiotic Intervention In Colorectal Cancer: The Cytotoxic And Apoptotic Potential Of Lactobacillus Cell-Free Supernatants, Bahar Yilmaz, Berna Erdal

Turkish Journal of Biology

Background/aim: Failures in the treatment of colorectal cancer (CRC) have increased scientific interest in the potential of the bioactive compounds contained in cell-free supernatants (CFSs) obtained from probiotic bacteria for cancer treatment. The aim in this study was to investigate the effects of CFSs obtained from Lactobacillus delbrueckii subsp. bulgaricus (L. bulgaricus) and Lactobacillus paracasei subsp. paracasei (L. paracasei) on colorectal cancer cell lines (HT-29 and Caco-2) and a healthy colon epithelial cell line (CCD841 CoN).

Materials and methods: Cytotoxic effects on the cell lines were determined by MTT assay. In line with the IC50 values obtained, morphological changes were …

Antiatopic Dermatitis Activity Of Lissachatina Fulica Mucin: Network Pharmacology Analysis And Experimental Validation, Atin Supiyani, Wasmen Manalu, Lina Noviyanti Sutardi, Mawar Subangkit, Andriyanto Andriyanto

Turkish Journal of Biology

Background/aim: Lissachatina fulica mucin (LFM) has been used as a nutraceutical, therapeutic agent, and cosmetic ingredient. The bioactivity of mucin depends on bioactive compounds whose composition is strongly influenced by the snail’s diet. This study investigated the bioactive compounds in L. fulica mucin as potential therapeutic agents for atopic dermatitis (AD).

Materials and methods: LFM was collected from snails fed long beans and melon rinds for 4 weeks, freeze-dried, and analyzed using liquid chromatography–mass spectrometry followed by network pharmacology (NP) analysis to identify its bioactive compounds. A total of 60 BALB/c mice were sensitized on the dorsal skin with 1% …

Advancing Maternal Health Equity In Nebraska: Examining Prenatal Care Access Disparities, Policy Context, And Doula Integration As A Complementary Solution, Marlette Grace Dulcinee Mabiala-Maye

Theses & Dissertations

Maternal health inequities persist across the United States, with Black, Native American, and immigrant-origin women facing disproportionate barriers to timely prenatal care. This dissertation examined access to prenatal care in Nebraska, a mixed rural and urban state with extensive maternity care deserts, through three interrelated aims. Aim 1 analyzed PRAMS data using survey-weighted regression with race-by-socioeconomic-status interactions to characterize disparities in the timing and barriers to care. Aim 2 evaluated the state’s October 2020 Medicaid expansion across pre-pandemic, acute pandemic, and post-expansion periods. Aim 3 applied qualitative description and the Consolidated Framework for Implementation Research to interviews withtwenty-three maternity care …

Land-Use Transitions And Carbon Emissions Of Aquaculture Expansion In The Brazilian Amazon, Felipe S. Pacheco, Sebastian A. Heilpern, Rafael M. Almeida, Suresh A. Sethi, Marcela Miranda, Nicholas Ray, Laura Greenstreet, Joshua Fan, Brendan H. Rappazzo, Marcelo Gomes Da Silva

School of Earth, Environmental, & Marine Sciences Faculty Publications

Accounting for land-use change underlying food sector expansion is critical for conserving ecosystem integrity. This challenge is particularly acute in the Amazon, where the conversion of forests for food production is pronounced and has broad implications for global biodiversity and the cycling of water and carbon. Here, we analyze land-use transitions associated with aquaculture development in the Brazilian Amazon. We found that a 450-fold increase in aquaculture pond area from 1985 to 2022 occurred primarily on pasturelands (87%) but also included wetland conversion (4%) and deforestation (5%). Notably, continued growth can be sustained within already altered landscapes: In Rondônia, the …

For Weight Loss: Why Do Glp-1 Agonists Work, And How Can We Make Them Work Better?, Charlise Giang, Jieyi Meng, Mahmoud Ali Mohammad, Zhenqi Liu, Xinle Wu, Yi Zhu

Children’s Nutrition Research Center Staff Publications

Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have revolutionized the management of not only type 2 diabetes but also obesity. However, even with rapid therapeutic advances in GLP-1RAs, questions regarding the fundamental principles of GLP-1-mediated weight loss and the enhanced efficacy of next-generation therapies remain. In this comprehensive review article, we first examine the milestones of GLP-1, from its initial discovery and biological characterization to its successful translation into clinical therapy. Furthermore, this review highlights the latest clinical trial data, specifically HbA1c reduction, weight-loss efficacy, and safety profiles, while exploring current pipelines of major pharmaceutical companies. Additionally, we delineate the mechanistic …

Improving Pressure Injury Prevention Through Braden Scale Compliance And Education In The Emergency Department, Joycelyn Lee, Kira Simone Faerstain, Alyssa Kristine Ortiz, Ashley Briseida Cruz

Master's Projects and Capstones

Pressure injuries are a major burden in healthcare, particularly in the Emergency Department (ED). Patients can be sedentary for prolonged periods of time and don't always get their skin checked promptly. Patients visiting the ED often have comorbidities and patient-specific medical needs, such as seniors with fragile skin, malnourishment, immobility, etc. At a Southern Los Angeles Hospital, leadership found that there was a need for improvement in this area. Implementing standardized risk assessment methods can help to improve the consistent use of the Braden Scale as a predictive and preventive tool for identifying patients' risk for pressure injuries and promoting …

Fall Risk In Community-Dwelling Adults: A Comparison Of English And Spanish-Speaking Individuals, Jesus D. Gomez

Dissertations, 2020-current

Falls are a leading cause of injury-related mortality among middle-aged and older adults. Although vestibular dysfunction, hearing loss, behavioral factors, and social determinants of health have been associated with increased fall risk, few studies have examined these relationships. Furthermore, limited research in audiology and vestibular science has investigated fall-risk vulnerability among Spanish-speaking individuals.

This study aimed to: (1) estimate the prevalence of fall risk among community-dwelling adults and compare prevalence between English-speaking and Spanish-speaking participants; (2) assess the prevalence of previously undiagnosed benign paroxysmal positional vertigo (BPPV) and compare prevalence between language groups; and (3) develop predictive models of fall …

Cultural Tailoring Of Digital Nutrition Interventions: A Scoping Review Of Adaptation Strategies, Evaluation Methods, And Evidence Gaps, Wendy Liang

Master's Projects and Capstones

Background: Nutrition-related chronic diseases disproportionately affect culturally diverse populations, highlighting the need for effective and equitable interventions. Digital nutrition interventions have expanded rapidly due to their accessibility; however, the extent to which they incorporate and evaluate cultural tailoring remains unclear.

Research aim: This scoping review maps the existing evidence on culturally tailored digital nutrition interventions, describes cultural adaptation strategies used, examines methods used to evaluate cultural appropriateness, and identifies gaps for future research and public health practice.

Methods: A scoping review was conducted following the PRISMA-ScR guidelines.

Findings: Culturally tailored digital nutrition interventions generally improved participant engagement, acceptability, and dietary …

Establishing Partnerships Between Families, Schools, And Communities To Support Family Involvement In Literacy Education, Matraca Bourdo

Masters Projects

As the percentage of fourth grade students reading at a proficient level continues to decline, schools are seeking effective ways to improve literacy education and student achievement. Research emphasizes the importance of early literacy development in supporting academic success and lifelong learning. However, not all families have the same background knowledge of literacy skills and how to develop them with their children. Partnerships between schools, families, and communities can provide the support and resources needed while working toward the goal of improving student achievement.

The purpose of this project is to implement a team that partners with families to educate …

When Policy Meets Public Distrust: A Social Network Analysis On Indonesia's Mbg Program, Rizky Fauziah, Rehia Karenina Isabella Barus, Ressi Dwiana

JURNAL KOMUNIKASI INDONESIA

The Indonesian government program Free Nutritious Meal, locally abbreviated as MBG, launched in early 2025, has generated significant public controversy. Data from the Institute for Development of Economics and Finance (INDEF) indicate that, as of August 2025, approximately 4,000 students across Indonesia had reportedly suffered food poisoning associated with the program. This situation has fueled widespread public concern and contributed to declining trust in government. This study aims to analyze communication networks surrounding the MBG on the social media platform X. This study draws on Trust and Distrust Theory and employs a Social Network Analysis (SNA) approach to examine how …

Improving Nursing Adherence To Chg Bathing And Pivc Maintenance Practices To Reduce Hospital-Onset Bacteremia In An Adult Medical-Surgical Unit, Mohabat Barikzai, Dinazar Altamirano, Edward Rivas, Sarah Trilles

Master's Projects and Capstones

Preventing hospital-onset bacteremia (HOB) is a healthcare priority given its association with increased morbidity, mortality, prolonged hospitalization, and healthcare costs. Literature identifies inconsistent adherence to evidence-based practices for chlorhexidine gluconate (CHG) bathing and peripheral intravenous catheter (PIVC) maintenance as a modifiable risk factor for HOB. This quality improvement (QI) project evaluated whether implementing standardized nurse education, routine compliance audits, and performance feedback would improve adherence to evidence-based CHG bathing and PIVC maintenance practices. The project aimed to achieve at least 90% nursing compliance with HOB prevention practices over an intended 8-week implementation period. A pre-post quality improvement design was implemented …

Food For Thought: Building Confidence In Healthy Food Choices Among Seniors In A Residential Facility Through Nutrition Education, Amy Rodríguez

Master's Projects and Capstones

This quality improvement project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence among independently living older adults residing in a low-income senior housing community. Aim By August 10, 2026, this project aimed to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthy meals by 20% among senior housing facility residents. Methods A microsystem assessment, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide project development and implementation. Weekly nutrition education workshops were conducted over a 10-week period and included presentations, group discussions, …

Breaking The Silence: Standardizing Routine Intimate Partner Violence Screening At A Community Clinic Serving The Latinx Community, Victoria M. Hall

Master's Projects and Capstones

Intimate partner violence (IPV) affects the Latinx population disproportionately due to socioeconomic status, cultural stigma, and language barriers. However, routine screening remains inconsistent and unstandardized at a local community clinic in San Francisco’s Mission District, despite evidence-based practices recommending it. The gap in IPV screenings across the Adult, Teens, and Women’s clinics resulted in only 1.6% of patients being screened in July 2025 and 4.1% in June 2026. This quality improvement project aimed to address low screening rates by standardizing IPV screening through a printed bilingual screener, a 60-minute staff in-service on IPV and the new screening protocol, and by …

Nourishing Confidence: Empowering Seniors To Make Healthy Food Choices, Ina Patricia Bangawan

Master's Projects and Capstones

Objective This quality improvement (QI) project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence in making healthy nutritional choices among independent older adults living in a low-income senior housing community. Aim By August 10, 2026 the goal of this project was to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthier meals by 20% among senior housing facility residents. Methods A microsystem assessment and gap analysis, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide the project development and implementation. Weekly nutrition …

Steady Steps: Building Confidence In Parkinson’S Disease Care, Jerlyn T. Nicdao

Master's Projects and Capstones

Parkinson’s disease is a movement disorder that greatly impacts one’s quality of life due to its worsening progression and impact on cognitive and physical functions. Objective: The purpose of this quality improvement project is to strengthen staff confidence and competence in caring for residents with Parkinson’s disease (PD) living in a skilled nursing facility. Aim: Clinical nurse leader (CNL) students aim to increase staff confidence and competence in PD care from 60% to 75% over a six-week period, from June 18, 2026, to July 30, 2026. Method: A total of thirteen interdisciplinary staff members (e.g. registered nurses, licensed vocational nurses, …

Standardizing Gestational Diabetes Group Education In An Outpatient Maternal-Fetal Medicine Clinic: A Quality Improvement Project, Nina Prieto

Master's Projects and Capstones

Gestational diabetes mellitus (GDM) requires timely and consistent education to support effective self-management and reduce maternal and fetal complications. Baseline assessment of an outpatient maternal-fetal medicine clinic identified variation in educational materials, teaching approaches, referral processes, scheduling, and workflows across English- and Spanish-language GDM group visits. This quality improvement project aimed to standardize the group visit process and increase staff compliance with standardized materials and workflows from 0% to 50% over a 12-week period. Data were collected through direct observation of group and individual education sessions, stakeholder feedback, review of existing materials, referral and attendance patterns, and workflow analysis. These …

Enhancing Tea Productivity Through Integrated Fertilization And Pruning Management: A Review, Intan Ratna Dewi Anjarsari, Murgayanti, Muhamad Kadapi, Syariful Mubarok, Uum Umiyati, Salsabilah, Alifatul Azmi, Afifah Putri Ramadhan, Trifani Hana Husniah, Rosita, Azkal Azkiya

Jurnal Kultivasi

Tea productivity is strongly influenced by agronomic management practices, particularly fertilization and pruning, which play critical roles in regulating plant growth, physiological performance, and shoot regeneration. This review aims to synthesize current scientific evidence on how integrated fertilization and pruning management can sustainably enhance tea productivity. A narrative review approach was employed by collecting and analyzing peer-reviewed articles published between 2015 and 2025 from reputable databases, including Google Scholar and major international journals. The review highlights that balanced fertilization strategies, combining inorganic, organic, and biofertilizers, significantly improve nutrient availability, photosynthetic efficiency, and shoot yield. Pruning, when properly timed and executed, …

Differential Effects Of Thiamine, Bap, And Thidiazuron Combinations On Shoot Multiplication And Phenolic-Flavonoid Accumulation In Pineapple In Vitro Cultures, Dinda Septia Rachman, Erni Suminar, Anne Nuraini, Fiky Yulianto Wicaksono, Suseno Amien, Syariful Mubarok, Hermanto

Jurnal Kultivasi

The demand for high-quality pineapple (Ananas comosus (L.) Merr.) planting materials continues to increase, while conventional propagation methods are limited in multiplication rate, uniformity, and production efficiency. In vitro culture offers an alternative approach for rapid and large-scale seedling production. However, information on the effects of thiamine and cytokinin combinations on both shoot multiplication and phenolic-flavonoid accumulation in pineapple in vitro remains limited. This study evaluated ten defined combinations of thiamine and cytokinin for shoot multiplication and total phenolic-flavonoid contents of pineapple explants. The experiment employed a completely randomized design with 10 treatment combinations of thiamine (0.1 and 0.4 mg/L), …

Performance Of Dual-Form Terminalia Catappa Organic Fertilizers On Sweet Corn Yield And Economic Viability In Tropical Highlands, Stefina Liana Sari, Eso Solihin, Rahmat Budiarto

Jurnal Kultivasi

Recycling underutilized plant biomass into organic fertilizers underpins low-input cropping strategies, but liquid and solid formulations derived from a common feedstock have seldom been evaluated side by side under field conditions. This study aimed to (i) characterize the physicochemical properties and safety profile of a liquid organic fertilizer (LOF) and a crumb-type organic fertilizer (COF) co-produced from Terminalia catappa leaf compost, (ii) compare their effects on sweet corn growth and yield, (iii) determine relative agronomic effectiveness (RAE), and (iv) evaluate economic feasibility of the most promising organic–inorganic combinations. We produced LOF and COF through aerobic composting of Terminalia catappa leaves …

Metabolic Dynamics Of Secondary Metabolites In Arabica Coffee (Coffea Arabica): From Biosynthesis To Post-Harvest Transformations, Kamilrashid Hadi Dwitama, Yudithia Maxiselly, Cucu Suherman, Santi Rosniawaty

Jurnal Kultivasi

Coffee (Coffea arabica) is a globally significant beverage whose sensory profile and physiological effects derive from a complex matrix of secondary metabolites. This review presents a comprehensive "lifecycle" perspective of three pivotal classes: the alkaloid caffeine, phenolic chlorogenic acids (CGA), and the diterpenoids cafestol and kahweol. Here, 'lifecycle' defines a metabolite's continuous biochemical trajectory, tracking its genetic origin and ecological function in the plant through structural modifications during fermentation, drying, storage, and roasting. These classes are highlighted because they serve as the primary drivers of bitterness, acidity, and health bioactivities with fundamentally distinct transformational pathways. Following a systematic methodology, this …

The Effectiveness Of Bacillus-Coated Npk Fertilizer On Broccoli Growth, Nutrient Status, Rhizosphere Bacillus Population, Yield, And Flower Quality, Betty Natalie Fitriatin, Rara Rahmatika Risanti, Reginawanti Hindersah, Fasa Aditya Hanindipto, Gita Bina Nugraha

Jurnal Kultivasi

Efforts to increase the availability of macronutrients in soil have relied on inorganic fertilization, particularly NPK fertilizers. However, global challenges in the fertilizer raw material supply chain, including price fluctuations and availability, are driving the need for more efficient and sustainable fertilizer alternatives. The field experiment was conducted in Baruajak, Lembang District, West Java, Indonesia, to evaluate the effectiveness of Bacillus-coated NPK fertilizer on broccoli (Brassica oleracea var. italica) growth, nutrient status, rhizosphere Bacillus population, yield, and flower quality. The experiment used a randomized complete block design with 15 fertilizer treatments and three replications. Treatments consisted of two coated NPK …

The Effect Of Silica-Enriched Rice Husk Biochar And Npk Fertilizer On Soil Total Nitrogen, Nitrogen Uptake, And Yield Of Lowland Rice, Emma Trinurani Sofyan, Oviyanti Mulyani, Ania Citraresmini, Meddy Rachmadi, Kharmelia Sandra Livia

Jurnal Kultivasi

Rice production in Indonesia increasingly relies on agricultural intensification, which can accelerate soil degradation and reduce fertilizer-use efficiency. Therefore, sustainable soil management is needed to maintain soil fertility. Silica-enriched rice husk biochar (biochar-silica) is a promising soil amendment because it improves soil properties and nutrient retention. This study evaluated the effects of biochar-silica and NPK fertilization on soil total nitrogen, nitrogen uptake, and yield of lowland rice (Oryza sativa L.). The experiment was conducted from September 2025 to January 2026 using a two-factor randomized block design with nine treatment combinations and three replications. The treatment consisted of three levels of …

The Effects Of Melatonin And Potassium Fertilizer On Fruit Yield And Quality Of ‘Haruhi’ Strawberry Under Two Light Conditions, Ghaida Marsha Nurizqia, Farida, Reginawanti Hindersah, Kenji Endo, Rahmat Budiarto, Syariful Mubarok

Jurnal Kultivasi

Strawberry (Fragaria × ananassa) ‘Haruhi’ is a subtropical plant that is being cultivated in Indonesia. High temperatures in tropical climates could decrease strawberry yield and fruit quality. The purpose of this study was to evaluate the effect of light, melatonin, potassium fertilizers, and their interactions on the yield and fruit quality of ‘Haruhi’ strawberry. This research was conducted from April to June 2024 at the Bale Tatanen, Faculty of Agriculture, Universitas Padjadjaran. A split-plot design was used, with lighting treatment as the main plot and melatonin and potassium fertilizer treatments as the subplot. Lighting treatments consisted of supplemental LED lighting …

Effects Of Ab Mix Hydroponic Solution And Ameliorant Mixtures On Cayenne Pepper Growth And Yield In An Inceptisols, Tien Turmuktini, Betty Natalie Fitriatin, Tualar Simarmata, Firda Widayanti, Nuryanti, Lia Amalia, Elly Roosma Ria, Linlin Parlinah

Jurnal Kultivasi

Cayenne pepper (Capsicum frustescens L.) cultivation faces several problems, including acidic pH and inadequate nutrient management. These problems can be addressed by using a mixture of various ameliorants and AB mix nutrient solutions. This study aimed to determine the effect of ameliorant mixture dosage and AB mix solution concentration on soil chemical properties, growth, and yield of cayenne pepper. The experiment used a randomized block design, consisting of two factors: nutrient solution concentration and ameliorant dosage. The factor of nutrient solution concentration consisted of four levels, i.e., 700, 1000, 1300, and 1600 ppm, while the factor of ameliorant dosage also …