Medicine and Health Sciences Commons^™

Improved High Quality Sand Fly Assemblies Enabled By Ultra Low Input Long Read Sequencing, Michelle Huang, Sarah Kingan, Douglas Shoue, Oanh Nguyen, Lutz Froenicke, Brendan Galvin, Christine Lambert, Ruqayya Khan, Chirag Maheshwari, David Weisz, Gareth Maslen, Helen Davison, Erez Lieberman Aiden, Jonas Korlach, Olga Dudchenko, Mary Ann Mcdowell, Stephen Richards

Faculty, Staff and Students Publications

Phlebotomine sand flies are the vectors of leishmaniasis, a neglected tropical disease. High-quality reference genomes are an important tool for understanding the biology and eco-evolutionary dynamics underpinning disease epidemiology. Previous leishmaniasis vector reference sequences were limited by sequencing technologies available at the time and inadequate for high-resolution genomic inquiry. Here, we present updated reference assemblies of two sand flies, Phlebotomus papatasi and Lutzomyia longipalpis. These chromosome-level assemblies were generated using an ultra-low input library protocol, PacBio HiFi long reads, and Hi-C technology. The new P. papatasi reference has a final assembly span of 351.6 Mb and contig and scaffold N50s …

Experiences Of Parent Coaches In An Intervention For Parents Of Young Children Newly Diagnosed With Type 1 Diabetes, Carrie Tully, Manuela Sinisterra, Wendy Levy, Christine H Wang, John Barber, Hailey Inverso, Marisa E Hilliard, Maureen Monaghan, Randi Streisand

Faculty, Staff and Students Publications

Objectives: This paper explores parent coaching experiences supporting parents of young children newly diagnosed with type 1 diabetes in a clinical trial.

Methods: In a trial for 157 parents, those in the intervention arm (n = 116) were paired with a parent coach (n = 37; Mage = 37.9 years, SD = 3.9; 94.6% mothers, 81.1% White non-Hispanic). Parent coaches provided diabetes-specific social support. Parent coaches completed monthly surveys and satisfaction/feasibility surveys, with a subset (n = 7) undergoing qualitative interviews at the end of this study.

Results: There were 2262 contacts between participants and their parent coaches, averaging …

Intraoperative Remifentanil Use Reduces Atrial Fibrillation After Coronary Artery Bypass Surgery, Yasuhiko Imashuku, Susumu Hiraoka, Motoi Inoue, Takayoshi Mizuno, Misuzu Oyagi, Hirotoshi Kitagawa

Journal of the Saudi Heart Association

Objectives:

Atrial fibrillation after coronary artery bypass grafting is a relatively well known complication that has been observed for a long time. Though the management and drugs in the perioperative period have changed, their impact on the generation of postoperative atrial fibrillation remains unclear. Therefore, we investigated various perioperative management methods and the occurrence of postoperative atrial fibrillation.

Methods

The patients underwent off-pump coronary artery bypass grafting between January 2010 and October 2019. The study was a retrospective observational study, and we investigated the incidence of atrial fibrillation during all 5 postoperative days. Patient factors included age, sex, height, …

An Accidental Discovery Of Ductal Adenocarcinoma Of The Pancreas In An Adult Horse With Severe Abdominal Pain, Thita Wonghanchao, Kanokpan Sanigavatee, Chanoknun Poochipakorn, Onjira Huangsaksri, Phudit Maneesaay, Rungrueang Yodsheewan, Metha Chanda

The Thai Journal of Veterinary Medicine

A native pony, eight years old and male, was tentatively diagnosed with abdominal pain and treated immediately. Sequential hematological profiles revealed increased levels of aspartate aminotransferase (AST), alkaline phosphatase (ALP), and creatinine, as well as reduced albumin. After the pony's death, which occurred eight days after treatment began, a necropsy was performed. The liver's external surface showed small foci, but no gross lesion was observed in the pancreas, which was enlarged. Haematoxylin and eosin (H&E) staining of the liver showed multifocal inflammation in the hepatic parenchyma, coinciding with bile duct hyperplasia. The pancreas H&E staining showed well-differentiated tubular glands with …

A Conjunctival Mast Cell Tumor In Golden Retriever: A Case Report, Orapun Jaturakan

The Thai Journal of Veterinary Medicine

A high-grade mast cell tumor of the conjunctiva in the Golden Retriever is a rare condition. Wide excisional conjunctival mass biopsy is suggested, combined with chemotherapy. A 9-year-old neutered female Golden Retriever with a painless conjunctival mass at the right temporal bulbar conjunctiva was presented at the Ophthalmology Clinic of the Small Animal Teaching Hospital, Faculty of Veterinary Sciences, Chulalongkorn University. Complete physical and ophthalmic examinations were performed. The metastasis of the primary conjunctival mass was investigated by radiography of the skull, orbit, thorax, and abdomen, as well as by ultrasonography in the orbit and abdomen. No metastasis was confirmed …

Cervical Lymphangiosarcoma In A Poodle Dog: Surgical Treatment And Chemotherapy, Minkyung Kim, Young-Hwan Kim, Jae-Eun Hyun

The Thai Journal of Veterinary Medicine

A 7-year-old neutered male Poodle exhibited a persistent caudoventral cervical mass with draining lesions characterized by chronic and relapsing features. Upon presentation, the mass measured 7 × 11 × 11.5 cm, containing sanguine fluid. Computed tomography revealed the diffuse extension of the cervical mass from the C3 level to the thoracic inlet, affecting the sternal lymph node. Extensive surgical removal was attempted with meticulous resection to avoid damaging the right jugular vein, carotid sheath, and vagus nerve within the mass. Histopathology and immunohistochemical staining for factor VIII confirmed the diagnosis of lymphangiosarcoma. Due to inadequate surgical margin excision, four cycles …

Food Safety, Swine Health, And Productivity Of A Farrow-To-Finish Swine Farm Following Implementation Of A Certified Haccp System In Japan, Hiroshi Akaike, Makoto Nagai, Tomomitsu Alexandre Okatani, Sumalee Boonmar, Yukio Morita

The Thai Journal of Veterinary Medicine

This study examined the safety and productivity of a farrow-to-finish swine farm from 2015 to 2019, in Japan. The farm implemented a farm Hazard Analysis and Critical Control Points (HACCP) system in July 2016. The critical control point was “the selection of shipping pigs” and the critical limit for preventing contamination with residual antibiotics in pigs was “the withholding period has passed,” while that for preventing contamination with residual needle fragments was “the needle was not included.” No deviations from critical limits were observed, indicating the pigs were safe. In addition, the numerical goal of pigs born alive per litter …

A Preliminary Study Of Tracheal Morphology In Mixed-Breed Dog Cadavers: Anatomical Variation Of Tracheal Cartilaginous Rings, Naparee Srisowanna, Sirin Theerawatanasirikul, Sukumal Prukudom, Niyada Lansubsakul, Montri Pattarapanawan, Maneenooch Khiao-In

The Thai Journal of Veterinary Medicine

Anatomical abnormalities of the trachea leading to respiratory distress. Few reports describe the morphological characterization of the dog’s trachea, particularly in the tracheal cartilaginous rings. In this study, twelve tracheas from mixed-breed dog cadavers were obtained to investigate their features across three anatomical tracheal regions: cervical, thoracic inlet, and intrathoracic trachea. The average length of the trachea was 18.92 ± 0.67 cm. Each trachea contained a different number of tracheal rings, ranging from 32 to 41 rings (37.42 ± 0.81 rings). A significant reduction in both outer transverse diameter (OTD) and outer vertical diameter (OVD) was observed from the cervical …

First Serological Evidence Of Coxiella Burnetii And Mycobacterium Avium Subspecies Paratuberculosis (Map) Among Deer In An Institutional Farm In Malaysia, Bura Thlama Paul, Faez Firdaus Abdullah Jesse, Shivnraj Sundar Universiti Putra Malaysia, Nur Hanis Nadhirah Yosryhan, Yonis Ahmed Ahmed Jimale Dr, Eric Lim Teik Chung Dr, Mohd Azmi Mohd Lila Prof

The Thai Journal of Veterinary Medicine

Q fever is a zoonotic disease caused by Coxiella burnetii, which is associated with reproductive disorders such as abortion and reproductive problems in ruminants, while paratuberculosis is an underdiagnosed disease caused by Mycobacterium avium paratuberculosis (MAP) which causes chronic wasting, low fertility, and mortality in ruminants. Although both C. burnetii and MAP infections have been reported in domestic ruminants worldwide, there is no data on their seroprevalence status among deer in Selangor, Malaysia. This study investigated the seroprevalence status of C. burnetii and MAP among deer in Malaysia. Ninety-two blood sera collected from an institutional deer farm were screened …

Multidrug-Resistant Esbl-Producing Escherichia Coli Coexisting With Colistin-Resistance Genes In Pig Farms, Central Thailand, Wipawee Songsaeng, Nutthee Am-In, Nuvee Prapasarakul, Wandee Sirichokchatchawan

The Thai Journal of Veterinary Medicine

The presence of extended-spectrum beta-lactamase and colistin resistance E. coli in food-producing animals is a public health concern. This study was conducted using a rigorous methodology to survey the prevalence of ESBL-producing and colistin-resistant E. coli from pig farms in the central part of Thailand. A total of 519 samples were collected from fecal, feed, and waste in 53 farms located in central Thailand. All samples were inoculated onto selective agar, and species identification was performed using biochemical assays and MAlDI-TOF MS. Antimicrobial susceptibility was determined by broth microdilution, and ESBL production was confirmed by the combination disc diffusion method. …

A Preliminary Study Of Lasia Spinosa Thw. Feed Supplementation Improving Semen Quality Of Subfertile Purebred Boars, Supitcha Kaewma, Junpen Suwimonteerabutr, Nutthee Am-In, Saritvich Panyaboriban, Mongkol Techakumphu, Theerawat Swangchan-Uthai

The Thai Journal of Veterinary Medicine

Poor semen quality is a significant issue among imported purebred boars in Thailand, affecting both semen quality itself and reducing productivity at AI stations. The present study investigated the effects of dietary supplementation with Lasia spinosa Thw. (LST) on improving boar semen quality. A group of boars experiencing poor semen quality were monitored, and three were selected due to their persistent low semen profiles for the supplementation experiment. Dried LST powder was prepared in small bags at a dosage of 4 g per 100 kg body weight and added to the regular feed for daily oral administration over an 8-week …

Quantitative Evaluation Of Different Fixatives For Masson Trichrome Staining In Canine Intestinal Tissue: An Image Analysis-Based Comparative Study, Siriluck Juntausa, Kongkiat Srisuwatanasagul, Kittipot Kongsonthana, Punnarat Vibulchan, Sayamon Srisuwatanasagul

The Thai Journal of Veterinary Medicine

Neutral buffer formalin (NBF) has been widely used as a fixative for histological staining for ages. However, for some special staining, such as Masson trichrome staining, it has been proposed that the suitable fixative was Bouin’s solution. The purpose of the present study was to compare the different fixatives and post-fixative protocols on the quality of Masson trichrome staining. The canine intestines (n = 10), which were the duodenum and colon, were used as the candidate organs since they comprised of various tissue components. The fixatives and staining protocols were divided into four groups, which were Groups 1 and 2; …

Accessible Dietary Interventions For The Prevention And Management Of Common Menstrual Disorders: A Systematic Review, Ella R. Motzko

Theses and Graduate Projects

Objective: This systematic review aims to provide healthcare providers with evidence-based dietary recommendations that can be easily implemented by patients across diverse populations to address a critical gap in the management of common menstrual disorders like premenstrual syndrome (PMS) and primary dysmenorrhea (PD).

Methods: A comprehensive search was conducted using UpToDate, American College of Obstetrics and Gynecology (ACOG) Green Journal, Google Scholar, and PubMed electronic databases to identify randomized-controlled trials (RCTs) that investigated the effects of specific essential nutrients or diet-related behavioral or educational interventions on PMS or PD symptoms.

Results: Following the PRISMA guidelines, the identification process began with …

Exploration Of Positive Deviance In Prevention Of Underweight In The Under-Five: A Qualitative Study On Low-Income Urban Families, Irwan Budiono, Lukman Fauzi, Dewi Sari Rochmayani

Kesmas

Children under the age of five (the under-five) from low-income families are more vulnerable to experience underweight. This nutritional vulnerability is evident in the preliminary study, where 35.1% of the under-five experience underweight, and 28.48% are low-income families. This study aimed to explore Positive Deviance (PD) behaviors in preventing underweight among the under-five. The study applied a qualitative approach with a case study design. Data collection took place in July-August 2022, focusing on low-income families in the Gunung Brintik area. Data were collected through two focus group discussions, seven in-depth interviews, and five key informant interviews. Coding, subtheme, and theme …

Food Hygiene And Sanitation At The Jakarta Pondok Gede Hajj Embarkation Dormitory: Food Safety Efforts For The Hajj Pilgrims, Fauziah Hayati, Al Asyary, Bambang Wispriyono, Harunor Rashid, Z Memish

Kesmas

Several health risks are associated with performing Hajj pilgrimage. Food poisoning is a major cause of diarrhea and vomiting during Hajj. Food hygiene is an effort to control aspects of food, people, places, and equipment that could cause disease or health problems. This study aimed to describe food hygiene and sanitation efforts implemented in 2023 at the Jakarta Pondok Gede Hajj Embarkation Dormitory in Jakarta, implemented in 2023 to safeguard foods for the Hajj pilgrims. Using a descriptive qualitative design with a document analysis approach, this study examined activities during the pre-embarkation and embarkation periods. Pre-embarkation efforts included inspecting the …

The Open Defecation Free Program Evaluation Using The Context, Input, Process, And Product Model In Jambi, Indonesia, Guspianto Guspianto, Willia Novita Eka Rini, Rizalia Wardiah, Susi Desmaryani, Herlina Herlina

Kesmas

The Open Defecation Free (ODF) program was initiated by the government to increase access to healthy latrines. This study aimed to evaluate the ODF program using the CIPP evaluation model. A qualitative and exploratory descriptive method was adopted to investigate informants' experiences regarding the program's implementation. Data was explored through semi-structured interviews with 17 informants and analyzed using content analysis. The results showed that the program was crucial as numerous people engaged in open defecation due to economic, geographical, cultural, and knowledge factors. The absence of ODF policy was due to lack of priority, limited government and private support, insufficient …

Analyzing If Medical Schools With A Radiology Residency Program Have A Higher Percentage Of Matched Students In Radiology, Michelle M. Pham

School of Medicine Publications

Introduction

Radiology is a specialty that varies in the workplace setting that it requires. There are many radiologists that work remotely or from home. The capability to work remotely poses a potential limiting factor for networking opportunities for medical students who desire greater exposure to the field of radiology before their fourth-year electives. The presence of a radiology residency program associated with the medical school can increase resources and may influence match rates for students. This paper aims to investigate if Texas allopathic medical schools with a radiology residency program have a higher percentage of students matching into radiology compared …

A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight

Walden Dissertations and Doctoral Studies

The medical departments of many correctional facilities were unprepared to manage the COVID-19 pandemic. The practice problem identified for this doctorate of nursing practice (DNP) project was the lack of knowledge of health staff on managing incarcerated individuals' care during a pandemic. The primary purpose of the project was to develop, implement, and evaluate a staff education program on evidence-based interventions for preventing and managing a pandemic in a correctional facility. This project was guided by David Kolb's experiential learning theory and the analysis, design, development, implementation, and evaluation (ADDIE) model. The practice setting was a local detention center in …

“Dead Or Alive?” Assessment Of The Binary End-Of-Event Outcome Indicator For The Nemsis Public Research Dataset, Mary E. Helander

Social Science - All Scholarship

OBJECTIVE: The broad absence of definitive patient outcomes in the NEMSIS public release data hinders research that seeks to understand the impact of pre-hospital care, operations, and overall patterns of population health – including geospatial and demographic differences. This study evaluated the recently proposed binary end-of-event outcome indicator to provide additional validity of the method, to evangelize its employment for more studies to analyze survival impact following an emergency medical event, and to identify appropriate use and interpretation given imperfection in predicted outcomes. METHODS: A recently published binary end-of-event outcome indicator was applied to datasets for each year from 2017 …

Effects Of Limosilactobacillus Reuteri Strains Pta-126787 And Pta-126788 On Intestinal Barrier Integrity And Immune Homeostasis In An Alcohol-Induced Leaky Gut Model, Dharanesh Gangaiah, Min Gu, Aline Zaparte, Olaf Will, Laurie C. Dolan, Anthony Goering, Jason Pillai, Shrinivasrao P. Mane, German Plata, Emily B. Helmes, David A. Welsh, Arvind Kumar Mahajan

School of Graduate Studies Faculty Publications

Intestinal barrier is a first line of defense that prevents entry of various harmful substances from the lumen into the systemic environment. Impaired barrier function with consequent translocation of harmful substances into systemic circulation (“leaky gut”) is a central theme in many gastrointestinal, autoimmune, mental, and metabolic diseases. Probiotics have emerged as a promising strategy to maintain intestinal integrity and address “leaky gut”. Using in silico, in vitro and avian in vivo analyses, we previously showed that two novel L. reuteri strains, PTA-126787 (L. reuteri 3630) and PTA-126788 (L. reuteri 3632), isolated from broiler chickens possess favorable safety profiles. Consistent …

Risk Factors For Cognitive Impairment In Adult Population Of Coastal Area: A Cross-Sectional Study In Maringkik Island, Indonesia, Herpan Syafii Harahap, Arina Windri Rivarti, Nurhidayati Nurhidayati, Fitriannisa Faradina Zubaidi, Dini Suryani, Legis Ocktaviana Saputri, Yanna Indrayana, Athalita Andhera, Muhammad Hilam, Abiyyu Didar Haq

Kesmas

Cognitive impairment is a medical condition commonly found in elderly populations, which can be due to vascular risk factors in patients. There remains limited data on risk factors for cognitive impairment among coastal region populations. This study aimed to investigate risk factors for cognitive impairment in the adult population of Maringkik Island, West Nusa Tenggara Province, Indonesia. Data collected were age, sex, education level, hypertension, antihypertensive treatment, diabetes mellitus, cigarette smoking, and body mass index status. A total of 114 participants were recruited using a consecutive sampling method. The participants’ cognitive function assessment used the Mini-Cog instrument. The cognitive impairment …

Exploring Informal Caregivers’ Perspectives On Oral Care For Stroke Patients, Haslina Rani, Saidatul Najibah Muhammad Zamzuri, Ezzah Omar, Tuti Ningseh Mohd-Dom, Aznida Firzah Abdul Aziz, Mohd Fairuz Ali

Kesmas

Stroke often results in physical disability and functional impairment, which may severely limit patients' ability to care for personal hygiene, including oral care. This study aimed to identify the challenges faced by informal caregivers in managing the oral health of stroke patients. This study conducted semi-structured individual interviews with eight home-based caregivers of stroke patients recruited from a community-based clinic facility of a public university in Malaysia. The interviews took 30-45 minutes to complete and were transcribed verbatim. Transcripts were analyzed thematically using a phenomenological approach. Relevant themes that emerged were variations in oral hygiene care, caregivers’ concerns in providing …

Complete Dose Of Hepatitis B Vaccination Among Children In Indonesia And Factors Associated: A Community-Based Study, Putri Bungsu Machmud, Dwi Gayatri, Erni Astutik

Kesmas

Hepatitis B vaccination is widely recognized as the most effective way to prevent hepatitis B infection, yet the rate of complete vaccination among Indonesian children remains low. This study aimed to evaluate the extent of hepatitis B vaccination coverage among children and identify potential associated factors in Indonesia. A community-based cross-sectional study was conducted. The study involved 7,860 Indonesian mothers of children aged 12-59 months, providing data on their children's hepatitis B vaccination status and other relevant factors from the 2017 Indonesian Demographic Health Survey. Overall, the rate of complete hepatitis B vaccination among children was relatively high (89.8%). Several …

Variation And Predictors Of Covid-19 Mortality In Hospitalized Cases In West Sumatra Province, Indonesia: A Retrospective Observational Study, Defriman Djafri, Ade Suzana Eka Putri, Yudi Pradipta

Kesmas

During 2020, the year of the COVID-19 pandemic, different Indonesian provinces had different numbers of COVID-19 infections and fatalities, particularly in West Sumatra Province. This study aimed to investigate the variation of confirmed COVID-19 cases and determine predictors of mortality in hospitalized patients across districts in West Sumatra Province. A retrospective observational study was conducted during the COVID-19 pandemic. From March 2020 to June 2021, 46,005 confirmed cases were collected in the province, of which 42,308 were hospitalized and analyzed. Confirmed cases and deaths were compared by geographic location using spatial analysis. The risk predictors of death were estimated using …

Investigating If Medical Schools In States With A Higher Cancer Mortality Rate Have A Greater Percentage Of Medical Students Matching Into Radiology, Michelle M. Pham

School of Medicine Publications

Introduction

Radiology has become a more competitive and desired specialty over the recent years. There can be many attributable factors that influence this trend. One specific facet may be the cancer mortality rate of a state. Cancer is often diagnosed through imaging. Greater exposure to cancer in an individual’s personal life or medical training may influence the specialty that they decide to pursue. This paper will investigate whether the cancer mortality rate of a state has a pattern with the percentage of students in medical school that matched into radiology.

Methods

The 2022 age-adjusted death rate by state was collected …

Considering First Nations Lgbtiq+ Identity In Anti-Racist Healthcare: Relations Between Comfort In Healthcare, Microaggressions And Wellbeing, Bep Uink, Rebecca Bennett, Sian Bennett, Dameyon Bonson, Braden Hill

Research outputs 2022 to 2026

First Nations scholars and practitioners have increasingly called for anti-racist healthcare to address disparate health outcomes between First Nations and non-First Nations Australians. However, these arguments largely miss the significant negative impact that colonial heterosexism and cisgenderism (i.e. discrimination and marginalisation of queer and transgender peoples) have on LGBTIQ+ (lesbian, gay, bisexual, transgender, intersex, queer/questioning) First Nations peoples’ wellbeing. To address this gap, survey data from 63 First Nations LGBTIQ+ adults in Western Australia were utilised to illustrate the impact of racism, heterosexism and cisgenderism in healthcare settings on First Nations LGBTIQ+ peoples’ wellbeing. This study examined relations between participant …

The Icf Syndrome Protein Cdca7 Harbors A Unique Dna Binding Domain That Recognizes A Cpg Dyad In The Context Of A Non-B Dna, Swanand Hardikar, Ren Ren, Zhengzhou Ying, Jujun Zhou, John R Horton, Matthew D Bramble, Bin Liu, Yue Lu, Bigang Liu, Luis Della Coletta, Jianjun Shen, Jiameng Dan, Xing Zhang, Xiaodong Cheng, Taiping Chen

Faculty, Staff and Student Publications

CDCA7, encoding a protein with a carboxyl-terminal cysteine-rich domain (CRD), is mutated in immunodeficiency, centromeric instability, and facial anomalies (ICF) syndrome, a disease related to hypomethylation of juxtacentromeric satellite DNA. How CDCA7 directs DNA methylation to juxtacentromeric regions is unknown. Here, we show that the CDCA7 CRD adopts a unique zinc-binding structure that recognizes a CpG dyad in a non-B DNA formed by two sequence motifs. CDCA7, but not ICF mutants, preferentially binds the non-B DNA with strand-specific CpG hemi-methylation. The unmethylated sequence motif is highly enriched at centromeres of human chromosomes, whereas the methylated motif is distributed throughout …

Minocycline-Induced Retinal Pigment Epithelium Hyperpigmentation Masquerading As Age-Related Macular Degeneration: Case Presentation And Proposed Mechanism, Michael D. Yu, Nikhil Bommakanti, Yoshihiro Yonekawa, Jose S. Pulido

Wills Eye Hospital Papers

PURPOSE: We describe the case of an 80-year-old man with bilateral minocycline-induced retinal pigment epithelium (RPE) hyperpigmentation, which initially masqueraded as AMD. Secondarily, using multimodal imaging features, we propose a mechanism for the development of minocycline-induced RPE hyperpigmentation.

OBSERVATIONS: The patient was referred with concern for AMD given the presence of macular drusenoid deposits on optical coherence tomography. However, funduscopic evaluation showed dense granular parafoveal hyperpigmentation, with a diffuse slate-colored hyperpigmentation throughout the peripheral fundus. Short-wavelength fundus autofluorescence of the macula disclosed no irregularities (as would be expected with drusen) while on near-infrared reflectance (NIR) imaging, numerous hyperreflective foci were …

Educating Nurses On How To Mentor Newly Hired Licensed Practical Nurses, Tamika Tamara Johnson

Walden Dissertations and Doctoral Studies

The lack of mentorship for licensed practical nurses (LPN) in long-term care facilities can be stressful and challenging for a new hire nurse. Recognizing that mentoring is essential to achieve employee satisfaction, higher retention rates and the well-being of residents, the objective of this doctorate in nursing practice project was to create a staff education program and mentorship manual. Knowles’s adult learning theory; Benner’s novice to expert model; and the analysis, design, development, implementation, and evaluation model served as the framework for developing the DNP project. The project was guided by the following question: Does a mentorship-focused educational intervention increase …

Metabolite Biomarker Discovery For Lung Cancer Using Machine Learning, Ariski Fajarido, Linda Erlina, Aryo Tedjo, Fadilah Fadilah, Wawaimuli Arozal

Indonesian Journal of Medical Chemistry and Bioinformatics

Lung cancer is the leading cause of cancer death worldwide. About 2.1 million lung cancer patients were diagnosed in 2018, accounting for about 11.6% of all newly diagnosed cancer cases. For lung cancer, blood is the first choice as a source of screening biomarker candidates. Blood biomarkers provide a snapshot of the patient's entire body, including the primary tumor, metastatic disease, immune response, and peritumoral stroma. However, sputum sampling, bronchial lavage or aspiration, exhaled breath (EB), and airway epithelial sampling represent unique samples for lung cancer and other airway cancers as potential sources for alternative biomarkers. Metabolites are products of …