Digital Commons Network^™

$50 Million And Counting Mom’S Impact On Dental Care For Virginians, Barbara Rollins

Virginia Dental Journal

The Mission of Mercy (MOM) Project, initiated in 2000 in Wise County, Virginia, provides free dental care to underserved communities through mobile clinics. Over 24 years, MOM has delivered $50.7 million in dental services to over 71,000 Virginians. The project has expanded statewide, involving hundreds of volunteers, and has inspired the creation of permanent dental clinics and similar initiatives in over 30 states. Despite challenges like COVID-19, MOM adapted with smaller-scale Mini-MOM events, continuing to address the critical need for affordable dental care. Legislative changes, including Medicaid expansion, have further supported these efforts.

Building Bridges To Address Virginia’S Workforce Needs, Ryan Dunn

Virginia Dental Journal

The CEO of the Virginia Dental Association, Ryan Dunn, highlights the critical need to address workforce distribution challenges in Virginia's dental sector. Despite having a favorable dentist-to-population ratio, many areas, especially rural regions, face significant shortages and staffing issues. The Virginia Dental Workforce Council is working on solutions, which will be presented at the VDA House of Delegates in January. The CEO urges VDA members to engage in these efforts and support local dental programs to ensure accessible dental care for all Virginians.

Happy 164th Birthday To The American Dental Association, Gary Oyster Dds

Virginia Dental Journal

The American Dental Association (ADA) celebrates its 164th anniversary, reflecting on significant changes, especially due to COVID-19. The ADA is addressing workforce challenges and adapting to the diverse needs of young and seasoned dentists through governance reform and streamlined operations. Innovations like a tiered membership system and enhanced digital tools aim to improve member engagement. Advocacy at state and national levels remains crucial, with efforts in Medicare and Medicaid reform. The ADA encourages members to promote the benefits of membership and highlights the importance of collective efforts in advancing dentistry.

Magical Mystery Tour, Richard F. Roadcap Dds

Virginia Dental Journal

The document discusses the implications of artificial intelligence (AI), particularly focusing on ChatGPT and its potential impact on human intelligence, plagiarism, and misinformation. It draws parallels with the 1968 movie "2001: A Space Odyssey" and its AI character HAL. Concerns are raised about AI's role in healthcare, education, and its ability to perpetuate harmful stereotypes and misinformation. The document also touches on the importance of practice valuations for dental professionals and offers services for practice transitions and valuations.

Interview With Dr. Dustin Reynolds, Vda President, Dustin Reynolds Dds

Virginia Dental Journal

Dr. Dustin Reynolds, the VDA President, emphasizes the importance of organized dentistry and his commitment to advocacy, leadership, and improving the dental profession. He discusses his extensive leadership background, the significance of the VDA's role in legislative initiatives like the Dental Loss Ratio (DLR), and the value of VDA membership. Dr. Reynolds also highlights his support for VCU's new dental school, his personal heroes and mentors, and his unique hobby of tractor pulling. Looking ahead, he aims to continue his practice, philanthropic efforts, and potentially take on a leadership role in the American Dental Association.

Moving Forward, Dustin Reynolds Dds

Virginia Dental Journal

Dr. Dustin Reynolds, the new President of the Virginia Dental Association (VDA), reflects on the evolution of dentistry and the VDA's ongoing mission to advocate for the profession, support dental education, and improve public health. He shares his non-traditional path to dentistry, emphasizing the importance of leadership, teamwork, and service. Dr. Reynolds acknowledges the challenges ahead, such as workforce shortages and third-party payer issues, and calls for member involvement and support for the VDA's advocacy efforts. He looks forward to engaging with members and addressing their concerns during his tenure.

Va Dent J October, November And December 2023

Virginia Dental Journal

The Virginia Dental Journal (Volume 100, Number 4, October–December 2023) highlights the inauguration of Dr. Dustin Reynolds as the new VDA President and includes an interview sharing his vision for advocacy and innovation within the organization. Key features of this issue include updates on the Mission of Mercy (MOM) program, celebrating its $50 million milestone in providing free dental care to Virginians, and the use of silver diamine fluoride by dentists in Virginia. The journal also explores workforce challenges, technological innovations in marketing, and the role of artificial intelligence in dental practice. Additionally, it covers university connections, community outreach, and …

Birth Related Neonatal Conditions, Jotishna Sharma, Gangaram Akangire

Neonatology Review: Isolette to Crib Podcast

Dr Akangire will discuss birth related conditions that occur in the newborn. He will define birth injuries, briefly go over risk factors, describe common birth injuries and discuss emergencies with bleeding, nerve injuries and fracture.

Click here to stream the podcast episode.

Hot Wages: How Do Heat Waves Change The Earnings Distribution?, Giulia Valenti, Francesco Vona

Fondazione Eni Enrico Mattei Working Papers

We investigate the impact of heat waves on individual earnings using retrospective panel data (SHARE) matched with high-resolution weather data (E-OBS), covering over 32000 workers across 14 European countries (1955–2019) from diverse sectors and occupations. Exploiting plausibly exogenous variation in heat wave exposure across cohorts within the same generation and region, and controlling for individual fixed effects, occupational sorting, and covariate balance, we find each additional heat wave day reduces earnings by 0.31%. Losses are larger in outdoor, manual, and clerical occupations, disproportionately affecting lower-income workers and those from disadvantaged family backgrounds, but are mitigated in countries with centralized collective …

Navigating Wound Closure Strategies: Primary Closure Vs. Delayed Primary Closure In Digestive Surgery—A Systematic Review And Meta-Analysis On Surgical Site Infections, Lam Sihardo, Arnetta Nl Lalisang, Afid B. Putra, Bagus A. Suryawiditya

The New Ropanasuri Journal of Surgery

Introduction. Surgical site infection (SSI) is a significant concern following digestive surgery, with varying incidence rates based on wound contamination levels. The choice between Primary Closure (PC) and Delayed Primary Closure (DPC) impacts SSI occurrence, making it essential to evaluate their comparative effectiveness. DPC is hypothesized superior to PC to prevent SSI or wound infection after a contaminated abdominal surgery.

Methods. This systematic review study was carried out through PubMed, Scopus, and Cochrane (CENTRAL). Quality was assessed using Risk of Bias (ROB-2) tool. All results were summarized, and quantitative analysis was performed using a random-effect model. This study …

Bacillus Calmette-Guerin (Bcg) As An Intralesional Therapy For Cutaneous Metastatic Malignant Melanoma: A Literature Review, Farisa B. Dina, Ahmad Kurnia

The New Ropanasuri Journal of Surgery

Introduction. Malignant melanoma is the most lethal form of skin cancer and is the third most common cause of death of all malignancies in the world. Cutaneous metastatic lesions are the earliest and the most frequently encountered metastatic lesions in malignant melanoma. The use of Bacillus Calmette-Guerin (BCG) as an intradermal therapy agent has been long debated due to its effectiveness and adverse effects. This literature review aims to provide a comprehensive explanation regarding the use of intralesional BCG in establishing local control and preventing recurrence in cutaneous metastatic malignant melanoma.

Method. A literature search was conducted on various …

Infrarenal Abdominal Aortic Pseudoaneurysm With Suspected Behcet Disease: A Unique Case Report, Harsya D. Gunardi, Danny Pratama, Andrio W. Prabowo, Nanang W. Hidayat, M Aprizal Putera, Grady Krisandi

The New Ropanasuri Journal of Surgery

Introduction. Abdominal aortic pseudoaneurysm caused by autoimmune vasculitis is a rare complication. Clinical presentation of patients is often late with life–threatening complications.

Case Illustration: A 62–year–old male patient with infrarenal abdominal aortic pseudoaneurysm presenting with a 2–week worsening severe abdominal and lumbar pain with a history of uncontrolled hypertension and a history of oral ulcer. He was successfully treated with tube grafting through open surgical repair.

Conclusion: The pseudoaneurysm was successfully removed and replaced with a polyester tube graft with no perioperative complications and was discharged 5 days later

C-Reactive Protein As An Early Predictor Of Anastomosis Leakage After Colorectal Surgery: A Literature Review, Lucky Permana, Ridho A. Syaiful

The New Ropanasuri Journal of Surgery

Introduction. Anastomosis leakage is a defect in the intestinal wall at the anastomosis site after surgery. This condition is a serious complication causing increased morbidity and mortality. CRP is commonly used as an acute postoperative indicator after abdominal surgery. The use of CRP as an early predictor of anastomosis leakage after colorectal surgery is supported by several studies showing its good diagnostic value. However, using CRP as a biomarker is not standard at Cipto Mangunkusumo National Hospital. Therefore, this literature review aims to support the evidence for CRP in the early detection of anastomosis leakage after colorectal surgery.

Method. …

The Role Of Active Surveillance Of Papillary Thyroid Microcarcinoma: A Literature Review, Prasojo Prasojo, I Gusti Ngurah Gunawan Gunawan Wibisana

The New Ropanasuri Journal of Surgery

Introduction: Thyroid cancer is one of the most common cancers in the world, with incidence 144,7: 100.000 population. The incidence has risen up to 211% within the last 30 years, and one–third of thyroid cancer is papillary thyroid microcarcinoma. There are still controversies regarding whether immediate surgery or active surveillance is the better option for treating this condition. This review aims to evaluate the safety and efficacy of active papillary thyroid microcarcinoma surveillance.

Methods: Cochrane, PubMed, EBSCOHost, and ProQuest were searched for relevant studies of active surveillance of papillary thyroid microcarcinoma.

Results: Six publications were selected after a literature search …

Transformation Of Accreditation Of Higher Education In Health In Indonesia: Qualitative Assessment, Yefta Moenadjat, Insan Sosiawan A. Tunru, Sutrisno Soemardjo

The New Ropanasuri Journal of Surgery

Accreditation of higher education in health in Indonesia shifts to the qualitative assessment driven to ensure quality improvement. The method replaces the former quantitative assessment method that has been applied since 2012; it will be effective in January 2025. The driving factors and rationale of transformation are outlined in this article. The rationale of the qualitative assessment that applies principle–based accreditation and the quantitative assessment that applies rule–based accreditation is reviewed here. Information on the accreditation procedure and the goal is presented, aiming for institutions to prepare for this new version of accreditation.

Surgical Treatment For Hepatocellular Carcinoma With Right Atrium Tumor Thrombus: A Literature Review, Mohammad Z. Hazmi, Ridho A. Syaiful

The New Ropanasuri Journal of Surgery

Introduction. The prognosis of patients with hepatocellular carcinoma (HCC) with right atrial tumor thrombus (RATT) is poor, with a mortality rate of 60 to 90%. Along with the development of multimodality management and surgical techniques in cases of HCC, surgery is still an option for curative purposes. This study aims to review the indications, appropriate surgical techniques, and postoperative survival outcomes in HCC with RATT.

Methods. This literature review conducted using online databases, including Cochrane Library, PubMed, ScienceDirect, EBSCOhost, and ProQuest.

Results. Six case reports and four retrospective studies were reviewed. Surgery for HCC with RATT has one, three, and …

Effective Revenue Growth Strategies For Nonprofit Organizations, Girum Assefa Gebretsadik

Walden Dissertations and Doctoral Studies

Nonprofit organizations serving under-resourced communities often face persistent challenges in securing sustainable revenue streams for fulfilling their mission and maintaining essential services, which can negatively impact vulnerable populations. Using the Baldrige excellence framework (BEF) as a conceptual lens, this qualitative single case study was conducted to explore effective revenue growth strategies to enhance financial stability, reduce financial uncertainty, strengthen resilience, and enhance community service delivery. Data collection included in-depth interviews with client leadership in the northeastern United States, an analysis of organizational documents, and financial data to support methodological triangulation. Thematic analysis using Yin’s 5-step process led to four core …

Be An Advocate For Caring Children In Pain, Rashal Rashmi Martis Ms, Mamatha Shivananda Pai

Manipal Journal of Nursing and Health Sciences

No abstract provided.

The Significance Of Aldehyde Dehydrogenase 1 In Cancers, Anh L. Nguyen, Caroline O. B. Facey, Bruce M. Boman

Department of Pharmacology and Experimental Therapeutics Faculty Papers

The goal of this paper is to discuss the role of ALDH isozymes in different cancers, review advances in ALDH1-targeting cancer therapies, and explore a mechanism that explains how ALDH expression becomes elevated during cancer development. ALDH is often overexpressed in cancer, and each isoform has a unique expression pattern and a distinct role in different cancers. The abnormal expression of ALDHs in different cancer types (breast, colorectal, lung, gastric, cervical, melanoma, prostate, and renal) is presented and correlated with patient prognosis. ALDH plays a significant role in various cellular functions, such as metabolism, oxidative stress response, detoxification, and cellular …

The Complexity And Significance Of Fibroblast Growth Factor (Fgf) Signaling For Fgf-Targeted Cancer Therapies, Anh Nguyen, Caroline Facey, Bruce Boman

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Fibroblast growth factors (FGFs) have diverse functions in the regulation of cell proliferation and differentiation in development, tissue maintenance, wound repair, and angiogenesis. The goal of this review paper is to (i) deliberate on the role of FGFs and FGF receptors (FGFRs) in different cancers, (ii) present advances in FGF-targeted cancer therapies, and (iii) explore cell signaling mechanisms that explain how FGF expression becomes dysregulated during cancer development. FGF is often mutated and overexpressed in cancer and the different FGF and FGFR isoforms have unique expression patterns and distinct roles in different cancers. Among the FGF members, the FGF 15/19 …

Uso Pa Ba Ang Pakikibaka: Kontekstuwalisasyon Ng Piling Awiting Makabayan Sa Panahon Ng Pandemya, Ronnel B. Agoncillo Jr.

Malay Journal

Ang mga awitin ay isang magandang daluyan ng pagpapahayag ng mensahe kabilang ang pagpapataas ng diwang makabayan sa pamamagitan ng pagiging malay sa mga isyung panlipunan buhat ng pagmamahal sa bayan. Sa kasaysayan ay marami nang makabayang awitin ang napakikinggan sa mainstream media o tampok na midya, higit pa, ilan sa mga ito ay naging inspirasyon para sa ilang pagbabagong panlipunan. Sa pagpasok naman ng panahon ng pandemya (taong 2020–2022) at laganap na korupsiyon at katiwalian ay may ilang makabayang awitin pang sumalungat sa usong genre at tema ng mga awiting nangunguna sa mga tsart. Layunin ng papel na ito …

Mga Kontribyutor Sa Isyu At Panawagan Sa Kontribusyon, Malay Journal

Malay Journal

Ipinakikilala rito ang mga awtor ng mga artikulong nakapaloob sa isyu. Inilalahad din ang mga mahahalagang detalye para sa mga interesadong magsumite ng pananaliksik sa journal.

An Analysis Of Charity Care Policy In Virginia And Recommendations For The Future, Victoria Richardson

Richmond Public Interest Law Review

Virginia’s uninsured rate has dropped significantly since Medicaid expansion, but statewide gaps in coverage remain, especially among communities of color and for those transitioning from Medicaid to Medicare at age sixty-five. Accordingly, greater utilization of charity care is necessary to prevent the most vulnerable Virginians from experiencing crippling medical debt—debt they may by unable to pay due to limited resources.

Unfortunately, charity care requirements for providers suffer from a lack of clarity and accountability at both the state and federal level. This article surveys the current laws and regulations that govern charity care in Virginia and highlights problems that prevent …

Community Service Guides Ole Miss First Scholar's Career Path, Jonathan Scott

University of Mississippi News

OXFORD, Miss. – When he first enrolled at the University of Mississippi, Kaleb Henry knew he wanted to pursue a career in a health care profession that would allow him to help others. He just didn't know which specific career.

Sistema Ng Pamantayan Ng Mga Pilipino Bilang Batayan Ng Pagbuo Ng Pasya Ng Mga Kumupkop Sa Mga Batang May Human Immunodeficiency Virus (Hiv), Faye N. Fuentes

Malay Journal

Tutuon ang papel na ito sa pagtingin sa sistema ng pamantayan ng mga Pilipino (Filipino values system) ni Landa Jocano bilang pangunahing salik sa pagbuo ng mga itinuturing na komplikadong desisyon ng mga Pilipino. Ang pangunahing suliraning sasagutin sa papel na ito ay, paano nabubuo ang pagpapasya ng mga kumukupkop sa mga batang may Human Immunodeficiency Virus (HIV)? Sasagutin ito sa tulong ng mga sumusunod na tiyak na suliranin: 1.) Paano nabuo ang pamantayan ng mga kumupkop sa pagbibigay-halaga sa mga batang may Human Immunodeficiency Virus (HIV)? 2.) Ano-ano ang mga aspektong pangkaasalan ang nagtulak sa desisyong panatilihin ang pagkupkop …

Integrasyon Ng Kulturang Bago Sa Pagtuturo Ng/Sa Filipino, Billy D. Fabro, Ma. Flora May A. Garcia, John A. Amtalao

Malay Journal

Sa harap ng paglamon ng dominanteng kultura sa mga kultura ng minoryang pangkat at hamon ng unti-unting pagkawala ng kultural na identidad, mahalaga ang tungkuling ginagampanan ng integrasyon ng kultura sa pagtuturo ng araling pangwika. Isa sa mga pangkat na nahaharap sa ganitong hamon ay ang mga Bago. Ang mga Bago ay ang pangkat etniko na naninirahan sa pagitan ng Kordilyera at Rehiyong Ilokos. Layunin ng kuwalitatibong-Penomenolohikal na pag-aaral na ito na alamin ang integrasyon ng kulturang Bago sa pagtuturo ng Filipino. Gamit ang pakikipanayam, focused group discussion (FGD), at pagsusuri sa learning module ng guro at aktibidad ng mag-aaral, …

Assessing Nutrition Intake, Participation, And Education Retention: Among Middle School Participants Of A 12-Week Culinary Nutrition Program, Kathryn Antonopulos

Electronic Theses and Dissertations Archive

Abstract According to the World Health Organization, over 39 million children are categorized as obese.1 Several factors contribute to obesity: diet, lifestyle, environment, genetics, and socioeconomic factors.2 The most effective form of eradicating obesity is through preventative measures.2 Prevention through early exposure to nutrition education can build healthy habits and reduce the likelihood of obesity related comorbidities.3 This study’s aim was to determine if children who participate in a 12-week nutrition education program could sustain similar eating patterns, participation in meal preparation, and nutrition knowledge 6 months post program. Outcomes were assessed using quantitative and qualitative survey research. 13 participants …

Representation Of Alaskan Native People In Nonprofit Leadership, Vanessa Smith

Dissertations

The nonprofit sector faces a significant issue: the underrepresentation of the communities it aims to serve, including Alaska Native communities. This research investigates the likely causes of this underrepresentation and explores potential solutions. It includes nine qualitative interviews with a majority of Alaskan Native leaders and consultations with other non-Native nonprofit leaders who have extensive experience in Alaska's nonprofit organizations.

This study arose from firsthand experience in an Anchorage, Alaska nonprofit, where the lack of Alaska Native representation in leadership roles within an organization meant to serve the Alaska Native community was evident. The research aimed to understand how well …

Potential Of Right Ventricular Function Assessment With Echocardiography In Transcatheter Aortic Valve Replacement, Yoshihisa Morita, Taro Kariya, Michael Dougherty, Andrew Peters, Nicholas Ruggiero

Division of Cardiology Faculty Papers

BACKGROUND: Right ventricular (RV) function assessment by echocardiography can be challenging due to its complex morphology. Also, increasing use of sedation rather than general anesthesia for transfemoral approach transcatheter aortic valve replacement (TAVR) reduces the need for intraoperative transesophageal echocardiography (TEE). Recent clinical studies have demonstrated the importance of 3-dimensional (3D) echocardiography and a longitudinal strain for RV function assessment. In this study, we compared RV function echocardiographic assessment methodologies in TAVR and investigated its clinical utility.

METHODS: This was a prospective, observational study of TAVR at a large academic hospital. Inclusion criteria were adult patients undergoing TAVR requiring intraoperative …

Looking Past Manufactured Crisis Narratives: Grounded Solutions For The Border And Beyond, Monika Y. Langarica

San Diego Law Review

This Article presents a solutions-oriented approach to engaging with the complex landscape of political, legal, and humanitarian issues at the United States-Mexico border. It proceeds in three parts. Part II illustrates the counterproductive effects of the border crisis narrative in localities across the interior of the country and in recent negotiations in Washington, D.C. Part III discusses effective border interventions grounded in local expertise, including examples which demonstrate that while federal preemption forbids states from interfering with immigration enforcement, states are within their rights to enact policies and stand up efforts to improve the reception and treatment of immigrants in …