Digital Commons Network^™

Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …

Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa

Walden Dissertations and Doctoral Studies

This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events

Association Of Shock Index And Variants With Mortality In Acute Pulmonary Embolism, Cameron P Upchurch, Kristen Sanfilippo, Daphne Lew, Maanasi Samant, Rachel Mcdonald

2020-Current year OA Pubs

INTRODUCTION: Pulmonary embolism (PE) is common with potential for morbidity and mortality. Several PE risk-stratification tools exist; however, more granular and patient-specific indicators of potential decompensation or short-term mortality that can be easily obtained are needed for the bedside clinician to further sub-stratify risk and inform management decisions. We sought to determine the association of early emergency department (ED) measurement of the shock index (SI) and SI variants (modified SI, SI to peripheral oxygen saturation ratio, age-adjusted SI, respiratory-adjusted SI, and double product) and mortality among patients with acute PE.

METHODS: This was an observational case-control study of adult patients …

Killing Like A State: Explaining The Edge Cases Of Rebel Perpetration Of Wartime Genocidal Violence, Cheng Xu

Government: Faculty Publications

Genocide scholarship overwhelmingly identifies states as the primary perpetrators of genocidal violence. While non-state armed groups, particularly pro-government militias, have been implicated in genocide, rebel-perpetrated wartime genocidal violence remains exceedingly rare. This paper argues that state-centric explanations of genocide can be exported to explain these edge cases. I argue that four high-threshold conditions must align for rebels to commit wartime genocidal violence: (1) effective territorial control, (2) the dispensability of civilian support, (3) a rigid and exclusionary ideological program, and (4) perceptions of threat, typically constitutive rather than military, where the target group is framed as incompatible with the nascent …

Characterization Of Aluminum Black Dross Leachate From The Tertiary Smelting Industry In Jombang, East Java, Maya Lukita, Etty Riani, Ahyar Ismail, Zaenal Abidin

Makara Journal of Science

Aluminum black dross is a type of hazardous waste because it readily reacts with water to produce gas. Previous studies have reported the potential dangers of aluminum black dross to humans and the environment. This study examined the characteristics of aluminum black dross from Jombang Regency, East Java Province. The properties investigated included the volume of gas produced during leaching, the solubility of salts and aluminum under various conditions, and the mineral characteristics analyzed via Fourier transform infrared (FTIR) spectroscopy, X-ray fluorescence (XRF), and X-ray diffraction (XRD). Notably, 115 mL of gas was produced from each 0.5 g of aluminum …

The Loss Function Of Usda Forecasters: Evidence From Wasde Animal Product Price Forecasts, Chad Fiechter, Siddhartha S. Bora, Todd H. Kuethe

Department of Agricultural Economics Faculty Publications

The loss function is a mathematical representation of the costs experienced by a forecaster when observed outcomes differ from what was predicted. Prior studies suggest that USDA forecasts are not optimal based on an assumed mean-zero quadratic loss function. This study proposes an alternative view of forecast evaluation, which assumes all USDA forecasts are produced to minimize the forecasters’ costs, and searches for the dimensions of the loss function under which optimality holds. We illustrate the degree to which USDA loss functions vary across a series of WASDE price forecasts. A better understanding of USDA forecasters’ costs will benefit forecasters …

Synergistic Effects Of Gfap With Tnfr1 And Tnfr2 On Conversion To Ad Dementia And Overall Survival Across The Alzheimer’S Disease Spectrum, Laura Alejandra Ramirez Tirado, Ann D. Cohen, C. Elizabeth Shaaban, Cristy Matan, Brian J. Lopresti, Milos D. Ikonomovic, Thomas K. Karikari, Victor L. Villemagne, Oscar L. Lopez

Department of Neurology Faculty Papers

Background: We recently reported synergistic effects of TNFR1 and TNFR2 with
astrogliosis resulting in greater vascular burden and neurodegeneration, particularly in
Aβ+ participants. Here, we aimed to assess the interactions of peripheral inflammation
and astrogliosis on incidence of AD dementia and mortality. We hypothesized
synergistic effects with astrogliosis resulting in increased incidence of dementia, and
mortality, particularly in Aβ+ participants.
Methods: Participants of the Gingko evaluation of memory (GEM) study underwent
PiB-PET scans between 2009-2018. GFAP and peripheral inflammatory markers were
measured in 2009 by immunoassay. We evaluated the relationship of peripheral
markers of inflammation (TNFR1,TNFR2) and astrogliosis (GFAPdementia incidence …

Design Of An Fsae Muffler, Suzy Schwabl

Mechanical Engineering and Materials Science Independent Study

To compete in the dynamic events at the the Formula SAE IC competition, each vehicle must undergo a rigorous technical inspection. One element of the inspection is the Noise Test, which states that each car must be quieter than 103 dBc when idling and less than 110 dBc at the engine redline. Over the past few years, WashU Racing has used off-the-shelf mufflers with a guess and check system to find muffler combinations that satisfy the noise requirement. The results of that method have yielded either heavy and performance damaging muffler configurations or mufflers that have failed to meet the …

Relationship Between Principal Instructional Leadership And Students' 21st Century Skills Performance On The National Achievement Test (Nat), Mark – Jhon R. Prestoza, Niño D. Naldoza

PUP Education Review

This study aims to examine the relationship between principal instructional leadership behaviours and students’ performance in key 21st Century Skills, as measured by the National Achievement Test (NAT). The sample was selected using a stratified random sampling method, encompassing public schools within the region. The final study group consisted of 11 principals and 327 teachers across various educational institutions, with a total of 670 teachers in the region. To assess principal instructional leadership behaviours, the Principal Instructional Management Rating Scale (PIMRS) was employed, while students’ performance in problem-solving, information literacy, and critical thinking was measured using the NAT results. Data …

A 4d Analysis Of Appreciative Inquiry:Evaluating Its Applicability And Effectivenessin Bvs Colleges’ Administrative Management, Sheillo D. De La Cruz

PUP Education Review

This study explored the applicability and effectiveness of the Appreciative Inquiry (AI) approach in the administrative management of BVS Colleges, utilizing the 4D framework (Discovery, Dream, Design, Destiny). Employing a descriptive survey design, the research utilized a survey questionnaire to collect data from both teaching and non-teaching staff. It aimed to assess the perceived levels of applicability and effectiveness of AI across the four phases of the 4D framework, and to determine if significant differences existed between the perceptions of teaching and non-teaching staff. Additionally, the correlation between the perceived applicability and effectiveness was analyzed. The results indicated a high …

Effectiveness Of Nurturing Engagement And Lifelong Learning Through Audio-Visual (Nella) As Supplementary Materials In Enhancing The Academic Performance Of Grade 11 Students In Food And Beverage Services, Wileila G. Ignacio

PUP Education Review

The demand for skilled professionals in the Food and Beverage Services sector highlights the critical need for effective teaching methodologies that can boost student engagement and performance. However, conventional classroom instruction often struggles to meet the diverse learning needs of students and to provide the practical, immersive experience necessary for a deep understanding of the subject matter. This challenge points to a notable research gap: the need to explore innovative supplementary educational tools, specifically audio-visual materials, and their direct impact on knowledge retention and comprehension in this vocational area. To address this, the current study investigated the effectiveness of Nurturing …

Narratives Of The Community Skills Development Program Completers In District 1, Makati, Soliel Samson, Jonathan Florida

PUP Education Review

The Community Skills Development Program (CSDP) is a term encompassing all the skills training taken by our completers as implemented by TESDA or DSWD in partnership with other government bureaus, the local government units (LGUs), and/or with the support of private entities or non-governmental organizations (NGOs) to provide skills training to the low-income and vulnerable sectors of the municipality. The study focused on the completers from the 1st District of Makati, exploring their perspective and experiences in taking the CSDP to highlight the achievement of its main goal of combating poverty by enhancing the participants’ knowledge, skills, and attitudes, thereby …

The Influence Of Data Analytics Moocs In Making Career Decisions: The Case Of Project Sparta Completers, Nikko Visperas, Donna Pamella Gonzales, Alan Cajes, Mary Therese Fernandez, Ragella Phoebe Terrado, Jerby Lopez

PUP Education Review

Massive Open Online Courses (MOOCs) are widely valued across sectors for their ability to build knowledge and skills. With the growing demand for data analytics professionals, MOOCs have become a key tool for teaching data analytics to meet this need. This demand also influences professionals’ career decisions. Using the Social Cognitive Career Theory, this study explores the influence of completing data analytics courses under the national project, Smarter Philippines through Data Analytics Research and Development, Training, and Adoption (SPARTA). Project SPARTA offered six learning pathways and 12 micro specializations, comprising a total of 30 MOOCs to Filipino students and professionals …

Contraceptive Use And Intention Among Educationally Marginalized Women In The Philippines: Evidence, Mejedin R. Tena, Jedidia Eunice P. Peña, Manolito R. Tangan Jr.

PUP Education Review

Educationally marginalized women have a lower prevalence of contraceptive use in many studies. However, in the Philippines, its utilization is almost similar across education levels. By applying descriptive statistics and multinomial logistic regression, this study examines the profile of less educated women, variation in their contraceptive use and intention, and its predictors. Results reveal the differences in the distribution of educationally marginalized women in the country. Variation in contraceptive use and intention across socioeconomic, information, cultural, and demographic factors is observed. Multinomial regression reveals that intention to use contraceptives is more likely among employed individuals, with three or more children, …

Beyond The Human–Animal Transformation In Hasan Aourid’S SīRat ḤImāR And Rawi Hage’S Cockroach, Noha Hanafy

English Language and Literature

The paper examines the human-animal transformation as a marker of identity explo-

ration in Moroccan writer Hassan Aourid’s Sīrat Ḥimār (2014 سيرة حمار) and Lebanese

Canadian writer Rawi Hage’s Cockroach (2008). The two texts employ the concept of

the human-animal transformation to highlight the complexity of the marginalized

existence in the world. Both texts present nuanced versions of the human-animal

transformation which renders the experience both emancipatory and destabilizing at

the same time. Using the theoretical framework of Deleuze and Guattari’s work on

becoming-animal and the deterritorialization of existence along with Derrida’s discus-

sion of the anthropocentric limit, the paper …

Evaluation Of Iron Chelation Therapy In Adults With Beta-Thalassemia Major In Hilla City, Murtadha K. Ibrahiem, Muhamad O. Almuhammadi

Hilla University College Journal For Medical Science

Background: People with thalassemia can have too much iron in their bodies. This overload can come from the disease itself or from regular blood transfusions. Excess iron can harm the heart, liver, and endocrine system.

Objectives: This study aims to show how effective Deferasirox therapy is in lowering iron levels in thalassemia patients.

Materials and Methods: We enrolled 30 patients and a healthy control group from November 2022, to February 2023. The participants were gathered from the maternity hospital’s Department of Genetic Diseases in Babylon Province, Iraq. The patients were newly diagnosed, and the data included the sex of the …

Hospital Healthcare Worker Clothes Uses Compared To The Infection Control Guidelines, Peshraw Yassin Sharif, Ramand Mohammed Haji

Hilla University College Journal For Medical Science

Background: Hospital clothing can inadvertently be a vector for harmful microbes, spreading pathogens through direct contact or airborne particles when clothes are touched or disturbed. Contaminated linens and clothing not only place patients at risk but also threaten the safety of healthcare workers. The current study compares the daily use of healthcare workers’ hospital clothes according to the infection prevention and control guidelines.

Method: A descriptive cross-sectional study was conducted on 450 healthcare staff providing medical care to patients in Raparin province, Iraq healthcare settings. The study was carried out from 4^th November 2023 to 20^th January 2024. …

Electrochemical Behavior Of Dental Alloys After Surface Modification By Sputtering Coating Technique, Noor Muneerabdulsahib, Nidhal Sahib Mansoor, Muna Noori Ismail

Hilla University College Journal For Medical Science

For metallic materials, the corrosion behavior is the most important property to be considered due to the biocompatibility and cytotoxicity of the products of the corrosion process in vivo. Numerous coating processes have been developed to improve corrosion resistance, enhance the metal’s surface qualities, and increase its service life. The purpose of this review was to gather data on the corrosion of alloys in dentistry and plasma sputtering coating techniques to improve the surface characteristics of substrates. Several databases, including google scholar, pubmed, science direct, and web of science were searched electronically, and a manual search of the scientific literature …

Risk Factors For Hepatitis B Virus Infection Among Patients Attending Health Facilities In Sulaimani City, Iraq: A Case-Control Study, Bestun Ibrahim Hama Rahim

Hilla University College Journal For Medical Science

Background: The hepatitis B virus is a major threat to public health because it causes disease. Approximately 5% of people worldwide are chronically infected, and this virus has infected approximately one-third of the population. The purpose of this study was to assess the risk factors for hepatitis B transmission among patients who visit medical institutions in Sulaimani City.

Method: A case-control study was carried out among 240 individuals (120 cases and 120 controls) visiting health facilities in Sulaimani City between August 11 and December 31, 2024. Convenient sampling was used for selecting participants. Data on demographics, behavioural risk factors, and …

Association Between Tlr2 Gene Mutations And Pulmonary Function In Patients With Pulmonary Tuberculosis, Hayder Ghali Wadi Algawwam, Basheer Ali Kareem

Hilla University College Journal For Medical Science

Background: Toll-like receptor 2 (TLR2), which is expressed on myeloid cells, detects harmful substances from invading infections or host-damaged tissues, leading to inflammation.

Objectives: Evaluation of the effects of TLR2 gene mutation on pulmonary function in pulmonary tuberculosis.

Methods: A prospective observational study lasting from January 2024 to December 2024 carried out on a sample of Iraqi patients from Kirkuk city who attended TB units at primary health care districts. Spirometry was done for all patients 2 months after the onset of anti-TB treatment and again after 6 months at the end of the treatment course. Blood samples …

Intraosseous Lipoma Of The Calcaneus: A Systematic Review Of Reported Cases, Imaging Characteristics, And Treatment Outcomes, Adam W. Youssef, Paul M. Doney, Cameron Ballard, Dryden Dalbey, Jayden Harrington

Student Publications

Intraosseous lipoma (IOL) of the calcaneus is a rare benign tumor composed of mature adipose tissue that may undergo fat necrosis and calcification. Because its imaging features can overlap with other radiolucent bone lesions, calcaneal IOL is sometimes misclassified and may prompt biopsy or surgical intervention for definitive diagnosis. To better characterize this entity, we conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and performed a comprehensive PubMed search using the terms “intraosseous lipoma”, “calcaneus”, and “heel bone”. Eligible studies included case reports and series published between January 1976 and May 2024 …

Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell

Walden Dissertations and Doctoral Studies

Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety issue, especially among hospitalized patients receiving total parenteral nutrition (TPN). Patients on TPN face a higher risk of infection due to the high glucose content of the solution and the frequent access required for central line therapy. The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality have recognized CLABSI prevention as a national priority. In addition, there is emphasis on high-risk groups like patients receiving TPN. The Infusion Therapy Standards of Practice, an evidence-based guideline, recommends catheter care, including timely adapter (i.e., …

Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami

Walden Dissertations and Doctoral Studies

This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …

Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun

Walden Dissertations and Doctoral Studies

Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …

Quantitative Structure-Activity Relationship, Pharmacokinetics, Drug-Likeness, Toxicity, And Molecular Docking Studies Of 4-N-(Methyl)-4-Aminoquinoline Derivatives As Antimalarial Compounds, Muhamad Jalil Baari, Devi Hardiyanti

Makara Journal of Science

Antimalarial drug resistance has encouraged various innovations to develop novel drug compounds that are effective, feasible, and safe, adhering to health standards. One way to do that is by observing and predicting the biological activity of drug compounds using quantitative structure–activity relationship (QSAR) analysis. In this study, QSAR analysis was conducted on the 4-N-(methyl)-4-aminoquinoline derivatives, which effectively inhibit the growth of Plasmodium falciparum as a source of malaria. The research stages involved molecular structure modeling, molecular geometry optimization using the AM1 semi-empirical method, and QSAR descriptor calculations, including electronic (atomic charges (q), HOMO and LUMO energies, polarizability (α), …

Microplastic Degradation Using Laccase Enzyme From Trametes Hirsuta: In The Silico Study, Hanzhola Gusman Riyanto, Diana Sylvia

Makara Journal of Science

Microplastics are a serious global problem that arises worldwide because of their widespread use. Exposure to microplastics can negatively affect human and environmental health. In this study, we used molecular docking methods with MOE software (version 2014.0901) to investigate the interaction between the laccase enzyme and several microplastic compounds as a preliminary study of microplastic degradation using enzymes. The Quantitative Structure Analysis Relationship (QSAR) analysis revealed that all microplastic ligands had higher Pa values than Pi, indicating that the laccase enzyme may be biologically active. The findings of the present study show that polyamide (PA) has the lowest binding energy …

Enzyme-Free Colorimetric Sensing Of Glucose Using Silver Nanoparticles With A Green Stabilizing Agent From Capsicum Chinense Jacq Extract, Boyfannie Ivan Putra, Hermin Sulistyarti, Muhammad Mashuri Utama, Aura Ananda Haryanto, Rurini Retnowati, Mohamad Rafi, Akhmad Sabarudin

Makara Journal of Science

Diabetes mellitus (DM) is a significant global health issue characterized by abnormal glucose levels in the human body. DM diagnostics are often based on invasive sampling from blood, which poses a potential risk of infection and tissue damage. Therefore, a non-enzymatic and non-invasive method for glucose monitoring is demanded as a simple alternative to glucose detection in urine samples. In this work, enzyme-free glucose determination is based on the formation of silver nanoparticles stabilized by Capsicum chinense Jacq extract (CCJ-AgNPs). Under alkaline conditions, glucose functions as a reducing agent for silver ions, and the extract acts as a stabilizer to …

Enhanced Oviposition Preferences And Larval Performance Of Hermetia Illucens L. In Fruit Wastes Fermented By Effective Microorganisms, Resti Rahayu, Robby Jannatan, Muhamad Ronaldo, Risa Ukhti Muslima

Makara Journal of Science

Organic waste comprises a considerable portion of global waste, requiring effective management. The ability of the black soldier fly (Hermetia illucens, BSF) to convert organic waste into biomass has been well reported. However, bioconversion can be hindered by fiber-rich substrates, a challenge that can be addressed through substrate pretreatment. This study examined the oviposition preferences and larval performance of BSFs in several fruit wastes fermented by effective microorganisms (EMs), which were compared to non-fermented substrates. The oviposition attractants utilized pineapple peel and overripe soursop, with larval performance evaluated among different treatments, i.e., non-fermented pineapple peel (NFP), fermented pineapple …

Some New Ecological Aspects Of The Lesser Sunda Endemic Drepanosticta Berlandi (Odonata: Zygoptera: Platystictidae), Muhammad Zulhariadi, Muhammad Setyo Nugroho, Nurul Hidayani

Makara Journal of Science

Drepanosticta berlandi is an endemic damselfly in the Lesser Sunda region of Indonesia, which was first recorded on Lombok Island in the 19th century. Albeit recognized for a century, information on its ecology is still lacking; hence, this study aims to reveal its distribution and habitat preferences. The research was conducted at the Tibu Ijo Waterfall tourist area in West Lombok Regency using line transects combined with field survey in the Kekait River and on footpaths on both sides of the river. Vegetation density, topography, and land survey temperature (LST) were measured at the sampling area using ArcGIS 10.4.1 software. …

Computational Screening Of Anticancer Peptides From Cordyceps Militaris Targeting Apoptosis, Angiogenesis, And Metastasis, Joanne Lim, Adeline Yoke Yin Chia, Sunita Chamyuang, Tang Yin Quan

Makara Journal of Science

Cancer remains a major global health issue, and current therapies often lack efficacy and have severe adverse effects. Anticancer peptides (ACPs) have emerged as promising therapeutic agents due to their specific targeting mechanisms and minimal toxicity. This study aimed to identify novel ACPs from Cordyceps militaris through computational screening, evaluate their anticancer potential, predict their mechanisms of action through molecular docking, and analyze their pharmacokinetic profiles. Initially, 15 protein sequences from Cordyceps militaris were retrieved from the National Center for Biotechnology Information database and subjected to in silico gastrointestinal digestion using BIOPEP-UWM. The resulting peptides were subjected to predictive analysis …