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Lactulose Hydrogen Breath Test Findings In Children And Adolescents With Duodenogastric Reflux And Suspected Small Intestinal Bacterial Overgrowth: A Pilot Study ​, Hati̇ce Yilmaz Dağli, Zafer Şahi̇n, Dudu Duygu Ci̇van, Reha Artan, Aygen Yilmaz Oct 2026

Lactulose Hydrogen Breath Test Findings In Children And Adolescents With Duodenogastric Reflux And Suspected Small Intestinal Bacterial Overgrowth: A Pilot Study ​, Hati̇ce Yilmaz Dağli, Zafer Şahi̇n, Dudu Duygu Ci̇van, Reha Artan, Aygen Yilmaz

Turkish Journal of Medical Sciences

Background/aim: This study aimed to identify small intestinal bacterial overgrowth (SIBO) in children and adolescents with persistent symptoms of duodenogastric reflux disease (DGRD).

Materials and methods: Patients aged 5–18 years who were diagnosed with DGRD between 2021 and 2023 were identified. Patients with two or more of 10 symptoms suggestive of SIBO (nausea, vomiting, weight loss, diarrhea, fatigue, joint pain, bloating, depression, acne rosacea, malnutrition) underwent lactulose hydrogen breath testing (LHBT).

Results: A total of 112 patients with DGRD were identified. Seven patients who could not be reached via the telemedicine method were excluded from the study. LHBT was not …


Influence Of Head Posture In Sitting And Standing Positions On The Vertical Dimension Of Rest Value In Dentate Patients: A Comparative Clinical Study, Mia Bardawil, Carole Abi Ghosn, Jihad Fakhouri Oct 2026

Influence Of Head Posture In Sitting And Standing Positions On The Vertical Dimension Of Rest Value In Dentate Patients: A Comparative Clinical Study, Mia Bardawil, Carole Abi Ghosn, Jihad Fakhouri

International Arab Journal of Dentistry

Introduction: This study investigates the value of the vertical dimension of rest (VDR) in dentate patients in different head postures, supported and unsupported by the headrest of the dental chair, as well as in standing position.

Methods: The VDR was measured and compared in 60 dentate individuals aged 20–25 in different positions (sitting with and without head support, and standing) three times per position. The head was aligned according to the Frankfurt plane when unsupported or standing. Data were analyzed using the Shapiro-Wilk test for normality and ANOVA to assess the effects of posture, gender, and their interaction. …


Factors Associated With Relapse In Anca-Associated Vasculitis: A Single-Center Retrospective Cohort Study ​, Serdar Sezer, Şeyda Yi̇ği̇tbaşi, Zehra Karaman Ongun, Emi̇ne Uslu, Müçteba Enes Yayla, Aşkin Ateş, Tahsi̇n Murat Turgay Oct 2026

Factors Associated With Relapse In Anca-Associated Vasculitis: A Single-Center Retrospective Cohort Study ​, Serdar Sezer, Şeyda Yi̇ği̇tbaşi, Zehra Karaman Ongun, Emi̇ne Uslu, Müçteba Enes Yayla, Aşkin Ateş, Tahsi̇n Murat Turgay

Turkish Journal of Medical Sciences

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Background/aim: Relapse remains common in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). We examined factors associated with relapse after remission.

Materials and methods: We retrospectively reviewed 130 adults with AAV followed between January 2015 and May 2026, all of whom achieved remission after induction therapy. Demographics, disease subtype, serology, organ involvement, baseline laboratory values, treatments, and relapse were recorded. Relapse was defined as recurrent vasculitic activity after remission requiring escalation/ modification of immunosuppressive therapy. Time from remission to first relapse was analyzed using Cox proportional hazards regression, with serious infection modeled as a time-dependent covariate. No imputation was undertaken.

Results: …


Clinical And Prognostic Significance Of Glomerulonephritis In Clinically Indicated Kidney Allograft Biopsies ​, Hati̇ce Şahi̇n, Fatma Ayerden Ebi̇nç, Gülay Ulusal Okyay, Emre Yaşar, Ebru Gök Oğuz, Fevzi̇ Coşkun Sökmen, Kadi̇r Gökhan Atilgan, Ebru Şebnem Ayva, Mehmet Deni̇z Ayli Oct 2026

Clinical And Prognostic Significance Of Glomerulonephritis In Clinically Indicated Kidney Allograft Biopsies ​, Hati̇ce Şahi̇n, Fatma Ayerden Ebi̇nç, Gülay Ulusal Okyay, Emre Yaşar, Ebru Gök Oğuz, Fevzi̇ Coşkun Sökmen, Kadi̇r Gökhan Atilgan, Ebru Şebnem Ayva, Mehmet Deni̇z Ayli

Turkish Journal of Medical Sciences

Background/aim: Posttransplant glomerulonephritis (GN) is an underrecognized but clinically important cause of allograft dysfunction. It remains uncertain whether GN detected in a clinically indicated kidney allograft biopsy provides prognostic information beyond graft function and chronic histological injury. The present study evaluates the association between biopsy-detected GN and death-censored graft loss.

Materials and methods: Included in this retrospective single-center study were kidney transplant recipients (KTRs) who underwent clinically indicated allograft biopsy between May 2012 and October 2025. The primary outcome was death-censored graft loss, defined as a return to kidney replacement therapy. Postbiopsy graft survival was assessed using Kaplan–Meier analysis and …


Turkish Translation, Cultural Adaptation, And Validation Of The Patient-Reported Villalta Scale For The Diagnosis Of Postthrombotic Syndrome In Patients With Vascular Behçet Disease ​, Tuğçe Kübra Güneş, Murat Karabacak, Mehmet Umut Çapar, Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇, Fatma Ali̇baz Öner Oct 2026

Turkish Translation, Cultural Adaptation, And Validation Of The Patient-Reported Villalta Scale For The Diagnosis Of Postthrombotic Syndrome In Patients With Vascular Behçet Disease ​, Tuğçe Kübra Güneş, Murat Karabacak, Mehmet Umut Çapar, Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇, Fatma Ali̇baz Öner

Turkish Journal of Medical Sciences

Background/aim: Lower extremity deep vein thrombosis (DVT) constitutes 70% of all vascular findings related to Behçet disease (BD). Postthrombotic syndrome (PTS) is a serious complication of DVT that develops due to chronic venous insufficiency and decreases the patient’s quality of life. The physician-reported Villalta scale is a widely used and validated diagnostic tool for diagnosing and evaluating the severity of PTS. However, the necessity of physical examination by a physician burdens the clinician during routine practice. For that reason, a patient-reported Villalta scale was developed and validated. This study aimed to translate the patient-reported Villalta scale into Turkish and validate …


Epicardial Adipose Tissue Thickness And Aortic Elasticity In Seronegative And Seropositive Rheumatoid Arthritis: A Comparative Evaluation Of Subclinical Cardiometabolic Burden ​, Abdullah Nabi̇ Aslan, Yunus Emre Özbebek Oct 2026

Epicardial Adipose Tissue Thickness And Aortic Elasticity In Seronegative And Seropositive Rheumatoid Arthritis: A Comparative Evaluation Of Subclinical Cardiometabolic Burden ​, Abdullah Nabi̇ Aslan, Yunus Emre Özbebek

Turkish Journal of Medical Sciences

Background/aim: Rheumatoid arthritis (RA) is a systemic inflammatory disease associated with both joint pathology and elevated cardiovascular disease risk. Epicardial adipose tissue thickness (EATT) and aortic elasticity parameters are emerging cardiometabolic markers associated with systemic inflammation and subclinical atherosclerosis. Although the relationship between EATT, aortic elasticity parameters, and RA has been increasingly documented, differences in these parameters between seronegative rheumatoid arthritis and seropositive rheumatoid arthritis remain underexplored.

Materials and methods: Of the 396 consecutive patients with RA, only those free of established cardiovascular disease and uncontrolled cardiovascular risk factors were included. As a result, 80 patients with RA and 43 …


Impact Of Weather Changes On Pediatric Trauma: A Detailed Demographic Analysis ​, Nuri̇ Koray Ülgen, Ali̇ Sai̇d Nazligül, Ni̇hat Yi̇ği̇t, Sadik Emre Ergi̇noğlu, Arslan Kağan Arslan, Mehmet Orçun Akkurt Oct 2026

Impact Of Weather Changes On Pediatric Trauma: A Detailed Demographic Analysis ​, Nuri̇ Koray Ülgen, Ali̇ Sai̇d Nazligül, Ni̇hat Yi̇ği̇t, Sadik Emre Ergi̇noğlu, Arslan Kağan Arslan, Mehmet Orçun Akkurt

Turkish Journal of Medical Sciences

Background/aim: Pediatric trauma creates substantial emergency and orthopedic workload, and fluctuations in volume may affect staffing and resources. This study investigated the associations of ambient temperature, precipitation, and calendar characteristics with pediatric orthopedic trauma consultations and fracture events, including age-, sex-, and fracture-location-specific patterns.

Materials and methods: All pediatric trauma-related consultations were requested from the Department of Orthopedics and Traumatology by the emergency department between June 1, 2023, and June 1, 2024, were retrospectively analyzed. Consultation and fracture data were aggregated daily. Negative binomial regression was used for count outcomes, temperature nonlinearity was tested using a quadratic term, and weighted …


Patterns And Clinical Outcomes Of Necrotizing Soft Tissue Infections: A 5-Year Single-Center Cohort Study ​, Mert Can Rador, Ahmet Can Tuzluklu, Gaye Fi̇li̇nte, Kaan Gi̇deroğlu, Alperen Kahraman, Bi̇lal Eryildirim, Hasan Fehmi̇ Küçük Oct 2026

Patterns And Clinical Outcomes Of Necrotizing Soft Tissue Infections: A 5-Year Single-Center Cohort Study ​, Mert Can Rador, Ahmet Can Tuzluklu, Gaye Fi̇li̇nte, Kaan Gi̇deroğlu, Alperen Kahraman, Bi̇lal Eryildirim, Hasan Fehmi̇ Küçük

Turkish Journal of Medical Sciences

Background/aim: Necrotizing soft tissue infections are uncommon but rapidly lethal, and their perineal form, Fournier’s gangrene, is most often referred for reconstruction. Whether routine admission findings identify the highest-risk patients more accurately than severity scores remains uncertain, and whether sodium-glucose cotransporter-2 (SGLT-2) inhibitors, which are widely used in patients with diabetes, influence clinical outcomes also remains unclear.

Materials and methods: We retrospectively studied consecutive adults with necrotizing soft tissue infection at a tertiary referral center over 5 years. A subcohort of 70 patients who underwent plastic and reconstructive surgery was identified within the full institutional cohort of 137. Admission findings …


Evaluation Of Apoptosis In Peripheral Blood And Milk Immune Cells During Lactation In Dairy Cows With Subclinical Mastitis, Mykola Mykolayovich Zhelavskyi Oct 2026

Evaluation Of Apoptosis In Peripheral Blood And Milk Immune Cells During Lactation In Dairy Cows With Subclinical Mastitis, Mykola Mykolayovich Zhelavskyi

Turkish Journal of Veterinary & Animal Sciences

The lactation cycle is considered one of the most physiologically demanding periods in dairy cows and is accompanied by substantial immunological remodeling. In the present study, spontaneous apoptosis of lymphocytes, monocytes, and neutrophils was evaluated in clinically healthy Ukrainian Black and White dairy cows (n = 28, aged 3–5 years) during different stages of the lactation cycle: colostrum period (3–5 days), mid‑lactation (90–150 days), drying‑off (5–7 days), and dry period (12–20 days). A further group of 28 cows with subclinical mastitis confirmed by the California Mastitis Test was also included in the study. Peripheral blood and milk samples were collected …


Evaluating The Link Between Metabolic Syndrome And Cognitive Dysfunction In People Who Use Cannabis: A Critical Review Of Mechanistic Pathways, Evidence Quality, And Future Research Directions, Ghadah Alharbi, Ahmad H. Alhowail, Ashraf Mahmoud Emara Oct 2026

Evaluating The Link Between Metabolic Syndrome And Cognitive Dysfunction In People Who Use Cannabis: A Critical Review Of Mechanistic Pathways, Evidence Quality, And Future Research Directions, Ghadah Alharbi, Ahmad H. Alhowail, Ashraf Mahmoud Emara

Saudi Toxicology Journal

Background: Cannabis is the most commonly used internationally controlled substance worldwide, with increasing rates of heavy use and cannabis use disorder (CUD) among adolescents and adults. While epidemiological evidence links cannabis exposure to both metabolic dysfunction and cognitive impairment, these outcomes have been examined predominantly in isolation. The mechanistic relationship between metabolic syndrome (MetS) and cannabis-related cognitive deficits remains poorly characterized. Objective: This review critically appraises the evidence linking cannabis use to metabolic dysfunction and cognitive impairment, proposes an integrative ``Cannabis–Metabolic–Cognitive Axis'' model, and identifies gaps limiting causal inference in the existing literature. Key Findings: Human studies frequently report lower …


Beyond Screening In Amyotrophic Lateral Sclerosis: A Domain-Standardized, Measure-Flexible Framework For Comprehensive Neuropsychological Assessment, Etiane Navarro Oct 2026

Beyond Screening In Amyotrophic Lateral Sclerosis: A Domain-Standardized, Measure-Flexible Framework For Comprehensive Neuropsychological Assessment, Etiane Navarro

Archives of Assessment Psychology

Amyotrophic lateral sclerosis (ALS) is a multisystem neurodegenerative disorder in which cognitive, behavioral, language, and social-cognitive changes may occur across clinical phenotypes, including the ALS-frontotemporal spectrum. Neuropsychological assessment is important for characterizing nonmotor manifestations and identifying changes relevant to autonomy, everyday functioning, and clinical management. This systematic review examined literature identified through APA PsycINFO, PubMed, Google Scholar, and supplementary searching to characterize neuropsychological domains, measures, phenotype-related findings, and disease-specific limitations relevant to comprehensive assessment. Two hundred records underwent title and abstract screening, 150 reports were reviewed in full text, and 61 resources were retained for synthesis. ALS-specific screening instruments, including …


Bioactive Resin-Based Composites For Direct Posterior Restorations: A Contemporary Narrative Review, Ruaa Neamah Muslim, Ghadeer Shakir Shabaa, Wasan Abdulridha Hasan Oct 2026

Bioactive Resin-Based Composites For Direct Posterior Restorations: A Contemporary Narrative Review, Ruaa Neamah Muslim, Ghadeer Shakir Shabaa, Wasan Abdulridha Hasan

Maaen Journal for Medical Sciences

Background and Rationale: Failure of dental restorations due to secondary caries remains one of the common problems in restorative dentistry. In order to solve the shortcomings of conventional bioinert materials, bioactive composite resins have recently been developed, allowing fluoride, calcium, and phosphate ion delivery as well as reducing the acidic activity of biofilm.

Aim of the Review: This literature review evaluates chemistry, mechanisms of action, clinical effectiveness, and physical handling properties of resin-based bioactive materials used for direct posterior restoration in permanent dentition.

Material Categories Examined: This literature review includes such material categories as resin-modified glass ionomers, S-PRG-giomers …


Pre-Procedural State Anxiety In Patients Scheduled For Colonoscopy, Zahraa Kareem Mansoor Al-Saady, Mohammed Hakim Shamran Al-Hchaim Oct 2026

Pre-Procedural State Anxiety In Patients Scheduled For Colonoscopy, Zahraa Kareem Mansoor Al-Saady, Mohammed Hakim Shamran Al-Hchaim

Maaen Journal for Medical Sciences

Background: Anxiety is a common issue among patients undergoing invasive medical procedures such as colonoscopy because of concerns regarding the procedure itself and its possible results. High levels of anxiety can negatively affect patient readiness and cooperation during the examination, thereby influencing the quality and outcome of the procedure.

Study objective: To assess the prevalence and severity of pre-procedural anxiety among patients scheduled for colonoscopy and examine the association between socio-demographic and clinical characteristics and anxiety levels.

Methodology: A descriptive cross-sectional study design was employed to collect data from patients undergoing colonoscopy. A validated and comprehensive questionnaire tailored for individuals …


Role Of Perceived Control Over Falls In Older Adults, Kanjanaporn Tantrongphak, Kanthee Anantapong, Duangporn Suriyaamarit Oct 2026

Role Of Perceived Control Over Falls In Older Adults, Kanjanaporn Tantrongphak, Kanthee Anantapong, Duangporn Suriyaamarit

Chulalongkorn Medical Journal

Falls among older adults constitute a significant public health challenge, often leading to severe physical injuries, reduced independence, and a diminished quality of life. Perceived control, a critical psychological construct, plays a significant role in sustaining physical health, cognitive function, and overall life satisfaction and is strongly associated with positive health outcomes. This review aims to examine the role of perceived control in fall risk among older adults. Concern about falling (CaF) is a prevalent psychological factor that influences fall risk by impacting behaviors linked to physical activity, balance, and adaptive responses. Perceived control theory provides a framework for understanding …


Antibiotic Resistance Genes In Diabetic Foot Ulcer Microbiomes: Molecular Mechanisms And Clinical Management Strategies, Fitra Adi Prayogo Oct 2026

Antibiotic Resistance Genes In Diabetic Foot Ulcer Microbiomes: Molecular Mechanisms And Clinical Management Strategies, Fitra Adi Prayogo

Chulalongkorn Medical Journal

Background: Diabetic foot ulcers (DFUs) affect 19-34% of diabetic patients lifetime, representing a major global health burden with over 18 million cases annually. The polymicrobial nature of DFU infections, combined with emerging antibiotic resistance genes, poses unprecedented clinical management challenges. Methicillin-resistant Staphylococcus aureus (MRSA) prevalence reaches 84% and extended-spectrum beta-lactamase (ESBL) producing Enterobacteriaceae exceeds 50% in some regions, creating urgent therapeutic concerns.

Objective(s): This comprehensive review examines current understanding of microbial communities in diabetic foot ulcers and their associated resistome, analyzing molecular mechanisms underlying antibiotic resistance and clinical implications to identify evidence-based management strategies.

Methods: A narrative review approach was …


Integrating Technologies For Synthetic, Systems, And Spatial Approaches In Cancer Research, Karmella A. Haynes, Kolade Adebowale, Belinda S. Akpa, Joel S. Bader, Trisha Bansal, Joshua Breunig, Ran Brosh, Lukasz J. Bugaj, George M. Burslem, Awalpreet Chadha, Moumita Das, Tara Deans, Cole A. Deforest, Lawrence J. Dooling, Zev Gartner, Laura M. Heiser, Alex Hughes, Melissa L. Kemp, Kirill S. Korolev, Chunru Lin, Timothee Lionnet, Xin Lu, Alison P. Mcguigan, Hamid Reza Mirzaei, Ajit J. Nirmal, Marina Pasca Di Magliano, Alexandros Poulopoulos, Kunal Rai, José Reyes, Dagan Segal, Mary Kathryn Sewell-Loftin, Evegeniya V. Shmeleva, Adam Stevens, Subbaya Subramanian, Thea Tlsty, Jennifer Totonchy, Alexander Vlahos, Pei Wang, Ioannis K. Zervantonakis, Yanding Zhao Oct 2026

Integrating Technologies For Synthetic, Systems, And Spatial Approaches In Cancer Research, Karmella A. Haynes, Kolade Adebowale, Belinda S. Akpa, Joel S. Bader, Trisha Bansal, Joshua Breunig, Ran Brosh, Lukasz J. Bugaj, George M. Burslem, Awalpreet Chadha, Moumita Das, Tara Deans, Cole A. Deforest, Lawrence J. Dooling, Zev Gartner, Laura M. Heiser, Alex Hughes, Melissa L. Kemp, Kirill S. Korolev, Chunru Lin, Timothee Lionnet, Xin Lu, Alison P. Mcguigan, Hamid Reza Mirzaei, Ajit J. Nirmal, Marina Pasca Di Magliano, Alexandros Poulopoulos, Kunal Rai, José Reyes, Dagan Segal, Mary Kathryn Sewell-Loftin, Evegeniya V. Shmeleva, Adam Stevens, Subbaya Subramanian, Thea Tlsty, Jennifer Totonchy, Alexander Vlahos, Pei Wang, Ioannis K. Zervantonakis, Yanding Zhao

Pharmacy Faculty Articles and Research

Emerging tools for spatial analysis, systems biology, and synthetic biology offer opportunities to observe, dissect, and perturb cancer mechanisms, to design strategies for the prevention of oncogenesis, and to identify therapies that lead to durable tumor control. Here, we summarize perspectives from the virtual Innovation Lab on “Synthetic and Systems Approaches to Interrogate Spatiotemporal Processes in Cancer” (S3) hosted by the National Institutes of Health (NIH), which assembled interdisciplinary experts to discuss cancer spatial organization and dynamic cellular interactions and how they can be addressed by leveraging novel synthetic and systems biology approaches. These discussions focused especially on cancer initiation, …


Impact Of A Head-To-Toe Assessment Simulation On The Self-Efficacy Of First Semester Nursing Students, Martin Dole Oct 2026

Impact Of A Head-To-Toe Assessment Simulation On The Self-Efficacy Of First Semester Nursing Students, Martin Dole

Nursing Faculty Publications

The transition into clinical practice presents significant challenges for first-semester nursing students, particularly related to self-efficacy and the ability to perform comprehensive patient assessments. Low self-efficacy may negatively influence clinical judgment, skill performance, and patient safety. The purpose of this Doctor of Nursing Practice project was to examine whether participation in a head-to-toe assessment simulation impacted general self-efficacy among first-semester nursing students. Guided by Bandura’s theory of self-efficacy, a quantitative, quasi-experimental, one-group pretest–posttest design was used to evaluate changes in self-efficacy following a high-fidelity simulation experience. A convenience sample of 42 first-semester Bachelor of Science in Nursing students participated in …


Depressive, Anxiety, And Stress Symptoms Among Respiratory Therapists In Two Tertiary Hospitals In Saudi Arabia: Differences According To Sociodemographic Characteristics, Budour Almutairi, Atheer Alsubaie, Reem Alenzi, Hala Alghemlas, Khalid Almutairi, Fouad Almutairi, Mansour Alshoaibi, Yaser Alnafea, Mona Almutairi, Salem Alqahtani Oct 2026

Depressive, Anxiety, And Stress Symptoms Among Respiratory Therapists In Two Tertiary Hospitals In Saudi Arabia: Differences According To Sociodemographic Characteristics, Budour Almutairi, Atheer Alsubaie, Reem Alenzi, Hala Alghemlas, Khalid Almutairi, Fouad Almutairi, Mansour Alshoaibi, Yaser Alnafea, Mona Almutairi, Salem Alqahtani

Journal of Medical Rehabilitation Science

Background: Respiratory Therapists (RTs) work in high-stress environments, predisposing them to psychological distress. This study evaluated the proportion of depressive, anxiety, and stress symptoms and their differences across sociodemographic groups among RTs in two Saudi Arabian tertiary hospitals.
Methods: This cross-sectional study was conducted between March and September 2023 at two tertiary hospitals in Jeddah and Riyadh. Out of 355 invited RTs, 112 completed an online questionnaire comprising sociodemographic items and the validated Depression, Anxiety, and Stress Scale-21 (DASS-21).
Results: Of the 112 participants, 61.6% were female, 47.3% were married, and 58.0% were Saudi nationals. The overall proportion of participants …


Analysis And Study Of The Content Of Chloride Salts In Oil, Natalia Evgenievna Sheina, Muborak Akramovna Mirshomilova Oct 2026

Analysis And Study Of The Content Of Chloride Salts In Oil, Natalia Evgenievna Sheina, Muborak Akramovna Mirshomilova

Technical science and innovation

The article addresses the critical issue of crude oil quality control, specifically focusing on the determination of chloride salts (sodium, calcium, and magnesium), which exert a destructive impact on processing equipment. The paper provides a detailed analysis of the adverse effects of salts, which lead to severe equipment corrosion, scaling, and a reduced yield of valuable oil fractions. The chemical principles and specific applications of two standardized methods for analyzing aqueous extracts according to GOST 21534-2021 and ASTM D3230 are described: indicator (argentometric and mercurimetric) and potentiometric titration. The experimental section presents the results of a comparative analysis of crude …


Are Accountability Courts In Georgia A Cost-Effective Public Health Policy Alternative?, Brian D. Graves, Orion Mowbray, Leaanne Derigne, Holly Lynde, Angel Ellis, Rachel Meyer Oct 2026

Are Accountability Courts In Georgia A Cost-Effective Public Health Policy Alternative?, Brian D. Graves, Orion Mowbray, Leaanne Derigne, Holly Lynde, Angel Ellis, Rachel Meyer

Journal of the Georgia Public Health Association

Background: This study evaluates the cost-effectiveness of accountability courts in Georgia, presenting them as a viable alternative in public health policy.

Methods: The research utilized survey data collected from 37 court programs across 40 distinct accountability court programs; it was conducted by the University of Georgia’s Carl Vinson Institute of Government in collaboration with the Council of Accountability Court Judges. The analysis includes a comparative assessment of cost savings, benefits, and differences among various court types, specifically focusing on drug courts, DUI courts, mental health courts, family treatment courts, and veterans treatment courts.

Results: Results reveal that …


Recommendations For Preparticipation Cardiovascular Screening For Athletes In Saudi Arabia: A Consensus Statement From The National Heart Center, Saudi Heart Rhythm Society, And National Center For Sudden Death, Alwaleed Aljohar, Bandar S. Al-Ghamdi, Abdulrahman Y. Sabbagh, Fahad Almehmadi, Fayez Bokhari, Naeem Alshoaibi, Yahya Alhebaishi, Wael Alqarawi Oct 2026

Recommendations For Preparticipation Cardiovascular Screening For Athletes In Saudi Arabia: A Consensus Statement From The National Heart Center, Saudi Heart Rhythm Society, And National Center For Sudden Death, Alwaleed Aljohar, Bandar S. Al-Ghamdi, Abdulrahman Y. Sabbagh, Fahad Almehmadi, Fayez Bokhari, Naeem Alshoaibi, Yahya Alhebaishi, Wael Alqarawi

Journal of the Saudi Heart Association

Vigorous sports participation provides substantial physical and psychological benefits but may be accompanied by a small risk of sudden cardiac arrest and death in individuals with previously unrecognized cardiovascular disease. Preparticipation cardiovascular screening aims to identify athletes at increased risk, facilitate appropriate evaluation and management, and promote safe participation in sport. Despite growing international experience, no national recommendations have previously existed for Saudi Arabia. Recognizing the rapid expansion of organized sports participation driven by Saudi Vision 2030, an expert panel convened to develop consensus recommendations for the implementation of a nationwide preparticipation cardiovascular screening program. A comprehensive review of contemporary …


Beyond Screening In Amyotrophic Lateral Sclerosis: A Domain-Standardized, Measure-Flexible Framework For Comprehensive Neuropsychological Assessment, Etiane Navarro Oct 2026

Beyond Screening In Amyotrophic Lateral Sclerosis: A Domain-Standardized, Measure-Flexible Framework For Comprehensive Neuropsychological Assessment, Etiane Navarro

Archives of Assessment Psychology

Amyotrophic lateral sclerosis (ALS) is a multisystem neurodegenerative disorder in which cognitive, behavioral, language, and social-cognitive changes may occur across clinical phenotypes, including the ALS-frontotemporal spectrum. Neuropsychological assessment is important for characterizing nonmotor manifestations and identifying changes relevant to autonomy, everyday functioning, and clinical management. This systematic review examined literature identified through APA PsycINFO, PubMed, Google Scholar, and supplementary searching to characterize neuropsychological domains, measures, phenotype-related findings, and disease-specific limitations relevant to comprehensive assessment. Two hundred records underwent title and abstract screening, 150 reports were reviewed in full text, and 61 resources were retained for synthesis. ALS-specific screening instruments, including …


J Mich Dent Assoc Oct. 2026 Oct 2026

J Mich Dent Assoc Oct. 2026

The Journal of the Michigan Dental Association

The October 2026 issue of the Journal of the Michigan Dental Association highlights advocacy, leadership, clinical practice, and practice management for Michigan dentists. The cover story examines how MDA advocacy led to the passage of Senate Bill 105, prohibiting forced virtual credit card transaction fees. Features include a profile on Dr. Raymond Gist, first Black ADA president; clinical guidance on caries management with Dr. Melissa Seibert; insights from the LEAD leadership program; and surgical mindfulness by Dr. Anish Gupta. Regular departments cover unlicensed employee legalities, supporting caregiver employees, open health insurance enrollment, and MDA organizational updates.


Environmental And Professional Influences On Social Participation In Community Recreation In The Niagara Region Of Ontario, Canada: A Secondary Qualitative Analysis With Implications For Autism-Supportive Practice, Budor H. Saigh, Shuaa A. Mutawally Oct 2026

Environmental And Professional Influences On Social Participation In Community Recreation In The Niagara Region Of Ontario, Canada: A Secondary Qualitative Analysis With Implications For Autism-Supportive Practice, Budor H. Saigh, Shuaa A. Mutawally

Journal of Medical Rehabilitation Science

Background: Meaningful participation in community recreation depends on more than physical accessibility. Environmental usability, activity structure, peer opportunities, and the manner in which professional support is provided may also be associated with opportunities for social participation among children with diverse developmental and support needs.
Objective: This secondary qualitative analysis examined how environmental and professional characteristics were represented in relation to opportunities for social participation across community recreational settings in the Niagara Region of Ontario, Canada. A secondary objective was to consider the potential relevance of these findings to autism-supportive recreational practice.
Methods: The analysis revisited selected qualitative materials originating from …


Study Of Blood Linear Rna Nominates Cd55 And Dld As Early-Stage Biomarkers For Parkinson's Disease, Aleksandra Beric, Sarp Sahin, Santiago Sanchez, Zining Yang, Ravindra Kumar, Isabel Alfradique-Dunham, Jessie Sanford, Daniel Western, Bridget Phillips, John P Budde, Richard J Perrin, Paul T Kotzbauer, Joel S Perlmutter, Scott A Norris, Carlos Cruchaga, Laura Ibanez Oct 2026

Study Of Blood Linear Rna Nominates Cd55 And Dld As Early-Stage Biomarkers For Parkinson's Disease, Aleksandra Beric, Sarp Sahin, Santiago Sanchez, Zining Yang, Ravindra Kumar, Isabel Alfradique-Dunham, Jessie Sanford, Daniel Western, Bridget Phillips, John P Budde, Richard J Perrin, Paul T Kotzbauer, Joel S Perlmutter, Scott A Norris, Carlos Cruchaga, Laura Ibanez

2020-Current year OA Pubs

Parkinson's disease (PD) is the second leading neurodegenerative disease, pathologically characterized by the accumulation of alpha-synuclein in the brain and the loss of dopaminergic neurons in the substantia nigra pars compacta. Despite the intensive efforts to identify diagnostic biomarkers for PD and nominating prospective candidates such as such as CSF α-synuclein seed amplification assay or α-/β-synuclein ratio, establishment of minimally invasive biomarkers remains the focus of PD research. We leveraged transcriptomic data from 4343 participants from four independent datasets to robustly identify PD-associated transcripts. Following the differential abundance analyses, we integrated our findings with several brain transcriptomic, CSF proteomic, plasma …


From Anatomy To Safe Action: The A2d And Scope-D Frameworks For Teaching Clinical Reasoning And Referral Communication In Physical Therapist Education, Arvie Vitente, Pamela Taylor, Christopher Dela Rosa, Art Lubinski Oct 2026

From Anatomy To Safe Action: The A2d And Scope-D Frameworks For Teaching Clinical Reasoning And Referral Communication In Physical Therapist Education, Arvie Vitente, Pamela Taylor, Christopher Dela Rosa, Art Lubinski

Philippine Journal of Physical Therapy

Introduction. Physical therapist learners may accurately recall anatomy yet struggle to translate it into testable hypotheses, recognize discordant findings, select proportionate actions, and communicate uncertainty within scope. Existing frameworks address clinical reasoning or structured communication, but limited guidance connects anatomy-based hypothesis testing directly to patient-centered referral communication when findings do not fit. This theory piece pairs Anatomy-to-Decision (A2D) with SCOPE-D to address that curricular gap.

Methods. Integrative conceptual design drew on literature concerning physical therapist clinical reasoning, illness scripts, cognitive load, dual-process reasoning, hypothesis-oriented patient management, safety screening, and communication of diagnostic uncertainty. These foundations were translated into features intended …


Interrater Reliability Of Software Optimized Movement Assessment With Traditional Methods And Video-Based Functional Movement Screen Scoring And Compensatory Movement Identification, Joshua Paul Verdillo, Nj Ermina, Tanya Mariel Capilla, Russel James Balane, Evriel Prince Apura, Daryl Reymon Apla-On, Ressyl Love Salvador Oct 2026

Interrater Reliability Of Software Optimized Movement Assessment With Traditional Methods And Video-Based Functional Movement Screen Scoring And Compensatory Movement Identification, Joshua Paul Verdillo, Nj Ermina, Tanya Mariel Capilla, Russel James Balane, Evriel Prince Apura, Daryl Reymon Apla-On, Ressyl Love Salvador

Philippine Journal of Physical Therapy

Introduction: The Functional Movement Screen (FMS) is a seven-part movement assessment used to identify injury risks caused by faulty biomechanics. There are three barriers in traditional FMS assessments that could affect the tool’s validity: the subjectivity of human scores that could cause bias, the need for in-person evaluations which limit access for remote patients, and the requirement of specialized training to use the tool, which makes it less accessible. This study investigates the effectiveness of SOMA, an AI-based web application that uses the MediaPipe framework to automatically assess (FMS) performances.

Methods: This study employs a quantitative, cross-sectional, comparative design to …


Lc-Hrms Identification And In Silico Anti-Elastase Analysis Of Cynometra Cauliflora Leaf Bioactive Fractions, Winni Nur Auli, Otniel Prima Saputra Purba, Afifah Khoirunisa, Anjar Hermadi Saputro, Syahrizal Nasution Oct 2026

Lc-Hrms Identification And In Silico Anti-Elastase Analysis Of Cynometra Cauliflora Leaf Bioactive Fractions, Winni Nur Auli, Otniel Prima Saputra Purba, Afifah Khoirunisa, Anjar Hermadi Saputro, Syahrizal Nasution

Chimica et Natura Acta

The development of natural cosmetic raw materials as anti-aging agents is one area of research that receives significant attention. Secondary metabolites and extracts from plants have been widely studied and found to possess anti-aging activity. Previous research yielded results showing very strong antioxidant activity of the extract and fractions of namnam leaves. This study aims to analyze the metabolite from the strongest fraction from antioxidant activity and analyze the interaction of flavonoid metabolites with elastase enzymes in silico. Metabolite analysis was performed using LC-HRMS. The molecular docking study was conducted on protein code 5A09 using Autodock Tools 1.4.7. The skin …


Implementation Of A Standardized Protocol To Improve Provider Documentation And Initiation Of Guideline-Concordant Hypertension Follow-Up Within 14 Days In Primary Care, Stella Williams Oct 2026

Implementation Of A Standardized Protocol To Improve Provider Documentation And Initiation Of Guideline-Concordant Hypertension Follow-Up Within 14 Days In Primary Care, Stella Williams

Doctor of Nursing Practice Projects

Hypertension is a major modifiable risk factor for cardiovascular morbidity and mortality, yet timely follow-up after elevated blood pressure (BP) readings is not consistently documented in primary care. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a standardized hypertension screening follow-up protocol improved provider initiation or documentation of guideline-concordant follow-up within 14 days. The faculty-approved PICOT population was primary care providers in a primary care clinic; we used eligible electronic health record (EHR) encounters as the analytic records to observe provider performance. We used a quantitative pre/post design and retrospectively reviewed 30 eligible EHR encounters: 15 pre-implementation …


Benign Jaw Bone Lesions In Athletes Exposed To Craniofacial Trauma: Surgical Treatment And Bone Regeneration Using Biphasic Calcium Sulfate, Damian M. Dudek, Agata Chwarścianek, Izabela Pabin, Łukasz Jaworski, Oliwia Warmusz, Grzegorz Wyrobiec, Ewa Kłodzińska Oct 2026

Benign Jaw Bone Lesions In Athletes Exposed To Craniofacial Trauma: Surgical Treatment And Bone Regeneration Using Biphasic Calcium Sulfate, Damian M. Dudek, Agata Chwarścianek, Izabela Pabin, Łukasz Jaworski, Oliwia Warmusz, Grzegorz Wyrobiec, Ewa Kłodzińska

Baltic Journal of Health and Physical Activity

Benign cystic and tumor lesions of the jaw bones represent relatively frequent pathological conditions encountered in oral and maxillofacial surgery. Although these lesions are often asymptomatic and slow-growing, they may lead to progressive weakening of bone structure. In individuals exposed to repetitive mechanical forces, such as athletes participating in contact sports, the presence of such lesions may significantly increase the risk of pathological fractures of the facial skeleton. The aim of the present study was to present a clinical case series of a benign jaw bone lesion treated surgically using a biphasic calcium sulfate biomaterial and to discuss the potential …