Digital Commons Network^™

Sedation Minimization And Early Mobility To Prevent Intensive Care Unit Delirium, Alana M. Kugelard

Lynchburg Journal of Medical Science

The purpose of this paper is to synthesize current evidence on sedation minimization, early mobility, and multicomponent care bundles for the prevention of intensive care unit (ICU) delirium in critically ill adults. ICU delirium is a common and serious complication associated with increased mortality, prolonged mechanical ventilation, extended ICU and hospital length of stay, and long-term cognitive impairment, making it a significant safety and quality-of-care concern. A literature review was conducted using PubMed and the Cochrane Library, with search terms including “ICU delirium,” “sedation minimization,” “light sedation,” “early mobilization,” and “ABCDEF bundle.” Filters included adult populations, peer-reviewed studies, randomized controlled …

Microbiome-Modulating Dietary Interventions For The Treatment Of Insulin Resistance In Polyendocrine Metabolic Ovarian Syndrome (Pmos), Ashley Davis

Lynchburg Journal of Medical Science

No abstract provided.

Use Of The Well-Star Model And Well-Star Graphic In Healthcare, Fidan Korkut-Owen, Zubeyde Akpakir, Dean W. Owen

Journal of Wellness

No abstract provided.

Youth Experience Of Violence In Alaska, 2019 And 2023, Gabriel Garcia

AJiC Fact Sheets

This fact sheet examines youth experiences of dating violence and sexual violence in Alaska, identifying patterns and factors associated with victimization among high school students. Using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS), it compares the prevalence of physical dating violence, sexual dating violence, sexual violence by anyone, and forced sexual intercourse.

Synthesizing Evidence Of Stress, Anxiety, Burnout, And Health Habits In Nursing Students Compared To Non-Nursing Students, Brooklyn Watson, Julie Harrison, Mariah Leopold, Nantz Kerry Fleurant

Best Integrated Writing

Nursing school is widely recognized as a demanding and stressful academic program, characterized by rigorous clinical and academic expectations. Elevated levels of stress among nursing students can contribute to negative academic, emotional, and professional outcomes. Through this project, the student team conducted an in-depth examination of nursing student stress and burnout to better understand its prevalence, contributing factors, and potential interventions. The team employed comprehensive search strategies to identify and evaluate relevant evidence. Multiple Johns Hopkins Evidence-Based Practice appraisal tools were used to critically assess the literature, synthesize findings, and determine the significance of the evidence in relation to the …

Best Integrated Writing Fall 2026 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University.

The Whole Patient: What Fascia Reveals About Pain, Adaptation, And The Case For Treating Together, Kelly Davis Pt, Dpt, Faaompt, Mt

New Orleans Dental Association News

The final piece in this series looks at fascia and the autonomic nervous system — the connective tissue and nerve pathways linking the jaw, neck, and airway into one continuous system — and why both matter to dentistry. Dr. Davis draws on current fascia and pain science research, including work from the 2025 International Fascia Research Congress in New Orleans, to explain how a misaligned bite can travel through this tissue and surface as headaches, how tongue posture and breathwork affect jaw stability, and why complex, chronic cases so often need more than one discipline to make headway. Told partly …

Noda News October 2026

New Orleans Dental Association News

New Orleans Dental Association (NODA) News includes regular columns with regional news impacting the New Orleans membership including: columns from the President and Executive Director, feature articles relating to the field of dentistry, association events and upcoming activities, component news, continuing education opportunities, and classifieds.

Kualitas Hidup Pasien Penyakit Gagal Ginjal Kronik Dan Kepuasan Pelayanan Di Unit Hemodialisis Rumah Sakit Alia Depok: Studi Mixed-Methods, Bimo Kusumo, Vetty Yulianty Permanasari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The prevalence of chronic kidney disease (CKD) in Indonesia remains a high-incidence condition and most of it underwent hemodialysis in Hospital. This study aims to analyze the quality of life of patients with chronic kidney disease and satisfaction with services in the hemodialysis unit. This study is a mixed-methods study with a quantitative study using the World Health Organization Quality of Life (WHOQOL-BREF) and Service Quality (SERVQUAL) questionnaires, and a qualitative study with in-depth interviews related to hospital services from both service providers (healthcare professionals) and service recipients (patients). The study found predominantly moderate scores on the WHOQOL-BREF and poor …

Improving Fall Risk Assessment In Inpatient Rehabilitation, Sarah B. Flick, Aaliyah Garcia, Trista Hamblin

Scholars Week

This evidence-based practice project examines how fall-risk assessment can be improved for patients in inpatient rehabilitation by incorporating rehabilitation-specific functional factors into the existing assessment process. A review of four research studies identified toileting, transfers, ambulation, cognition, previous falls, and functional limitations as important considerations for fall-risk identification. The project proposes a structured functional review to supplement current assessment tools, with a phased implementation plan using staff education, a pilot program, and ongoing evaluation to support patient safety and individualized fall-prevention interventions.

Practical Implementation Of An Osteoarthritis Treatment Program In A Radiation Oncology Center Within Md Anderson’S Cancer Network, Aaron Shaykevich, Adam Grippin, Warren Floyd, Brady Cripe, Alexander Augustyn, Shalin Shah, Samantha Buszek

Advances in Cancer Education and Quality Improvement

Background: Low-dose radiation therapy (LDRT) for symptomatic osteoarthritis (OA) can add to the workload of radiation oncology services, particularly in small centers with limited capacity and staff. After we launched an OA LDRT program in December 2024, referrals grew rapidly at our rural, single-linac radiation oncology practice at UT MD Anderson’s Cancer Network Partner site (Community Health Network in Indianapolis, IN), leading to long wait times and workflow strain.

Methods: We used load leveling to reserve capacity for cancer care and make OA scheduling predictable. Five 15-minute benign consult slots were set aside each week. Patients then went on a …

Health Horizons Journal, Volume 1, Issue 1

Health Horizons Journal

The Health Horizons Journal was founded in the fall semester of 2025 at Clemson University in order to establish a student-led journal that connects the Clemson community with global health content and empowers student researchers. The mission of this journal is to provide students with an opportunity to publish their research and promote access to scholarly work through open-access publication. This journal is dedicated to publishing at no cost to authors and providing submitting authors from any institution at the undergraduate or graduate levels with equal consideration.

Improving health outcomes on a global scale begins with interdisciplinary collaboration and the …

Progressive Remodeling Of Global Protein Interaction Networks In A Mouse Model Of Tauopathy, Weiwei Lin, Sadhna Phanse, Sophie J F Van Der Spek, Noah Lampl, Morgan C Stephens, Zihan Wang, Joseph T Nigro, Alejandro Rondon Ortiz, Ryan Hekman, Anna Lourdes F Cruz, Rebecca Roberts, Lulu Jiang, Juan Botas, Andrew Emili, Benjamin Wolozin

Faculty, Staff and Students Publications

Neurodegenerative disease is marked not just by loss of proteins or cells, but by dynamic rewiring of macromolecular interaction networks that precede and drive pathology. Here, we present a temporally resolved, systems-scale map of multi-protein complex remodeling in a tauopathy model, integrating co-fractionation mass spectrometry, quantitative phosphoproteomics, and machine learning to decode phosphorylation-dependent shifts in protein interactomes across disease progression. This interactomic atlas serves as a resource to investigate functional assemblies, including MAPT-Dpysl2 and Cyfip1-actin, as well as ptk2b-Kars/Dars and ptk2b-Msn-Farsb-complexes, that modulate early disease phenotypes in vivo. Notably, it captures the composition, dynamics, and regulatory state of protein complexes …

Clinical Comparability Of A Computer-Based Vision Screening Platform To Snellen Acuity In A Young Adult Population, Meghan E. Garvey, Lindsey Stroop, Jacob Just, Brynn Palmer, Andrew Burchett, Donald J. Kosiak Jr

Aesculapius Journal (Health Sciences & Medicine)

Background: Military readiness depends on timely access to accurate health screening tools. The use of digital technologies for visual acuity testing may reduce bottlenecks during large-scale Physical Health Assessment (PHA) events and improve the efficiency of provider workflow. This study evaluated a computer-based vision screening (CBVS) platform against the traditional Snellen chart in a non-military, college-aged sample to assess clinical comparability and test-retest reliability.

Methods: Visual acuity was assessed in 68 college-aged adults (77.9% female, 73.5% Non-Hispanic White; mean age = 20.9 years) using both a Snellen chart and the CBVS platform, with assessments performed in randomized order to minimize …

Phenological Flexibility In Nesting Grassland Birds Over A Half Century Informs Timing Of Management, Kristin S. Ellis, Michael J. Anteau, Lawrence D. Igl, Garrett J. Macdonald, Neal D. Niemuth, Aaron T. Pearse, Jill A. Shaffer, Christine A. Ribic, Josh L. Vest, Masanori Abe, Daniel S. Ackerman, Marissa A. Ahlering, Johanna N. Alpert, Anahit Amiri, Kent Andersson, Jacqueline K. Augustine, Kristel K. Bakker, Jeffrey L. Beck, Adam C. Behney, Jacy S. Bernath-Plaisted, Todd R. Bogenschutz, Eric K. Bollinger, Lauren E. Bortolotti, Andy J. Boyce, Jeffrey D. Brawn, Fred C. Bryant, Andrew J. Campomizzi, Jay D. Carlisle, J Matthew Carroll, Rachel Carroll, John P. Carroll, Justin R. Clarke, Michael R. Conover, Reesa Y. Conrey, Jaime J. Coon, Kyle A. Cutting, Stephen K. Davis, Dawn M. Davis, Duane R. Diefenbach, Jonathan B. Dinkins, R Andrew Dreelin, Victoria J. Dreitz, Courtney J. Duchardt, Michael W. Eichholz, Susan N. Ellis-Felege, Kevin S. Ellison, Bradley C. Fedy, Samantha D. Fino, Robert J. Fletcher Jr, Dillon T. Fogarty, Samuel D. Fuhlendorf, Pamela R. Garrettson, Robert J. Gates, Erin L. Gelling, James J. Giacomo, Alex Glass, Cheri L. Gratto-Trevor, Ryan D. Haffele, Christian A. Hagen, Vanessa B. Harriman, Samuel W H Harryman, David A. Haukos, Robert T. Haynam, Heather A. Herakovich, James R. Herkert, Fidel Hernandez, Jason M. Hill, H Jeffrey Homan, Torre J. Hovick, Jonathan A. Jenks, William E. Jensen, Aaron N. Johnston, Sydney-Marie Jones, Carly S. Kelly, Kaylan M. Kemink, Silka L F Kempema, Dylan C. Kesler, Christopher P. Kirol, Robert W. Klaver, Page E. Klug, Jesse L. Kolar, Nicola Koper, Kyle J. Kuechle, Jonathan D. Lautenbach, Zoe M. Lebrun-Southcott, David W. Londe, Scott R. Loss, Cullen M. Mackenzie, Patrick A. Magee, Douglas L. Manzer, John P. Mccarty, Gywm Mckee, Ann E. Mckellar, Lance B. Mcnew, James R. Miller, Megan C. Milligan, Ashlee K. Minor, Rocco J. Murano, Les D. Murray, David E. Naugle, Clayton K. Nielsen, Christopher J. Norment, Sarah B. Ogden, Lindsay A. Parsons, Brian D. Peer, Noah G. Perlut, James C. Pittman, Christopher D. Pollentier, Larkin A. Powell, Aaron C. Pratt, John P. Pulliam, Nancy M. Raginski, Dan R. Reinking, Kaitlyn M. Reintsma, Terry Z. Riley, Kevin M. Ringelman, Joseph R. Robb, Scott K. Robinson, Andres N. Rosales, Charlotte L. Roy, Kayla A. Ruth, Brett K. Sandercock, Kevin K. Sedivec, Steve K. Sherrod, Justin J. Shew, Mason L. Sieges, Jenny L. Sika, Susan K. Skagen, Cassandra G. Skaggs, Joseph Smith, Jennifer A. Smith, Kurt D. Smith, Alex J. Solem, Joshua D. Stafford, Glenn E. Stauffer, Matthew D. Stephenson, Lee Sutcliffe, Amber E. Swicegood, Jason Tack, Evan P. Tanner, Catrina V. Terry, Wendy P. Tori, Ashley M. Unger, Kelly R. Vanbeek, William E. Vetter, Jay A. Vonbank, Brett L. Walker, Michael D. Whitson, Maiken Winter, Kimberly A. With, Donald H. Wolfe, Amy A. Yakel Adams, Benjamin Zuckerberg

United States Department of Agriculture Wildlife Services: Staff Publications

The timing of biological events for wildlife species reflects and influences ecological and evolutionary processes and helps guide management actions to meet conservation objectives. Climate change may cause phenological shifts across trophic levels and ecosystems, which can have broad ecological impacts. Shifts may also result in mistiming between management practices based on historical conditions and current biological events, reducing the effectiveness of natural resource management and conservation efforts. We analyzed nesting phenology patterns over recent decades across North America for 44 species of grassland-nesting birds, including waterfowl, upland gamebirds, shorebirds, and passerines, many of which have experienced precipitous population declines. …

“It Feels Like Your Life Hinges On Me”: Lived Experience Of Being Next Of Kin To Someone Who Self-Harms, Kenneth Haugjord, John-Kåre Vederhus, Tore Dag Bøe, Kristine Dahl

The Qualitative Report

Through previous research, attention has been drawn to the burden experienced by next of kin to someone struggling with self-harm, yet less attention has been given to how they experience and make sense of the relational and existential complexity of this role in their everyday lives. We asked how next of kin experienced and made sense of caring for a loved one who self-harmed. We conducted in-depth interviews with fourteen next of kin, including parents, partners, and siblings, and analyzed the data through reflexive thematic analysis within an interpretive qualitative framework. Our analysis generated an overarching theme, "It Feels Like …

Asking Questions Of The Data: Operationalizing The Disruptive Aims Of Poststructural Discourse Analysis, Maxxine Rattner

The Qualitative Report

I wrote this paper to support qualitative researchers in accessibly engaging with poststructural discourse analysis. In it, I detail how I flexibly adapted this methodology to meet my study’s aims. I begin by outlining poststructural understandings of discourse and explaining why a researcher may choose a poststructural discourse analysis for a study’s theoretical and methodological framework. While published poststructural discourse analyses commonly draw upon Foucauldian concepts to guide analysis, in this paper I share a more expansive approach. I demonstrate how developing and asking questions of the data can be one way to analyze diverse texts for the presence of …

Calm, Connection, Or Just Compensation: A Qualitative Investigation Of Subjective Adolescent Experiences With Behavioral Health Interventions Within A Clinical Trial, Talia Thompson, Katherine Thompson, Sarah Perzow, Holly Spinner, Bentley Porterfield-Finn, Lauren D. Gulley, Rachel G. Lucas-Thompson, Isabel Thorstad, Laura Pyle, Molly Basch, Megan J. Moran, Marian Tanofsky-Kraff, Megan M. Kelsey, Eleanor R. Mackey, Lauren B. Shomaker

The Qualitative Report

Adolescent mental health and cardiometabolic concerns are at an all-time high, necessitating the development of acceptable, feasible, and effective interventions. Investigations of behavioral health interventions with teenagers must incorporate a means of understanding how adolescents perceive and engage with an intervention, and the relevance and meaning they ascribe to its therapeutic goals, as these potentially modifiable factors may ultimately influence future uptake, sustainability, and effectiveness of the interventions. Qualitative research methods provide well-established, rigorous frameworks for addressing these questions, but are underutilized in pediatric research. This qualitative study is part of a multisite, pilot, and feasibility randomized controlled trial of …

Analyzing Accessibility And Efficacy Of One Research Survey Website To Test Readability Of Physical Activity Promotion Material Disseminated Online: A Mixed Methods Pilot Study, Jafra D. Thomas, Anuraj Dhillon, Yi Sheng Wu, Jasmine C. Wong, Regina F. Hockert

Topics in Exercise Science and Kinesiology

Volume 7: Issue 1, Article 2, 2026.  Accessibility is the effort and ability required to access and navigate environments and participate in activities. Physical activity educational materials disseminated to the public and used within behavior change interventions may be hard to read and navigate, decreasing their accessibility and a study’s validity. This study documented, and addressed, issues that may hinder researchers’ ability to gauge accessibility of their online educational materials using the cloze procedure (a direct readability measure, requires guessing missing words from text passages). A multi-stage, mixed methods pilot study was utilized (August 2022 to May 2023). Phase 1: …

Feasibility And Pilot Study Of Implementing Mindfulness-Based Attention Training In A Pediatric Health Care Setting, Thomas B. Ayres, Seth Sonnevile, Angela Myers

Advances in Cancer Education and Quality Improvement

We present herein our preliminary evidence from a pilot study of the feasibility of implementing Mindfulness-Based Attention Training (MBAT) in a pediatric health care institution. MBAT has been implemented primarily in military settings, representing another high-stress work environment. Furthermore, MBAT has had favorable evaluations from being implemented with medical students. Mindfulness-based interventions have received increasing attention in health care environments. This interest from health care institutions and the focus on developing attention-based resources through MBAT created a use case for implementing MBAT. We had 5 health care workers with a variety of job roles in our institution complete a train-the-trainer …

Pebbles In The Shoe: A Multidisciplinary Program To Identify And Resolve Workplace Inefficiencies In A Pediatric Oncology Division, Reeja Raj, Kate Gazouleas, Pavilia Francis, Nancy Gordon, Vidya Gopalakrishnan, Amy Heaton, Ishwaria Subbiah, Priti Tewari, Harjeet Singh, Aaron Walton, Shehla Razvi, Martha Askins, Lisa Triche, Karen Moody

Advances in Cancer Education and Quality Improvement

Introduction: Occupational burnout is a significant concern among pediatric oncology faculty and multidisciplinary staff, characterized by emotional depletion, detachment from work, or a diminished sense of professional achievement. Inefficient work processes can be important contributors to burnout. This report describes the implementation and outcomes of Pebbles in the Shoe (also referred to as Pebbles), a pediatric division–wide initiative designed to address workplace concerns and inefficiencies.

Methods: The Pebbles program was developed and led by our pediatric division's wellness task force. Division members were invited to anonymously submit work-related concerns and irritations through a QR code–accessible electronic form. Five discipline-based work …

Creating A Culture Of Well-Being By Removing Barriers To Participation In A Multi-Campus Cancer Center, Adam Siegman, Miranda M. Phillips, Jennifer Bickel

Advances in Cancer Education and Quality Improvement

Background: Healthcare professionals in geographically distributed cancer care settings may face barriers to accessing workforce well-being resources due to geographic distance, staffing constraints, and operational demands. Disconnect & Refresh was developed to improve access to restorative wellness opportunities across community-based cancer care sites.

Methods: Disconnect & Refresh was implemented at The University of Texas MD Anderson Cancer Center across 4 Houston area locations. The initiative included BeWell Paws, virtual reality meditation, chair yoga, and creative wellness activities delivered during the workday. Participation was voluntary and tracked through employee badge scans. Participants were invited to complete an anonymous post-event survey, and …

Implementation Of A Low-Cost Tobacco-Free Intervention In A Permanent Supportive Housing Program To Address Cancer Disparities Among People Who Have Experienced Homelessness, Ammar D. Siddiqi, Phoebe Wong, Cathy Crouch, Lorraine R. Reitzel

Advances in Cancer Education and Quality Improvement

Objectives: Permanent supportive housing residents who have experienced homelessness use tobacco products at elevated rates, contributing to higher cancer risk. Agencies that provide wraparound support services to this group are committed to rebuilding their stability by improving their health. Yet, their delivery of tobacco screening and cessation care is limited, as is information about their clients’ tobacco use behaviors. Here, we evaluated a low-cost intervention for an Albert Schweitzer Fellowship project conducted in a permanent supportive housing program with 650 adults who had experienced homelessness in Houston, Texas.

Materials and Methods: Between August 2024 and February 2025, client-facing staff members …

Evaluation Of Shortened Irinotecan Infusion Times And Adverse Effects Incidence For Gastrointestinal Medical Oncology Patients, Rachel N. Ochs, Daniel J. Donovan, Neha A. Betrabet, Wendy M. Covert

Advances in Cancer Education and Quality Improvement

Background: Irinotecan, a topoisomerase I inhibitor, is commonly used to treat gastrointestinal cancers. The infusion time of irinotecan is usually over 90 minutes; however, studies support the safety and feasibility of 30-minute infusions. A shortened infusion duration may improve patient quality of life, optimize infusion chair utilization, and reduce wait times. Faster infusion rates may increase the risk of acute cholinergic side effects, reported in up to 50% of patients (all grades). Current institutional practice in the gastrointestinal medical oncology (GIMO) clinic involves administering irinotecan over 90 minutes and using atropine as needed for reversing cholinergic symptoms. For patients who …

Why Should A Data-Driven Cancer Center Prioritize Well-Being?, Peter Pisters

Advances in Cancer Education and Quality Improvement

No abstract provided.

Actualizing Leaders To Inspire A Group Network (Align): Feasibility And Pilot Of Implementing A Commensality Group Program For Leaders In A Pediatric Healthcare Setting, Thomas B. Ayres, Kristin Ray, Angela Myers

Advances in Cancer Education and Quality Improvement

Background: Leadership behaviors in pediatric health care settings are strongly linked to leader burnout, professional fulfillment, and self-care in addition to influencing their teams. Despite their pivotal role, leaders often face substantial emotional burdens associated with their roles. Commensality groups, defined as small, recurring gatherings centered around shared meals and structured discussions, have emerged as a promising approach to enhancing connection, community, and resilience among health care professionals. A gap in the literature regarding commensality groups is understanding the mechanism of this well-being intervention. Our hypothesis is that commensality groups act as resource caravans and provide psychosocial resources to health …

Ai-Enhanced Predictive Model For Adverse Clinical Outcomes Of Chronic Diseases In Older Adults, Grace C. Giles

Summer Research Program Abstracts

No abstract provided.

The Application Of Electronic Games In Occupational Therapy Rehabilitation In Saudi Arabia, Alaa Mohammad Arafah, Bdoor Khalid Bajamal, Jumana Fawaz Alharbi, Shahad Hussein Majhoom, Wesam Qurban

Journal of Medical Rehabilitation Science

Objectives: This study explores the application of electronic games in occupational therapy rehabilitation in Saudi Arabia, focusing on therapists' knowledge, usage patterns, and perceived benefits and barriers.
Methodology: A cross-sectional survey was conducted among 103 occupational therapy professionals working in Saudi Arabia. The survey included 25 questions on the use of electronic games in their rehabilitation settings.
Results: The results revealed that only 39.8% of respondents currently use electronic games in clinical practice. Nevertheless, 87.2% of therapists acknowledged increased patient engagement as a major benefit, while 66.7% noted improvements in motor skills and motivation. Additionally, 67% of participants reported receiving …

Factors Contributing To Executive Function In Young Adults, Lindy Janae Stevenson

McNair Scholars Research

Executive functions (EF) are skills used to complete desired behaviors and inhibit undesired ones. These skills are necessary for everyday life, and even more so in higher education and the workplace. This study examined the combined impact of sleep and exercise on five facets of EF in young adults enrolled in undergraduate or graduate courses. It also examined how perceived effort and performance in college classes interact with EF. The first five hypotheses studying sleep and exercise were analyzed using a 2x2 between-groups ANOVA. The data divided participants into those averaging fewer than 7 hours of sleep a night and …

Associations Of Subclinical Hypothyroidism And Thyroid Autoimmunity With Insulin Resistance Independent Of Adiposity: An Analysis Of Nhanes, Iman Taher Hussein

AUIQ Complementary Biological System

A thyroid–inflammation–insulin pathway has been proposed in which thyroid dysfunction promotes inflammation and thereby reduces insulin sensitivity, but adiposity-adjusted population evidence is limited. This cross-sectional analysis examined whether subclinical hypothyroidism (SCH) and thyroid autoimmunity are associated with insulin resistance independently of body mass index (BMI), and whether C-reactive protein (CRP), the only inflammatory biomarker available, is associated with either, using National Health and Nutrition Examination Survey (NHANES) 2007–2012 data. Non-pregnant adults aged 18–60 years with fasting glucose < 126 mg/dL and normal free thyroxine were included; SCH was defined as thyroid-stimulating hormone (TSH) 4.5–10 mIU/L, and insulin resistance was quantified by the homeostasis model assessment (HOMA-IR). Linear regression of log HOMA-IR accounted for the complex survey design (strata, clusters, weights) and was adjusted for age, sex, BMI, and survey cycle, with sensitivity and interaction analyses. Among 2,434 adults (89 with SCH), no association with HOMA-IR was detected for TSH (β = 0.009 per mIU/L; 95% CI -0.014 to 0.032), SCH (β = -0.035; 95% CI -0.186 to 0.115), or thyroid peroxidase …