Digital Commons Network^™

Relationship Of Prolonged Exclusive Breastfeeding To Infant Anemia, Maryam A. Ahmed, Aveen S. Shareef, Farhad S. Armishty, Dunya P. Nizar, Ronahi Y. Ibrahim, Lina Y. Mohammed, Snor H. Husain, Berivan R. Rajab, Omar Khatab, Dalal A. Jameel, Amna A. Omar, Iman H. Yaseen, Hevy A. Ahmad

Journal of King Abdulaziz University: Medical Sciences

Background: Anemia can adversely affect cognitive development in infants and children, potentially leading to challenges in cognition, motor control, social interaction, and neurophysiological functioning. Full-term infants do not develop iron deficiency anemia within the first four months of life, as they are born with sufficient iron stores accumulated during their intrauterine life. These stores are usually adequate for four to six months of postnatal life. However, exclusive breastfeeding beyond six months without iron supplementation can increase the risk of iron deficiency anemia, as breast milk does not provide enough iron to meet the growing infant’s demand. The American Academy of …

Bayesian-Weighted Mendelian Randomization Reveals Sleep Apnea Syndrome Mediates The Bmi-Chronic Pain Link, Wenbao Shi, Jing Luo, Liu Yang, Dalin Chen, Yongqin Zhang, Jun Peng, Kurt Ruetzler, Manyun Sun, Hua Jin

Faculty, Staff and Student Publications

Background: Body mass index (BMI) has a complex association with a variety of chronic pain conditions, which may be influenced by sleep apnea syndrome (SAS). However, the role of SAS within the causal pathway linking BMI to chronic pain remains unconfirmed. This study explored whether and to what extent SAS serves as a mediator between BMI and chronic pain using Bayesian-weighted Mendelian randomization (BWMR) techniques.

Methods: This study utilized genome-wide association study (GWAS) summary data for BMI (N=461,460) and SAS (N=476,853; based on ICD-10 code diagnostic registries) from the IEU OpenGWAS database, along with chronic pain GWAS data (ICD-10 code-based …

Determinan Perilaku Minum Tablet Tambah Darah Pada Remaja Putri Menurut Health Belief Model: Studi Kualitatif, Tuti Surtimanah, Irfan Nafis Sjamsuddin

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. In 2018, 48.9% of adolescent girls in Indonesia were diagnosed with anemia. Knowledge about the definition, symptoms, and prevention of anemia, including the correct use of Iron Supplement Tablets (IST), is essential in the prevention of anemia. A deeper understanding of these behaviors is necessary to formulate effective educational messages. The Health Belief Model (HBM) is often used to explore and understand preventive behaviors.

Aim. To explore the determinants and practices of IST consumption among adolescent girls.

Method. This descriptive qualitative study used a phenomenological approach. Participants were selected purposively from adolescent girls. Data were collected through in-depth interviews, …

Hubungan Penggunaan Media Sosial Dengan Perilaku Sedentari Pada Dewasa Awal (20-24 Tahun) Di Kota Medan, Novitasari Wijayanti Silalahi, R. Kintoko Rochadi, Lita Sri Andayani

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. Non-Communicable Diseases (NCDs) are caused by four risky lifestyle behaviors, one of which is sedentary behavior. Sedentary behavior involves activities that expend minimal energy. Several factors are associated with sedentary behavior, including technological advancements. One of the most time-consuming technological advancements is excessive use of social media, leading to addiction.

Aim. This study aims to determine the relationship between social media addiction with sedentary behavior among young adults (aged 20-24 years) in Medan City.

Method. The research design was cross-sectional study. A total of 271 respondents were selected using accidental sampling. The data were analyzed using simple linear regression …

Efektifitas Metode Emotional Demonstration Terhadap Breastfeeding Self Efficacy (Bse) Ibu Primipara Di Kota Bengkulu, Lissa Ervina, Reka Lagora Marsofely

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. Primiparous mothers have a higher risk of experiencing difficulties in providing breast milk (ASI) due to lack of experience and preparation to become mothers. 90% of mothers in Indonesia have breastfed their children, but those who provide exclusively for 6 months are still low at 20%. One of the reasons for the failure of the success of providing exclusive breastfeeding is the low self-confidence or belief (Self Efficacy) of primiparous mothers in providing breast milk. Therefore, it is necessary to provide education about breastfeeding by implementing the emotional demonstration method developed by the Global Alliance for Improved Nutrition …

Pengaruh Media Ceramah, Kipas Dan Poster Terhadap Peningkatan Pengetahuan Junk Food Pada Remaja Awal, Lulu' Luthfiya, Mufidatul Khoiriyah, Hafidhotun Nabawiyah, Kartika Pibriyanti, Ladya Mayu Pinasti

Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior

Background. Consuming excess junk food lead to degenerative diseases and cause various nutritional problems. This is due to the lack of information regarding the dangers of junk food in teenagers from education media. Fan media and posters as a media intermediari for delivering information related to the dangers of junk food in adolescents.

Aim. This study conducted to determine the effect of educational media of lecturer fan and poster) on knowledge of junk food in adolescents.

Method. The study was conducted by quasi-experimental method with a pre-post test group design. Sample was 174 respondents that divided into …

Correlation Between Drug-Related Problems And The Treatment Cost For Geriatric Ischemic Stroke Patients In Tulungagung, Dhanang Prawira Nugraha, Martanty Aditya

Jurnal Ekonomi Kesehatan Indonesia

Ischemic stroke was one of the diseases that frequently occurred in geriatric patients, while hemorrhagic stroke had a higher prevalence. Geriatric patients who experienced a stroke were not exempt from drug-related problems (DRP) due to the complexity of treatment and comorbid factors they encountered. This study aimed to determine the correlation between DRP and the cost of care for ischemic stroke patients, particularly in the geriatric population. The study design was cross-sectional, with data collected retrospectively, and the sample comprised 53 geriatric stroke patients who met the inclusion and exclusion criteria. DRP was assessed using the PCNE 6.2 criteria, and …

Impact Of Insurance Status On Progression To Sinus Surgery Following Ct Imaging In Patients With Sinusitis, Steven Goicoechea

Graduate Medical Education Research Journal

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Self-Removal Of A Hypoglossal Nerve Stimulator: Challenges And Lessons Learned, Obinnaya Wamuo

Graduate Medical Education Research Journal

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The Effects Of Gastrostomy Tube Placement On The Utilization Of Healthcare Services In Patients Undergoing Free Flap Reconstruction, Timothy Corpuz

Graduate Medical Education Research Journal

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Development Of Adult Multidisciplinary Tracheostomy Rounding Teams: Prevalence, Template For Starting And Analysis For Diffusion Of Innovation, Sarah Schmoker

Graduate Medical Education Research Journal

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Pediatric Intracranial Non-Germinomatous Germ Cell Tumor With Extracranial Extension: A Case Report, Bailey Ballock

Graduate Medical Education Research Journal

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Unwanted Travel Souvenirs; Parasite Causing Fever In A Returning Traveler, Cristina Torres

Graduate Medical Education Research Journal

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Unmasking Constrictive Pericarditis Through Multimodality Imaging: A Rare Case, Mansi Oberoi

Graduate Medical Education Research Journal

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Subclassification Of Peripheral Artery Disease Based On Muscle Force: Leg Failure With Reduced Muscle Force And With Preserved Muscle Force, Yuqian Tian

Graduate Medical Education Research Journal

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Muscle Oxygen Levels In Patients With Claudication: Measurements During Rest, Walking, And Temporary Occlusion Of Blood Flow, Yuqian Tian

Graduate Medical Education Research Journal

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Targeting Obesity: The Role Of Glp-1 Receptor Agonists In Achieving Sustainable Weight Loss, Brad Vamplew

Lynchburg Journal of Medical Science

This review critically evaluates the effectiveness of glucagon-like peptide-1 receptor agonist pharmacotherapy in managing obesity. Obesity is a health epidemic that affects 100 million Americans, and it puts individuals at higher risk for numerous health comorbidities over a lifetime. A comprehensive literature review was completed by utilizing PubMed and its clinical queries function to locate relevant research. The research information was narrowed down with a focus on obesity management and glucagon-like peptide-1 receptor agonists for therapy. Numerous current clinical studies and trials were incorporated into this review. Many clinical trials substantiated the benefits of this pharmacotherapy for the management of …

Binge Eating Disorder: A Clinical Review, Michell Mcdiffett Mshs, Pa-C

Lynchburg Journal of Medical Science

Binge eating disorder (BED) is the most common eating disorder (ED) in the United States (U.S.) and is characterized by recurrent episodes of eating a larger than normal amount of food in a discrete period of time and includes a sense of loss of control over food intake. BED is often comorbid with serious somatic and psychiatric disorders and is associated with reduced quality of life and excess mortality. Some consider BED a public health concern due to frequent co-occurrence with obesity and worse outcomes in those populations. The diagnosis is often delayed due to shame and underreporting of symptoms …

Obesity And Its Effect On Work Performance, Erin Lajoie

Lynchburg Journal of Medical Science

This research aims to examine how obesity affects work productivity and performance and how companies can support their employees diagnosed with obesity. Obesity is a growing global health concern that has significant implications for decreased workplace productivity and performance. Obesity is considered a chronic complex disease often associated with hypertension (HTN), type-II diabetes mellitus (T2DM), and heart disease that can lead to overall increases in healthcare costs for employers through increased absenteeism, presenteeism, and decreased efficiency. A systemic literature search was completed using PubMed, Cochrane Library, and Google Scholar, identifying multiple journal articles about obesity and productivity in the workplace …

Intermittent Fasting For Metabolic Syndrome Management, Tony Laborde

Lynchburg Journal of Medical Science

This paper reviews the potential of intermittent fasting as a non-pharmacological therapeutic approach to the treatment of metabolic syndrome (MetS). MetS is a global health problem with risk factors that include obesity, hypertension, hyperglycemia, low high-density lipoprotein (HDL) cholesterol, and high triglycerides that predispose to cardiovascular disease and type 2 diabetes. Traditional treatment approaches, including pharmacological agents and lifestyle modification, are typically of short-term benefit. Intermittent fasting, with its scheduled cycles of eating and fasting, presents another strategy for improving weight control, insulin sensitivity, lipid profiles, and blood pressure. Various intermittent fasting regimens, including time-restricted feeding and alternate-day fasting, have …

Prevalence Of Lifestyle Diseases Among Adult Males And Females In Kihurio Village Tanzania: A Health Assessment., Sozina Stephen Katuli Jr, Nigell Essex, Mathew Masangcay, Godfrey Mhina Kilonzo, Ruth Nyika

Adventist Human-Subject Researchers Association

Adults under the age of 70 in Sub-Saharan Africa face a higher probability of death from non-communicable diseases than adults of the same age in the Established Market Economies. A team from Andrews university in collaboration with the health unit of the Northeast Tanzania Conference (NETC), collaboratively conducted a community needs assessment and on lifestyle diseases in Kihurio village in December 2017 and found that over half of the attendee had hypertension. Focus group discussions with the community also listed hypertension and diabetes as one of the major health problems. This study was a follow up to determine the prevalence …

Transforming Care: An Academic And Community Symposium On Transgender Care And Experience, Alison Sutton-Ryan, Kimberly Van Vulpen

Transforming Communities

Background: Transgender experience is often excluded from education and training. An emphasis has been often placed on sexual identities instead of gender differences rendering transgender care invisible in the healthcare system (Gahagan & Colpitts 2017). Lack of education and training has created significant barriers to accessible gender-affirming care, contributing to disproportionately high levels of discrimination for transgender individuals seeking medical services (Redcay et al., 2021). Purpose: The Interprofessional Education Symposium on Transgender Care and Experience was an innovative initiative developed by the newly formed Transgender Interprofessional Care Team (TICT) at a medium-sized suburban university. This collaborative team, comprising key …

Engineering Cxcr2-Ligand-Based Fusion Proteins To Modulate Myeloid Cell Trafficking In Pancreatic Cancer, Benjamin N. Christopher

MUSC Theses and Dissertations

Pancreatic ductal adenocarcinoma (PDAC) has one of the lowest 5-year survival rates of all cancers, and limited treatment options exist. Immunotherapy is effective in some cancer types, but the immunosuppressive tumor microenvironment (TME) of PDAC is a barrier to effective immunotherapy. CXCR2+ myeloid-derived suppressor cells (MDSCs) are abundant in PDAC tumors in humans and in mouse models. MDSCs suppress effector cell function, making them attractive targets for restoring anti-tumor immunity. The studies outlined in this dissertation (1) link tumor-intrinsic oncogenic signaling to dysregulated myeloid activity in PDAC, (2) describe a rationally designed fusion protein and potent inhibitor of CXCR2+ myeloid …

Chemical And Physical Characterization Of Verbenaceae Essential Oils Using Modern Analytical Methods And Chemometrics, Aleksandra N. Hilliard

Master's Theses

Essential oils have been used for generations to treat various health issues, including mitigating insomnia, reducing stress, inflammation, and preserving foods, to mention a few. Essential oils have complex chemistry, which defines the essence of the host plant. Recently, increased commercial uses of essential oils have prompted attention at the governmental level to monitor the chemical, physical, or biological activity of essential oils. This study is an attempt to add new information for consumers to the understanding of the composition of essential oils.

Modern analytical techniques including FTIR-ATR, GC-MS, LC-MS-MS, multivariate analysis statistics, and physio-chemical techniques (electrochemistry, DPPH, TRC, and …

Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale

Publications and Research

Rooted in a rural community’s needs, this paper explores how historically, and ethically informed infrastructures can support community engagement towards identification, documentation, and dissemination of local, traditional, and indigenous knowledge relating to climate change. The paper examines climate adaptation and sustainability issues through the lenses of community organizing and Library & Information Science best practices. It draws on a growing body of literature identifying a role for expanded epistemological and subject discipline perspectives. While the impacts of climate on material culture are increasingly recognized, intangible, and biocultural heritage have not received as much attention. Living heritage traditions and knowledge systems …

Mechanistic Insights And Clinical Benefits Of Omega-3 Fatty Acids In Cardiovascular, Inflammatory, And Neurological Health, Anosh Tahir, Afshan Siddiq

The Thai Journal of Pharmaceutical Sciences

Background: Omega-3 polyunsaturated fatty acids (ω-3 PUFAs), particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are attributed with the capacity to prevent cardiovascular diseases (CVD), chronic inflammation, and neurodegenerative diseases. Their bioactive contribution consists on interfering with lipid metabolism, decreasing inflammation, and increasing neuroprotection. Still, the findings imply that there is a considerable need for greater clarification of their mechanisms and their application to clinical care.

Objectives: This narrative review is intended to discuss the potential target(s) of action, uses, and efficacy of ω-3 PUFAs in the context of CVD, inflammation, and neurodegenerative diseases.

Materials and Methods: This narrative review …

U.S. Young Adults’ Family-Building Intentions In The Event Of Infertility And Knowledge Of Associated Costs, Jean Marie Place, John Horowitz, Minh Nguyen, Maya Guinn, Brennan Peterson

Marriage and Family Therapy Faculty Articles and Research

Introduction: Infertility affects approximately 8.5% of married women in the United States, yet there is limited understanding of how young adults anticipate and prepare for potential barriers to biological parenthood. As reproductive planning increasingly intersects with social, medical, and financial considerations, it is important to examine how emerging adults perceive and approach family-building options. This study aims to explore college students' intentions regarding childbearing, their openness to non-traditional family-building methods, and their awareness of the associated financial costs.

Methods: A cross-sectional survey was administered to undergraduate students (mean age = 20) at a Midwestern public university. Most participants had not …

Psoriasis Genomics: A Review, Magna Hutasuhut, Windy Keumala Budianti, Wresti Indriatmi, Mirawati Setyorini

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Psoriasis is a dermatological condition influenced by genetic and epigenetic factors, environmental triggers, as well as immune responses. Genomics refers to the study of individual genes (genomes) and their interactions with environmental influences. In the context of psoriasis genomics, the interplay between genetic predisposition and environmental factors contributes to the manifestation and variations of the disease. With advancements in molecular genotyping technology and genome-wide association studies (GWASs), researchers have identified 50 genetic markers linked to psoriasis.

Discussion: Several genetic loci associated with psoriasis have been identified, including PSORS 1-15. The genetics of psoriasis is also linked to its onset, …

Factors Associated With The Severity Of Erythema Nodosum Leprosum Reactions, Ita Anggraini, Prima Kartika Esti, Eka Komarasari

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Leprosy is a chronic infection caused by Mycobacterium leprae. Leprosy reactions, including erythema nodosum leprosum (ENL), are induced by immune responses. ENL can cause neurological damage and deformities that result in disabilities. This study aimed to identify factors associated with the severity of ENL to help control the leprosy reactions.

Methods: This was an analytical study on 148 patients with ENL reactions, who were divided into two groups based on the severity of their reactions. A retrospective cross–sectional study was conducted in the medical record unit of Sitanala Hospital, Tangerang, Banten, Indonesia, from May 2022 to …

Dietary Organic Selenium Supplementation Improved Some Gross Morphological Parameters And Biochemical Characteristics Of Testes In Young Male Kids, Nadia Rahim, Moolchand Malhi, Asma Babar, Muhammad Awais Soomro, Shazia Rahim

Journal of Bioresource Management

Selenium (Se) plays a vital role in improving reproductive health in ruminants. This study evaluated the impact of Se supplementation on testicular health in young male goats. Twenty goats (2–3 months old, 8.5–10 kg) were randomly assigned to two groups: Control (C, n=10) receiving a basal diet (0.037 mg Se/kg) and Se-Yeast (SY, n=10) supplemented with 0.3 mg Se/kg diet. The trial lasted eight weeks. Results showed that testis weight was significantly higher in the SY group (26.8 ± 2.5 g) compared to C (22.4 ± 2.1 g, p < 0.05). Testis length, width, and circumference also increased significantly in SY goats (4.5 ± 0.3 cm, 2.9 ± 0.2 cm, and 7.4 ± 0.4 cm, respectively) compared to control (3.9 ± 0.4 cm, 2.5 ± 0.3 cm, and 6.7 ± 0.5 cm; p < 0.05). Serum cholesterol was higher in SY (135.27 ± 2.34 mg/dl) than in C (121.15 ± 8.74 mg/dl, p = 0.02), while triglycerides were lower (95.99 ± 1.37 vs. 114.38 ± 1.84 mg/dl, p = 0.0003). HDL increased (51.97 ± 2.10 vs. 45.02 ± 1.32 mg/dl, p = 0.03), and LDL decreased (54.23 ± 1.81 vs. 61.27 ± 1.56 mg/dl, p = 0.02) in SY group. Total serum protein rose significantly (8.14 ± 0.79 vs. 5.25 ± 0.06 mg/dl, p = 0.03), as did testosterone levels (1.95 ± 0.08 vs. 1.43 ± 0.06 ng/ml, p = 0.002). In conclusion, selenium supplementation significantly improved testicular morphology, lipid profile, protein levels, and testosterone, indicating enhanced reproductive health in goats.