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Evaluating Medical Student Geriatric Competency Using A 5ms-Based Assessment Tool, Lauren R. Hersh Md, Amy Cunningham Phd, Mph, Xiya Wu Md

Cooper Rowan Medical Journal

INTRODUCTION

Driven by an aging Baby Boomer generation, the United States is navigating a demographic transformation with far-reaching implications that include increased demand for chronic disease management and long-term care as well as increased stress on both healthcare costs and infrastructure. Generating a workforce competent in the delivery of care to older patients with complex, multimorbid conditions is fundamental to addressing this shift. Recognizing that the development of primary and specialty care physicians skilled in geriatric care begins in medical school, the American Geriatric Society developed minimum competencies grounded in the Geriatric 5Ms (Mind, Mobility, Medication, Multicomplexity, and …

Comparative Evaluation Of Practical Functional Assessment And Traditional Functional Behavior Assessment: Practitioner Perspectives On Efficiency, Resource Utilization, And Social Validity Across Practice Settings, Mathew Dinga Gwangwaa

Walden Dissertations and Doctoral Studies

As the field of applied behavior analysis (ABA) expands across diverse settings, there is an increasing need for assessment models that balance empirical rigor with practical feasibility. This quantitative, non-experimental study was an examination of the perceptions and experiences of board certified behavior analysts (BCBAs) and board certified behavior analysts doctorate (BCBA-Ds) regarding the comparative utility of traditional functional behavior assessment (FBA) and practical functional assessment (PFA). Data were collected from Board Certified Behavior Analysts (BCBAs) and BCBA-Ds using a structured, cross-sectional online survey assessing three primary domains: efficiency, resource utilization, and social validity. Descriptive findings indicated that practitioners perceived …

Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson

Walden Dissertations and Doctoral Studies

Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …

Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane

Walden Dissertations and Doctoral Studies

Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …

Prostate Cancer Survival Among Young Males Within The United States, Maxine M. Findlay

Walden Dissertations and Doctoral Studies

Prostate cancer incidence has increased among younger men in the United States, and treatment affects both patient survival and family well-being. This quantitative retrospective study examined survival among young men diagnosed with prostate cancer who received chemotherapy, radiation therapy, and/or prostatectomy, while accounting for socioeconomic factors of residence and ethnicity. Social cognitive theory was the framework. Ordinal logistic regression was used to determine whether treatment method, socioeconomic factors of residence and ethnicity predicted survival among young men diagnosed with prostate cancer. Data was sourced from the National Cancer Database Participant User File 2004-2021 specific to prostate cancer. The study cohort …

Revised Draft Final Annual Operations And Maintenance (O&M) Report: Butte Treatment Lagoon (Btl) System – 2025, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

A Micro-Computed Tomographic Evaluation Of Root Canal Isthmuses In Maxillary And Mandibular First Molars Of A Black South African Population, Casper Jonker, Anna Catherina Oettlé

Peninsula Dental School

Objective:To evaluate root canal isthmuses in maxillary and mandibular first molars of Black South Africans usingmicro-computed tomography.Methods:The prevalence, location (root third) and type of isthmuses were recorded on 93 maxillary and 84mandibular first molars from 116 skeletonized individuals. Associations with arch side, sex and age were examined bychi-squared test, with strength of association given as the bias-adjusted Cramér’s V and 95% confidence interval (CI).Reliability used percentage agreement and Cohen’s kappa (κ) coefficient.Results:Intra- and inter-observer agreement were excellent: 96.73% (κ= 0.90) and 97.78% (κ= 0.95) for themaxillary teeth and 94.12% (κ= 0.75) and 96.08% (κ= 0.94) for the mandibular teeth. Apical …

Prevalence Of Pathology Associated With Impacted Mandibular Third Molars In A Northern Nigerian Sub-Population: A Cross-Sectional Study, Bernard E. Ogbozor, Abdulmanan Yahaya, Sabir Iya, George O. Ewansiha, Mohammad K. Abubakar, Ismail Anas, Irfan Sugianto, Babatunde O. Bamgbose

Journal of Dentomaxillofacial Science

Objectives: To determine the prevalence and pattern of impacted mandibular third molars and their associated pathology among adult patients attending a tertiary hospital in North-western Nigeria.
Materials and Methods: This cross-sectional study was conducted over a two-year period and analyzed digital panoramic radiographs of 576 adult patients (297 males, 279 females) aged 18–65 years with IMTM. Impaction angulations were classified, using Winter's classification system, into mesioangular, distoangular, horizontal, and vertical impactions. Associated pathology, including caries, root resorption, periodontitis, bone resorption, apical pathosis, and cysts, were evaluated. Statistical analysis was performed using SPSS version 25.0. Pearson's Chi-square (χ²) statistical …

Enhanced Biocompatibility Of An Orthodontic Adhesive Modified With Hydroxyapatite Derived From Asian Moon Scallop (Amusium Pleuronectes) Shells, Gufa B. Pamungkas, Eddy H. Habar, Maria Tanumihardja, Rasmidar Samad, Stang Stang, Eka Erwansyah, Nurlindah Hamrun

Journal of Dentomaxillofacial Science

Objective: This study aimed to synthesize hydroxyapatite (HAp) derived from Asian moon scallop (Amusium pleuronectes) shells, characterize its physicochemical properties, and evaluate its biocompatibility when incorporated into an orthodontic adhesive.
Materials and Methods: Calcium oxide was obtained by calcining Amusium pleuronectes shells and used as a precursor for hydroxyapatite synthesis via a wet chemical precipitation method. The resulting powder was characterized using X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDX). The synthesized hydroxyapatite was incorporated into an orthodontic adhesive at 2 wt% as the experimental group, whereas the unmodified adhesive …

Analysis Of Nasopalatine Canal Shape And Dimensions At Hasanuddin University Dental Hospital Using Cone-Beam Computed Tomography, Dian Handayani, Fadhlil U.A. Rahman, Kezia R. Mustakim, Dwi P. Wulansari, Barunawaty Yunus

Journal of Dentomaxillofacial Science

Objectives: Variations in the shape and dimensions of the nasopalatine canal (NPC) may influence clinical planning and increase the risk of complications such as neurovascular injury, hemorrhage, and implant failure. Cone-beam computed tomography (CBCT) enables accurate three-dimensional visualization of NPC morphology. The present study aimed to analyze differences in NPC shape and size according to age and gender using CBCT.
Material and Methods: This analytical cross-sectional study included 259 CBCT scans of patients aged 18–60 years obtained from Hasanuddin University Dental Hospital between 2022 and 2025. NPC morphology was evaluated in sagittal, coronal, and axial planes, while dimensional measurements included …

Evaluation Of The Clinical Success Of Cad/Cam Dental Prostheses: A Systematic Review In Digital Prosthodontics, Yunita F. Ramadhany, Lenni Indriani, Ike D. Habar, Acing H. Mude, Taufiqqurrahman Zulkifli

Journal of Dentomaxillofacial Science

Objective: This study aimed to evaluate the clinical success of Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) dental prostheses in terms of biological outcomes, marginal adaptation, patient satisfaction, and comfort.
Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered on January 11, 2026, in PROSPERO (CRD420261282946). Electronic searches for English-language publications from January 2014 to December 2025 were performed in PubMed, Cochrane Library, and Embase, supplemented by searches in PubMed Central, ScienceDirect, and Wiley Online Library. Two independent reviewers screened the titles, abstracts, and full texts based on predefined eligibility …

The Rbaam-6 Matrix: A Modular, Acoustically Suspended, Self-Healing Dual-Shell Habitat Architecture For High-Survivability In-Situ Mars Colonization, Christopher L. Eckes

Defensive Publications Series

Traditional extraterrestrial architectural paradigms rely on heavy, brute-force physical materials shipped from Earth to withstand the massive atmospheric pressure differentials and environmental hazards of Mars. This paper introduces the Reactive Bio-Acoustic Armor Matrix (RBAAM-6), a novel, 6-layer defense-in-depth habitat architecture. By separating internal tension loads (atmospheric containment) from external compression loads (environmental shielding), the RBAAM-6 utilizes an intermediate, submarine-style 'sally port' buffer zone regulated by interlocking harmonic standing waves. The structure integrates self-healing biological matrices, active kinetic impact countermeasures, a completely modular, snap-tile interior for rapid component replacement, and nitrogen-suppressed utility channels featuring non-energy transparent visual verification zones. This architecture …

Three-Strip Intercropping System For Heat Stress Reduction In Field Corn: A Complete Research & Implementation Protocol, Michael Victor Caldwell Mr.

Defensive Publications Series

This protocol describes a three-strip intercropping system combining field corn, forage sorghum shade strips, and perennial wildflower predator habitat strips. The system provides simultaneous heat stress reduction (2–8°F leaf cooling), windbreak protection (5–15% yield increase), and conservation biological control (16–40% pest reduction) for dryland corn in the US Corn Belt. The pest control benefit is specifically activated by the intercrop configuration, and predator populations are sustained through heat events by the wildflower strip. The system requires no new hardware, no irrigation, and no proprietary technology. It can be implemented with existing combine, planter, and sprayer equipment. (This is a Large …

Bounded-Risk Agility Architecture (Braa), Volodymyr Kotegov

Defensive Publications Series

BRAA is an engineering and cyber-safety framework for autonomous intelligent systems operating under residual risk. Absolute determinism in stochastic Cognitive Cores is mathematically and empirically unattainable. The objective of BRAA is to keep residual operational risk bounded, measurable, observable, and economically controllable — not to promise its complete elimination.

The architecture is strictly Cognitive-Core-agnostic and infrastructure-agnostic. It treats the underlying inference engines (LLMs, VLMs, agentic loops) as untrusted, replaceable, and volatile components. It places all critical invariants, safety boundaries, and transition rules into a deterministic, immutable runtime environment (the Immutable Core) executed completely outside any prompt space or learned representation. …

Newsclipping, A Mother Who Adds Glory To Mothers Of All

Eartha M. M. White Textual Material

News clipping: Partial article regarding Mrs. A. E. Barrow being awarded "Mother of the Year" by the Oklahoma American Mothers' Committee, Golden Rule Foundation. Undated.

Newsclipping, Article Fragment

Eartha M. M. White Textual Material

News clipping: Article fragment that mentions Dr. George Washington Carver of Tuskegee, Dr. Robert R Moton, president of Tuskegee, Dr. J. R. E. Lee, head of the Florida A. & M. College at Tallahassee, Booker T. Washington, founder of Tuskegee. The article also mentions Bethune-Cookman at Daytona Beach. Undated.

[Cross] John S. Cross Brief Historical Background

Community Historical Archaeology Project with Schools (CHAPS) Oral Histories

No abstract provided.

An Introduction To The History Of Medicine In Medical Education, Mary E. Horton Mph, Ma, Phd

History of Medicine Seminar

No abstract provided.

Proposed Protocol To Evaluate The Interaction Of Genetic Modifiers And Metabolic Comorbidities On Cognitive Decline In Huntington’S Disease, Maria Camila Gonzalez Tovar, Elena Dike, Juan Carlos Lopez Alvarenga

Research Symposium

Background: Huntington’s disease (HD) is a progressive neurodegenerative disorder caused by a CAG trinucleotide repeat expansion in the HTT gene. While CAG repeat length is the primary determinant of disease onset, substantial variability exists in the rate of disease progression and cognitive decline. This variability is influenced by both cis and trans genetic modifiers, including DNA repair genes such as MLH1, MSH3, PMS2, and FAN1. Emerging evidence also suggests that systemic metabolic comorbidities—including diabetes mellitus, dyslipidemia and hypertension—may exacerbate neuronal vulnerability and accelerate neurodegeneration.

Methods: We propose a retrospective, longitudinal cohort study utilizing existing HD datasets containing genetic, metabolic, and …

Lipid Profiles In Alzheimer’S Disease: A Case Series With Longitudinal Comparison To Controls, Maria Camila Gonzalez Tovar, Stephen Michael Garcia, Irum Rahman, Juan Lopez Alvarenga

Research Symposium

Background: Alzheimer’s disease (AD) is a growing problem among the elderly and has several risk factors. The Rio Grande Valley has specific demographic and socioeconomic factors that may influence the likelihood of developing this neurodegenerative disease. Elevated cholesterol is a risk factor for the development of Alzheimer’s; however, this correlation has not been fully explored in the population within the Rio Grande Valley. This area of study is important due to the rapidly aging population within the RGV, as well as the high prevalence of comorbidities such as elevated lipid profiles.

Methods: This study analyzed a case series of 6 …

Leveraging A Model Of Intergroup Competencies: A Reflexive Tool For Developing Diversity Leadership In Higher Education, Arig Al Shaibah

Journal of Educational Research and Practice

Despite, or perhaps precisely because of, the current partisan pushback against equity, diversity, and inclusion (EDI) efforts in Western higher education institutions, universities may be well served to renovate their approaches to leadership diversity development to build greater capacity for advancing mission-critical inclusion excellence priorities. This article describes a promising educational intervention that has broad applicability to more meaningfully develop leadership proficiencies that better enable the advancement of EDI goals in higher education. While individual diversity leadership development programming is a micro-level intervention, it could prove beneficial—though insufficient on its own—as a prerequisite for macro-level equity and inclusion policymaking and …

Newsclipping, Why Don't More Negroes Become Lawyers?

Eartha M. M. White Textual Material

News Clipping: Partial article references data given to the reporter by the acting dean of Howard University School of Law, William W. Taylor. Undated.

Plasma Vgf As A Predictive Biomarker For Early Acute Kidney Injury In Critically Ill Elderly Patients: A Combined Clinical And Mendelian Randomization Study, Xianyang Guo, Yu Hao, Rujie Chenn, Benji Wang, Shengwei Jin

Saudi Medical Journal

Objectives: To assess whether VGF nerve growth factor inducible (VGF) can serve as a reliable predictor of acute kidney injury (AKI) among patients requiring intensive care.
Methods: We first conducted a Mendelian randomization (MR) analysis to explore the potential causal link between plasma VGF levels and AKI risk. Subsequently, 128 critically ill individuals admitted to our intensive care unit were prospectively enrolled. Within 24 hours of either hospital admission or clinical decline, both blood and urine specimens were obtained. We measured VGF concentrations in plasma and urine, along with plasma cystatin C (pCysC), plasma and urinary neutrophil gelatinase-associated lipocalin (NGAL), …

Knowledge, Practice And Perceived Barriers Of Healthcare Provider Adherence To The Notifiable Disease Surveillance System (Ndss) In Government Hospitals And Primary Healthcare Centers In Jazan, Saudi Arabia: A Cross-Sectional Study, Moatasem F. Hakmi, Alaa Mathkour, Yousef Zahrani, Rayan I. Binduhayyim, Saad S. Alqahtani, Muhammad Z. Iqbal

Saudi Medical Journal

Objective: To assess and compare healthcare providers' understanding of the Notifiable Disease Surveillance System (NDSS), alongside reported and perceived challenges, across public hospitals and primary healthcare centers in Jazan, Kingdom of Saudi Arabia.
Methods: A cross-sectional study was conducted between 10 January 2025 and 30 December 2025 among health care providers at Jazan hospitals and primary healthcare centers (PHCs) (n = 420). Data were collected via structured self-administered questionnaire that included the following sections: demographic data, knowledge of the NDSS, reporting practices, competency of the Health Electronic Surveillance Network (HESN) and perceived barriers. Descriptive and inferential statistics were used to …

Cranial Mri In Girls With Central Precocious Puberty: Clinical Characteristics And Predictors Of Abnormal Findings, Fahad N. Al Juraibah, Mashael M. Alharbi, Reem D. Alharbi, Joud S. Albaraki, Sarah S. Aldharman, Hala A. Alghamdi, Nagarajkumar Yenugadhati, Abdullah I. Alhammad, Angham N. Almutair, Ibrahim A. Al Alwan

Saudi Medical Journal

Objectives: To describe the clinical profile of girls with central precocious puberty (CPP) and determine the factors associated with abnormal cranial magnetic resonance imaging (MRI) findings.
Methods: This retrospective study included girls aged 8 years or younger with a diagnosis of CPP who received care at King Abdullah Specialized Children's Hospital in Riyadh, Kingdom of Saudi Arabia, between 2015 and 2023. Data on clinical presentation, biochemical results, imaging findings, and treatment were obtained from medical records. Logistic regression analysis was performed to determine variables associated with MRI utilization and the occurrence of abnormal MRI findings.
Results: The cohort comprised 70 …

Thrombosis Rate And Risk Factors In Pediatric Patients With Peripherally Inserted Central Catheters, Ahmed A. Alabdulkarim, Abdullah I. Almojali, Tharaa S. Alhowaish, Dena S. Alsuhaibani, Norah I. Alshafi, Amin I. Alzahrani, Mohammed O. Alotaibi, Yousef A. Alghamdi, Hamad A. Alkhalaf

Saudi Medical Journal

Objective: To determine symptomatic thrombosis incidence in pediatric patients with peripherally inserted central catheters (PICCs) and identify associated patient and procedure-related risk factors in a tertiary pediatric center in Saudi Arabia.
Methods: We conducted a retrospective cohort study at King Abdullah Specialized Children's Hospital, Riyadh, Kingdom of Saudi Arabia, including patients aged 0–14 years who underwent PICC insertion in the Interventional Radiology department between January 2019 and June 2023. Data on demographics, comorbidities, procedural details, and outcomes were extracted from the electronic medical record system (BestCare). Symptomatic thrombosis was defined as Doppler-confirmed thrombosis with clinical signs. Associations were tested using …

Advancing Impact: A National Approach To Knowledge Translation In Saudi Arabia-The Saudi National Institute Of Health Experience, Maha M. Aleid, Manar A. Alharbi, Amal N. Almadouj, Ahmad I. Alrawaji, Lamia A. Alhaqbani, Fars K. Alanazi

Saudi Medical Journal

Objectives: To present a reproducible national model for translating research findings into evidence-based clinical practice guidelines.
Methods: The Saudi National Institute of Health launched the initiative titled ``Transforming the Outcomes of Published Health Research into Medical Guidelines that Enhance Medical Practices to Improve the Quality of Human Health'' on February 3, 2025. The initiative aimed to identify and assess research outcomes published between January 1, 2020, and December 31, 2024 across 6 predefined thematic tracks relevant to the Saudi population. Eligible publications were collected within one month after the submission portal opened. Following closure of portal, all submissions were evaluated …

Estimating Radiation Dose And Proposing Institutional Diagnostic Reference Levels For Paediatric Fluoroscopy Of Micturating Cystourethrogram: Age- And Weight - Specific Comparisons, Khalid M. Aloufi

Saudi Medical Journal

Objective: To compare age- and weight-specific methods used to estimate radiation doses and to propose institutional diagnostic reference levels (DRLs) for paediatric fluoroscopy of micturating cystourethrogram (MCUG).
Methods: In this retrospective study, MCUG fluoroscopy parameters were gathered for 100 paediatric patients from July 2025 to January 2026. The data included the MCUG paediatric procedures for patients aged 0–15 years. The data were categorized into paediatric weight- and age-specific groups. Paediatric weight-specific groups were ≤ 5, 5 < – 10, 10 < – 20, and >20 kg, and paediatric age-specific groups were ≤ 1, 1 < – 5, 5 < – 10, and < 10 – 15 years old.
Results: Differences were observed in dose area product (DAP) and DRL results for age- …

Potential Drug–Drug Interactions In Patients Undergoing Hemodialysis: A Retrospective Observational Study, Buthainah B. Al-Ammash, Fawaz A. Alharbi, Omar D. Al-Hejaili, Mansour A. Mahmoud, Mazin A. A. Abdelaziz, Alaa I. Alrais, Shahad A. Albakri, Ibrahim F. Alharbi, Sara A. Felemban, Abdullah H. Almatrafi, Salman A. Alabdali, Yaser M. Alahmadi

Saudi Medical Journal

Objectives: To evaluate the prevalence, characteristics, and determinants of potential drug–drug interactions (pDDIs) among patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) at a tertiary care hospital in Al-Madinah Al-Monawara, Kingdom of Saudi Arabia.
Methods: Data for this retrospective observational study were extracted from the electronic medical records of adult patients (≥ 18 years) diagnosed with ESRD and receiving hemodialysis (HD) between October 2022 and March 2023. The pDDIs were identified and classified using Lexicomp® (Wolters Kluwer, Alphen aan den Rijn, Netherlands). Descriptive statistics summarized patient characteristics and pDDIs, and univariate logistic regression was implemented to investigate the determinants …

Drooling In Children With Cerebral Palsy: A Narrative Review Of The Current Management Landscape, Kamel A. Alenazi

Saudi Medical Journal

Children with developmental or neurological disorders, such as cerebral palsy, present with impaired motor function, resulting in impaired swallowing, feeding, and drooling. The prevalence of chronic drooling radically changes from 0.5% in children >4 years to 60% in children with neurological ailments. Drooling can have a serious impact on the quality of life of affected children, which can create a sense of isolation and refusal by peers. In addition, drooling results in not only financial but also considerable emotional turmoil for caregivers of affected children, who are frequently confronted with difficulty managing the underlying neurological impairment of their child. In …