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A Qualitative Study on the Communicative Experiences of Healthcare Providers Working in Emergency Medicine
No full textThis phenomenological study explored the lived experiences of eight emergency department (ED) practitioners to understand how they perceive communication within the patient–provider relationship. Four research questions examined providers’ past communication interactions, the influence of cultural competence, the impact of ED subculture, and their definitions of high-quality relationships. Using Braun and Clarke’s thematic analysis, seven themes emerged. Providers described ED communication as highly adaptive, requiring real-time adjustments to address patients’ linguistic, cognitive, and emotional needs. They also reported frequent, overlapping communication barriers shaped by limited English proficiency, low health literacy, and developmental or cognitive challenges. Cultural competence was viewed as developed primarily through experience, with cultural norms guiding communication behaviors and influencing trust. Participants emphasized that the ED’s chaotic, time-scarce environment restricts communication, yet trust remains central to high-quality relationships. Findings highlight the need for experiential cultural training, structural communication supports, and recognition of trust-building as a critical clinical skill
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No full textBrain coral with other coral. Location: Ocean Pierhttps://nsuworks.nova.edu/feingold_images/1337/thumbnail.jp
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No full textFrench Angelfish with coral. Location: Ocean Pierhttps://nsuworks.nova.edu/feingold_images/1338/thumbnail.jp
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No full textCoral with fish in background. Location: Refinery Reefhttps://nsuworks.nova.edu/feingold_images/1354/thumbnail.jp
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No full textReseacher measuing coral and another researcher in background. Location: Dog Cemeteryhttps://nsuworks.nova.edu/feingold_images/1367/thumbnail.jp
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No full textReseacher holding cut coral with yellow tape labled OR VIII. Location: Ocean Pierhttps://nsuworks.nova.edu/feingold_images/1413/thumbnail.jp
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No full textCut coral with pink tape labled OPR XV. Location: Ocean Pierhttps://nsuworks.nova.edu/feingold_images/1433/thumbnail.jp
The Sympathetic and Clinical Effects of Dry Needling to the Thoracolumbar Junction Multifidi: A Randomized Controlled Trial
No full textPurpose: The primary aim of this study was to investigate the neurophysiological effects of dry needling (DN) to the thoracolumbar junction multifidi when compared with a placebo. The secondary objective was to determine if there is a relationship between post-treatment pain and disability and the magnitude of sympathetic nervous system activity. Methods: Participants were eligible if they had low back pain, limited flexibility in at least one hamstring, and had not previously received DN. Participants completed the Numeric Pain Rating Scale and Oswestry Disability Index, underwent pressure pain threshold testing, and were randomized to a DN or sham DN group. Electrodermal activity (EDA), skin temperature, and pulse rate variability were obtained immediately before and after treatment. Participants returned after 24-hours to complete questionnaires and for SNS monitoring. ANCOVAs were used for the analysis of each variable of SNS activity. Pearson’s r was used to determine if immediate SNS outflow correlated with clinically meaningful improvements. Results: Fifty-four participants presenting with low back pain and decreased hamstring length participated in this study. EDA increased in the DN group, and between-group differences in EDA were significant immediately post-treatment but not at follow-up. Post-treatment SNS activity did not correlate with pain and disability ratings at follow-up. Changes in EDA imply that DN has a sympatho-excitatory effect. Conclusions: DN to the thoracolumbar junction may have an immediate sympatho-excitatory effect in the lower extremity; however, the magnitude of the effect was not associated with clinically meaningful changes after 24 hours
Comparative Genomics Across Ganoderma Species to Identify Secondary Metabolite Clusters with Cytotoxic Properties
No full textFungi in the genus Ganoderma have been widely studied in Chinese culture for their medicinal properties and promoting overall health and longevity. Our prior work on eight Ganoderma species showed that they contain Secondary Metabolite Clusters (SMCs) that code for multiple terpenes, betalactones, and ribosomally synthesized and post-translationally modified peptides (RiPPs). These compounds are well known for their cytotoxic and anticancer potential. Using the bioinformatics platform antiSMASH1, we previously identified and annotated the specific SMCs within these genomes that are predicted to produce such bioactive metabolites. To test the results obtained from the bioinformatics analysis, fungal extracts were prepared from G. lucidum and G. zonatum by air-drying and powdering the mushroom fruiting bodies, mixing them with 95% ethanol, followed by lyophilization. Different dilutions of these extracts were used for proliferation assays on two cancer stem cell (CSC) models, i.e. patient-derived glioma stem cells (GSCs); PN84 and GSC17 to assess the cytotoxicity potential of the fungal compounds. Proliferation was measured at 24, 48, and 72 hours, and survival analysis showed significant reductions in PN84 viability by 72 hours at 100 ppm for both extracts. Comparative transcriptomic analysis of both the fungi and the treated cancer cells will define the pathways/gene-expression changes associated with metabolite production and cytotoxic response, with qRT-PCR used for targeted validation. These findings provide experimental support for the anticancer potential of Ganoderma metabolites and justify continued investigation of these natural products for pharmacological and nutritional applications
Dilemmas of War and Peace in Ukraine
No full textThe Russia-Ukraine War raises an important question about whether a stable peace settlement is possible. To advance understanding of how people’s wartime experiences influence their positions toward peace agreements, this project seeks to uncover the social psychological processes and wartime experiences informing the dispositions of ordinary Ukrainians toward peace. The scholarly literature suggests divergent impacts of war experience on attitude towards the costs of peace. One line of evidence suggests that direct exposure to violence and destruction may increase Ukrainians’ perception of immediate threat, which may in turn increase their willingness to support territorial concessions as a means to end violent hostilities. Other lines of evidence suggest that anger, threats to Ukrainian identity and values, and desire to honor the sacrifice of those who died defending Ukrainian land, may harden attitudes toward territorial compromises. In this context, War may have made all Ukrainian territory a ‘sacred value’ (absolute and non-negotiable) to ordinary Ukrainians. This would reduce the possibility of territorial compromise, and make any settlement potentially unstable. This study uses multiple methods to explore the complex factors that come into play as people work to resolve these dilemmas. The project includes collection and quantitative analysis of survey data from a large sample of Ukrainians, including locals and internally displaced people, across three towns close to the regions where active fighting is taking place