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Articles 52501 - 52530 of 1791796
Full-Text Articles in Entire DC Network
Intimate Partner Violence And Adverse Birth Outcomes During Covid-19 Pandemic: A Prams Analysis, Doncy Joji Eapen, Krystin Matthews, Lydia Manikonda, Vyoma Soni, Courtney Byrd-Williams
Intimate Partner Violence And Adverse Birth Outcomes During Covid-19 Pandemic: A Prams Analysis, Doncy Joji Eapen, Krystin Matthews, Lydia Manikonda, Vyoma Soni, Courtney Byrd-Williams
Biennial Convention (CONV)
Background: Intimate Partner Violence (IPV) is a serious public health problem that affects millions in the United States. Pregnancy-related violence is a risk factor for adverse maternal and pregnancy outcomes. The COVID-19 pandemic has presented unique challenges for pregnant women. While a growing body of literature has examined the influence of the pandemic on IPV, a few studies have evaluated the effect on those who were pregnant during COVID-19, and its association with adverse birth outcomes. Therefore, this study aimed to determine the prevalence of IPV during pregnancy before and during the COVID-19 pandemic and compare its association with adverse …
Perceptions And Behaviors Related To Social Determinants Of Health Among Associate Degree Nurses, Jodi L. Sutherland, Jolene Kittle, Deborah Palmer, Samantha R. Lewis
Perceptions And Behaviors Related To Social Determinants Of Health Among Associate Degree Nurses, Jodi L. Sutherland, Jolene Kittle, Deborah Palmer, Samantha R. Lewis
Biennial Convention (CONV)
Background/Purpose: Evidence suggests that the social determinants of health (SDOH) impact in-utero infant development, youth development, and adult health across an individual’s lifespan. The purpose of this pilot research study is to examine associate degree nurses’ perceptions, and their behaviors related to SDOH.
Theoretical Framework: Benner’s (2000) novice to expert framework was used to guide the study.
Methods: A cross-sectional study utilized a 20-item online survey titled ‘Perceptions on Social Determinants of Health” as well as demographic items to understand associate degree nurses’ perceptions and behaviors related to SDOH. Institutional Review Board approval was received from the principal investigator’s …
Effect Of Various Lactobacillus Probiotic Strains On Oral Antihypertensive Drug Response: A Systematic Review, Khoirunnisa Ramadhani, Keri Lestari
Effect Of Various Lactobacillus Probiotic Strains On Oral Antihypertensive Drug Response: A Systematic Review, Khoirunnisa Ramadhani, Keri Lestari
Pharmacology and Clinical Pharmacy Research
Hypertension is a major risk factor for cardiovascular disease, and the effectiveness of antihypertensive therapy can be influenced by metabolic and systemic inflammatory factors associated with gut microbiota conditions. Probiotic strains from the genus Lactobacillus have been reported to modulate antihypertensive effects through complex biological mechanisms. This article evaluates experimental evidence from seven in vivo studies on the influence of Lactobacillus strains on the response to antihypertensive drugs, including pharmacodynamic mechanisms and drug–probiotic interactions. The combination of Lactiplantibacillus plantarum with amlodipine enhanced nitric oxide production, increased eNOS expression, reduced IL-6 levels, and improved drug bioavailability, leading to greater blood pressure …
Optimization Of Guava Leaf Extract Cream Formulation Through Variations Of Xanthan Gum And Stearic Acid For Wound Cure In Rats, Ayudia Cipta Khairani, Mia Ariasti
Optimization Of Guava Leaf Extract Cream Formulation Through Variations Of Xanthan Gum And Stearic Acid For Wound Cure In Rats, Ayudia Cipta Khairani, Mia Ariasti
Pharmacology and Clinical Pharmacy Research
Cuts are among the most common skin injuries caused by sharp objects and can lead to infection if not properly treated. Natural ingredients such as guava leaves have been widely investigated for their wound-healing potential. Guava leaves contain bioactive compounds including flavonoids, saponins, alkaloids, and tannins, which contribute to anti-inflammatory, antibacterial, and tissue regeneration processes. This study aimed to formulate and evaluate the physical properties and wound-healing effectiveness of guava leaf ethanol extract cream with varying concentrations of xanthan gum and stearic acid as emulsifiers. The extract was obtained by maceration using 70% ethanol and formulated into four cream formulas …
Drug-Related Problems In Hemodialysis Patients With Chronic Kidney Disease: A Study At X Hospital (January–May 2022), Muhammad Refki Abrari, Jatmiko Susilo
Drug-Related Problems In Hemodialysis Patients With Chronic Kidney Disease: A Study At X Hospital (January–May 2022), Muhammad Refki Abrari, Jatmiko Susilo
Pharmacology and Clinical Pharmacy Research
The prevalence of chronic kidney disease (CKD) in Indonesia has increased from 2.0 ‰in 2013 to 3.8 ‰in 2018. The presence of complex comorbidities associated with CKD causes varied therapy regimens (poly-pharmacy), leading to an increased risk of drug-related problems (DRPs). To overcome these complications, dialysis is often used to remove metabolic waste and rebalance electrolytes to maintain life in patients experiencing rapid loss of kidney function. This study aims to evaluate drugs consumed as well as DRPs experienced by patients diagnosed with CKD undergoing hemodialysis at X Hospital from January to May 2022. The study procedures were carried out …
What Is The Hospital Pharmaceutical Care? Perceptions And Expectations Of Doctors In Interprofessional Collaboration In 2 Types Of Indonesia Hospitals, Anisyah Achmad, Savvy Augustin Tirta, Titi Annisa Bella, Ratna Kurnia Illahi, Bambang Sidharta, Valentina Yurina, Wara Rejeki
What Is The Hospital Pharmaceutical Care? Perceptions And Expectations Of Doctors In Interprofessional Collaboration In 2 Types Of Indonesia Hospitals, Anisyah Achmad, Savvy Augustin Tirta, Titi Annisa Bella, Ratna Kurnia Illahi, Bambang Sidharta, Valentina Yurina, Wara Rejeki
Pharmacology and Clinical Pharmacy Research
Hospital Pharmaceutical Care (HPC) is the pharmacist’s direct responsibility to aim for patient safety and quality of life. HPC is a means of avoiding medication and human errors. Carrying out a HPC requires a good collaboration between doctors and pharmacists in treatment management. The aim of the research was to determine the relationship between doctors’ perceptions and expectations of clinical pharmacists at HPC. This research is descriptive quantitative observational with a cross-sectional approach. The data were collected using purposive sampling (type A hospital) and total sampling (type C hospital) through interviews using perception and expectations questionnaires on doctors’ to pharmacists …
Β-Glucan As A Potential Modulator Of Tgf-Β Signaling And Emt-Driven Resistance In Triple-Negative Breast Cancer, Hanifa Dinda Hayati, Riezki Amalia, Gemilang Lara Utama, Dika Pramita Destiani
Β-Glucan As A Potential Modulator Of Tgf-Β Signaling And Emt-Driven Resistance In Triple-Negative Breast Cancer, Hanifa Dinda Hayati, Riezki Amalia, Gemilang Lara Utama, Dika Pramita Destiani
Pharmacology and Clinical Pharmacy Research
Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer that lacks expression of estrogen, progesterone, and HER2 receptors, limiting the effectiveness of targeted therapies and making chemotherapy the primary treatment option. However, resistance to chemotherapy remains a major clinical challenge, often driven by dysregulation of the transforming growth factor-β (TGF-β) signaling pathway. TGF-β plays a dual role in cancer, initially acting as a tumor suppressor but later promoting tumor progression through mechanisms such as epithelial–mesenchymal transition (EMT), immune evasion, and the establishment of cancer stemness. This review aims to explore the role of TGF-β signaling and EMT …
December 5, 2025 Minutes, Swosu Faculty Senate
December 5, 2025 Minutes, Swosu Faculty Senate
Faculty Senate Minutes
No abstract provided.
Assessing Standardisation Initiatives From The European Data Strategy’S Perspective: A Systematic Review, Nicola M.F. Faraone
Assessing Standardisation Initiatives From The European Data Strategy’S Perspective: A Systematic Review, Nicola M.F. Faraone
Yearbook of Antitrust and Regulatory Studies
The paper seeks to provide for an overview of the most relevant European legislative initiatives related to the process of standardization at EU level. While a specific emphasis will be devoted to the AI Act and the Open Banking/Open Finance framework, also the most recent regulation together with the connected European soft law will be addressed.
Environmental Risk Assessment Of Textile Waste From Bio-Engineered Fibers In The Fashion Industry, Aayush Pankaj Agarwal, Harshit Soral, Irmak Aktan, Karol Montserrat Gonzalez Saad, Maria Daniela Saa Espinosa, Sheetal Suhas Dhanuka, Yi Yang
Environmental Risk Assessment Of Textile Waste From Bio-Engineered Fibers In The Fashion Industry, Aayush Pankaj Agarwal, Harshit Soral, Irmak Aktan, Karol Montserrat Gonzalez Saad, Maria Daniela Saa Espinosa, Sheetal Suhas Dhanuka, Yi Yang
Harrisburg University Dissertations and Theses
The global fashion industry generates over 92 million tons of textile waste annually, a figure projected to increase significantly by 2030. Bio-engineered fibers, including bacterial cellulose, mycelium-based leather, and recombinant protein textiles emerge as sustainable alternatives to conventional fibers. Despite their promise, recent evidence suggests that these fibers may pose environmental risks at the end-of-life stage, such as incomplete biodegradation in landfills, microfiber shedding, and chemical leaching from dyes and coatings. The purpose of this study is to examine how these risks are represented through scientific literature, corporate sustainability reports, and policy frameworks, and to identify strategies for integrating risk …
Chemical Profile Of Earthworm Flour With Kasgot Media Enriched With Cow Blood And Date Pulp, Ikrima Ahdavia, Imra Atun Helmi, Hidayati Nufus, Muhammad Farid, Ahmad Sjahriza
Chemical Profile Of Earthworm Flour With Kasgot Media Enriched With Cow Blood And Date Pulp, Ikrima Ahdavia, Imra Atun Helmi, Hidayati Nufus, Muhammad Farid, Ahmad Sjahriza
Chimica et Natura Acta
Fish meal is used as an ideal protein source for feed with a high level of digestibility but its limited and costly. This study explores earthworm flour as an alternative protein source, cultivated in kasgot (maggot residue) media enriched with organic waste. The novelty of this research lies in using maggot residue as the living medium for earthworms, enhancing the nutritional value of the earthworm flour, making it more beneficial and suitable as an additive protein feed ingredient. The kasgot medium was formulated by mixing boiled cow blood with date pulp fermented with EM4 probiotics in three different ratios: 2:1 …
The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries
The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries
The Role Of The Nursing Associate In Supporting Wholefood Plant-Based Education In General Practice, Sarah Harries
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Case Study Report: The Nursing Associate Role Within Education In Practice And Teaching At University Level, Heidi Johnson
Case Study Report: The Nursing Associate Role Within Education In Practice And Teaching At University Level, Heidi Johnson
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Urgent Radiotherapy For Superior Vena Cava Syndrome In Metastatic Non-Small Cell Lung Cancer: A Case Report, Arpeet Patel, Nilanjan Haldar, Ida Micaily, Michael Greenberg, Evan Nardone, John A. Lippert, Christopher Fundakowski, Adam C. Mueller
Urgent Radiotherapy For Superior Vena Cava Syndrome In Metastatic Non-Small Cell Lung Cancer: A Case Report, Arpeet Patel, Nilanjan Haldar, Ida Micaily, Michael Greenberg, Evan Nardone, John A. Lippert, Christopher Fundakowski, Adam C. Mueller
Department of Radiation Oncology Faculty Papers
Superior vena cava (SVC) syndrome is a life-threatening complication of thoracic malignancies, requiring rapid management in the setting of airway compromise or hemodynamic instability. We present a 59-year-old male with metastatic non-small cell lung cancer (NSCLC) who developed superior vena cava syndrome (SVCS) due to compression from a large mediastinal mass identified as metastatic lung adenocarcinoma. His declining respiratory status progressed rapidly, necessitating intensive care. After extensive multidisciplinary collaboration, the patient was determined fit for inpatient radiation therapy and 10 fractions of 300 cGy external beam radiotherapy to the obstructing lesion was planned. However, the patient was unable to lay …
Perceived Effects Of Verbal Orders On In-Patient Medication Reconciliation And Safety: A Multi-Center Cross-Sectional Study, Yahaya Jafaru, Abubakar K. Sahabi, Mohammed M. Sani
Perceived Effects Of Verbal Orders On In-Patient Medication Reconciliation And Safety: A Multi-Center Cross-Sectional Study, Yahaya Jafaru, Abubakar K. Sahabi, Mohammed M. Sani
Pharmacology and Clinical Pharmacy Research
Medication reconciliation presents significant challenges for healthcare professionals, particularly due to communication gaps that contribute to patient safety incidents. The aim of the study was to investigate the perceived effect of verbal orders on in-patient medication reconciliation and safety. The study was a cross-sectional survey with nurse employees of the three tertiary hospitals in Kebbi State, Nigeria as population of the study. The instrument for the data collection was a 21-items researcher-constructed self-administered questionnaire. Chi-square and binomial regression analysis were used in data analysis. Over two-thirds (70.7%) of the respondents reported a negative perceived effect on the patient’s compliance. The …
Crosstalk Between Gut Microbiota And Antihypertensive Drugs: A Systematic Review, Dhiya'ul Haq, Keri Lestari
Crosstalk Between Gut Microbiota And Antihypertensive Drugs: A Systematic Review, Dhiya'ul Haq, Keri Lestari
Pharmacology and Clinical Pharmacy Research
Hypertension is a multifactorial condition characterized by persistently elevated blood pressure. In addition to genetic and environmental factors, recent studies suggest that the gut microbiota contributes to the development of hypertension and modulates the response to antihypertensive therapy. This review aims to summarize the latest knowledge on the bidirectional interaction between gut microbiota and antihypertensive drugs. Original studies published up to May 2025 on this topic were collected from two online databases: PubMed and Scopus. A total of 220 articles were identified, and 9 articles met the inclusion criteria for further discussion. Three of these included articles discussed how gut …
Anti-Inflammatory Actions Of Trigonella Foenum-Graecum L. In Acute And Chronic Inflammation: Insights From Preclinical Studies, Angel Christella, Dzava P. F. Ismail, Eli Halimah
Anti-Inflammatory Actions Of Trigonella Foenum-Graecum L. In Acute And Chronic Inflammation: Insights From Preclinical Studies, Angel Christella, Dzava P. F. Ismail, Eli Halimah
Pharmacology and Clinical Pharmacy Research
Chronic inflammation is a major factor in various degenerative diseases. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is often the main choice, but long-term side effects such as gastrointestinal irritation and nephrotoxicity limit their use. Therefore, natural alternatives such as Trigonella foenum-graecum (fenugreek) have attracted attention due to their bioactive compound contents with anti-inflammatory properties. This narrative review was conducted through a systematic search of articles from the last 10 years in PubMed and Scopus. Keywords used a combination of MeSH and free terms related to fenugreek and anti-inflammatory agents. In vitro and in vivo studies evaluating the anti-inflammatory effects …
A Predictive Model For Multi- Week Respiratory Risk From Red Tide On Florida’S Gulf Coast., Elmer S. Ochaeta
A Predictive Model For Multi- Week Respiratory Risk From Red Tide On Florida’S Gulf Coast., Elmer S. Ochaeta
Computer Science and Engineering Faculty Publications
Florida’s Gulf Coast red tide (Karenia brevis) can put toxins into the air, making people cough, irritating the throat, and worsening asthma or other breathing problems especially when winds blow from the ocean toward the beach. Right now, most public updates don’t really help with the question people actually ask when planning a weekend or vacation: “Will going to or close to the beach be risky in the next few weeks?”.
In this project, I build a weekly early warning system that estimates respiratory risk for specific beaches and predicts that risk 2 to 4 weeks ahead. The study covers …
First Scholars: Enhanced Institutional Support For First Generation College Students, Genevieve Reside
First Scholars: Enhanced Institutional Support For First Generation College Students, Genevieve Reside
Masters Projects
First-generation college students (FGCS) represent a large proportion of incoming freshmen at higher education institutions. Despite the having a high amount of FGCS, institution supports do not meet the high level of need presented by this student population. Lacking cultural capital that would otherwise be passed along by college-graduated parents, FGCS must navigate unfamiliar college territory on their own, requiring a high volume of support. This project explores the importance of institutional support on education outcomes for FGCS, proposing a comprehensive social and financial support program. The scholarship program, First Scholars, awards increasing scholarship amounts for subsequent years that students …
Expressive Language And Behavior, Bethany J. Butler
Expressive Language And Behavior, Bethany J. Butler
Masters Projects
Research has revealed the importance of language and its correlation with behavior. Although language and behavior are both forms of communication, this project explores young children and their relationship with society. Honing in on the essential importance of efficient expressive language to be able to participate in society. Looking at common barriers that may hinder the language process. Exploring Maslow and his hierarchy of needs, and understanding that the basic needs have to be met before having the ability to learn. In summary, the project focused on how to support the increase in language in different stages.
Racial And Ethnic Disparities In Neoadjuvant Chemotherapy Patterns And Outcomes In Early-Stage Her2-Positive Breast Cancer, Inimfon Jackson, Xiudong Lei, Hui Zhao, Rashmi Murthy, Sharon H Giordano, Mariana Chavez-Macgregor
Racial And Ethnic Disparities In Neoadjuvant Chemotherapy Patterns And Outcomes In Early-Stage Her2-Positive Breast Cancer, Inimfon Jackson, Xiudong Lei, Hui Zhao, Rashmi Murthy, Sharon H Giordano, Mariana Chavez-Macgregor
Faculty, Staff and Student Publications
We examined neoadjuvant chemotherapy (NACT) use, pathological complete response (pCR) and the association with overall survival (OS) among patients with early-stage HER2-positive breast cancer (BC). Patients ≥18 years with stage I-III HER2-positive BC from 2010-2022 who had surgery and chemotherapy were identified. Of 195,023 patients treated with chemotherapy, 37.7% received NACT. NACT use increased from 18.6% in 2010 to 63.4% in 2022 (p < 0.001) and pCR rates rose from 21% to 47.6% (p < 0.001). Black patients were less likely to receive NACT (aOR = 0.96;95%CI 0.93-0.99) or achieve pCR (aOR = 0.86;95%CI 0.82-0.90) than White patients. pCR was associated with a reduction in the risk of death (aHR = 0.45;95%CI 0.42-0.48). 3-year OS increased from 91% in 2010 to 95% in 2019 for patients without a pCR (p < 0.001), and from 97% to 99% for patients with pCR (p = 0.002). Further research is needed to understand and address racial and ethnic disparities in treatment access and outcomes.
Fgf13 Regulates Vgsc-Independent Cardiomyocyte Impulse Propagation Via Cx43 Trafficking, Lala Tanmoy Das, Mattia Malvezzi, Aravind R Gade, Maiko Matsui, Margaret Mckay, Eric Q Wei, Matea J Zelich, Keon Mazdisnian, Jared Kushner, Bi-Xing Chen, Isabella Distefano, Daniel Roybal, Lin Yang, Lisa Stoll, James C Lo, Marian Kalocsay, Fadi G Akar, Steven O Marx, Geoffrey S Pitt
Fgf13 Regulates Vgsc-Independent Cardiomyocyte Impulse Propagation Via Cx43 Trafficking, Lala Tanmoy Das, Mattia Malvezzi, Aravind R Gade, Maiko Matsui, Margaret Mckay, Eric Q Wei, Matea J Zelich, Keon Mazdisnian, Jared Kushner, Bi-Xing Chen, Isabella Distefano, Daniel Roybal, Lin Yang, Lisa Stoll, James C Lo, Marian Kalocsay, Fadi G Akar, Steven O Marx, Geoffrey S Pitt
Faculty, Staff and Student Publications
Background: FHF (fibroblast growth factor homologous factor) variants associate with arrhythmias. Although FHFs are best characterized as regulators of voltage-gated sodium channel (VGSC) gating, recent studies suggest broader, non-VGSC-related functions, including regulation of Cx43 (connexin 43) gap junctions and hemichannels, mechanisms that have generally been understudied or disregarded.
Methods: We assessed cardiac conduction and cardiomyocyte action potentials in mice with constitutive cardiac-specific Fgf13 ablation (cFgf13KO) while targeting Cx43 gap junctions and hemichannels pharmacologically. We characterized FGF13 regulation of Cx43 abundance and subcellular distribution. With proximity labeling proteomics, we investigated novel candidate mechanisms underlying FGF13 regulation of Cx43. …
Using Evidenced-Based Practice To Remove Hyperkeratosis To Improve Wound Healing In Venous Leg Ulcer Patients: A Case Study, Briony Flello
Using Evidenced-Based Practice To Remove Hyperkeratosis To Improve Wound Healing In Venous Leg Ulcer Patients: A Case Study, Briony Flello
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Exploring The Impact Of The Nursing Associate Role On Urinary Tract Infections Within An Acute Elderly Mental Health Setting, Ann Mcdonnell
Exploring The Impact Of The Nursing Associate Role On Urinary Tract Infections Within An Acute Elderly Mental Health Setting, Ann Mcdonnell
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Establishing An Adhd Post-Diagnostic Support Group: A Quality Improvement Report, Katie Alexandra Jones
Establishing An Adhd Post-Diagnostic Support Group: A Quality Improvement Report, Katie Alexandra Jones
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Enhancing Patient Centred Care And Safety By Optimising Team Collaboration And Increasing The Nursing Workforce Capacity, Kayley Pooley
Enhancing Patient Centred Care And Safety By Optimising Team Collaboration And Increasing The Nursing Workforce Capacity, Kayley Pooley
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
Establishing An Adhd Post-Diagnostic Support Group: A Quality Improvement Report, Katie Alexandra Jones
Establishing An Adhd Post-Diagnostic Support Group: A Quality Improvement Report, Katie Alexandra Jones
South West Clinical School Journal
#400WORDS: NATIONAL NURSING ASSOCIATE SPECIAL EDITION
An Innovative Hdm Model For Assessing Renewable Heat Energy Resources In Utility Energy Systems, Mark Alan Ryan
An Innovative Hdm Model For Assessing Renewable Heat Energy Resources In Utility Energy Systems, Mark Alan Ryan
Dissertations and Theses
Renewable Heat Energy projects exhibit numerous unique, complex, and often conflicting characteristics, including varying project sizes, diverse energy resources, stakeholder demands, and significant challenges in energy conversion applications. Traditionally, cash flow analysis and return on investment are the most widely recognized metrics for evaluating remote energy projects. However, numerous quantitative and qualitative factors influence the overall performance and success of Renewable Heat Energy System (RHES) projects. A comprehensive approach using advanced tools is essential for assessing the factors and criteria that significantly impact these projects.
This research investigates the key quantitative and qualitative factors that contribute to the successful implementation …
Enhancing Breast Cancer Detection In Mammographic Imaging Using Explainable Clinical Decision Support System And Framework, Ahed Abugabah, Prashant Kumar Shukla, Piyush Kumar Shukla, Abhishek Dwivedi
Enhancing Breast Cancer Detection In Mammographic Imaging Using Explainable Clinical Decision Support System And Framework, Ahed Abugabah, Prashant Kumar Shukla, Piyush Kumar Shukla, Abhishek Dwivedi
All Works
Breast cancer remains one of the leading causes of mortality among women worldwide, where early and precise detection plays a vital role in improving survival rates and treatment outcomes. However, conventional deep learning approaches often encounter challenges in handling dense mammographic tissues and lack transparency in decision-making, limiting their clinical reliability. To address these limitations, this study introduces TransYOLO-GJO, an explainable and optimized detection framework that integrates transformer-based attention mechanisms into the YOLOv9 architecture and leverages the Golden Jackal Optimization (GJO) algorithm for hyperparameter tuning. The transformer encoder enhances contextual feature extraction, particularly in dense breast regions, while GJO dynamically …