Digital Commons Network^™

Proposal: How Does The Total Sugar Intake Impact Cognitive Function In Children 10 Years Of Age?, Andrew O. Laidlaw, Camila Arrieta, Shoshana Yachnes

Department of Nutrition Student Projects

The effects that high sugar intake has on cognitive function is an ongoing topic in research today. Although most studies point to a negative relationship between the variables, the evidence is not conclusive enough to be able to confirm its true effect. While evidence finds an association between high sugar intake and chronic diseases, its impact on cognitive function is yet to be determined. The purpose of this proposed research study is to examine how total sugar intake impacts the cognitive function in children. Fifty children, age 10, will be randomly chosen from schools in South Florida for a cross-sectional …

Teaching Exercise Physiology With Flipped Classroom Method In The Era Of Covid-19: Experience Of A Remote Course, Valéria Panissa, Cláudia Lúcia De Moraes Forjaz, Bruno Rocha De Avila Pelozin, Gabriel Loureiro Martins, Ailma Oliveira Da Paixão, Raphael Ferreira De Paiva Barreto, Patricia Chakur Brum

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this article is to describe the use of flipped classroom method in a forced remote Exercise Physiology course during the COVID-19 pandemic and assess the students’ motivation and learning throughout the course. METHODS: Undergraduate students received recorded asynchronous activities each week that should be done before a weekly synchronous meeting. During synchronous and asynchronous activities, strategies to emphasize students’ active participation were applied. Weekly, learning evaluation activities were applied, and the motivation was assessed. At the end of the course, students’ motivation and learning about each activity were evaluated. RESULTS: Of the 14 course topics, 2 …

How Traits Of Emotional Intelligence Affect Perceived Stress In Entry-Level Doctor Of Occupational Therapy Students, Heidi A. Carpenter, Chelsey Edwards, Scott Richardson

Internet Journal of Allied Health Sciences and Practice

Purpose: Students in an entry-level Doctor of Occupational Therapy (OTD) programs are subject to high levels of stress and emotional burnout. Effective management of stress impacts life satisfaction and academic performance. Emotional intelligence (EI) has been shown to relate to lower stress levels in allied health students. Despite this, little has been done to investigate the emotional demands of an occupational therapy education. Methods: Participants were a convenience sample of 51 entry-level Doctor of Occupational Therapy Students recruited from the Southwest and Midwest cohorts of an OTD program. The participants were surveyed approximately 30 days after beginning their semester curriculum. …

Title: Assessment Of Student Perception Regarding Clinical Training In Undergraduate Dental Programs Using Clin Ed Iq., Sanaa Ahmed, Samira Adnan, Syed Mahmood Haider

Internet Journal of Allied Health Sciences and Practice

Purpose. Clinical training is essential part of the dental curriculum. Both clinical environment and Teachers are essential factors which affect the acquired clinical skills. The objective was to assess the perceptions of dental students regarding their clinical training. Methods. This mixed method study using Clin Ed IQ questionnaire was conducted on Dental students graduating from both Private and Public sector institutes of Karachi. The questionnaire had four sections, the first three based on various aspect of clinical training, with responses based on 5-point Likert scale. Section four had open-ended items about dental curriculum. Results. For responses of 220 participants related …

“My Mummy Has A Hole In Her Face”: Living With Facial Eye Disfigurement, Zali O'Dea, Jane Southcott

The Qualitative Report

People living with facial eye disfigurements (LwFED) are often shunned by a society that makes spontaneous judgements based on appearance. This article is a case study of the lived experience of Toni, a 27-year-old woman LwFED, the result of her treatment for ocular cancer. Semi-structured interviews facilitated the exploration of her experiences. We present the findings chronologically but interwoven with themes such as: being strong for others; responding to her partner’s abuse; dealing with strangers; and reinventing her sense of identity and supporting others. We identified institutional perspectives of work, hospital, and family within the prevailing UK that impacted Toni’s …

Il-34 Exacerbates Pathogenic Features Of Alzheimer's Disease And Calvaria Osteolysis In Triple Transgenic (3x-Tg) Female Mice., Anny Ho, Bidii Ngala, Chiaki Yamada, Christopher Garcia, Carolina Duarte, Juliet Akkaoui, Dumitru Ciolac, Amilia Nusbaum, William Kochen, Daniela Efremova, Stanislav Groppa, Lubov Nathanson, Stephanie Bissel, Adrian Oblak, Melissa A. Kacena, Alexandru Movila

HPD Articles

Hallmark features of Alzheimer's disease (AD) include elevated accumulation of aggregated Aβ40 and Aβ42 peptides, hyperphosphorylated Tau (p-Tau), and neuroinflammation. Emerging evidence indicated that interleukin-34 (IL-34) contributes to AD and inflammatory osteolysis via the colony-stimulating factor-1 receptor (CSF-1r). In addition, CSF-1r is also activated by macrophage colony-stimulating factor-1 (M-CSF). While the role of M-CSF in bone physiology and pathology is well addressed, it remains controversial whether IL-34-mediated signaling promotes osteolysis, neurodegeneration, and neuroinflammation in relation to AD. In this study, we injected 3x-Tg mice with mouse recombinant IL-34 protein over the calvaria bone every other day for 42 days. Then, …

Group 4 Iti Consensus Report: Patient Benefits Following Implant Treatment In Partially And Fully Edentulous Patients., Martin Schimmel, Mauricio Araujo, Samir Abou-Ayash, Ramona Buser, Supriya Ebenezer, Manrique Fonseca, Lisa J. Heitz-Mayfield, Lucrezia Paterno Holtzman, Porawit Kamnoedboon, Robert Levine, Gerry Mckenna, Sabrina Maniewicz, Flavia Matarazzo, Nikos Mattheos, Panos Papaspyridakos, André Barbisan De Souza, Murali Srinivasan, Charlotte Stilwell, Hans Peter Weber

HPD Articles

OBJECTIVES: The aim of Working Group 4 was to address patient benefits associated with implant dentistry. Focused questions on (a) dental patient-reported outcomes (dPROs), (b) improvement in orofacial function, and (c) preservation of orofacial tissues in partially and fully edentulous patients following provision of implant-retained/supported dental prostheses were addressed.

MATERIALS AND METHODS: Three systematic reviews formed the basis for discussion. Participants developed statements and recommendations determined by group consensus based on the findings of the systematic reviews. These were then presented and accepted following further discussion and modifications as required by the plenary of the 7th ITI Consensus Conference, taking …

Allied Health Professions In Research: The Forgotten Workforce, Sarah Baker, Lisa Ballantine

Internet Journal of Allied Health Sciences and Practice

Purpose: To understand the experience, involvement, and perceived importance of research among allied health professions and identify how robust research culture might be established in secondary care. Method: Analyses were carried out on quantitative and qualitative data using an online questionnaire disseminated to allied health professionals working in a national health service trust in the north of England. Logistic regression was used to ascertain whether Agenda for Change banding and profession significantly influenced research qualifications, experience, and interest. Qualitative data was analysed within a theoretical framework that focused on, career development, job satisfaction and clinical practice. Results: Educational attainment, research …

Occurrence Of Temporomandibular Disorder In Subjects With Low Back Pain And Spinal Postural Deformities: An Observational Study, Vijay Kage, Aarti Welling, Richa Desai

Internet Journal of Allied Health Sciences and Practice

Purpose: Back pain and temporomandibular disorder (TMD) are two predominant illnesses that affect the human motor system. Literature has stated significant associations between chronic low back pain (CLBP) and TMD. Global postural deviations cause body adaptation and realignment, which may interfere with the function of TMJ. However, the possibility of TMD in subjects with CLBP associated with spinal postural deformities has yet to be completely explored. Method: This was an observational study carried out among 65 people having CLBP with co-presence of any spinal deformities. Forward head posture (FHP) was assessed using the On-Protractor application and thoracic kyphosis and lumbar …

Trends In Length Of Stay: Experience From A Tertiary Care Pediatric Rehabilitation Unit In Saudi Arabia., Sami Ullah, Ahmad Zaheer Qureshi, Waqas Sami, Amara Ilyas, Sherif Samir Abdelmaksoud Tantawy, Sarah Samir Abdulakarim Alqatari, Hasan Shacfe, Colleen Ann Wunderlich

Internet Journal of Allied Health Sciences and Practice

Background: Pediatric rehabilitation units offer unique challenges due to complex rehabilitation needs of children based on their age group and diagnosis. Length of stay (LOS) is an indirect measure of hospital cost and efficiency of a clinical service and it is important to determine the factors affecting LOS in hospitalized children undergoing inpatient rehabilitation. Methods: Record of 350 children (males: 222, female: 128) who underwent inpatient pediatric rehabilitation program at King Fahad Medical City, Riyadh Saudi Arabia during 2011 to 2018 were reviewed. Diagnoses were categorized into cerebral palsy, spinal cord injury, traumatic brain injury, non-traumatic brain injury and others. …

The Development Of Fat Embolism Syndrome (Fes) And Multiple Small Pulmonary Emboli Following Open Reduction Internal Fixation (Orif) Of A Left Femur Fracture: A Case Report, Aaron Hacker, Dylan S. Irvine, Scott Macdougal, Imani Thornton

HPD Articles

Fat embolism syndrome (FES) is a rare but potentially life-threatening complication that can occur following orthopedic procedures, such as long bone fracture repairs. FES is caused by the release of fat globules into the bloodstream, leading to the obstruction of blood vessels and subsequent tissue damage. Pulmonary embolism (PE), a condition in which a blood clot travels to the lungs, is another potential complication of orthopedic procedures due to the mobilization of blood clots during surgery. We report the case of a 56- year-old female who presented to the emergency department with a left femur fracture following a mechanical fall …

A Review Of Federal And Statewide Guidelines And Their Effects On Orthopedics, Johann Braithwaite, John M. Tarazi, Joshua Gruber, Jarret Boroniec, Randy Cohn, Adam Bitterman

HPD Articles

In the past three decades, the use of opioids has risen tremendously. Pain was named the “fifth patient vital sign” in the 1990s, and from that point, opioid usage has continued to grow throughout the 2010s leading to its recognition as a crisis. The United States is responsible for 80% of the global opioid usage while only accounting for less than 5% of the global population. Previously opioids were mostly used to treat acute pain, however, opioids have been most recently used to manage chronic pain as well. The opioid crisis has presented new challenges in treating pain while preventing …

Platelet-Rich Plasma’S Effects In Patients With Androgenetic Alopecia: A Scoping Review, Viktor Kunder, Cristina Munoz, Judd Ivan Palonpon

HPD Articles

Androgenetic Alopecia (AGA), the most common form of hair loss in both males and females, is characterized by the progression of large, pigmented terminal hair to thin, fine vellus hair. In recent years, there has been growing interest in exploring Platelet-Rich Plasma (PR) as a therapeutic option for AGA. PRP is a mixture of numerous cytokines and growth factors that have shown the ability to facilitate wound healing and collagen development. PRP is a mixture of numerous cytokines and growth factors that have shown the ability to facilitate wound healing and collagen development. Utilizing the databases PubMed, Medline EBSCO, and …

Health Issues Among Nepalese Youth: A Literature Review, Veenah Stoll, Naomi Edwin, Kripa Dahal, John Barnes, Miranda Pfautsch, Lahana Maharjan, Cyril Blavo

HPD Articles

Nepal is one of the world's least-developed countries. Nepalese children are often vulnerable to a lack of resources which leads to suboptimal levels of health in turn. This review article aims to identify health issues and inequities faced by school-aged children greater than five years old in Nepal. A comprehensive search of the literature was conducted in PubMed and Global Health databases to gather relevant studies. Inclusion and exclusion criteria were applied to select appropriate articles, and 35 full-length articles were reviewed in-depth. The literature supports the association between inadequate resource distribution among Nepalese children and poorer health outcomes compared …

Alcohol Use And High-Risk Sexual Behaviors Among Members Of A Latino Migrant Worker Community In Central Florida, Jesus Sanchez, Jodi-Ann Hibbert

HPD Articles

Background: Latino and Latina migrant workers constitute a vast amount of the agricultural workforce within the United States. A few studies indicate that a significant segment of the Latino migrant worker population in the United States is at high risk for alcohol abuse and related high-risk behaviors. Information about the prevalence of alcohol use and abuse and its association with high-risk sexual behaviors is needed to design effective prevention strategies in this underserved population.

Aims: To assess the association between alcohol use and high-risk sexual behaviors in this population.

Methods: Cross-sectional data was obtained from March 2018 through December 2019 …

Micromanagement In Clinical Supervision: A Scoping Review., Jihyun Lee, Solmoe Ahn, Marcus A. Henning, J M Monica Van De Ridder, Vijay Rajput

HPD Articles

Micromanagement in clinical supervision in health professions education generally refers to supervision characterized by unproductive excessive control and attention to detail. It can affect autonomy, competence, well-being of learners, teamwork, and ultimately patient care. Despite its potential negative impact on learners and patients, no comprehensive review of this phenomenon has been conducted. This scoping review aims to explore the breadth of extant literature concerning micromanagement in clinical supervision in health professions education and map the body of research on the topic. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis: Extension for Scoping Review (PRISMA-ScR). We searched eight …

Bioinspired Polymers: Transformative Applications In Biomedicine And Regenerative Medicine., Hossein Omidian, Renae L. Wilson, Niloofar Babanejad

HPD Articles

Bioinspired polymers have emerged as a promising field in biomaterials research, offering innovative solutions for various applications in biomedical engineering. This manuscript provides an overview of the advancements and potential of bioinspired polymers in tissue engineering, regenerative medicine, and biomedicine. The manuscript discusses their role in enhancing mechanical properties, mimicking the extracellular matrix, incorporating hydrophobic particles for self-healing abilities, and improving stability. Additionally, it explores their applications in antibacterial properties, optical and sensing applications, cancer therapy, and wound healing. The manuscript emphasizes the significance of bioinspired polymers in expanding biomedical applications, addressing healthcare challenges, and improving outcomes. By highlighting these …

Enhancing Therapeutic Efficacy Of Curcumin: Advances In Delivery Systems And Clinical Applications., Hossein Omidian, Renae L. Wilson, Sumana Dey Chowdhury

HPD Articles

Curcumin, a potent active compound found in turmeric and Curcuma xanthorrhiza oil, possesses a wide range of therapeutic properties, including antibacterial, anti-inflammatory, antioxidant, and wound healing activities. However, its clinical effectiveness is hindered by its low bioavailability and rapid elimination from the body. To overcome these limitations, researchers have explored innovative delivery systems for curcumin. Some promising approaches include solid lipid nanoparticles, nanomicelle gels, and transdermal formulations for topical drug delivery. In the field of dentistry, curcumin gels have shown effectiveness against oral disorders and periodontal diseases. Moreover, Pickering emulsions and floating in situ gelling systems have been developed to …

Covid-19: Variants, Immunity, And Therapeutics For Non-Hospitalized Patients., Cameron Y.S. Lee, Jon B. Suzuki

HPD Articles

The continuing transmission of coronavirus disease 2019 (COVID-19) remains a world-wide 21st-century public health emergency of concern. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused greater than 600 million cases of COVID-19 and over 6 million deaths globally. COVID-19 continues to be a highly transmissible disease despite efforts by public health officials and healthcare providers to manage and control the disease. Variants identified in selected worldwide epicenters add to the complexity of vaccine efficacy, overage, and antibody titer maintenance and bioactivity. The identification of the SARS-CoV-2 variants is described with respect to evading protective efficacy of COVID-19 vaccines and …

Cpg Odn/Mangiferin Dual Delivery Through Calcium Alginate Hydrogels Inhibits Immune-Mediated Osteoclastogenesis And Promotes Alveolar Bone Regeneration In Mice., Yingzhi Gu, Yang Hu, Shengyuan Huang, Sunniva Ruiz, Toshihisa Kawai, Yuxing Bai, Xiaozhe Han

HPD Articles

The immune system plays an important role in the skeletal system during bone repair and regeneration. The controlled release of biological factors from the immune system could facilitate and optimize the bone remodeling process through the regulation of the activities of bone cells. This study aimed to determine the effect of the controlled delivery of immunomodulatory biologicals on bone regeneration. Immunostimulatory cytosine-phosphate-guanosine oligodeoxynucleotides (CpG ODN) and glucosylxanthone Mangiferin (MAG)-embedded microbeads were incubated with P. gingivalis-challenged splenocytes, or co-cultured with RAW264.7 cells. The effect of CpG ODN/MAG-containing microbeads on bone regeneration was then tested in vivo in a mouse alveolar bone …

Advancements And Applications Of Injectable Hydrogel Composites In Biomedical Research And Therapy., Hossein Omidian, Sumana Dey Chowdhury

HPD Articles

Injectable hydrogels have gained popularity for their controlled release, targeted delivery, and enhanced mechanical properties. They hold promise in cardiac regeneration, joint diseases, postoperative analgesia, and ocular disorder treatment. Hydrogels enriched with nano-hydroxyapatite show potential in bone regeneration, addressing challenges of bone defects, osteoporosis, and tumor-associated regeneration. In wound management and cancer therapy, they enable controlled release, accelerated wound closure, and targeted drug delivery. Injectable hydrogels also find applications in ischemic brain injury, tissue regeneration, cardiovascular diseases, and personalized cancer immunotherapy. This manuscript highlights the versatility and potential of injectable hydrogel nanocomposites in biomedical research. Moreover, it includes a perspective …

Strategies To Facilitate Professional Student Collaboration Focused On An Interprofessional Understanding, Nicole Trupiano, Tommy Lau, Kelsey Dods, Olivia S. Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: Newer studies have suggested that interprofessional education (IPE) initiatives led by students can be successful in engaging their peers in IPE. Despite this, few studies exist that examine the student response to student-led IPE activities. The objective of this paper is to describe a student-led IPE program where health professional students learn from each other or from practicing health professionals through a seminar series. Method: Three seminars were arranged with presenters representing dentistry, dietetics, and occupational therapy. Student attendees completed a pre- and post-survey to analyze their interest, knowledge, and likelihood to collaborate with the profession featured in each …

Caregiver Experiences Of Feeding Instruction For Infants Born With Cleft Lip And/Or Palate, Clare Huang, Kimberly Green, Lauren E. Bland, Jamie D. Fisher

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this pilot study was to attempt to describe how feeding education was provided to a group of caregivers of infants with cleft lip and/or palate and how they viewed the feeding experience. Method: Participants (n=5) were recruited from two Facebook support groups, Cleft Lip and Palate Support Group and Cleft Mom Support. The data were collected using Qualtrics™ software. The questionnaire consisted of eight demographic questions and seven topic-specific questions. The demographic questions included the exclusion and inclusion criteria. The participants of this study were required to be an English-speaking parent or a caregiver of …

Dental Hygienists’ Intentions To Provide Anticipatory Guidance Recommendations: Application Of The Theory Of Planned Behavior, Melissa E. Calhoun, Irina Smilyanski, Linda D. Boyd, Jared Vineyard

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to assess the relationship between the behavioral, normative, and control beliefs of dental hygienists (DHs) and their behavioral intention to provide anticipatory guidance (AG) to expecting parents and caregivers of infants and toddlers. Methods: A descriptive, cross-sectional survey design used convenience sampling strategies to recruit DHs (n=335) who provided oral health care to expecting parents and caregivers of children 0-5 years old. A survey was developed based on the Theory of Planned Behavior (TPB) and validated. Descriptive, correlation and regression analyses were conducted to assess the relationships among variables. Results: The survey completion rate was 72% …

Repair Of An Extensive External Cervical Resorption Lesion Using Intentional Replantation With Crown Rotation., Motoki Okamoto, Yoko Asahi, Henry Fergus Duncan, Nanako Kuriki, Yusuke Takahashi, Mikako Hayashi

HPD Articles

Treatment of large external cervical resorption (ECR) lesions may be compromised, rendering the tooth unrestorable. Intentional replantation is a potential treatment option depending on the site and extent of ECR. We present a case of a large ECR successfully managed with intentional replantation with rotation of the tooth. The female patient consulted the hospital clinic, with an extensive palatal ECR on the maxillary lateral incisor. Routine planar radiographs and cone-beam computed tomography demonstrated a larger palatal than the ECR lesion (Heithersay Class III and Patel's Class 2Bp) not amenable to nonsurgical treatment. Intentional replantation after short-term extrusion was planned. The …

Association Between Symptoms Of Severe Periodontitis And Post-Bronchodilator Lung Function: Results From The China Pulmonary Health Study., Zhiqiang Liu, Xuan Zhou, Lirong Liang, Xiaozhe Han, Ting Yang, Kewu Huang, Yingxiang Lin, Zuomin Wang, Chen Wang

HPD Articles

BACKGROUND: The association between periodontitis and post-bronchodilator lung function is unclear. We aimed to determine the associations between symptoms of severe periodontitis (SSP) and post-bronchodilator lung function in the Chinese population.

METHODS: A cross-sectional study (China Pulmonary Health study) was conducted from 2012 to 2015 in a large Chinese nationally representative sample of 49,202 participants aged 20-89 years. Data on demographic characteristics and periodontal symptoms of participants were collected by questionnaire. Participants who had at least one of the two severe symptoms (tooth mobility and natural tooth loss) in the past year were defined to have SSP, which was set …

Periodontal Regeneration Risk Assessment In The Treatment Of Intrabony Defects., Robert A. Levine, Muhammad H A Saleh, Debora R. Dias, Jeffrey Ganeles, Maurício G. Araújo, Franck Renouard, Harold M. Pinsky, Preston D. Miller, Hom-Lay Wang

HPD Articles

BACKGROUND: Regenerative approaches performed in periodontics seems to be efficient in treating intrabony defects. There are, however, many factors that may affect the predictability of the regenerative procedures. The present article aimed to propose a new risk assessment tool for treating periodontal intrabony defects by regenerative therapy.

METHODS: Different variables that could affect the success of a regenerative procedure were considered based on their impact on (i) the wound healing potential, promoting wound stability, cells, and angiogenesis, or (ii) the ability to clean the root surface and maintain an optimal plaque control or (iii) aesthetics (risk for gingival recession).

RESULTS: …

Preprocedural Viral Load Effects Of Oral Antiseptics On Sars-Cov-2 In Patients With Covid-19: A Systematic Review., Miriam Ting, Alex Dahlkemper, Jeremy J. Schwartz, Manzel Woodfork, Jon B. Suzuki

HPD Articles

(1) There are limited clinical trials to support the effectiveness of mouth rinses when used as a preprocedural rinse against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This systematic review aims to evaluate the efficacy of antiseptic mouth rinses as a preprocedural rinse in reducing SARS-CoV-2 oral viral load in-vivo. (2) Methods: A literature search was conducted through November 2022 for the following databases: PubMed, Web of Science, Cochrane Library, and Google Scholar. The evaluated outcomes were quantitative changes in viral load and the statistical significance of that change after using antiseptic mouth rinses. (3) Results: 14 randomized controlled trials …

Exploring The Potential Of Nanotechnology In Pediatric Healthcare: Advances, Challenges, And Future Directions., Hossein Omidian, Kwadwo Mfoafo

HPD Articles

The utilization of nanotechnology has brought about notable advancements in the field of pediatric medicine, providing novel approaches for drug delivery, disease diagnosis, and tissue engineering. Nanotechnology involves the manipulation of materials at the nanoscale, resulting in improved drug effectiveness and decreased toxicity. Numerous nanosystems, including nanoparticles, nanocapsules, and nanotubes, have been explored for their therapeutic potential in addressing pediatric diseases such as HIV, leukemia, and neuroblastoma. Nanotechnology has also shown promise in enhancing disease diagnosis accuracy, drug availability, and overcoming the blood-brain barrier obstacle in treating medulloblastoma. It is important to acknowledge that while nanotechnology offers significant opportunities, there …

A Realist Informed Study On Speaking Up In Healthcare – Supervisors’ Perceptions Of New Graduates Speaking Up, Philippa M. Friary, Suzanne C. Purdy, Lindy Mcallister, Mark Barrow, Rachelle Martin

Internet Journal of Allied Health Sciences and Practice

Introduction: For healthcare organizations to adapt and improve, staff need to speak up for patient safety and quality improvement. Speaking up has been explored in nursing and medicine with little known about speaking up in allied health. This study is part of a larger project investigating speaking up in allied health new graduates. This paper is taking a realist position to look at the perspectives of supervisors of allied health new graduates and further develop the Initial Program Theory (IPT) developed from the new graduate study. Method: Data was collected from two focus groups. Inductive thematic analysis was employed to …