Digital Commons Network^™

Analisis Cakupan Penemuan Kasus Tuberkulosis (Treatment Coverage) Berdasarkan Faktor Demografis Dan Komorbiditas Di Puskesmas Ciracas Tahun 2023-2024, Anggie Hardiyanti, Helda Helda, Mufti As Siddiq M. Irzal, Mareska Monica

Jurnal Epidemiologi Kesehatan Indonesia

Tuberculosis (TB) remains a major global and national health burden, with case detection coverage still below target in several regions. The success of TB control programs largely depends on achieving adequate treatment coverage. In East Jakarta, Ciracas Primary Health Center recorded a treatment coverage of 75% (497 cases) in 2023, the lowest among ten centers, and an increase to 84% (509 cases) in 2024, though still below the national target of 90%. To analyze TB case detection coverage based on demographic factors and comorbidities (diabetes mellitus and Human Immunodeficiency Virus) at Ciracas Primary Health Center during 2023–2024. This study …

Psychological Resilience As A Predictor Of Occupational Stress Among Teaching Staff In Course X, Indah Kusuma Wardani, Fajaria Nurcandra, Dr. Dyah Utari, Afif Amir Amrullah

Jurnal Epidemiologi Kesehatan Indonesia

Workplace stress is a common condition that may be triggered by the demands of professional involvement. Psychological resilience functions as a protective factor that enables individuals to maintain their level of work engagement despite experiencing job-related stress arising from work–life imbalance. This study aimed to examine the relationship between psychological resilience and occupational stress among teaching staff at Course X. The research employed a quantitative approach with a cross-sectional design, utilizing chi-square testing and Cox regression analysis, with a total sample of 98 participants. Data collection was conducted from April to June 2024. The instruments used included the Workplace Stress …

Socio-Demographic Determinants Of Hospitalization Severity Among Type 2 Diabetes Mellitus-Related Hospitalization Visits In Indonesia: A Cross-Sectional Analysis Of Using Bpjs Health Secondary Data, 2023, Nadia Putri, Asri C. Adisasmita, Fitria Fitria, Sely Anggraini

Jurnal Epidemiologi Kesehatan Indonesia

Type 2 diabetes mellitus (T2DM) is a chronic disease with high prevalence and contributes significantly to the burden of inpatient care in Indonesia. The severity of T2DM-related hospitalization as classified under the INA-CBGs system, is an important indicator for assessing disparities in access to care and the health system’s response to vulnerable populations. This study aims to analyze the relationship between socio-demographic characteristics and the severity of T2DM-related hospitalization visits based on 2023 Social Security Administering Body for Health (BPJS Health) data. This study employed a cross-sectional design using secondary data from the 2023 BPJS Health Sample Data. The unit …

A Rare Culprit Or An Elusive Culprit In Disguise? Unraveling Wild-Type Attr Cardiac Amyloidosis In Heart Failure With Reduced Ejection Fraction, Jose J. Loayza Pintado, Taiwo Ajani, Daniela Hernandez, Everardo Cobos

School of Medicine Publications

Cardiac amyloidosis (CA) is a rare disorder caused by the deposition of abnormal proteins called amyloid in the myocardium, leading to dysfunction. The 2 most common forms of amyloidosis are AL (light chain) and ATTR (transthyretin). Diagnosing amyloidosis is challenging, especially in its early stages, due to its nonspecific symptoms and overlap with other conditions. Recent studies suggest that the incidence of wild-type transthyretin amyloidosis is rising, likely due to improved diagnostic techniques and an aging population. We present the case of a 72-year-old male with lower extremity edema, progressive shortness of breath, and worsening renal function. He had a …

The Use Of Local Materials For The Interior Quality Of Swahili Building Design In Tanzania, Luiana Makundi, Jacob Lutta

Tanzania Journal of Engineering and Technology (TJET)

Swahili architecture in Tanzania is recognized by spatial capacity to adapt environmental changes. This research explores the role of locally available materials in shaping the interior quality by focusing on functional, aesthetic appeal and supporting sustainable environment. A mixed-methods approach was applied which, involves field surveys, case study and interviews with different local professionals in building industry. Dar-es-Salaam was used as a case study area that was critically analysed to identify construction practices and applications of local materials in building interior spaces. A particular focus was placed on materials durability, aesthetic, ecological, environmental balance and thermal efficiency which seems to …

Mogok Kerja Tenaga Medis: Problematika Pada Uu Ketenagakerjaan Dan Pilihan Model Pengaturannya, Rama Agung

Jurnal Hukum & Pembangunan

The issue of healthcare workers' strikes remains complex in terms of regulatory frameworks. On one hand, there is a conflict of interest between public interest in access to healthcare services and, on the other, the Labor Law, which regards the right to strike as a fundamental right of workers, integral to collective bargaining. This paper examines the challenges in regulating healthcare workers' strikes by analyzing Article 139 of the Labor Law and exploring regulatory models that support the provision of high-quality healthcare services. The findings highlight several key points. First, Article 139 of the Labor Law does not yet provide …

Survey Of Wi-Fi For Iot: Architectures, Performance, And Future Directions, Maryam Sami Majeed, Narmin Majid Dahham

Al-Farahidi Expert Systems Journal

The rapid expansion of Internet of Things (IoT) applications—ranging from smart healthcare and industrial automation to smart cities—demands reliable, secure, and scalable wireless connectivity. While much of the literature emphasizes low-power alternatives such as Zigbee and NB-IoT, the role of Wi-Fi in IoT remains underexplored. This paper presents a systematic survey of IEEE 802.11 standards, analyzing their evolution, performance, and security mechanisms within IoT environments. Using a structured review of academic and industry sources (2015–2024), we highlight Wi-Fi’s strengths in throughput and ecosystem integration, alongside limitations in energy efficiency and range. Contributions include: (1) a comparative review of Wi-Fi standards …

Deep Learning Approaches For Fatigue Detection: A Traditional Review Of Models, Datasets, And Applications, Ahmad Ali Skaiky, H. Ayad

Al-Farahidi Expert Systems Journal

Fatigue is an important factor affecting human safety, effectiveness and health in various industries, but it still is a challenge to accurately detect it. Recent advances in deep learning fuel the emergence of vision-based, physiology-based, and hybrid fatigue detection systems with better accuracy and real-time monitoring. We cover work up until 2025 and perform a meta-analysis of recent models, datasets, and methodologies. Face- and appearance-based—building system upon facial expression, eye closure, and head pose information—is highly effective but sensitive to image variation caused by illumination change (lighting condition change) or occlusions. Physiological systems based on EEG, ECG and HRV approaches …

Adaptive Energy-Aware Communication For Healthcare Iot Systems: A Simulation-Based Approach, Huthaifa Ayad Al-Ani

Al-Farahidi Expert Systems Journal

Healthcare Internet of Things (HIoT) systems play a pivotal role in continuous patient monitoring, yet they face persistent challenges related to limited energy capacity and strict latency requirements. This study proposes an adaptive, energy-aware communication strategy for HIoT devices that minimizes energy consumption while ensuring rapid data delivery during critical health events. Using the publicly available UCI Smart Heart Monitoring System dataset (2,200 real patient records), a Python 3.11-based simulation framework was developed utilizing NumPy, Pandas, and Matplotlib libraries. The proposed adaptive transmission model dynamically adjusts data transmission frequency in response to real-time physiological states and is directly compared with …

Asasy: A Sentiment Analysis Corpus Of Syrian Dialect Facebook Posts, Azab Ahmad, Majd Ali

Al-Farahidi Expert Systems Journal

A massive amount of textual data is shared each day through the different social media platforms. Analyzing this data to understand the sentiment of users (positive, negative, natural) about various topics and products is a challenging task when it comes to analyze Arabic text due to the morphological diversity and complex grammatical structure of this language, and is more challenging when analyzing social media text with the great diversity in writing style and dialects. Due to the lack of Arabic resources for Sentiment Analysis and the increasing need to create dialectical resources. In this paper, we present a Syrian dialectical …

Analysis Of Exhaust Gases From Marine Propulsion Plants Using Diffraction-Based Analytical Methods, Maarouf Ahmad, Mokdad Hayawi Rahman

Al-Farahidi Expert Systems Journal

This research deals with one of the most important environmental security issues of energy production media and equipment used in the marine field, primarily marine diesel engines used to propel ships. Initially, information was collected regarding the specific standards for the quantities and components of harmful substances emitted with the exhaust gases from marine Diesel and Gase Turbin engines.

Then, modern methods for monitoring exhaust gases were reviewed, which depend on the diffraction analysis of the stream of materials present in these gases and the gas transmitters used for this purpose. The method presented in this research depends on determining …

Advancements In Intelligent Systems For Industrial Management: Enhancing Efficiency And Automation, Samir Ali Amin, Salah Sabeeh Abed Al Kareem, Laith Jaafer Habeeb

Al-Farahidi Expert Systems Journal

The modern industrial management is quite dependent on intelligent systems that promote intensifying automation and general efficiency in different industries. With the introduction of advanced technologies in form of AI, machine learning, CPS and IoT these systems move the industrial functionality to a great extent. By combining, such technologies have the ability to quickly interpret data, detect the need for maintenance early in the line and make informed decisions, which produce highly optimized manufacturing processes. Automation has automated the process, reducing costs considerably, producing more, and maintaining high standards. Development of industry 4.0 has been a major tool in coordinating …

Efficacy And Safety Of Transcatheter Mitral Valve Repair (Mitraclip) Compared To Medical Therapy And Surgery In Patients With Secondary Mitral Regurgitation: A Systematic Review & Pairwise Meta-Analysis, Salma Younas, Aditya Rana, Mirza Faizan Ali Beig, Sweta Sahu, Cynthia Esohe Emanemua, Aisha Ashiq Reshie, Lamees Kaukab, Dileep Duggineni, S K S S P Ashish Gokavarapu, Padamati Bhavani, Afrasayab Khan, Peter G. Fattal

Journal of the Saudi Heart Association

Background: Secondary mitral regurgitation (SMR) is a frequent complication of heart failure, associated with high morbidity and mortality. While surgery is the standard for primary MR, many SMR patients are poor surgical candidates. Transcatheter mitral valve repair (TMVr) using the MitraClip offers a less invasive alternative, but its comparative efficacy and safety remain under active investigation and controversial. Methods: A systematic search of MEDLINE®, Embase®, and the Cochrane Library was conducted per PRISMA guidelines (PROSPERO ID: CRD420251016943). Eligible studies were randomized controlled trials (RCTs) comparing TMVr (MitraClip) with guideline-directed medical therapy (GDMT) or surgical repair in adult patients with SMR. …

The Efficacy Of Essential Oils In Promoting Youthful Skin: A Review, Diaa El Din Ashraf Hemdan, Riham A. El-Shiekh

Bulletin of Faculty of Pharmacy Cairo University

Background Skincare essential oils [EOs] are gaining recognition for their effectiveness as natural solutions to promote youthful skin. These concentrated plant extracts provide a variety of benefits, including hydration, antioxidant protection, and anti-inflammatory properties. Purpose This review highlights the potential of the most common used EOs for healthy skin. Methods The search was conducted using all available MeSH terms for anti-aging & EOs. Results Notable oils such as lavender, rose, and geranium are celebrated for their moisturizing and rejuvenating effects, making them popular choices in anti-aging skincare formulations. In addition to their hydrating properties, EOs like lemon and frankincense play …

Investigations On The Pharmacognostic Characteristics Of Capparis Species I-Lectins, Hussein Ali Hussein Al-Sa'idy, Abbas Khazaal Okab, Hussein K. Alkufi, Hayder Naji Sameer

Maaen Journal for Medical Sciences

Background: As glycoproteins widely distributed in the plants of carbohydrate binding specificity, lectins are considered macromolecules of paramount significance. Their sugar based binding dependent agglutination property nominates them for blood grouping as well as GIT complications management.

Objective: Exploring the nature, classifications, and pharmacological properties of lectins, particularly those found in Capparis species and their aqueous extracts within the last 20-25 years is the aim of this review.

Methods: This review evaluates pharmacological studies of Capparis lectins, emphasizing therapeutic effects identified through focused keyword searches.

Results: Capparis lectins and aqueous extracts exhibit diverse biological activities, including anti-rheumatic, hypoglycemic, immunomodulatory, and …

Toward A Conceptual Framework For Iot-Driven Adaptive Spatial Design In Open-Plan Office, Sarah Mohammed El Hawary, Ola Ali Hashem, Farzad Pour Rahimian

Journal of Art, Design and Music

The evolution of workplace environments has intensified the scrutiny of open-plan offices. The design paradigm of emphasising collaboration and sense of community within workplace has celebrated its facilitation of collaboration, providing open-plan office layout as example of collaborative space. Yet it has diminished individual comfort and privacy that are strengthened in enclosed-plan office layout. Studies revealed the demand of understanding occupant’s satisfaction. Since 85%-90% of one’s time is spent in indoor environment mostly at work, occupant’s satisfaction of physical environment or surroundings should be taken into count. This article proposes a comprehensive conceptual framework that leverages Internet of Things (IoT) …

Redesign Of Ceramic Water Filters: Improving Consumer Satisfaction Towards Sustained Use In Nigeria, Ebelechukwu Ayibuofu Erhuanga

Journal of Art, Design and Music

This study sought to address the issue of limited access to clean drinking water in Nigeria and was focused on enhancing the acceptability and sustainability in the use of ceramic water filters through a user-centered redesign approach. Despite their effectiveness, low adoption rates of the filters necessitate a deeper understanding of user preferences and needs and how these impact the sustained use of the filters. The Research methods include drawing feedback from social surveys on filter users to propose and execute design improvements on aesthetics, material, and functionality. The findings reveal that consumers prioritize both ergonomics and aesthetic appeal, emphasizing …

Integrating Virtual Reality Technology Into Interior Design Education: An Experiential Study Within The United Arab Emirates, Sarah Mohammed El Hawary, Ola Ali Hashem, Farzad Pour Rahimian

Journal of Art, Design and Music

Students studying interior design can benefit from virtual reality (VR) technology, particularly when creating a digital three-dimensional (3D) model for their project. VR technology is now used in design education. VR enhances critical thinking, engagement, and spatial perception, according to several studies (Meggs et al., 2012; Akhmadi, 2024). Virtual reality aids students in comprehending spatial relationships, depth, and interior scale (Moussa and Kandil, 2024; Li and Xie, 2022). Particularly in terms of composition and proportion, design outcomes improve (Qin & Li, 2023). Learning becomes more immersive thanks to technology, which inspires students and enhances results (Som et al., 2021; Mahmarowi, …

Sustainable Materials And Emotional Durability Correlation In Interior Design, T.A. Hana El-Etr, Prof. Dr. Ola Hashem, Prof. Dr. Dalia M. Ezzat

Journal of Art, Design and Music

This paper studies the relationship between sustainable materials and emotional durability in interior design, within the Egyptian context through the case study: Galleria 40 complex. The concept of sustainability often focuses on ecological responsibility; the emotional impact to how the interior spaces affect long-term users, as well as reducing the consumption of unnecessary materials. Egypt has developed environmental rating systems such as the Green Pyramid and participated in international certifications like LEED, yet the incorporation of cultural identity with user experience in sustainable design remains limited. By tackling a mixed-method approach, involving a public survey and observational study of Galleria …

The Impact Of Egyptian Cultural Cartoons On The Child’S Culture, Sandra Ashraf Gamal Fahmy, Nagwa Yehia El Adawy, Niveen Ezzat Gamaleldien

Journal of Art, Design and Music

The field of animation has been used for years by animation companies to create cartoons, animated movies and character that is loved by adults and children and participates in teaching the viewer life lessons. The objective of the research is to illustrate the importance of creating Egyptian cartoons to educate the children about their own country, culture, beliefs and values and to decrease the impact of foreign cartoons. The research also discusses examples of well-known Egyptian cartoons and the impact they had on children. In addition to that, the research explains how the lack of Egyptian cartoons leads children to …

The Impact Of Interior Architecture On Improving The Quality Of Life In Residential Spaces, Khaled M. Zaki Hawas

Journal of Art, Design and Music

The importance of interior architecture lies in its ability to improve the user experience by treating residential spaces in better ways, and improving the internal environment so that it is harmonious and consistent with its purposes. Among the new trends in interior architecture, a new concept is rapidly making its way to the surface: "Wellbeing Living" or "Good Living", which is concerned with residential well-being and the need to organize spaces so that the cognitive response of the individual is responsible for a more balanced personal life and better functioning. Interior Architecture and Quality of Life (QoL) – are two …

Influence Of Clothes Reuse On Teenagers' Wear Sustainability, Tariq M. Zagloul, Amira A. Elnawasany, Naglaa M. Teama

Journal of Art, Design and Music

This research contributes to the reuse of used clothes to produce clothes for teenagers, as they are in a stage in where rapid physical changes occur. So, they need a quick change in clothing sizes. As fashion changes, the life cycle of clothes ends, which leads to a lot of clothes being wasted without benefit. Consumers dispose of clothes in ways that are not safe for the environment. In this study, three design collections were prepared for different types of used clothes to reuse them and produce clothing for teenagers from 11 to 14 years old, with the addition of …

Hurricane Helene, One Year Later: Lived Experience, Geraldine A. Miller

Journal of Appalachian Health

Ashe County is located in the northwestern corner of North Carolina (NC), bordered by Virginia and Tennessee. The county is isolated, mountainous, and historically has lacked good highway access. Hurricane Helene, a category 4 hurricane at landfall, struck Western NC on September 27, 2024, resulting in flooding and wind damage that destroyed local communities in terms of land, homes, bridges, water, electricity, etc. with a damage of $59.6 billion.⁶ One year later, the recovery from the hurricane continues draining individuals and communities of their time, energy, and money. Geri Miller reflects on her hurricane impact experiences a year later. …

Associations Between Social Media Usage, Physical Activity And Flourishing In Rural University Students, Anna Dysart, Minu Sara Thomas

Journal of Appalachian Health

Introduction: Most adolescents and young adults report significant use of social media.^1-3 However, there is limited research on the effect of social media use, specifically on physical activity and flourishing.

Purpose: This pilot research study examines the correlation between social media usage and the physical activity and flourishing levels of college students at a rural university in Appalachia.

Methods: The authors conducted a survey including the validated Secure Flourishing Index and Stanford Leisure-Time Activity Categorical Item, containing questions on social media use and demographics. Spearman’s rho was used for nonparametric correlations. Pearson’s correlation was used to determine the correlation …

Impact Of West Virginia Abortion Ban On West Virginia Physician Trainee Practice Intentions, Rebecca Wald, Kristy Ward, Sarah Dotson

Journal of Appalachian Health

In June 2022, the Dobbs v Jackson Women’s Health Organization overturned the constitutional right to abortion established by Roe vs. Wade. Shortly after, West Virginia (WV) began enforcing a near total ban on abortion. Statewide restrictions on access to reproductive health care have important implications for the recruitment and retention of physicians. This project aimed to determine overall awareness of the 2022 changes in abortion laws among physician trainees, and whether the law influenced the intention of resident/fellow physicians to practice medicine in the state following completion of their medical training. A total of 178 resident and fellow physicians at …

Impact Of A Workshop On Rural Healthcare Delivery On Medical Student Attitudes, Robert L. Snedegar, Ryan Hayes, Jun Xiang, Treah Haggerty, Kendra Unger, Jason Oreskovich, Amie M. Ashcraft

Journal of Appalachian Health

Introduction: Rural residents in the United States (U.S.) experience significant health disparities due to social determinants such as poverty, geographic isolation, and limited healthcare access. Physician shortages in rural areas further exacerbate these challenges.

Purpose: This study evaluates the impact of an educational workshop on medical students’ attitudes toward rural healthcare barriers, aiming to determine whether targeted education can enhance their understanding and interest in rural practice.

Methods: Third-year medical students at the West Virginia University School of Medicine participated in a workshop that included a 20-minute pre-recorded lecture and a 90-minute interactive virtual session. Pre- and post-surveys assessed students’ …

Leveraging Community Health Worker’S Deep Community Knowledge To Address Food And Nutrition Security In Appalachia, Alexis Kimbro Scott, Melissa D. Olfert, Dawn Brewer, Makenzie Barr, Julie Plasencia

Journal of Appalachian Health

Introduction: Community health workers (CHWs) are trusted professionals in communities because of the deep understanding and cultural insights learned from their lived experiences. In Appalachia, CHWs are embedded in the community, giving them a unique understanding of how social determinants, like food and nutrition security, impact health outcomes.

Purpose: This study aimed to examine the professional characteristics and knowledge of CHWs while identifying culturally sensitive practices around food insecurity.

Methods: This cross-sectional, mixed-methods study used an online survey and in-depth phone interviews with CHWs in the Appalachian Region to examine their professional characteristics and knowledge on food security in their …

Stigmatization And Healthcare Inequity Perceived By Individuals Served By Homeless Shelters In An Appalachian City, Molly Powney, James M. Mears, Reagan Sharp, Lisa Calderwood

Journal of Appalachian Health

Introduction: People experiencing homelessness are medically vulnerable and suffer disproportionately from chronic physical and mental health conditions. Evidence-based standards to inform decisions surrounding care would be valuable for this population. Studies exploring how homeless individuals in Appalachia perceive their interactions with the healthcare system remain limited, however.

Purpose: The purpose of this study is to assess perceptions of the healthcare system among homeless individuals served by temporary housing shelters in an Appalachian city.

Methods: A voluntary anonymous survey was administered to residents at three shelters in Charleston, West Virginia (WV) from September 2023 – March 2024. Responses were collected utilizing …

Geospatial Analysis Of Breast Cancer Incidence, Mortality, And Access To Screening In Rural And Appalachian Virginia, Jennifer Osher, Caleb Brown, Phillip Nichols, Tariq Ayubi, Jeremy Powers

Journal of Appalachian Health

Introduction: Breast cancer is the most common malignancy among women in the United States (U.S.), despite recent survival rates improving nationally. However, rural and Appalachian regions have experienced slower mortality declines. These communities face unique health care-related challenges that may contribute to observed disparities.

Purpose: The purpose of this study is to assess differences in breast cancer incidence, mortality, and mortality-to-incidence ratio (MIR) between Appalachian and non-Appalachian counties, as well as rural and non-rural counties in Virginia (VA). Furthermore, we aim to evaluate whether availability of mammography is associated with these differences.

Methods: County-level breast cancer incidence and mortality data …

Influence Of Family Health History And Parental Education On Body Mass Index, Blood Pressure, And Lipid Levels In 5th Grade Children: A Secondary Data Analysis Of The Cardiac Project, Madha Rani Das, Lee A. Plyes, Eloise Elliott, Christa L. Lilly

Journal of Appalachian Health

Introduction: Childhood obesity and related cardiovascular risks reflect the interplay of genetic predispositions and socioeconomic adversity. Appalachia’s poverty, limited health care, and educational gaps worsen family health risks, driving early cardio-metabolic problems in children, highlighting the need for effective interventions.

Purpose: The purpose of this study is to examine the association of family health history and parental education with BMI, BP, and lipid profiles among 5^th grade children in West Virginia (WV).

Methods: The study used WV CARDIAC data from 2006–2009. Outcomes were BMI, SBP/DBP, and fasting lipids (HDL, LDL, TG). Predictors were parental education and family health history …