Digital Commons Network^™

Navigating Complex Esophageal Perforations: A Case-Specific Approach To Successful Outcomes, Harsimran Kalsi, Anushree Rai, Kobina Essilfie-Quaye, Neeka Akhavan, Yaseen Perbtani, Tony S. Brar

HCA Healthcare Journal of Medicine

Esophageal perforation is a life-threatening condition requiring prompt diagnosis and effective management. While self-expanding metal stents (SEMS) are a first-line treatment, persistent leaks often necessitate adjunctive endoscopic interventions. A structured, multimodal approach is critical for optimizing outcomes and avoiding surgical intervention. A 44-year-old man developed an iatrogenic esophageal perforation following surgical leiomyoma enucleation. Initial treatment with overlapping fully covered self-expanding metal stents (FC-SEMS) failed to achieve closure, necessitating endoscopic suturing for defect reinforcement. Despite suturing, persistent leakage required placement of a larger-diameter FC-SEMS, secured with an endoscopic fixation system to prevent migration. Serial imaging confirmed successful defect closure, allowing the …

Trends In Emergency Department Utilization After Metabolic And Bariatric Surgery In The United States, Andrew Sanders, Isabella Moncada, Sabrina Avanzato, Michelle Fakler, Michael Dombek, R. Wesley Vosburg

HCA Healthcare Journal of Medicine

Background

In this article, we sought to understand the factors associated with emergency department (ED) utilization by patients after metabolic and bariatric surgery (MBS). The hopes were that modifiable risk factors could be identified to reduce ED visits after MBS.

Methods

We analyzed data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database (MBSAQIP) which is comprised of data from all nationally accredited bariatric centers in the United States. For our study, we included a population of 681 743 patients having undergone the 2 most common MBS procedures: sleeve gastrectomy (SG) and gastric bypass (GBP). Using logistic …

Organizational Psychology Theories In Graduate Medical Education: A Narrative Review, Mohamad S. Saad, Naim El-Aswad, Zeina Ghossoub, Relly Nadler, Serena Wasilewski

HCA Healthcare Journal of Medicine

Physicians and educators tend to be more versed in recognizing disease patterns and medical problems than in identifying malfunctioning patterns in the psychological aspects of their mentees and work environments. Just as hypertension and diabetes are the common soil for many acute medical problems, agency problems and organizational silos can lead to many acute managerial problems in graduate medical education (GME) settings.

Data show that most workers are lonely at work, which leads to negative emotions and undermines performance. Organizational problems seem to stem from an individual’s inability to align one’s motivation with the organization’s shared value. This can cause …

Are Combat Athletes Different Sleepers? A Pittsburgh Sleep Quality Index-Based Comparative Survey Across Athletic Populations, Zofia Tkocz, Małgorzata Hołda Dr, Michał Spieszny, Adam Zając, Robert Trybulski, Aleksandra Filip-Stachnik

Baltic Journal of Health and Physical Activity

Background: Sleep plays an important role in athletic performance, recovery, and cognitive function. The aim of this study was to compare sleep quality and selected sleep-related  variables in combat sports athletes and athletes from other sport disciplines . Materials and Methods: Ninety-eight competitive athletes participated in the study, including 52 combat sports athletes and 46 athletes  representing other sport disciplines. Sleep quality was assessed using the modified Pittsburgh Sleep Quality Index (PSQI) with a weekly recall period, global PSQI score and additional  variables, such as sleep duration, sleep latency, and habitual sleep-wake times, were analyzed using general linear models adjusted …

Antioxidant And Anti-Hemolytic Capacities Of Eucalyptus Camaldulensis Leaves, Achwaa Chbib, Malak Mezher, Mohamad Nasser, Akram Hijazi, Mahmoud I. Khalil

BAU Journal - Science and Technology

The effects of medicinal plants on the prevention of many diseases are due to their chemical composition. Eucalyptus camaldulensis (E. camaldulensis) is a native tree in Australia. Its extracts and essential oils (EOs) are applicable in the domains of pharmaceuticals and medicine. This work determined the anti-hemolytic and antioxidant capacities of the ethanolic (EE), methanolic (ME), and aqueous (AE) extracts from the leaves of Lebanese E. camaldulensis.  The leaves of E. camaldulensis were extracted with ethanol, methanol, and water solvent. Qualitative phytochemical analyses were applied to reveal the compounds of these extracts. The Folin-Ciocalteau and Aluminum chloride …

Mobile Money And Economic Wellbeing In Sub-Saharan Africa: Evidence From The 2021 Global Findex Survey, Emanuel Sulle Joseph, Martin Chegere, Kenneth Mdadila

Tanzanian Economic Review

Mobile money has expanded rapidly across Sub-Saharan Africa, accompanied by increasing mobile phone ownership and a growing number of registered users. Despite this, there is a concern about its effects on well-being. It has been argued that mobile money favoured those who were already financially included and financially stable. Therefore, the study used the Global Findex 2021 database, with a sample of 22686 respondents, to analyse the effects of mobile money on well-being and disaggregated the results by sex and location. The study employed binary probit regression and the results indicated that mobile phone ownership is not significantly associated with …

Three Centuries Of Technological Innovation, Jordan G. Okie, James H. Brown, Astrid Kodric-Brown, Joseph R. Burger, Tatiana P. Flanagan, Trevor S. Fristoe, Sean T. Hammond, Norman Mercado-Silva, Jeffrey C. Nekola, Jennifer Richter

Biology Faculty Publications

What socioecological conditions nurture the ingenuity and collaborative interactions underlying transformative technological innovations? We compiled a dataset on more than 400 major technological inventions from 1690 to 1990 spanning seven categories (agriculture, armaments, information and communication, household, industry, medical, and transportation) and performed inductive macroecological analyses to address how attributes of inventors, teams, and their social and geographic environments contributed to the innovation of new technologies that have changed the way people live. The vast majority of inventions were attributed to single inventors of various ages. The frequency, size, and cultural diversity of teams increased in the 20th Century, as …

Exploring The Role Of Circulating Mir-21 As A Potential Biomarker For Celiac Disease In Pediatric Patients, Shaymaa M. Jabbar, Manal M. Khadhim

Al-Qadisiyah Medical Journal

Background: This training explored the possibility of circulating miR-21 as a biomarker for celiac illness (CD) in pediatric patients. The demographic and clinical characteristics were compared between groups. A case-control design was employed with 45 pediatric CD patients and 45 healthy controls. Aim: The present training stayed directed to exploring the expression of circulating miRNAs in those sick with celiac disease—three miRNAs—miR-21-3p. Methods: Blood samples were collected from participants, and RNA was isolated. miR-21 expression was quantified using STEM-LOOP RT-qPCR. Demographic data (age, gender, residence) and clinical features (family history, disease duration, symptoms) were collected. Serological tests for CD diagnosis …

The Relationship Between Access To Basic Safe Drinking Water And Under-Five Mortality In Indonesia: An Ecological Study, Jasmin Jadevra Fezantino, Raquel Amanda Salmasari, Hanania Carrisa, Zahra Annisaa Hudaya

Jurnal Nasional Kesehatan Lingkungan Global

Infant mortality remains a worrying public health issue, particularly in areas with poor access to drinking water and sanitation. In 2020, Papua Province recorded an infant mortality rate of 49.04 per 1,000 live births and West Papua 47.23. These figures are far above the national average. This study aims to determine the relationship between access to safe drinking water and infant mortality rates in provinces in Indonesia. This study used an ecological design with secondary data from the 2023 Indonesian Health Survey and the 2023 Directorate of Public Health. The analysis was descriptive and followed by a Spearman correlation test. …

Factors Affecting The Incidence Of Stunting In Sawangan Subdistrict, Depok City, In 2023, Amanda Salsabila, Shaumi Maghfira Lamakampali, Erin Shafa Jasmine, Vera Putri Pranoto, Ratu Ayu Dewi Sartika, Primasti Nuryandari Putri

Jurnal Nasional Kesehatan Lingkungan Global

Stunting remains a major problem in Indonesia, particularly in Depok City, West Java. This study aims to analyze the factors influencing stunting in Sawangan District. The study design used is a cross-sectional study, analyzing test variables such as stunting incidence, maternal characteristics (age, education, maternal nutritional status during pregnancy, and personal hygiene), and toddler factors (exclusive breastfeeding status and LBW incidence) using univariate, bivariate (chi-square test), and multivariate (binary logistic regression) analyses. The analysis shows that maternal personal hygiene and LBW incidence in toddlers significantly influence stunting incidence. Other factors, such as age, education, and maternal nutritional status during pregnancy, …

Association Between Cooking Fuel Type And The Incidence Of Acute Respiratory Infections In Toddlers In Indonesia: A Cross-Sectional Study Based On 2017 Sdki Data, Ghina Puspa, Meiravigliosi Hermawan, Nuha Rafida Yumna

Jurnal Nasional Kesehatan Lingkungan Global

Acute Respiratory Tract Infection (ARI) remains a major health problem among toddlers in Indonesia and is closely related to exposure to indoor air pollution. This study aims to analyze the relationship between the type of cooking fuel used by households and the incidence of ARI in toddlers in Indonesia. The study used a cross-sectional design based on data from the 2017 Indonesian Demographic and Health Survey. The study sample included 196,804 respondents who met the inclusion criteria, namely having complete information on the type of cooking fuel and ARI symptoms. The independent variable was the type of cooking fuel divided …

Interdisciplinary Approaches To Bioarchaeological And Forensic Practice: Reconceptualizing Identity And Health Across The Centuries, Megan Fry, Samantha M. Mccrane

Human Biology Open Access Pre-Prints

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Socio-Demographic And Clinical Profile Of Diabetic Patients: A Cross-Sectional Study, Ali Kadhim Obyes, Suhair Mohammed Hassoon, Dhakam Mohammed Abbas

Al-Esraa University College Journal for Medical Sciences

Background: Diabetes mellitus is a growing global health crisis, disproportionately affecting low- and middle-income countries. In Iraq, prevalence is estimated at 12–15%, yet comprehensive local data on patient profiles remain scarce. Objectives: To describe the socio-demographic, clinical, nutritional, and laboratory profile of diabetic patients attending a tertiary hospital in Babylon, Iraq. Patients and Methods: A hospital-based cross-sectional study was conducted among 200 adult diabetic patients (type 1 or type 2) admitted to the endocrinology unit of Marjan Teaching Hospital from December 2025 to May 2026. Data were collected via face-to-face interviews, medical records, and laboratory reports. Descriptive statistics (frequencies, percentages, …

Cleft Lip And Palate: From Genetic Foundations To Psychological Impact – A Multidisciplinary Review, Farah Abdulwahab Al-Saadi, Teeba Fares Hadi, Sura Saleem Albermani

Al-Esraa University College Journal for Medical Sciences

Cleft lip and/or cleft palate consider one of the most known and common congenital disorders of the head causing clear disruption of the normal face structure. Despite being the most seen birth defects, the clefts genetic basis is still not fully comprehended. Clefts have sporadic genetic nature, it can occur duo to rare mutations as part of syndromic disease or it can be isolated, non-syndromic cleft. The contemporary advances in genomic technology have enabled a deeper comprehension of the complex architecture of cleft lip/palate, of these technologies are genome-wide association studies, whole genome sequencing, transcriptome-wide association studies and others. Furthermore, …

Clinical Interactions Of Celiac Disease And Relationship With Type 1 And Type 2 Diabetes Mellitus, Noor Thair Tahir, Raghda Shams Akram, Aseel Ibrahim Abbas, Sahar Abdul Wahab Alshaban, Fatma Abd Alhamza Obed

Al-Esraa University College Journal for Medical Sciences

Celiac disease is a typical autoimmune ailment that can be brought on by gluten, a protein present in wheat, barley, and rye. It is estimated that one person out of every 100 worldwide has celiac disease, with the majority going untreated. Although it can manifest asymptomatically, celiac disease is typified by a variety of gastrointestinal and extra-intestinal symptoms. The consistency of clinical, serological, and histopathological data is essential for the diagnosis of celiac disease. The diagnosis, nevertheless, is often missed and can be difficult. A higher risk of complications and a negative impact on quality of life are linked to …

Comprehensive Evaluation Of The Severity And Contributing Factors Of Anemia Among Pregnant Women Attending Bab Al-Mouadum Primary Health Care Center, Baghdad, Iraq, Fatema Aouda Abbas, Enass Razzaq Hamza, Israa. M. Ali Alameen

Al-Esraa University College Journal for Medical Sciences

Background : Anaemia is one of the famous disorders which spreading between women during pregnancy and considered one of the risks that surround both mother and foetus, this phenomena is more common in developing countries. Methods : The aim of this study is to evaluate haemoglobin (Hb) levels and detect the other related risks in 200 pregnant women, the study done in healthcare centre in Bab Al-Mouadum, Baghdad Al Iraq, The data were collected in period between 15 October and 15 November 2023. By using questionnaire and interview, the statistical analyses is done by expert, and its including descriptive statistics …

Prevalence And Determinants Of Metabolic Syndrome Among Adults Attending Primary Health Care Centers In Baghdad: A Cross-Sectional Study, Muammar Basheer Yasir, Almottesembellah Abdalruhman Gaiz, Noor Abdulredha Jaleel

Al-Esraa University College Journal for Medical Sciences

Metabolic syndrome has emerged as an important health concern globally, especially in developing countries where urbanization and lifestyle changes are rapidly increasing. No reliable epidemiological information regarding the prevalence and risk factors associated with metabolic syndrome is available among Iraqi adults in primary health care (PHC) clinics. This study was designed to determine the prevalence rate of metabolic syndrome and identify potential risk factors among adults attending PHC centers in Baghdad. Methods: An analytical cross-sectional study design was used, targeting 412 adult subjects selected randomly from multiple PHC centers in Baghdad. Sociodemographic, lifestyle, anthropometric, and biochemical data were collected. The …

The Association Between Osteoporosis In Females Following Menopause And Vitamin D Deficiency, Hadel Kareem Al-Rubaiawi, Noor Adel Hussein, Dunia Abdul Jabbar Star, Amer Hasan Abdullah, Salma Abdul-Ridha Abbas, Hawazin Aziz Hamim

Al-Esraa University College Journal for Medical Sciences

The intricate relationship among osteoporosis, vitamin D deficiency, and hormonal changes. Growth hormone, cortisol, parathyroid hormone, estrogen, testosterone, thyroid hormones, and thyroid hormones are a few of the hormones that affect bone turnover and density. Alterations in their concentrations, whether brought on by healthy aging or illnesses, can interfere with bone remodelling and increase the risk of osteoporosis. Moreover, inadequate levels of vitamin D increase the risk by decreasing the absorption of calcium and the mineralization of bone. Estrogen and vitamin D deficits increase bone loss, especially in postmenopausal women. Proactive treatment techniques, including hormone replacement therapy, vitamin D supplements, …

Cash Transfer For Orphans And Vulnerable Children And Households’ Vulnerability To Poverty In Kenya: Evidence From Panel Data, Molly Owino-Owiti, Damiano Kulundu Manda, Samuel Misati Nyandemo

Tanzanian Economic Review

This study examined the effect of the Cash Transfer for Orphans and Vulnerable Children (CT-OVC) programme on vulnerability to poverty of households that had experienced a health shock in Kenya. The study used a three-wave panel data set for Kenya, collected in 2007, 2009, and 2011. A Fixed Effects model was used in the estimation. The study found that CT-OVC can reduce households’ Vulnerability to Asset Poverty (VAP) by 6.7 percent and Vulnerability to Food Poverty (VFP) by 33.8 percent. The VAP did not decline as much as VFP, indicating that the transfer may not be sufficient to reduce several …

Analysis Of Priority Vaccine-Preventable Diseases Using The Paho-Adapted Hanlon Method In Bogor City In 2024, Sonia Annisa Br Ketaren, Tri Yunis Miko Wahyono, Bai Kusnadi

Jurnal Epidemiologi Kesehatan Indonesia

Vaccine-preventable diseases (VPDs) remain a major public health challenge despite substantial progress in immunization programs. In Indonesia, routine immunization coverage has shown a post-pandemic recovery trend; however, disparities in access to health services and surveillance quality persist across regions. This study aimed to determine priority VPD problems in Bogor City and identify factors contributing to the highest-ranked disease. A mixed-methods study was conducted in Bogor City from October 2024 to January 2025. Quantitative prioritization was performed using the Pan American Health Organization (PAHO)-adapted Hanlon method across eight VPDs. Qualitative data were collected through in-depth interviews with key informants and analyzed …

Data Walks, Data Parties, And Data Placemats: Tools For Building A Collaborative Data Strategy, Jenrose Fitzgerald, Karrie Simpson

Center for Social Development Research

Operation Food Search (OFS), a hunger relief organization that provides free food, nutrition education, and innovative programs proven to reduce food insecurity, has been thinking a lot about data in recent years. Much of that thinking focuses on data that speaks to the impact OFS is having on people’s lives. This Practice Brief present a case study of OFS’s work to develop richer data about the effectiveness of their programs, a cohesive data strategy, and a strong data culture.

The Effect Of The Lee Silverman Voice Treatment (Lsvt) Big Method Based On Occupation On Older Adult Functional Mobility Balance, Muhammad Luthfi, Kharisma Nur Idalasari

Jurnal Fisioterapi Terapan Indonesia

Balance impairment is one of the major problems commonly experienced by older adults as a result of degenerative processes, leading to an increased risk of falls. Falls may cause fear of recurrent falling, reduced physical activity, loss of physical capability, and may eventually result in disability and psychological consequences such as depression. Structured, occupation-based physical activity has been shown to provide various benefits for older adults, including improving physical function, slowing functional decline associated with degenerative processes, reducing fall risk, and enhancing postural control. This study aimed to analyze the effect of the occupation-based Lee Silverman Voice Treatment (LSVT) BIG …

Patterns And Determinants Of Measles Among Suspected Cases In Jakarta: Insight From Surveillance Data 2022-2024, Widya Inayah, Nurhayati Adnan Prihartono, Retno Henderiawati, Oktaviana Nugraheni, Dwi Gayatri

Jurnal Epidemiologi Kesehatan Indonesia

Measles remains a public health concern in Indonesia, including Jakarta, contributing to the country’s disease burden. Sustained transmission during 2022-2024, despite reported vaccination coverage above  90%, suggests the presence of vulnerable groups. This study aimed to describe patterns and identify factors associated with laboratory-confirmed measles in Jakarta during 2022-2024. A cross-sectional study was conducted using routine surveillance data from all individuals reported as suspected measles cases during the study period. Descriptive analysis summarizes the distribution, while multivariable analysis identifies associated factors. Of the 4,194 suspected cases of measles, 22.8% were laboratory-confirmed positive. Showed a fluctuating temporal pattern, increasing from 20.6 …

Determinants Of Hypertension Status Among Patients With Type 2 Diabetes Mellitus At Menteng Primary Health Center, 2024–2025, Ira Susanti Haryoso, Yudha Radityadana, Muthik Hanim Mufallahah, Lhuri Dwianti Rahmartani

Jurnal Epidemiologi Kesehatan Indonesia

Hypertension is a common comorbidity in patients with type 2 diabetes mellitus (T2DM) and substantially increases the risk of both macrovascular and microvascular complications. Data on the determinants of hypertension status among T2DM patients in primary healthcare settings remain limited. This study aimed to analyze the determinants of hypertension status in T2DM patients at Puskesmas Menteng during 2024–2025. This was an analytic observational study employing a cross-sectional design. Study subjects comprised T2DM patients registered and undergoing examinations at Puskesmas Menteng over the 2024– 2025 period. Data were extracted from electronic medical records, included age, sex, occupation, socioeconomic status, blood pressure, …

Association Of Household Economic Status And Birth Order With Stunting Among Children Aged 24-35 Months: Malawi Mics 2019–20, Sibongire B. Ngoma, Asri C. Adisasmita, Renti Mahkota, Septyana Choirunisa, Melisa Nyamukondiwa

Jurnal Epidemiologi Kesehatan Indonesia

Stunting remains a major public health concern in Malawi, with a national prevalence of 35.5% among children under five. However, evidence on the independent and combined effects of household economic status and birth order on stunting among Malawian children aged 24-35 months remains limited. This study aimed to examine the independent and combined association of household economic status and birth order with stunting among children aged 24-35 months in Malawi. A secondary data analysis of a cross-sectional 2019-20 Malawi Multiple Indicator Cluster Survey (MICS) was conducted, and the final sample comprised 2,764 children aged 24-35 months with complete data. Stunting …

Developing Entrustable Professional Activities For Entry-Level Dietitians: A Nationwide Consensus Study In Taiwan, Meng-Chuan Huang, Su-E Kuo, Hui-Ping Chang, Hsiu-Yueh Su, Huei-Min Linda Chin, Chiao-I Chang, Chih-Wei Yang

Journal of Medical Education

Background: Entrustable professional activities (EPAs) translate competency-based education into observable workplace tasks. This study aimed to develop EPAs for entry-level dietitians in Taiwan using a nationwide consensus-based approach.
Methods: A three-phase design was applied: (1) job analysis to identify core tasks; (2) three national workshops with 101 experts to draft EPAs; and (3) two consensus meetings with 29–30 experts using structured focus group discussions (FGDs) with anonymous voting to finalize the EPA framework and EPA/competency matrix. Consensus was defined as ≥ 50% agreement.
Results: In Phase 1, candidate EPAs were identified through job analysis and expert ratings, with items achieving …

The Effect Of Salt Concentration On The Phytochemical Content And Antioxidant Capacity Of Laba Garlic Pickle From The Kating And Honan Varieties, Nurel Maharani, Ummi Rohajatien, Titi Mutiara Kiranawati, Nunung Nurjanah

Bulletin of Culinary Art and Hospitality

Garlic (Allium sativum L.) has considerable potential as a functional food. However, its utilization remains limited. Laba garlic pickle is one of its processing alternatives. This study investigated the effect of salt concentrations (1 g, 2 g, and 3 g) on the phytochemical content (flavonoids), dietary fiber, and antioxidant capacity of Laba garlic pickle from Kating and Honan varieties. The experiment was conducted using a Randomized Complete Block Design (RCBD). The data were analyzed using analysis of variance (ANOVA) followed by the Least Significant Difference (LSD) test at a 5% significance level. The results showed that salt concentration had no …

Association Of Lifestyle, Nutritional Status, And Eating Habits With Academic Performance Among Adolescents, Lulu'ul Badriyah, Farah Paramita, Rachmy Rosyida Ro'is, Shanica Yohana Veronica, Alifia Meida Indrayati, Randy Gustawan

Preventia: The Indonesian Journal of Public Health

Health is an important factor in determining academic performance. This study aims to analyze the relationships between lifestyle, nutritional status, eating habits, and academic achievement among high school students. The study used a cross-sectional design with a sample of 131 students from four schools in Malang City, Malang Regency, Batu City, and Pasuruan Regency. Data were collected through interviews, anthropometric measurements, and the SQ-FFQ and IPAQ questionnaires. Analysis was performed using the Chi-Square test. The results showed that most respondents slept less than 8 hours (58.8%), used smartphones for ≥ 8 hours per day (50.4%), had moderate physical activity (52.7%), …

The Multifaceted Medicinal Properties Of Momordica Charantia: Insights Into Phytochemistry And Therapeutic Applications, Maham Ashfaq, Haroon Ur Rashid, Javaria Ashfaq, Shazia Ramzan, Fatma Hussain

Journal of Bioresource Management

Momordica charantia (bitter melon) is a significant medicinal plant, having been long used in traditional medicine in Asian, African and South American systems. M. charantia is more than a traditional medicine; by consolidating existing evidence, it is a promising source of drug discovery and can serve as a complementary in contemporary therapeutics. Over the last several decades, it has become the subject of contemporary biomedical studies due to its abundance of phytochemicals, such as saponins, flavonoids, alkaloids, and polypeptides. These bioactive compounds present a wide range of pharmacological processes that M. charantia can be a natural solution to some of …

Anti-Photoaging Activity Of Kombucha Coffee (Coffea Canephora) Extract Antioxidant Moisturizer On Ultraviolet-B Induced Malondialdehyde In Mice Skin, Renata Prameswari, Lifia Chandra, Dian Ardiana

Folia Medica Indonesiana

Photoaging caused by chronic sun exposure exhibits characteristics similar to intrinsic aging, including skin thinning, moisture loss, roughness, collagen degradation, and wrinkle formation. This process is driven by oxidative stress and the formation of malondialdehyde (MDA) as a result of lipid peroxidation. Topical intervention using antioxidant-based moisturizers could prevent further damage. Robusta coffee (Coffea canephora), high levels of chlorogenic acid and caffeine, is known for its antioxidant properties. When fermented with a Symbiotic Culture of Bacteria and Yeast (SCOBY) to produce kombucha coffee, its bioactive compounds are enhanced, potentially offering additional protection against oxidative stress and photoaging. This …