Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

2025

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 149671 - 149700 of 157407

Full-Text Articles in Entire DC Network

Where Risk And Reward Meet Interfaith Engagement And Learning, Andrew C. Reed Jan 2025

Where Risk And Reward Meet Interfaith Engagement And Learning, Andrew C. Reed

BYU Studies

The Lutheran Bishop of Stockholm, Krister Stendahl, sought to accomplish one grand thing in the world. He hoped to help human beings learn to see others, to use Elder Dale G. Renlund’s words, “through Heavenly Father’s eyes.”1 While that may appear at first glance simple enough, the practice of doing so presents real challenges. Learning to see others as God does requires a curious empathy, one that fosters a desire to both know and appreciate. Stendahl publicly modeled what would become known as his “rules” for interfaith relationships in 1985 when he stood up for Latter-day Saints and their desire …


Royal Skousen’S Book Of Mormon Critical Text Project, Roger Terry Jan 2025

Royal Skousen’S Book Of Mormon Critical Text Project, Roger Terry

BYU Studies

Between 1984 and 1986, the Foundation for Ancient Research and Mormon Studies (FARMS) published a critical text of the Book of Mormon. While this early publication was useful in certain ways, it was also woefully inadequate. It was, for instance, based on a computerized text of the 1830 printed edition of the Book of Mormon rather than on the remnants of the two handwritten manuscripts.1 Recognizing its inadequacies, Brigham Young University linguistics professor Royal Skousen began in 1988 what would become a thirty-seven- year endeavor and his life’s work: a fully professional critical text of the Book of Mormon.2


Review: Latter-Day Saint Theology Among Christian Theologies By Grant Underwood William B. Eerdmans Publishing Company, 2025, John G. Turner Jan 2025

Review: Latter-Day Saint Theology Among Christian Theologies By Grant Underwood William B. Eerdmans Publishing Company, 2025, John G. Turner

BYU Studies

Grant Underwood’s Latter-day Saint Theology Among Christian Theologies is a project born out of hope. Underwood, a former Richard L. Evans Chair of Religious Understanding at Brigham Young University, has spent years in dialogue with other Christians. In particular, he was part of a “Mormon-Evangelical Dialogue” that met at least once a year for more than two decades. (Full disclosure: I attended two sessions.) Underwood didn’t only talk with other Christians. He read their theology—a lot of their theology.


Implementing A Z-Course Program At Fort Hays State University, Claire Nickerson Jan 2025

Implementing A Z-Course Program At Fort Hays State University, Claire Nickerson

Library Faculty Publications

In 2018, the Fort Hays State University (FHSU) Open Educational Resource (OER) Committee proposed a Z-Course Program to track and incentivize the use of zero-cost course materials. It included a course-marking initiative, the implementation of a small cost-share fee to students to fund the program and incentivize departments to offer Z-courses, and a Z-Course Grant Program for faculty who wanted to convert their courses. The proposal was approved in 2020 and implemented beginning in 2021. Since then, the course-marking and fee implementation have been streamlined, and the committee is working on qualitative assessment.


Dual-Mode Linear Phased Array Antennas For Monopulse Radars, Jonathan Waters Jan 2025

Dual-Mode Linear Phased Array Antennas For Monopulse Radars, Jonathan Waters

Theses

Phased array antennas are widely used around the world. Much research is focused on extending capabilities of modern wireless systems and radars. Dual-mode elements are researched for use in beamforming, monopulse radar and multi-frequency applications. Beamforming in itself is an extensively researched topic, aimed at canceling interference and/or finding signal angle-of-arrivals. The goals of this thesis are two-fold. Firstly, to take the monopulse capabilities of a dual-mode antenna element to allow for a linear phased array antenna to generate the sum, delta-azimuth, and delta-elevation channels whereas normal linear phased array antennas can only generate a single difference channel. Secondly, to …


Heat Transfer Of Additively Manufactured Turbine Alloy Blade Tips With Different Surface Enhancement Post-Processing Methods, Morgan Tatge Jan 2025

Heat Transfer Of Additively Manufactured Turbine Alloy Blade Tips With Different Surface Enhancement Post-Processing Methods, Morgan Tatge

Theses

The investigation results presented here consider the heat transfer characteristics of seven different turbine blade tips. Six of the blades are additive manufactured with GRX-810, followed by different surface enhancement post processing techniques. Those techniques include as built, abrasive flow machining, chemical polishing with chemical mechanical polishing, micromachining, chemical polishing, and electropolishing. The seventh blade is machined with 1016 steel. These procedures give a different surface texture roughness for each blade. A transonic linear cascade within a transonic/supersonic wind tunnel is utilized. The impulse response method is employed to determine heat transfer coefficient distributions for the blades. The Tad/T0i temperature …


Characterization And Comparison Of Skin And Exoskeleton Microbiomes Of Stygobiotic Fauna And The Influence Of Environmental Variables On Microbiome Diversity And Composition, Bjorn Van Peterson Jan 2025

Characterization And Comparison Of Skin And Exoskeleton Microbiomes Of Stygobiotic Fauna And The Influence Of Environmental Variables On Microbiome Diversity And Composition, Bjorn Van Peterson

Theses

Caves and other subterranean ecosystems are among the most understudied ecosystems globally and house unique and ecologically important biodiversity. While several studies have characterized the microbial communities of respective cave systems, research on microbiomes of cave fauna has been limited. This study investigated microbiomes for aquatic cave fauna in the southern Cumberland Plateau of Tennessee and Alabama, USA. Exoskeleton and skin swabs were taken from three species of cave-dwelling crayfishes, two species of salamanders, and one cavefish. Bacterial operational taxonomic units (OTUs) identified in microbiomes of hosts included primarily members of the phylum Pseudomonadota, but also the phyla Acidobacteriota, Actinomycetota, …


Design, Development, And Analysis Of A Pulsed Power System Using A Thyristor To Fire A Coaxial Plasma Gun, Neil P. Laya Jan 2025

Design, Development, And Analysis Of A Pulsed Power System Using A Thyristor To Fire A Coaxial Plasma Gun, Neil P. Laya

Theses

A first of a kind fiber-optically controlled and thyristor switched coaxial plasma gun pulsed power system has been designed, built, and fired at up to 2 kV and 6.4 kA, with a 6.65 MW momentary peak power output from the capacitor. Total system firing jitter from initial digital signal to 90% peak current rise has been measured at 78.15 ns, representing 0.18% of the total pulse time of 44.10 µs. This includes both thyristor turn-on and coaxial plasma gun breakdown. Standard deviation of peak current over repeated firings has been measured to be 21.09 A (0.33%). The system has experienced …


Augmenting Attention : An Ooda-Centric Framework For Explainable Ai In Ar Human-Ai Teaming Applications, Dylan Wright Jan 2025

Augmenting Attention : An Ooda-Centric Framework For Explainable Ai In Ar Human-Ai Teaming Applications, Dylan Wright

Theses

Artificial Intelligence (AI) is increasingly deployed in high-stakes environments where success depends on more than computational accuracy; it also requires alignment with human perception and attention. Traditional explainable AI (XAI) methods provide static, post-hoc justifications that are poorly suited to time-critical decision cycles. This thesis investigates whether perceptually aligned, real-time explanations in Augmented Reality (AR) can enhance performance, workload balance, and trust within the Observe–Orient–Decide–Act (OODA) loop. A custom AR search-and-rescue simulation tested three conditions: no assistance, static overlays, and perceptually aligned explanations using adaptive cues such as occlusion-aware tethers and urgency-based visuals. The results show that any explanation improved …


Multi-Factor Mathematical Optimization For Healthcare Referral And Facility Placement, Mitchell Moody Jan 2025

Multi-Factor Mathematical Optimization For Healthcare Referral And Facility Placement, Mitchell Moody

Theses

This thesis addresses the challenge of optimizing patient referrals in healthcare systems by integrating clinical needs, geographic proximity, and dynamic infection risk. Healthcare referral networks (HRNs), which capture patient transfers between hospitals, serve as the foundation of the study. First, a recommendation algorithm is developed to assign patients by jointly considering clinical compatibility and logistical considerations like travel distance, striking a balance between quality and accessibility. Building on this, a reinforcement learning framework is proposed to dynamically adjust referral strategies for vulnerable patients by incorporating the evolving risk of hospital-acquired infections. Finally, long-term planning is explored through methods that recommend …


Utilizing Ground-Based Radar Analyses To Investigate Ocean-To-Land Differences In The Tropical Cyclone Wind Profile And Their Impacts On Tornadogenesis, Elizabeth M. Seiler Jan 2025

Utilizing Ground-Based Radar Analyses To Investigate Ocean-To-Land Differences In The Tropical Cyclone Wind Profile And Their Impacts On Tornadogenesis, Elizabeth M. Seiler

Theses

On 20 August 2008, the MAX radar was deployed southeast of the Jacksonville, FL WSR-88D radar to monitor the boundary layer before, during, and after the landfall of TS Fay. During the 57-hour deployment, MAX sampled around a tornadic rainband that produced at least one confirmed tornado. To illustrate TCBL changes across a coastal zone, VAD profiles from MAX and KJAX are compared, and a dual- Doppler analysis is performed. One key finding from the DDA was the consistent presence of southeasterly background flow, vertical vorticity, enhanced cyclonic shear zones, and minisupercells throughout the 1650-1725 UTC analysis period. The primary …


Generation Of True Random Numbers With Actively Stabilized, Low Dimensional Chaos, Aidan Barton Jan 2025

Generation Of True Random Numbers With Actively Stabilized, Low Dimensional Chaos, Aidan Barton

Theses

True Random Number Generators (TRNGs) are heavily used and their design often relies on empirical validation from statistical test suites. Reliance solely on empirical observations to estimate entropy rates for cryptographic applications introduces risk, as accurately inferring long-term correlations demands prohibitively large datasets. Empirical validation of TRNGs must be supplemented by strong theoretical backing to justify estimated information theoretic quantities. We present an electronic, hardware TRNG scheme that produces a maximally random output guaranteed from first principles. This TRNG uses a pulse-width based hardware realization of an iterated map that produces physical entropy via low-dimensional chaotic dynamics. The simple dynamics …


A Comprehensive Study On Explainable Artificial Intelligence : A User-Centric, Cognitive Workload, And Feasibility-Driven Analysis, Josiah Taylor Jan 2025

A Comprehensive Study On Explainable Artificial Intelligence : A User-Centric, Cognitive Workload, And Feasibility-Driven Analysis, Josiah Taylor

Theses

Explainable Artificial Intelligence aims to open up the “black box” of artificial intelligence, thereby improving user trust, decreasing cognitive load, and improving task performance. As the number of machine learning models has grown, so has the number of explanation methods, making it necessary to select the most suitable explanation method for a given context. However, current selection methods often fail to account for all the factors that contribute significantly to an explanation method’s suitability. This thesis proposes a novel methodology for selecting and evaluating explanation methods. Subjective workload, objective performance, and feasibility are considered. This three-pronged “pitchfork” methodology is put …


Chaos-Based Thumbnail-Preserving Image Encryption, Sara Mog Jan 2025

Chaos-Based Thumbnail-Preserving Image Encryption, Sara Mog

Theses

As the landscape of image data usage continues to change, cloud services need to store data securely, reliably, and at times maintain a reasonable level of human usability. Thumbnail-preserving encryption (TPE) is a niche area of image encryption research that provides a balance between security and privacy. A TPE scheme encrypts an image in such a way that the thumbnail of the encrypted image is the same as or similar to the thumbnail of the original image. This work presented a chaos-based TPE scheme and explored potential pitfalls encountered when using chaos for encryption. The TPE scheme used a chaos-based …


Development Of A Constitutive Model Free Method To Determine Full-Field Stresses Based Upon Fundamental Physics Principles, Joel David Barnes Jan 2025

Development Of A Constitutive Model Free Method To Determine Full-Field Stresses Based Upon Fundamental Physics Principles, Joel David Barnes

Theses

Advances in imaging techniques allow for the determination of full-field displacements and strains during materials testing. However, most analysis techniques rely on strain gages and virtual extensometers instead of utilizing all available full-field data. Those methods that do utilize the full-field strain and displacement measurements, such as Finite Element Model Updating and the Virtual Fields Method, must also rely on a user-defined constitutive material models to relate the stresses and strains. While these methods can provide accurate full-field stresses and insights into complex material behavior in some cases, they are constrained by the fact that they require a pre-selected constitutive …


Copyright And Artificial Intelligence, Part 2: Copyrightability Jan 2025

Copyright And Artificial Intelligence, Part 2: Copyrightability

Copyright, Fair Use, Scholarly Communication, etc.

This report by the United States Copyright Office addresses the legal and policy issues related to artificial intelligence (AI) and copyright as outlined in the Office’s August 2023 Notice of Inquiry (NOI).

The report will be published in several parts each one addressing a different topic. This part addresses the copyrightability of works created using generative AI. The first part, published in 2024, addresses the topic of digital replicas—the use of digital technology to realistically replicate an individual’s voice or appearance. A subsequent part will turn to the training of AI models on copyrighted works, licensing considerations, and allocation of …


Exploring The Correlation Between Medical Book Authors And Their Dedication, Simlum N A, Kishor M Jan 2025

Exploring The Correlation Between Medical Book Authors And Their Dedication, Simlum N A, Kishor M

Digital Journal of Clinical Medicine

Training in medical sciences is considered one of the most challenging disciplines in higher education. India has one of the largest number of medical institutions in the world. Many initiatives are being taken to engage budding doctors. There has been phenomenal growth in medical literature to enrich students understanding and application of the knowledge in health care services. The authors of books on medical literature, are probably passionate experts keen to present the information in the best possible way for the readers. However, there is hardly any literature on what are the factors which inspires these works or who were …


Prevalence Of Depression And Its Coping Strategies Among Rural And Urban Geriatric Population, Mohit Negi, Smitha M C Jan 2025

Prevalence Of Depression And Its Coping Strategies Among Rural And Urban Geriatric Population, Mohit Negi, Smitha M C

Digital Journal of Clinical Medicine

Background: Aging is a natural process, and older age is a period in which most aspects of life require support from others. Globally, Depression is a serious public health concern among elderly populations. The aim of this study was to estimate the prevalence of depression and its coping strategies among geriatric population and to evaluate the association between socio-demographic factors and level of depression.

Methods: A cross-sectional study was conducted among 410 study participants in both rural and urban areas. Geriatric Depression Scale (GDS-15) was used to measure the depression and brief-COPE (28-items) scale was used to measure the coping …


Myocardial Infarction Trends Following Covid-19 Vaccination: A Retrospective Investigation From India, Hema S. Pinnam, Hrithika Madhavan, Jagarlamudi Harshitha, Vikram Patil, Harshita Tiwari, Isha A. Kumthekar, Jampala Sri Mounya Jan 2025

Myocardial Infarction Trends Following Covid-19 Vaccination: A Retrospective Investigation From India, Hema S. Pinnam, Hrithika Madhavan, Jagarlamudi Harshitha, Vikram Patil, Harshita Tiwari, Isha A. Kumthekar, Jampala Sri Mounya

Digital Journal of Clinical Medicine

Background: The relationship between COVID-19 vaccination and the incidence of myocardial infarction remains a topic of debate. The study aimed to analyze the demographic, clinical, and outcome characteristics of MI patients post-vaccination in India, focusing on differences between Covishield and Covaxin recipients.

Methods: The retrospective observational study included 303 MI patients admitted to a tertiary care center. Data were collected on demographics, comorbidities, vaccination status, ICU admissions, and outcomes. The Charlson Comorbidity Index (CCI) was used to assess disease severity. Statistical analyses evaluated the associations between vaccination status, clinical parameters, and mortality.

Results: Among the study population, 74.3% were males, …


Establishing Psychiatry Clubs: Novel Approach To Enhance Psychiatry Teaching Learning In India, Akuti Khanna, Kishor M Jan 2025

Establishing Psychiatry Clubs: Novel Approach To Enhance Psychiatry Teaching Learning In India, Akuti Khanna, Kishor M

Digital Journal of Clinical Medicine

Despite the fact that over 150 million Indians suffer from psychiatric disorders, the country faces a severe shortage of mental health professionals, with less than 1,300 psychiatrists graduating annually. One such solution is the establishment of Psychiatry Clubs in medical colleges, which can significantly enhance awareness, education, and community engagement in mental health. The Psychiatry Club at JSS Medical College, Mysuru, established on October 10, 2023, aims to promote mental well-being, provide peer support, as well as foster professional development through workshops, seminars, and collaborations with other mental health professionals and other student led organisations. These clubs offer a sustainable …


Practices Of Food Taboo And Food Faddism During Antenatal And Postnatal Period In Rural And Urban Areas, Kruthka Bn Ms, Smitha Chandrashekarappa, Manasa K Jan 2025

Practices Of Food Taboo And Food Faddism During Antenatal And Postnatal Period In Rural And Urban Areas, Kruthka Bn Ms, Smitha Chandrashekarappa, Manasa K

Digital Journal of Clinical Medicine

Introduction: Food faddism and taboos greatly influence pregnancy, childbirth, breastfeeding, etc. Hence, this study was undertaken to assess food taboos and food faddism practiced in the urban and rural field areas of Mysuru.

Methodology: It is a cross-sectional study conducted among antenatal and postnatal women in the Mysuru district, with a sample size of 200 participants. The data was collected using a standardized validated, pre-structured questionnaire. The data obtained was analyzed using SPSS V.22. Descriptive statistics like mean, Standard deviation, proportion, etc were used and inferential statistics like chi-square analysis/Fischer exact test were used to know the association of socio-demographic …


Assessment Of Effectiveness And Evaluation Of Perception Among Students Towards Flipped Classroom Learning: A Prospective Study., Nagaraja Prasad Sai, Vedavathi Hanumaiah, Shreenivas Prabhakar Revankar, Shruthi S. Lingesh, Avanthi Eshwar Jan 2025

Assessment Of Effectiveness And Evaluation Of Perception Among Students Towards Flipped Classroom Learning: A Prospective Study., Nagaraja Prasad Sai, Vedavathi Hanumaiah, Shreenivas Prabhakar Revankar, Shruthi S. Lingesh, Avanthi Eshwar

Digital Journal of Clinical Medicine

BACKGROUND: Flipped learning (FL) is a teaching learning approach in andragogy. In FL students are involved in self-directed learning with the teacher acting as a facilitator and a moderator. Introduction of Competency Based Medical Education led many educators to shift from traditional teaching to blended teaching learning methods. This study was conducted to assess effectiveness and evaluate students’ perception towards FL.

AIM AND OBJECTIVES: To assess effectiveness of FL teaching in improvement of student scores and to evaluate student’s perception towards FL teaching.

MATERIALS AND METHODS: Pre-class activities included study materials in the form of PowerPoint slides …


Evaluating The Role Of Staff Nurses In Integrating Traditional And Alternative Medicine: Patients’ Perspectives From Rural Mysuru, Kaustubh Gaur, Jesymol Joy, Renuka M Jan 2025

Evaluating The Role Of Staff Nurses In Integrating Traditional And Alternative Medicine: Patients’ Perspectives From Rural Mysuru, Kaustubh Gaur, Jesymol Joy, Renuka M

Digital Journal of Clinical Medicine

Background: In rural India, nurses play a pivotal role as primary healthcare providers, due to limited physician availability. Their responsibilities often extend beyond routine care to include guiding patients in both modern and traditional healthcare approaches. However, there remains limited insight into how patients perceive this expanded role. This study aims to evaluate patients' perspectives on the role of nursing staff as primary healthcare providers in South Indian rural hospitals.

Methods: A cross-sectional study was conducted over a three-month period in the rural and urban field practice areas of JSS Medical College. A total of 256 adult patients who …


Changing Climate, Changing Health: Perspectives From General Population In Mysuru, Lekhashree A, Manirsha P V, Paranthaman Chinnasamy, Srishti Arya, Sunil Kumar D Jan 2025

Changing Climate, Changing Health: Perspectives From General Population In Mysuru, Lekhashree A, Manirsha P V, Paranthaman Chinnasamy, Srishti Arya, Sunil Kumar D

Digital Journal of Clinical Medicine

Background: Climate change has emerged as a major public health concern, contributing to rising morbidity and mortality worldwide. In India, increasing heat waves, unpredictable rainfall, and deteriorating air quality have intensified climate-sensitive health conditions. This study aims to assess the health impacts of climate change among the general population of Mysuru.

Methodology: A community-based cross-sectional study was conducted among 400 residents of Mysuru (April–June 2024). Participants were recruited through simple random sampling. Data were collected using a pre-tested semi-structured questionnaire via Google Forms. Analysis was performed using SPSS v26, with descriptive and inferential statistics.

Results: Among 400 participants, …


Use Of Augmented Reality For Mosquito Breeding Sites Identification, Venant Niyonkuru, Sylla Sekou, Jimmy J. Sinzinkayo Jan 2025

Use Of Augmented Reality For Mosquito Breeding Sites Identification, Venant Niyonkuru, Sylla Sekou, Jimmy J. Sinzinkayo

Digital Journal of Clinical Medicine

An augmented reality app is used for detecting the possible breeding locations of mosquitoes in different settings precisely. With the aid of the advanced augmented vision technology, the AR system recognizes water-containing containers that are frequent breeding places for mosquitoes according to the visual information obtained through a head-mounted display. It then overlays visual highlights and labels directly onto these containers within the user's field of view, allowing one to instantly identify and spot breeding sites in real time. By combining state-of-the-art AR functionality with powerful computer vision algorithms, the method provides real-time visual feedback for identifying and tagging mosquito …


A Cross-Sectional Study Of The Correlation Between Working Models, Work-Life Balance And Psychological Distress In It Professionals In An Urban Setting., Neeharika Krishna Kumar, Ponnammal Sundar Lakshmi, Vathsalya S. Gowda, Kshamaa Haradanahalli Giriprakash, Manju Aswath Jan 2025

A Cross-Sectional Study Of The Correlation Between Working Models, Work-Life Balance And Psychological Distress In It Professionals In An Urban Setting., Neeharika Krishna Kumar, Ponnammal Sundar Lakshmi, Vathsalya S. Gowda, Kshamaa Haradanahalli Giriprakash, Manju Aswath

Digital Journal of Clinical Medicine

Background: India makes up more than 19% of the global Information Technology (IT) Market. The health and well-being of the population employed in this sector will affect their productivity at work and, in turn, the economic outcome. Changes in working models and altered work-life balance can lead to increased distress in IT Professionals, hence the current study.

Methodology: The current cross-sectional descriptive study assessed 247 IT professionals. A semi-structured questionnaire was used for socio-demographic details, working models and work-life balance. Kessler Psychological Distress Scale (K10) Plus was used to assess psychological distress. Statistics and correlations were done using SPSS 20. …


Transcranial Magnetic Stimulation In Treatment Of Ataxia- A Novel Approach, Pravalya Varanasi, Akshatha C. J, Krishna K. R Jan 2025

Transcranial Magnetic Stimulation In Treatment Of Ataxia- A Novel Approach, Pravalya Varanasi, Akshatha C. J, Krishna K. R

Digital Journal of Clinical Medicine

Abstract: -

Ataxia is a disabling clinical condition characterized by impaired motor coordination, balance, with restricted treatment options. There is growing evidence of Repetitive transcranial magnetic stimulation (rTMS), a non-invasive neuromodulation technique, as a potential treatment option in various types of ataxias. We present a case series of two patients with ataxia of a paraneoplastic cerebellar degeneration and a hereditary aetiology treated with rTMS. Both patients showed significant improvement in ataxia symptoms following rTMS stimulation targeting the cerebellum and motor cortex. These findings highlight that rTMS may be used as a potential treatment modality in cases of ataxia irrespective of …


A Study Of Electrocardiogram And Echocardiography Parameters Of Post Covid – 19 Patients, Venkateswararao K, Durga Prasad Sadhupati Jan 2025

A Study Of Electrocardiogram And Echocardiography Parameters Of Post Covid – 19 Patients, Venkateswararao K, Durga Prasad Sadhupati

Digital Journal of Clinical Medicine

Background: Coronavirus Disease – 2019 [COVID-19] infection is multisystem disease not restricted to the lungs it has negative impact on Cardiovascular system by activation of ACE-2 receptors causing plaque stability, vascular inflammation and MI. ECG and 2D ECHO is a simple bed side diagnostic test can be used to assess cardiovascular disease involvement in such patients. We aimed to find out ECG and 2D ECHO abnormalities of Covid – 19 patients. To Study relation of SARS-COV-2 infection and Prevalence of Cardiovascular disease.

Methods: We perform Cross Sectional study among 500 Post Covid – 19 patients [>20 and

Results: Out …


Subclinical Myocardial Disease: The Next Frontier In Cardiovascular Prevention., Param Darpan Sheth, Chandana S., Nimrah Rehman Jan 2025

Subclinical Myocardial Disease: The Next Frontier In Cardiovascular Prevention., Param Darpan Sheth, Chandana S., Nimrah Rehman

Digital Journal of Clinical Medicine

Subclinical myocardial disease refers to pathological cardiac changes that precede overt symptoms. It represents an emerging frontier in cardiovascular disease prevention; wherein early detection of myocardial dysfunction could allow timely intervention to avert heart failure (HF) and other outcomes. This narrative review summarizes the current and emerging tools for detecting subclinical myocardial disease, including advanced cardiac imaging and circulating biomarkers, and discusses their potential to improve risk stratification and preventive care in asymptomatic high-risk individuals. Novel echocardiographic measures such as global longitudinal strain (GLS) can unmask subtle systolic dysfunction despite preserved ejection fraction, while cardiac magnetic resonance (CMR) tissue mapping …


Combined Efficacy Of Topical Depigmentation Serum And Uv Protection In Facial Hyperpigmentation: A Comprehensive Review, Jigar Darji Mr, Shruti Patel Ms, Vrushali Kansara Ms, Hiren Shukla Mr Jan 2025

Combined Efficacy Of Topical Depigmentation Serum And Uv Protection In Facial Hyperpigmentation: A Comprehensive Review, Jigar Darji Mr, Shruti Patel Ms, Vrushali Kansara Ms, Hiren Shukla Mr

Digital Journal of Clinical Medicine

Background: Facial hyperpigmentation, encompassing melasma, post-inflammatory hyperpigmentation (PIH), and solar lentigines, is common and psychosocially impactful; depigmenting agents may be less effective without concurrent photoprotection, so this review evaluates the synergistic potential of combining depigmentation serums with UV protection. Methods: A comprehensive PubMed review assessed mechanisms, clinical efficacy, and safety of hydroquinone, α‑arbutin, vitamin C, niacinamide, and piperine when paired with broad‑spectrum photoprotection, analyzing clinical trials and comparative studies on combination regimens. Results: Combining depigmenting agents with UV protection improves outcomes, with multi‑ingredient serums showing efficacy comparable to 4% hydroquinone but better tolerance, plus measurable gains in melanin/erythema indices, hydration, …