Digital Commons Network^™

Factors Associated With The Incidence Of Hypertension In Young Adults (20–24 Years) In Central Kalimantan Province (Analysis Of Ski 2023 Data), Indira Paramesti, Ratu Ayu Dewi Sartika, Diah Mulyawati Utari, Kusharisupeni Joko Suyono

Indonesian Journal of Public Health Nutrition (IJPHN)

Hypertension has been identified as a major public health problem leading to premature death and contributing to the development of various non-communicable diseases. In recent years, it has occurred not only among older populations but also among young adults. Hypertension at a young age can result in earlier organ damage, leading to a more rapid decline in quality of life and productivity. This study aimed to determine the risk factors associated with the incidence of hypertension among young adults aged 20–24 years in Central Kalimantan Province in 2023. A cross-sectional design was employed, utilizing secondary data from the 2023 Indonesian …

A Comparison Of Iron-Folic Acid Supplement Consumption Among Female Undergraduate Students In Health And Non-Health Majors At The University Of Indonesia In 2026, Naila Afifah, Ratu Ayu Dewi Sartika, Triyanti Triyanti, Deasy Martini

Indonesian Journal of Public Health Nutrition (IJPHN)

Iron-Folic Acid Tablets (IFAT) are recommended to prevent anemia among adolescent girls and women of reproductive age. However, IFAT consumption remains a concern among female college students, with previous research reporting differences in non-adherence between female health and non-health students at the University of Jember. This study aimed to analyze IFAT consumption behavior and its associations with residential status, attitudes, mother’s education, IFAT side effects, IFAT accessibility, media, family support, peer support, and healthcare provider support among female undergraduate students in health and non-health majors at the University of Indonesia in 2026. A cross-sectional study with purposive sampling was conducted …

Association Of Chrononutrition Behaviors And Other Factors With Nutritional Status Among Dormitory Students Of Universitas Indonesia In 2026, Hana Maulani Putra, Ratu Ayu Dewi Sartika, Trini Sudiarti, Fathimah Sulistyowati Sigit

Indonesian Journal of Public Health Nutrition (IJPHN)

Overweight and obesity remain major public health concerns in Indonesia and may be influenced by various factors, including chrononutrition behaviors related to meal timing and eating frequency, snacking habits, physical activity, sleep patterns, stress levels, ultra-processed food (UPF) consumption, allowance, and sex. Students living in dormitories may experience lifestyle changes associated with greater independence, which can affect their nutritional status. This study aimed to analyze the association between chrononutrition behaviors and other factors with the nutritional status of dormitory students at Universitas Indonesia in 2026. This cross-sectional study was conducted from April to May 2026. Participants were recruited using purposive …

Dominant Factors Associated With The Risk Of Chronic Energy Deficiency (Ced) Among Pregnant Women In East Nusa Tenggara Province (Analysis Ski Data 2023), Keisa Dwinta Mailova, Triyanti Triyanti, Tria Astika Endah Permatasari

Indonesian Journal of Public Health Nutrition (IJPHN)

Chronic Energy Deficiency (CED) is a long-term condition of energy deficiency resulting from inadequate nutrient intake. CED in pregnant women has negative effects on both maternal and fetal health. East Nusa Tenggara (NTT) Province is one of the regions with the highest prevalence of CED among pregnant women in Indonesia, with national data from 2023 showing a prevalence rate of 28%. This study aims to identify the dominant factors associated with the risk of CED in pregnant women in NTT. The study design is cross-sectional, utilizing secondary data from the 2023 Indonesia Health Survey (SKI), involving a sample of 215 …

Millets As A Preventive Dietary Intervention For India’S Nutrition Transition: A Narrative Review Of Glycaemic And Micronutrient Evidence, Kundan Kaushal, Manisha Upadhyay, Shambhu Nath Dubey, Indrajeet Kumar Jha

Indonesian Journal of Public Health Nutrition (IJPHN)

India’s nutrition profile reflects a nutrition transition rather than a single narrative: a rapidly escalating burden of diet-related non-communicable disease, including an estimated 101 million people with diabetes, coexists with a severe and worsening burden of micronutrient deficiency, with anaemia affecting 57% of women and 67.1% of children. This narrative review examines millets, small-seeded cereals historically marginalised in Indian diets in favour of rice and wheat, as a preventive dietary intervention with plausible relevance to both ends of this transition. Evidence was drawn from peer-reviewed systematic reviews and meta-analyses, national survey data and documented delivery interventions, identified through searches of …

Patellofemoral Alignment Following Total Knee Arthroplasty: A Radiographic Analysis Of 300 Patients With Two Implant Designs, Giselle K. Henry

Summer Research Program Abstracts

No abstract provided.

Beyond Language: Bilingualism, Biculturalism, And Professional Identity Among Bsn Students In South Texas, Nancy Nadeau, Eleftherios Gkioulekas, Margaret Rubi, Luz Maria Silva

Bilingualism in Higher Ed Summit

No abstract provided.

Recognizing Coronary Artery Disease In Women, Krista Ohmie Pa-C, Cck, Aacc

Lynchburg Journal of Medical Science

The purpose of this review is to identify sex-specific factors in the prevention, diagnosis, and treatment of cardiovascular disease in women as it continues to be the number one cause of their mortality. A search of the literature was conducted using PubMed as well as resources from the American College of Cardiology and the American Heart Association with multiple articles identified for use. The risk of cardiovascular disease in women is affected by traditional risk factors such as hypertension and diabetes, but is compounded by length of estrogen exposure, pregnancy, and higher rates of systemic inflammation. Systemic barriers such as …

Life After Ecmo: A Comprehensive Review Of Longterm Complications, Mia Olson Pa-C

Lynchburg Journal of Medical Science

Extracorporeal life support is the ability to temporarily supplement pulmonary and/or cardiac function in the setting of severe organ failure, with the most widely used version of this technology being extracorporeal membrane oxygenation (ECMO). While ECMO acutely improves outcomes in many patients with acute cardiopulmonary failure, evidence shows that survivors are at risk for long-term complications. These may include physical limitations, neurocognitive impairment, and psychological distress, all of which cumulate to impact a patient’s quality of life. The purpose of this research paper is to examine the literature on long-term complications associated with ECMO therapy and their impact on patient …

Prescribing In The Post-Black Box Era: Navigating Fda-Approved And Compounded Hormones For Menopause, Nicole Bray

Lynchburg Journal of Medical Science

This narrative review compares the safety, efficacy, and clinical utility of FDA-approved

versus compounded bioidentical hormone replacement therapies for women in

menopause. A comprehensive literature review was conducted using PubMed for

studies published between 2016 and 2026, with search terms including “bioidentical

hormone replacement therapy,” “compounded hormone replacement therapy,”

“menopause,” “menopausal,” “vasomotor,” “estradiol,” “progesterone,” and

“testosterone,” alongside an analysis of major medical societies' guidelines and leading

menopause telehealth platforms. The findings demonstrate that FDA-approved

bioidentical hormone therapies offer superior pharmacokinetic consistency, rigorous

regulatory oversight, and robust clinical evidence compared to compounded

alternatives, which lack standardized testing and regulatory oversight for …

Insomnia As A Risk Factor For Depression: Integrating Cognitive Behavioral Therapy For Insomnia, Derrick Bouldin

Lynchburg Journal of Medical Science

This review evaluates insomnia as an independent, modifiable risk factor for Major Depressive Disorder (MDD) within primary care, while assessing the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in improving outcomes, preventing onset, and reducing relapse risk of depression. A literature search conducted between January and April 2026 across PubMed, the Cochrane Library, and APA PsycINFO yielded 42 articles published between 2015 and 2026. Applying inclusion criteria focused on adult populations, comorbid insomnia and depression, and clinical outcomes of CBT-I, 26 articles were selected for synthesis. Findings demonstrate that insomnia is a predictive risk factor for MDD onset, persistence, …

Genitourinary Syndrome Of Menopause And Lower Urinary Tract Symptoms: A Primary Care Approach, Michelle Johnson

Lynchburg Journal of Medical Science

This literature synthesis reviewed current evidence on the pathophysiology, diagnosis, and management of genitourinary syndrome of menopause (GSM)-related lower urinary tract symptoms (LUTS) in postmenopausal persons, with implications for primary care. GSM is a chronic, progressive condition caused by estrogen deficiency affecting vaginal, urethral, and bladder tissues. An estimated 50% to 70% of postmenopausal persons experience symptoms, including urinary urgency, frequency, incontinence, and recurrent urinary tract infections. Despite its prevalence and effect on quality of life, GSM remains substantially underdiagnosed: fewer than half of symptomatic persons seek treatment, and clinicians often fail to screen proactively. Low-dose vaginal estrogen therapy remains …

Dengue: A Global And Emerging Health Challenge, Christopher Artigas

Lynchburg Journal of Medical Science

Dengue virus, a rapidly expanding tropical arbovirus with four distinct serotypes, poses a growing global public health threat—particularly in regions where healthcare systems are ill-equipped to diagnose, treat, and manage its severe manifestations. Transmitted primarily by Aedes mosquitoes, dengue typically manifests as an acute febrile illness characterized by severe myalgias ("bone-breaking fever"), arthralgias, gastrointestinal distress, and hemorrhagic tendencies. In severe cases, the infection can progress to life-threatening dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Because definitive antiviral therapeutics remain in development, supportive clinical care, with a critical focus on timely intravenous fluid resuscitation, is the cornerstone of management. …

Continuity Beyond Delivery: A Family Medicine Approach To Racial And Ethnic Equity In Postpartum Care, Dominique J. Tarrant

Lynchburg Journal of Medical Science

This narrative review examines interventions to improve postpartum care continuity, reduce disparities, and advance maternal health equity, emphasizing structured follow-up, care coordination, and family medicine integration. The postpartum period, often called the “fourth trimester,” should connect recovery with lifelong health. However, many women, particularly those from racially and ethnically minoritized populations, encounter missed screenings, inadequate support, and structural barriers that increase their risk of adverse maternal outcomes. Electronic searches of PubMed and Google Scholar were conducted from October 27 through November 7, 2025, using combinations of “postpartum care,” “family medicine integration,” “racial and ethnic disparities,” “health equity,” and “fourth trimester.” …

Multimodal Analgesia For Postoperative Pain Management In Total Shoulder Arthroplasty, Caroline Heramb

Lynchburg Journal of Medical Science

Total shoulder arthroplasty (TSA) is an increasingly common orthopedic procedure, yet postoperative pain management continues to rely heavily on opioid analgesics. Although multimodal analgesia (MMA) has become the standard of care in total hip and knee arthroplasty, consensus regarding the optimal multimodal approach for TSA remains limited. A comprehensive literature search was conducted using PubMed, CINAHL, the Cochrane Library, and Google Scholar. Following screening with inclusion and exclusion criteria, 42 articles were selected for review and synthesized. Current evidence supports MMA pathways incorporating regional anesthesia, non-opioid pharmacologic agents, perioperative corticosteroids, cryotherapy, and patient education to reduce postoperative opioid requirements without …

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.

Primary Treatment Of Congenital Aortic Stenosis In Infants: A Comparative Analysis Of Balloon Aortic Valvuloplasty And Surgical Aortic Commissurotomy, Kayumov Arabbek Ravshanovich, Sinelnikov Yuriy Semenovich, Amansakhatova Ekaterina Nazarovna, Nalimov Konstantin Aleksandrovich, Roseykin Evgeniy Vladimirovich, Manukian Serezha Nersesovich, Soynov Ilya Aleksandrovich

Journal of the Saudi Heart Association

Objective

To compare the efficacy and safety of balloon aortic valvuloplasty (BAV) and surgical aortic commissurotomy (SAC) as primary treatment strategies for congenital aortic stenosis in infants during the first year of life.

Methods

This retrospective two-center cohort study included 89 infants with congenital aortic stenosis treated between April 2015 and June 2025 at two tertiary centers. Patients were divided according to the initial intervention: BAV (n = 39) and SAC (n = 50). The primary endpoint was any repeat intervention on the aortic valve. Secondary endpoints included hospital and late mortality, recurrent hemodynamically significant aortic stenosis, and clinically significant …

Juvenile Delinquency In Alaska, 2019 And 2023, Gabriel Garcia

AJiC Fact Sheets

This fact sheet examines juvenile delinquency in Alaska, documenting changes in substance use and weapon-carrying among high school students and identifying associated risk and protective factors using weighted data from the 2019 and 2023 Alaska Youth Risk Behavior Survey (YRBS).

Defining Rectus Abdominus Muscle Changes Following Ventral Hernia Repair, Ananya Hari

Summer Research Program Abstracts

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.

Continuous Pacing During Lbbap With A Lumenless Lead: A Simplified, Zero-Cost Sliding-Contact Technique, Leonardo Marinaccio

Journal of the Saudi Heart Association

Left bundle branch pacing with lumenless leads usually requires disconnecting pacing cables during rotation, creating an electrical blind spot during septal advancement. We describe the "sliding-contact" technique, a zero-cost modification enabling continuous real-time monitoring. Retracting the rubber shroud of a standard sterile alligator pacing clip reduces jaw tension, allowing unrestricted lead pin rotation while preserving electrical continuity. In 42 consecutive cases, LBBAP was successfully performed without complications. Beat-to-beat feedback on QRS morphology, impedance, and injury current was maintained throughout rotation, improving procedural precision and safety without specialized equipment.

Inferior Vena Cava–Left Atrial Connection Hidden Beneath Large Secundum Defect. A Case Report, Alisia Yuana Putri, Muhammad Surya Tiyantara

Journal of the Saudi Heart Association

Inferior vena cava (IVC) drainage into left atrium is an exceptionally rare congenital anomaly and may remain unrecognized when associated with a large atrial septal defect (ASD). A 35-year-old-man presented with progressive exertional dyspnea and fatigue. Transthoracic echocardiography, transesophageal echocardiography, and cardiac catheterization demonstrated a large secundum ASD with severe septal malalignment, while systemic venous drainage was interpreted as normal. During surgical ASD repair, an unexpected IVC-to-left atrium connection was identified and redirected to right atrium. Careful assessment of IVC inflow is essential in patients with large malaligned ASD despite normal oxygen saturation.

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 …

Contraception Or Complication: A Review Of Depo-Provera’S Pharmacology And Public Health Implication, Phylicia Carpenter

Best Integrated Writing

This review article explores the link between progestogens and meningioma risk and outlines the biological mechanisms that may contribute to tumorigenesis. Two progestogens are emphasized through the paper: cyproterone acetate and medroxyprogesterone acetate (Depo-Provera). An important French study examining the relationship between progestogens use and meningioma risk is discussed, along with the health risks associated with long-term use. Additionally, this review advocates for increased routine prescriber-patient consultations and stronger drug regulation to educate and protect patients, particularly those experiencing socioeconomic disadvantages. It is important to note that the FDA recently updated the label for injectable medroxyprogesterone acetate in December 2025 …

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 Potential Relationship Between Red Complex Tannerella Forsythia And Obstructive Sleep Apnea, Abby Dibble Ms, Kristi M. Soileau

New Orleans Dental Association News

The pathogenesis of periodontitis is no longer attributed to a single infectious organism but rather to a dysbiosis-affiliated microbial community that disrupts host immune response. Within this polymicrobial ecosystem, Tannerella forsythia has emerged as one of the principal periodontal pathogens because of its ability to evade host defenses, promote tissue destruction, and establish cooperative interactions with neighboring microorganisms. As a Gram-negative, obligate anaerobic bacterium belonging to the red complex group, T. forsythia is consistently associated with advanced periodontal disease and is increasingly recognized as an important contributor to both local periodontal destruction and systemic inflammation. A 2024 meta-analysis of ten …

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.