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Wmdds Bulletin Winter 2026

West Michigan District Dental Society Bulletin

In the Winter 2026 issue, the reader will find articles detailing West Michigan District Dental Society's delegation notice and election results, an Ionia/Montcalm County spotlight, and "Pearls from Local Dentists" on the subjects of Behavior Guidance in Pediatric Dentistry, occupational pain, and preventing hearing loss. Also included are your monthly tripartite updates, news from West Michigan counties, the President's Message, and the Editor's Letter.

Cognitive Media Literacy In The Digital Age: Structural And Behavioral Dimensions Of Inequality, Elif Pınar Aciyan Şen, Murad Karaduman

Journal of Media Literacy Education Pre-Prints

The expansion of digital technologies has not only transformed media production and consumption but also reshaped the cognitive conditions through which individuals interpret information. Drawing on W. James Potter’s (2004) cognitive model of media literacy, this study explores how cognitive dimensions of media literacy relate to digital inequalities among adults. To operationalize the model, index variables were developed for its four subdimensions, knowledge structures, personal locus, competencies, and skills, using multiple theoretically defined item domains. Based on a stratified face-to-face survey with 400 adults in Antalya, Türkiye, multiple regression analyses reveal that age and education are the strongest predictors of …

Bridging The Gap: Critical Resources For Grandparent Caregivers And Their Grandchildren, Kathy Dial, Cara Tonn, Omotomilola Jegede, Cindy Kekeh, Loriena Yancura, Michele Kekeh

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

US population estimates indicate that approximately 2.5 million children live apart from both parents. Family relatives, often called kinship caregivers, care for 70% to 90% of these children, with grandparents making up the largest category (Radel et al., 2016). This study aimed to identify the most helpful resources and sources for grandparent caregivers to support the overall well-being of their families. Phone or Zoom interviews were conducted among a purposive sample of 24 grandparent caregivers from February to March 2022 to examine their initial experiences as caregivers, the current support services and resources they received, and other resources and services …

Montana Kinship Navigator Program: A Statewide Frontier Initiative Promoting Kinship Family Health And Wellness, Daniel J. Koltz Dr., Peyton Vining, Yu Jiang

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This practice brief report describes the development, implementation, and new updates of the Montana Kinship Navigator Program (MTKNP), a statewide initiative designed to support kinship caregivers in a large, rural frontier context. Montana’s geographic isolation, limited infrastructure, and sparse population create significant barriers for kinship families, including restricted access to healthcare, transportation, childcare, and social services. These challenges are compounded when caregivers unexpectedly assume responsibility for children, often with limited resources and support. MTKNP addresses these gaps through a comprehensive, evidence-informed model that integrates information and referral services with individualized case management. The program serves both formal and informal kinship …

Unf Student Research Symposium Conference Program Summer 2026, Office Of Undergraduate Research, Unf Graduate School

UNF Student Research Symposium

The Summer UNF Student Research Symposium is a multi-disciplinary conference where students showcase their research and creative projects. The symposium, hosted by the UNF Office of Undergraduate Research in partnership with the UNF Graduate School and the College of Arts and Sciences Dean's Office, is a component of the Student Research Symposium series, which provides a venue for students to present their research projects to the campus community.

Development And Psychometric Evaluation Of A Medical Device-Related Pressure Injury Risk Assessment Scale, Ayise Karadag, Aleyna Uçanbelen, Öznur Erbay Dalli

Individual Articles

Medical device–related pressure injuries are a significant and largely preventable patient safety problem, yet existing pressure injury risk scales do not adequately capture device-specific risk factors in adults. This methodological study developed and psychometrically evaluated a standardized risk assessment scale to identify medical device–related pressure injury risk in hospitalized adult patients. An initial item pool was generated from an extensive literature review and clinical expertise, and content validity was assessed by seven experts using the Davis technique (content validity index = 0.96). The scale was administered to160 adults receiving at least one medical device in medical, surgical and oncology wards …

Higher Mortality And Distinct Complications After Anterior Cervical Discectomy And Fusion In Dialysis Patients, Despite Improvements Over Prior Decade: A National Inpatient Study, Mitchell K. Ng, Leonidas E. Mastrokostas, Paul G. Mastrokostas, William A. Green, Joshua Mathew, Gregorio Baek, Yasmine Eichbaum, Yulia Lee, Morgan Hitchner, Jonathan Dalton, Adam Fano, Alec Giakas, Rajendra Singh, Brendan Reitman, Afshin E. Razi, Daniel R. Fassett, Alan S. Hilibrand, Alex R. Vaccaro, Christopher K. Kepler, Gregory D. Schroeder, Andrew P. Alvarez

Rothman Institute Papers

Introduction: Dialysis patients undergoing anterior cervical discectomy and fusion (ACDF) face elevated perioperative risk due to complex comorbidities. This study aimed to (1) identify associations between dialysis status and perioperative complications after ACDF, (2) quantify differences in length of stay (LOS), hospitalization costs, and discharge disposition, and (3) provide a contemporary national benchmark for outcomes in this high-risk population. Materials and Methods: The 2016–2022 National Inpatient Sample was queried for adult elective ACDF cases. Dialysis dependence was identified through International Classification of Diseases-10 codes for end-stage renal disease with hemodialysis or peritoneal dialysis. Demographics, comorbidities, complications, LOS, costs, and discharge …

Kras-Independent Factors Drive Pi3k Signaling And Circumvent The Necessity Of Kras-Driven Pi3k Activation In Pdac, Lucas Christopher Bialousow

MUSC Theses and Dissertations

Pancreatic ductal adenocarcinoma (PDAC) has one of the lowest five-year survival rates among cancers and is characterized by near-ubiquitous occurrence of oncogenic KRAS mutations. Oncogenic KRAS activates several downstream pathways, including ERK 1/2 MAPK and PI3K, which are critical for PDAC. However, accumulating evidence suggests that PI3K activity can be maintained independent of oncogenic KRAS. The high prevalence of KRAS^G12R in PDAC challenges the prevailing model of KRAS-driven PI3K activation, as this mutant is defective in direct engagement with PI3Kα. These observations raise important questions regarding how PI3K signaling is sustained in PDAC. Here, we investigated KRAS-independent mechanisms that …

Effects Of Non-Surgical Periodontal Therapy On Dental Plaque Microbiome, Qingguo Wang, Bing-Yan Wang, Derek Wilus, Hua Xie

Faculty, Staff and Student Publications

Periodontitis, a chronic inflammatory disease affecting approximately 40% of U.S. adults aged 30 years and older, is characterized by dysbiosis of the dental plaque microbiome. However, although scaling and root planing (SRP) is the cornerstone of periodontal treatment, its effects on the taxonomic composition and functional potential of the dental plaque microbiome remain incompletely understood. In this study, we used whole-metagenome shotgun sequencing to characterize taxonomic composition and functional potential in dental plaque microbiomes collected from 39 patients with Stage II or III generalized periodontitis before and 3–4 months after SRP. Consistent with clinical improvement, periodontal therapy significantly reduced probing …

Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs) remain a major cause of preventable morbidity, mortality, and healthcare utilization among hospitalized patients. Limited research has examined the relationship between diabetes and HAIs in Puerto Rican populations. The purpose of this quantitative cross-sectional study was to examine the prevalence of type 2 diabetes mellitus (T2DM) and its association with HAI characteristics and hospitalization outcomes among patients in southern Puerto Rico. The chronic care model provided a framework for evaluating whether diabetes status, geographic location, and substance use were associated with outcomes. Data were obtained through retrospective review of electronic health records from N = 846 patients …

Icare System Implementation For Phlebitis Prevention: A Quality Improvement Study, Rini Rachmawaty, Agussalim Bukhari, Elly Wahyudin, Indra Gaffar, Sarah Bernadette L. Balena, Gulzar Malik

International Nursing Research Congress (INRC)

Background: Healthcare-associated phlebitis remains a critical challenge in Indonesian hospitals, where incidence rates reach 31.7%, dramatically exceeding the national benchmark of less than 1%. A major contributing factor is poor adherence to integrated clinical pathways, particularly concerning incompatible intravenous drug combinations such as ceftriaxone administered with calcium-containing solutions.

Objective: We aimed to reduce phlebitis incidence through implementation of an online integrated clinical pathway compliance system (iCare System) among patients with high-volume, high-risk, high-cost conditions at provincial government hospitals in South Sulawesi.

Methods: This prospective quality improvement study was conducted at Indonesian regional hospital, located in Makassar, between April and July …

The Tril Nurse Advocacy Model: A Practice-Grounded Framework For Sustainable Health System Change, Susanna Aba Abraham, Gifty Osei Berchie, Benjamin Kofi Anumel, Andrews Adjei Druye, Diana Bosomtwe-Duker

International Nursing Research Congress (INRC)

BACKGROUND: Advocacy is a professional nursing responsibility [1,2], and refers to speaking up or empowering marginalised individuals or groups [3]. Nursing advocacy requires "tending" to the needs of the community in which care occurs [4], thereby addressing the social determinants of health [5]. In 2025, the International Council of Nurses (ICN) redefined nursing with a call to extend advocacy beyond individual needs [4]. There is, however, a dearth of frameworks grounded in nursing practice that guide nurses in initiating and sustaining advocacy initiatives across the health system. This study therefore sought to describe the diverse strategies used in nurse-led advocacy …

Regulatory Innovation Through Authority: An Analysis Of India’S Central Consumer Protection Authority’S Functioning (2020–2025), Gaurav Pathak, Mohit Yadav, Anush Ganesh

International Journal on Consumer Law and Practice

This article presents the first comprehensive empirical analysis of India’s Central Consumer Protection Authority (CCPA), since its establishment in 2020, based on an examination of 165 orders across 118 cases through 2025. The study fills a critical research gap by systematically analysing CCPA’s enforcement patterns, procedural efficiency, and regulatory evolution. The unique dataset reveals that CCPA has fundamentally transformed India’s consumer protection landscape through a distinctive dual approach that combines reactive enforcement with proactive regulation. This study finds that 72 per cent of cases were initiated suo moto, indicating a paradigm shift from complaint-driven to preventive market surveillance and that …

How To Incorporate Media Literacy Into General Education Curricula, Dennis O. Frohlich, David Magolis

Journal of Media Literacy Education

Media literacy scholars have long championed the inclusion of media literacy courses in all levels of education, from K-12 to collegiate levels. Universities’ general education curricula are one possible site for inclusion of a media literacy course. However, with each discipline vying for a spot in a university’s general education system, a course in media literacy can easily be overlooked or excluded. In this paper, we detail our efforts to successfully incorporate several media literacy courses into our university’s general education curriculum. This is a process we went through twice under two different general education systems. This paper will detail …

Factors Associated With Health Literacy And Chronic Disease Services Performance Among Village Health Volunteers In Chiang Rai, Thailand: A Cross-Sectional Study, Sunaree Tanapek, Saroj Nakju

Journal of Health Research

Background: The growing burden of NCDs in Thailand highlights the need for effective community management by Village Health Volunteers (VHVs). This study investigated factors associated with health literacy and chronic disease service performance among VHVs in Chiang Rai Province, Thailand.

Methods: A cross-sectional survey was conducted among 325 VHVs via two-stage cluster sampling between June and July 2023. Data were collected using a validated five-part questionnaire (Cronbach’s alpha = 0.93–0.98). Data analysis included descriptive statistics, content analysis, Chi-square tests, and Spearman's rank correlation coefficient.

Results:VHVs demonstrated good health literacy (41.8%) and a high level of chronic disease service performance …

Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado

Walden Dissertations and Doctoral Studies

Current knowledge regarding risk factors for metabolic syndrome (METS) among Hispanic individuals of Mexican descent remains limited. Using data from NHANES 2017–2020, this study compared factors contributing to METS and included U.S.-born and non-U.S.-born Hispanic adults of Mexican descent aged ≥ 18 years living in the USA (N = 949) with assessed METS. Grounded in the social ecological model and social determinants of health, this research evaluated dietary habits, lifestyle patterns, and acculturation processes using multivariate logistic regression and stratified analyses. Educational attainment was associated with METS, but the association was not statistically significant in adjusted models p = 0.528. …

``Is That What It Means?'' Performative Storytelling In Early Childhood Education: Meaning-Making Through Interaction, Fathia Anggriani Pradina, Untung Yuwono, Bernadette Kushartanti

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

Early childhood education is inextricably linked to the role of adults in every aspect of its process. In addition to formal classroom learning, storytelling with a storyteller is another activity that involves adults. The dialogic interaction between storyteller and children fosters the creation of meaning. This study examines how storytelling, as an interactional practice, can dynamically construct meaning together between storyteller and children. Sixty-one kindergarten children participated in this study during a one and half hour storytelling activity. The qualitative and interactional approach used in this study focused on moment-to-moment exchanges during the naturally occurring storytelling event. The findings indicate …

Perimenopause And Menopause: Understanding Utahns' Experiences, Cris Meier, Moth Huenemann, Cara Murray, Ashley Yaugher

All Current Publications

The first stage of menopause, known as perimenopause, is signaled by fluctuating or declining hormone levels, irregular menstruation, and the onset of symptoms such as hot flashes and mood changes. Menopause follows this phase, which is 12 consecutive months when no menstrual cycles occur in combination with hormone decline and experiencing additional symptoms (e.g., hot flashes, sleep disturbances).To better understand Utahns’ needs and preferences during menopause, Utah State University Extension researchers conducted a needs assessment to inform programming creation and delivery. This report details the results, identifying survey participants, women's sources of information, symptoms, and symptom management.

Postmenopause: Understanding Utahns' Experiences, Cris Meier, Moth Huenemann, Cara Murray, Ashley Yaugher

All Current Publications

The first stage of menopause, known as perimenopause, is signaled by fluctuating or declining hormone levels, irregular menstruation, and the onset of symptoms such as hot flashes and mood changes. Menopause follows this phase, which is 12 consecutive months when no menstrual cycles occur in combination with hormone decline and experiencing additional symptoms (e.g., hot flashes, sleep disturbances).To better understand Utahns’ needs and preferences during and after menopause, Utah State University Extension researchers conducted a needs assessment to inform programming creation and delivery. This report details the results, identifying survey participants, women's sources of information, symptoms, and symptom management.

Nutrient Enrichment Of Palm Oil Mill Effluent Digestate (Pomed) With Fish Amino Acid And Boiler Ash For Biofertilizer Production, Aryati Putri Maharani, Ziyaulhaq Umar, Shahrul Ismail, Zulkarnaini Zulkarnaini

Journal of Environmental Science and Sustainable Development

Palm oil mill effluent digestate (POMED) has potential as a biofertilizer. However, its application is limited by unbalanced macronutrient composition, particularly low nitrogen (N), phosphorus (P), and potassium (K). This study investigated a laboratory-scale nutrient enrichment strategy for POMED using fish amino acid (FAA) as an organic nitrogen source and boiler ash (BA) as a potassium source. Nitrogen content was determined using a CHNS– O analyzer, while phosphorus and potassium were analyzed using inductively coupled plasma (ICP). Fertilizer quality was evaluated based on the standards and industrial research institute of Malaysia (SIRIM) and Indonesian national standard (SNI 2803:2010). FAA and …

Rationed Victory: A Study Of American Civilian Rationing In World War Ii, Alex Moulder

The Thetean: A Student Journal for Scholarly Historical Writing

In any conflict or competition it is often said that the winner is “fueled to victory.” This could come as a result of training, diet, stamina, support from others, or sheer willpower. Even small variations in any of these elements can have significant consequences and affect outcomes. The same can be said about civilians during wartime, especially during the largest conflict of the twentieth century, World War II. The war cemented the United States as a global power, thanks in part to its massive economy, technologies, and industries, which helped to overcome the war of attrition against the Axis powers. …

Candida Albicans Purulent Pericarditis Complicated By Cardiac Tamponade In A Critically Ill Burn Patient: A Case Report, Mutaz Althobaiti, Abdulrahman Alqahtani, Faisal Alanazi, Mohammad S. Alotaibi, Ibrahim Bahabri, Shikah Alsuwaid, Turki Almutairi, Fawaz Almutairi

Journal of the Saudi Heart Association

Candida pericarditis is a rare, life-threatening complication of invasive candidiasis, associated with high mortality.

We report this case of a young woman with 60% body surface area burn, multidrug-resistant polymicrobial sepsis, and multiorgan failure who developed Candida albicans pericarditis complicated by cardiac tamponade. Despite urgent pericardiocentesis and escalation of antifungal therapy, she ultimately progressed to refractory shock and multiorgan failure.

This case illustrates the diagnostic challenge and therapeutic limitations of fungal pericarditis in critically ill host, and underscores the importance of maintaining a high index of suspicion in burn patients with multisite Candida colonization and prolonged antibiotic exposure.

Food For Thought: Evaluating The Mind Diet’S Impact On Cognitive Decline, Alayna Pleckham

Summer Interdisciplinary Research Symposium

Objective: 

This paper aims to analyze current research and outcomes of the MIND diet on preventing and slowing neurocognitive decline in adults with dementia and Alzheimer’s disease. A literature review was conducted to evaluate the correlation between the MIND diet and slowed neurodegenerative disease through structural change, transcriptomics, biomarkers, and cognitive function testing.

Methods:

A narrative literature review was conducted using Google Scholar, PubMed, and JAMA to identify studies published between 2020 and 2025 examining the MIND diet and cognitive outcomes in adults with Alzheimer’s disease or dementia. Studies using validated cognitive assessments and comparison groups were included, while studies …

Cafeteria Menu Makeover Could Reduce Students' Sugar, Salt Intake, Clara Turnage

University of Mississippi News

OXFORD, Miss. – Pizza, pastries and parfaits are staples in many school cafeterias. But new research from the University of Mississippi and the University of Southern Mississippi suggests some of students' favorite meals may contain more sodium and sugar than schools will be allowed to serve under updated federal nutrition standards.

Relationship Between Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Marketta Mccollough

Walden Dissertations and Doctoral Studies

The disproportionately high prevalence of obesity among African American young adults is a significant public health crisis rooted in systemic inequities. The purpose of this quantitative cross-sectional study was to examine the relationships between internet use for health information, perceived social support (online and offline), and obesity in this population. Grounded in the social cognitive theory (SCT), this study investigated how these behavioral and environmental factors interact to influence body mass index. Using secondary data from the 2021–2023 National Health and Nutrition Examination Survey, a complex samples logistic regression with a Bonferroni correction (α = .0125) was conducted on an …

Barriers To Recommendation Of Integrative Oncology Modalities In Supportive Care: A Mascc/Sio Survey, Alexandre Chan, Dalia Kagramanov, Reem Nasr, Chioma Asuzu, Ting Bao, Yin Ting Cheung, Jung Hye Kwon, Judith Lacey, Richard T. Lee, Maryam Lustberg, Beatrice M. Ohaeri, Santosh Rao, Enrique Soto-Perez-De-Celis, Claudia M. Witt, Ana M. Lopez

Kimmel Cancer Center Faculty Papers

PURPOSE: Integrative oncology (IO) modalities aim to improve the quality of life of persons with cancer, including strategies to manage treatment and disease-related symptoms. As evidence increases to include IO in supportive care, interest grows globally. Understanding barriers to IO recommendation is key to facilitating its uptake.

METHODS: Members of the Multinational Association of Supportive Care in Cancer (MASCC) and the Society for Integrative Oncology (SIO) were invited to complete an online survey in Fall 2023 assessing barriers to IO recommendation on a 5-point scale. Descriptive statistics assessed demographic data and general counts of scaled agreement, while logistic regression analysis …

Reframing The Conversation: Evidence-Based Communication Strategies To Address Parental Vaccine Hesitancy, Azucena Hernandez

Summer Interdisciplinary Research Symposium

Objective: The purpose of the literature review is to identify factors that contribute to vaccine hesitancy and evaluate evidence-based communication techniques. Effective communication techniques can be implemented in clinical practice to address hesitancy and improve parental attitudes toward vaccination.

Methods: A literature review was conducted using PubMed and Google Scholar to identify studies examining parental vaccine hesitancy and provider communication strategies. Search terms included vaccine hesitancy, parental attitudes, childhood immunization, communication strategies, motivational interviewing, and vaccination uptake. Peer-reviewed English-language articles published between 2012 and 2025 were reviewed. Seven studies were selected based on relevance, methodological quality, and applicability …

A Review Of Bast Fibres And Their Composites: Part 5 ~ Sustainability, Luke Branca, Badr Moutik, John Summerscales

School of Engineering, Computing and Mathematics

Life Cycle Assessment (LCA) is a methodology for the evaluation of the (relative) potential environmental impacts of a product system throughout its life cycle. It is standardised under the ISO14040 and ISO14044 series. When conducted rigorously, LCA provides a quantitative framework for comparing environmental impact and can challenge or substantiate common assumptions regarding environmental performance of the system. However, it is essential that any reported results are read in combination with the defined goal and scope, as the choice of the system boundary and/or the allocation of burdens and other methodological choices can influence the outcome presented. This review will …

Leveraging The Patient Experience: Satisfaction With Hospital Food Services, Daniel Hansen Harwin, Lauren Rae Selent, Lauren Reilly Mcconnel

OneUSF Undergraduate Research Conference

Patients want and expect better health care services than they did in the past. Within hospitals, consumption of proper nutrition is vital. Patients and nutrition share a unique relationship that is essential for health, this connection is complex including important variables such as food quality. This study examined how patients’ satisfaction with food differed by clinical units. Initially, a MANOVA was conducted. For significant findings ANOVA contrasts were conducted on each dependent variable. The independent variables are the individual clinical units to which the patients were admitted. The dependent variables were the patients' responses to survey questions including: 1) There …

The Impact Of Ramadan Fasting On Chronic Disease Management, Abdulwahab Eddib, Aakez Adrak Marjan, Faris Jabbar, Nuzat Indawala

OneUSF Undergraduate Research Conference

Every year, 2.06 billion Muslims perform Ramadan fasting, a religious practice involving abstinence from food and drink from dawn to sunset for 30 days. This religious practice changes diet, hydration, sleep, and medication timing, raising clinical concerns for the safety of individuals with chronic diseases who choose to fast. Research reports mixed effects on disease control and treatment safety, emphasizing the need for an overarching analysis of its impact on chronic disease management. This literature review is aimed to examine research on Ramadan and intermittent fasting on chronic disease management and to analyze its effects on disease control, clinical outcomes, …