Digital Commons Network^™

Universal Child Development Accounts In Taiwan: Recent Policy Developments, I-Feng Chen, Jin Huang, Michael Sherraden

Center for Social Development Research

On July 24, 2026, Taiwan’s legislature passed the Taiwan Future Account Special Act. If signed into law, the bill would create a national Child Development Account policy with many of the features that research has identified as key design elements for universal children’s account policy. This brief examines the bill and competing proposals, comparing the design elements with features in the Trump Account policy. The brief also details three recommendations for strengthening the policy.

Responding To Medetomidine In Philadelphia: Narrative Summary Of The Public Health Response To A New Psychoactive Substance, Tareva Warrick-Stone, Serge-Emile Simpson, Phil Durney, Dennis Goodstein, Catherine Abrams, Raymond Bobb, Kory London, Daniel Teixeira Da Silva

Division of Internal Medicine Faculty Papers & Presentations

BACKGROUND: Despite the emergence of medetomidine as the dominant adulterant in Philadelphia's illicit opioid supply, coordinated public health responses are limited or non-existent in the literature. Thus, we summarize a recent Summit in Philadelphia of outpatient and inpatient service providers who specialize in the care of persons who use drugs to discuss medetomidine response readiness and building ongoing community readiness for potential destabilizing drug supply changes.

PURPOSE: Describe a public health intervention that distributed information about practices across health care settings and mobilized key informants to identify and address barriers to treatment.

METHODS: Descriptive summary of the in-person Summit organized …

Clinic-In-A-Box: A Portable, Software-Defined Cyber Range For Realistic, Scenario-Based Cybersecurity Training, Ethan Chumley, Aaron Nair, Royce Yaezenko, Joshua Payne, Veronika Kyles, Paul Wagner, Robert J. Honomichl, Ryan Straight, Shengjie Xu

Journal of Cybersecurity Education, Research and Practice

Realistic, hands-on cybersecurity training has traditionally depended on fixed infrastructure such as dedicated lab hardware, cloud subscriptions, or permanent network connectivity, limiting where and how often it can be delivered. This paper presents the design and implementation of a portable, scenario-based cybersecurity training platform housed in a single travel case and built from commodity hardware, type-1 hypervisor virtualization, containerized service orchestration, and software-defined networking. The platform clones, isolates, and resets complete lab environments on demand, allowing the same physical system to support repeated classroom, workshop, or field deployments with minimal manual reconfiguration. Training scenarios are grounded in generated organizational profiles …

Between Digital Transformation And Regulatory Vacuum: Cybersecurity Of Public Services In Mozambique, Faztudo Languisse Eng.

Journal of Cybersecurity Education, Research and Practice

The rapid expansion of digital public services in Mozambique—including e-government platforms, digital health systems, and electronic tax administration—has outpaced the development of a coherent legal framework for cybersecurity. While Law No. 3/2017 (Electronic Transactions Law) of 9 January 2017 introduced foundational data-protection principles, Mozambique long lacked a dedicated cybersecurity regulatory authority, mandatory security standards, and formal incident-notification mechanisms. This regulatory vacuum exposed critical public services to escalating cyber risks as digital transformation was actively promoted as a development priority. This article examines the legal and institutional gaps in Mozambique's cybersecurity governance framework prior to the 2026 Cybersecurity and Cybercrime Laws, …

Strengthening Community Health Nursing: A Scoping Review To Update National Practice Standards, Shannan Macnevin, Ruth Schofield, Manal Fseifes, Josephine B. Etowa

International Nursing Research Congress (INRC)

Community health nursing has evolved substantially since the Canadian Community Health Nursing Standards of Practice were last updated in 2019. Increasing health inequities, climate-related health challenges, expanded roles, and greater emphasis on culturally safe, trauma- and violence-informed, anti-racist, and equity-oriented approaches have reshaped how community health nurses support individuals, families, and communities (1–7). The COVID-19 pandemic further accelerated digital and hybrid models of care (8, 9), underscoring the need for updated Standards that reflect current practice realities. This review synthesized recent evidence to guide revisions.

A scoping review was conducted using Arksey and O’Malley’s framework (10) and reported according to …

The Npso Model Decreased Hospital-Acquired Infections And Sustained The Clinical Outcomes, Hsin-Mei Chen, Shannan Hamlin, Vaibhav Unhelkar, Lydia Kavraki

International Nursing Research Congress (INRC)

The study revealed that patients with hospital-acquired infections (HAIs) experienced a length of stay (LOS) that increased from 3 days to 30 days (Stewart et al., 2021). Another study shows that a CAUTI case incurs an additional cost of $13,793, while a CLABSI case incurs an additional cost of $48,108 to the care (Forester et al., 2022).

In October 2021, our department received a request to mitigate the surge in CAUTI and CLABSI rates in Q3 2021. We reviewed the literature and designed standardized tools for skill validation. Then, we observed the nursing practice, identified the fallouts, and prepared an …

Uhsp Student Handbook 2026-2027

Handbooks

No abstract provided.

Home-Based Digital Exergame For Children With Developmental Disabilities: Protocol Of A Pilot Study, Jaeeun Kang, Yoomi Shin, Naeun Park, Youngeun Lee, Anna Lee

International Nursing Research Congress (INRC)

Background: Compromised sensory integration, reflecting disruptions in neuroplasticity and commonly observed among children with developmental disabilities (DDs), is associated with difficulties in daily functioning and motor and social skills (Rodríguez-Armendariz et al., 2024). Interventions including sensory integration and exergame approaches have demonstrated benefits for enhancing neuroplasticity and functional outcomes (Cardenas et al., 2022). However, clinic-based sensory integration therapy often limits family involvement. We aim to develop and evaluate a home-based digital exergame for children with DDs and their families.

Purpose: This study describes the procedures for developing and assessing the feasibility and preliminary effectiveness of the digital exergame.

Methods: This …

Boiling-Induced Changes In The Α -Amylase Inhibitory Activity Of Selected Brassica Vegetables In Sri Lanka: A Comparative Study, D. M. S. S. Dassanayake, B. C. K. Kumari, P. R. H. Perera, G. M. Yasasvi, L. M. Hettihewa, W. M. K. M. Ratnayake

Journal of Innovation in Science, Engineering and Technology

Incorporating vegetables with α -amylase inhibitory properties into the diet is a natural and nutritious way to help regulate blood sugar levels, reduce the risk of complications associated with diabetes mellitus, and promote overall health and well-being. However, during the cooking process, the chemical structure of active compounds, which are responsible for α -amylase inhibition, can change. Hence, this was aimed to evaluate the α -amylase inhibition potential of boiled and non-boiled aqueous extracts (BAE and NBAE respectively) of selected vegetables belonging to the Brassica oleracea L species, which are commonly consumed as in fresh salads as well as in …

Capacity Utilization In Pharmaceutical Manufacturing Industry In Sri Lanka: A Mixed-Methods Analysis Of Systemic Constraints, W. D. Welipitiya, L. M. Hettihewa, S. N. Samage

Journal of Innovation in Science, Engineering and Technology

Background: Domestic pharmaceutical manufacturing is important for medicine security, accessibility and reduction of import dependence in Sri Lanka. However, installed manufacturing capacity may remain underutilized because of interacting regulatory, supply-chain, financial, workforce and market constraints. This study assessed capacity utilization among Category A pharmaceutical manufacturers and explored the systemic factors associated with underutilization.
Methods: A convergent mixed-methods design was used. Quantitative data were collected using a structured questionnaire and analysed descriptively using SPSS Version 26. Qualitative data were obtained through semi-structured interviews and open-ended questionnaire responses and analysed thematically using QualCoder. Capacity utilization was calculated as actual output divided by …

Schiff Base Synthesis, Characterization And Computational Analysis For Potential Antibacterial Agents, L. N. G. K. Suranjith, M. S. D. Fernando

Journal of Innovation in Science, Engineering and Technology

Schiff bases are an important class of imine compounds known for their structural versatility and biological activities, particularly as potential antimicrobial agents characterized by the azomethine (–C=N–) functional group, are widely recognized for its diverse biological activities. This study focuses on the synthesis and characterization of (E)-N-(3-phenylprop-2-en-1-ylidene)aniline to evaluate its potential as an antibacterial agent. The compound was synthesized via acid-catalyzed condensation of aniline and cinnamaldehyde under reflux for 2 hours in absolute ethanol. After purification through recrystallisation, the structure was confirmed using UV–Visible, FT-IR, ¹H-NMR, and ¹³C-NMR spectroscopy. Thermal stability was assessed with thermogravimetric analysis (TGA), while …

A Web-Based Machine Learning Application For Classifying Post-Covid Risk Among Middle-Aged Adults, Himasha Amarathunga, Dhishan Dhammearatchi, Nimesh Pollwaththage

Journal of Innovation in Science, Engineering and Technology

Post-COVID syndrome (Long-COVID) represents a significant public health challenge, yet accessible tools for individual risk assessment among middle-aged adults remain limited. This study describes the development and evaluation of a web-based machine learning application for the classification of post-COVID risk in adults aged 30–60 years. A publicly available secondary dataset comprising 9,637 patient records was used, of which 5,871 (61%) were classified as high-risk and 3,766 (39%) as standard recovery, reflecting an imbalanced class distribution. The web application incorporates key demographic and clinical features including age, sex, vaccination status and comorbidities to produce a binary risk classification (High/Low). Five machine …

Ai-Based Tooth Decay Detection System Using Mobile Phone Images And Questionnaire-Driven Risk Assessment, G.N.P Madhurangi, S.M.H.M Koswatta, R.M.H.N Rajasinghe, R.D Jayasinghe

Journal of Innovation in Science, Engineering and Technology

Dental caries (tooth decay) is one of the most common global oral health problems and remains a significant public health concern due to late diagnosis and inadequate access to dental care in many populations. This study proposes the design and development of an Artificial Intelligence (AI)-based mobile application for early detection of tooth decay using smartphone-captured oral images combined with questionnaire-based analysis. The proposed system employs a Convolutional Neural Network (CNN) to analyze tooth images and determine the presence and severity of dental caries. Users also complete a structured questionnaire comprising 14 questions related to oral hygiene habits, dietary practices, …

Determinants Of Consumer Satisfaction And Financial Burden In Community Pharmacy Services: A Cross-Sectional Study In Sri Lanka, S. M. N. Hansanie, L. M. Hettihewa, J. C. G. Punchihewa

Journal of Innovation in Science, Engineering and Technology

Introduction: Community pharmacies play a crucial role in primary healthcare delivery, particularly in improving access to medicines and healthcare advice. However, service quality and consumer perceptions may vary in resource-limited settings. This study aimed to evaluate consumer perceptions of medication management services, financial burden, and overall satisfaction with community pharmacy services in Gampaha District, Sri Lanka.
Methodology: A descriptive cross-sectional study was conducted over three months among 200 community pharmacy consumers. Adults aged 20–80 years who had visited a pharmacy within the past six months were recruited using convenience sampling. Data were collected using a validated, structured questionnaire covering socio-demographic …

Medical Device Vigilance In Sri Lanka: Identifying Gaps And Developing National Guidelines, Mjf Riyasha, Lm Hettihewa, S Shanmuganathan

Journal of Innovation in Science, Engineering and Technology

Background: Medical Device Vigilance (MDV) systems are essential for ensuring patient safety through post-market surveillance. In low- and middle-income countries such as Sri Lanka, MDV systems remain underdeveloped despite increasing reliance on advanced medical technologies.
Objectives: This study aimed to identify gaps in MDV practices in Sri Lanka and develop context-specific national guidelines aligned with international best practices.
Methods A pragmatic mixed-methods design was used. A desk review of international frameworks (WHO, IMDRF, EU MDR 2017/745, FDA) was conducted alongside a cross-sectional survey of key stakeholders, including healthcare professionals, biomedical engineers, device importers, and regulatory staff. Quantitative data were analyzed …

Design Of A Smart Esp32-Based Iot Prototype Using Azure Iot Hub For Automatic Detection, Neutralization, And Safe Disposal Of Acidic And Basic Chemical Waste In Laboratory Environments, M.J. Fernando, K.C.K.V. Samarathunga, G.A. Heshan, J.A.D.S.R. Jayasinghe, K.S.R Perera, K.G.C.M. Perera, K.D.T.D. Jayasuriya, S.M.H.M. Koswatta

Journal of Innovation in Science, Engineering and Technology

The generation of acidic and alkaline laboratory waste remains an enduring safety and environmental problem in educational institutions, research laboratories, and small-scale industrial settings. In many such environments, neutralization is still performed manually through intermittent pH measurement and operator judgement. This practice is slow, inconsistent, and potentially hazardous, particularly when corrosive substances are involved. The present study proposes and evaluates a smart Internet of Things (IoT) prototype that automates the detection, neutralization, and monitoring of laboratory chemical waste by integrating edge intelligence with secure cloud telemetry.
The proposed system is centered on an ESP32-S3-N16R8 microcontroller, a DFRobot SEN0161 pH sensor, …

Iot-Mobile Solution For Traffic Light Recognition For Color Vision Deficiency Drivers Using Lightweight Edge Ai, J. L. G. N. S. Jayawardhana, S. M. H. M. Koswatta, R. M. H. N. Rajasinghe, C. Arukgoda

Journal of Innovation in Science, Engineering and Technology

Color Vision Deficiency (CVD) is a medical condition that reduces the ability to distinguish certain colors and may occur due to genetic inheritance or acquired retinal damage. Drivers affected by CVD often experience difficulties at traffic light intersections because traffic signals rely entirely on color-based communication. Existing assistive systems mainly address this issue through audio feedback. However, audio-based solutions may perform poorly in noisy urban environments and are less effective for individuals with hearing impairments. The already existing assistive systems provide visual outputs in the dashboard that do not ensure all types of CVD drivers can see the visual output. …

Development Of A Polyherbal Anti-Ageing Cream Using Synergistic Antioxidant Combination Of Withania Somnifera Roots And Psidium Guajava Leaves, W. A. D. M. P. Wanasinghe, W. M. K. M. Ratnayake

Journal of Innovation in Science, Engineering and Technology

Skin ageing is a multifactorial biological process largely accelerated by extrinsic factors such as ultraviolet radiation, pollution, and oxidative stress, leading to structural and functional deterioration of the skin. Due to the strong antioxidant potential of herbal phytochemicals, plant-based anti-ageing formulations have gained increasing attention in the cosmetic industry. Therefore, this study aimed to evaluate the synergistic antioxidant activity of combined extracts of Withania somnifera roots and Psidium guajava leaves and to develop a stable herbal anti-ageing cream using the most active extract combination. The 95% ethanol extracts of P. guajava leaves (EPGL) and W. somnifera roots (EWSR) were prepared …

Fall 2026 Census Enrollment Indicators Campus Report Tables 1-3, Systems Intelligence And Data Analytics, University Of Nebraska At Omaha

Enrollment Reports

No abstract provided.

The Role Of Vocational Rehabilitation Programs In Improving The Quality Of Life For Individuals With Intellectual Disabilities, Hamood Bin Khamis Al-Nofli, Emad Farouk Saleh, Naseer Bin Mohammed Hamad Al-Oufi, Saber Mahmoud Elsharkawy

Journal of Arts and Social Sciences

The study aimed to investigate the impact of implementing a proposed vocational rehabilitation training program on improving the quality of life of individuals with intellectual disabilities. The study targeted 21 female students enrolled in the intellectual integration program in Al-Dakhiliyah Governorate, Sultanate of Oman, drawn from seven schools implementing the intellectual integration program. The present study is a quasi-experimental study that adopted the experimental method by implementing a vocational rehabilitation training program with an experimental group of female students with intellectual disabilities. The researchers developed a quality-of-life scale consisting of 55 items distributed across four dimensions: health-related quality of life, …

Life Pressure Facing Palestinian Martyrs’ Wives Under Coronavirus-Covid-19 Pandemic, Mohammed Khamis Mohammed Al-Albobbo, Mohammed Ismail Matar

Journal of Arts and Social Sciences

The study aims to identify the life pressures faced by the wives of Palestinian martyrs during the Covid-19 pandemic. The researchers used the descriptive-analytical approach, as it was deemed appropriate for the study’s objectives, and designed a questionnaire for data collection. The questionnaire consisted of 35 items and was administered to a sample of wives of Palestinian martyrs from the 2021 war in the Gaza Strip. The study identified key findings related to psychological, social, and economic stressors faced by the wives of Palestinian martyrs during the coronavirus pandemic. Regarding psychological stressors, the statement (I feel disadvantaged by the loss …

The Role Of The Social Worker In Developing Tourism Awareness Among University Students In Riyadh In Light Of The Kingdom’S Vision 2030 (From The Perspective Of Male And Female Students), Badria Saud Al-Mutairi

Journal of Arts and Social Sciences

The study aimed to identify the role of the social workers in promoting tourism awareness among Saudi university students in light of the Kingdom’s Vision 2030, from the point of view of male and female students. The study employed a questionnaire as the research instrument and adopted the descriptive-analytical method. The study sample consisted of 300 students including 157 male students and 143 female students, drawn from two academic institutions in the city of Riyadh. The findings indicated that the overall level of the practices included in the questionnaire was moderate. The perceived obstacles facing the role of the social …

Validation Of A Home-Based Tool For Preschool Children Fall Prevention: A Rasch Analysis, Devie Fitri Octaviani, Fatma Lestari, Indang Trihandini, Dadan Erwandi

Kesmas

Unintentional falls are a leading cause of injury among preschool children, primarily occurring in home environments, yet validated tools to assess household fall prevention capacity in low- and middle-income countries remain limited. This study aimed to develop and psychometrically validate the Home-Based Preschool Fall Prevention Instrument using the Rasch Measurement Model. A cross-sectional validation study was conducted in Depok City, Indonesia, involving 167 primary caregivers of preschool children enrolled in kindergartens selected through multistage cluster random sampling. The instrument was developed based on an etiological injury model, socio-ecological perspectives, and risk management principles, and comprised four main factors: child, home, …

Understanding Oral Habits And Malocclusion In School-Aged Children: Insights From Parental And Child Knowledge, Attitudes, And Practices, Maria Laurentia Sanjaya, Evan Raditya Pratomo, Markus Santoso, Agrippine Putricia Asaeli, Eveline Yulia Darmadi, Joy Janny Thenarianto, Jennifer Regina Putri Purwono, Eunike Jacquelyn Widarto

Kesmas

Malocclusion is a prevalent oral health problem in children associated with oral bad habits, yet the extent to which parental and child knowledge, attitudes, and practices (KAP) influence orthodontic status remains insufficiently understood. This cross-sectional study investigated relationships between parental and child KAP, oral habits, and malocclusion in school-aged children, involving 67 child–parent pairs from an elementary school in Surabaya, Indonesia. Parental and child KAP as well as child-reported oral habits were assessed using a validated questionnaire. Children subsequently underwent standardized clinical orthodontic examinations, including alginate jaw impressions to produce dental study models, which were evaluated using the Index of …

Provincial Disparities In Adolescent Fertility In Indonesia: An Ecological Analysis Of Child Marriage, Median Age At First Marriage, And Family Development Index, Andi Nisa Fathimiyah Afidah, Milla Herdayati

Kesmas

Adolescent fertility remains a public health concern in Indonesia, with substantial variations across provinces. However, the evidence explaining provincial disparities using population-level indicators remains limited. This study aimed to examine provincial disparities in adolescent fertility and assess the association of child marriage, median age at first marriage among women, and the Family Development Index called iBangga with adolescent fertility across Indonesia. This ecological, cross-sectional study used aggregated data from 34 Indonesian provinces. Descriptive statistics, spatial visualization, Pearson’s correlation, and multiple linear regression analyses were performed. The mean adolescent fertility rate was 25.0 births per 1,000 female adolescents aged 15–19 years, …

Spatial Association Of Acute Respiratory Infection, Diarrhea, And Low Birth Weight With Stunting Prevalence In Indonesia, 2024, Dian Rosadi, Husaini Husaini, Triawanti Triawanti, Musafaah Musafaah

Kesmas

Stunting remains unevenly distributed across Indonesia, but national evidence integrating spatial analysis and spatial regression is limited. This study examined the spatial distribution of stunting and its associations with acute respiratory infection (ARI), diarrhea, and low birth weight (LBW) across Indonesian provinces. An ecological cross-sectional study used data from the 2024 Indonesian Nutritional Status Survey. Stunting-only analyses included all 38 provinces, whereas analyses involving ARI, diarrhea, and LBW included 37 provinces with complete data. Spatial analyses used a row-standardized symmetric four-nearest-neighbor spatial weights matrix and included Global Moran’s I, bivariate spatial analysis, Local Indicators of Spatial Association, ordinary least squares, …

The Association Between Rapid Growth In Children Under The Age Of Five And Adolescent Obesity, Ratu Ayu Dewi Sartika, Fadila Wirawan, Iche Andriyani Liberty, Nurul Husna Mohd Shukri, Siti Arifah Pujonarti, Edy Purwanto, Munaya Fauziah

Kesmas

Early-life nutrition is a critical predictor of long-term health, yet the association between rapid early-childhood growth and adolescent obesity, particularly in relation to the “double burden of malnutrition,” remains under-researched in Indonesia. This study aimed to analyze the association between rapid growth and adolescent obesity. Data were obtained from the 1997, 2000, and 2014 waves of the Indonesian Family Life Survey (IFLS). This study included 641 children (aged 0–23 months at baseline) with complete anthropometric measurements across all three waves. Rapid growth was defined as an increase in z-scores of >0.67 in weight-for-age (WAZ), height-for-age (HAZ), or weight-for-height (WHZ) between …

Self-Management Interventions For Adults With Type 2 Diabetes Mellitus In Thai Primary Care And Community Settings: A Scoping Review, Sansanee Seetangkham, Supaluk Seetunya, Subhawan Yodprong

Kesmas

Diabetes mellitus is a leading cause of mortality and economic burden, with significant impacts on health outcomes and quality of life. Effective self-management is crucial for controlling Type 2 Diabetes Mellitus (T2DM). Thailand has implemented diverse self-management interventions for adults with T2DM in primary care and community settings, but the components, delivery, duration, and outcomes of these interventions have not been synthesized. Following the Arksey and O’Malley framework, Joanna Briggs Institute guidance, and PRISMA-ScR, five databases were searched from inception to June 2025. Eligible English-language intervention studies involved Thai adults with T2DM in primary care or community settings. Study characteristics …

Environmental Perspective For System Dynamics Modeling Of Stunting Mitigation To Achieve The Sustainable Development Goals In West Sumatra, Indonesia, Elsa Yuniarti, Nabila Azzahra, Yulhendri Yulhendri, Heldi Heldi, Mery Delvina, Saskia Putri Azeli

Kesmas

This study developed a system dynamics model to simulate stunting reduction in West Sumatra Province, Indonesia, by integrating infant and toddler health, maternal health, and environmental determinants. Secondary data from 2020–2024 on low birth weight, immunization, malnutrition, exclusive breastfeeding, maternal chronic energy deficiency, iron and folic acid supplement distribution, sanitation, and safe drinking water access were compiled from West Sumatra Provincial Health Office and Statistics Indonesia, and validated through consultation with five stakeholder institutions. Causal Loop Diagrams mapped feedback relationships among determinants and were translated into Stock Flow Diagrams using Powersim Studio 10. The model was validated through structural verification, …

Predictors Of Complete Obliteration And Favourable Outcome After Single-Modality Treatment For Low-Grade Arteriovenous Malformations: A Multicentre Study, Angelica Fuentes, Salem Tos, Natasha Ironside, Georgios Mantziaris, Yuki Shinya, Basel Musmar, Hamza Adel Salim, Nimer Adeeb, Christopher Ogilvy, Douglas Kondziolka, Ali Alaraj, Min Park, Adam Dmytriw, Hussein Zeineddine, Finn Mccarthy, Hussam Abou-Al-Shaar, Ahmed Abdelsalam, Mustafa Baskaya, Cagdas Ataoglu, Anthony Sanchez-Forteza, Muhammed Amir Essibayi, Abdullah Keles, Sandeep Muram, Howard Riina, Arwin Rezai, Sahin Hanalioglu, Ufuk Erginoglu, Johannes Pöppe, Davide Simonato, Yan-Lin Li, Sandeep Kandregula, Dhairya Lakhani, Christoph Griessenauer, Rahim Abo Kasem, Alejandro Spiotta, Ajit Puri, Jasmeet Singh, Anna Luisa Kuhn, Jan Karl Burkhardt, Robert Starke, Laligam Sekhar, Michael Levitt, David Altschul, Neil Haranhalli, Malia Mcavoy, Paul Foreman, Osama Zaidat, Mohammad Almajali, Hakeem Shakir, Alfred Pokmeng See, Adib Abla, Aashay Patel, Andrew Nguyen, Matthew Koch, Visish Srinivasan, Peng Roc Chen, Spiros Blackburn, Ketan Bulsara, Peter Kan, Louis Kim, Omar Choudhri, Stavropoula Tjoumakaris, Pascal Jabbour, Amey Savardekar, Hugo Cuellar, Michael Lawton, Bharat Guthikonda, Jacques Morcos, Jason Sheehan

Department of Neurology Faculty Papers

INTRODUCTION: Patient and arteriovenous malformation (AVM) characteristics that portend success after treatment for low-grade brain AVMs remain unknown.

PATIENTS AND METHODS: We utilised the MISTA multicentre registry to identify patients with Spetzler-Martin (SM) grade I or II AVMs treated with stand-alone curative-intent intervention (resection, stereotactic radiosurgery [SRS] or endovascular embolisation). Bivariate and multivariable analyses were performed to identify patient and AVM characteristics predictive of complete obliteration or favourable outcome (complete obliteration without new permanent deficit or post-treatment haemorrhage).

RESULTS: A total of 522 patients were included (292 microsurgery, 152 SRS, 78 embolisation). Complete obliteration rates differed between microsurgery (95.9%), SRS …