Digital Commons Network^™

Sinus Formation As A Manifestation Of Chronic Periodontitis In Mandibular Anterior Region: A Report On 2 Cases, Anisha Kumari, Shikha Tewari

Journal of Dentistry Indonesia

Background: Periodontitis is defined as an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms, resulting in progressive destruction of the periodontal ligament and alveolar bone. Clinical manifestations of Persistent chronic periodontitis may mimic varied clinical manifestations, including those of apical abscess and systemic involvement.

Case report: This report presents the management of an intraoral sinus mimicking a chronic apical abscess in the mandibular anterior region associated with deep periodontal pockets in two male patients in their early thirties. With careful clinical and radiological examination and ruling out of endodontic and systemic involvement, the …

Antibacterial And Antibiofilm Effects Of Ziziphus Mauritiana Leaf Extract Against Staphylococcus Aureus, Wiwiek Poedjiastoeti, Irvan Septrian Syah Putra Rasad, Felicia Klarissa Tanzil, Indrayadi Gunardi, Armelia Sari Widyarman

Journal of Dentistry Indonesia

Background: Tooth extraction is a common dental procedure often complicated by postoperative infections, with Staphylococcus aureus as a key opportunistic pathogen. Rising antibiotic resistance and side effects of conventional antiseptics like chlorhexidine highlight the need for natural alternatives. This study evaluated the antibacterial and antibiofilm potential of 96% ethanol extract from Ziziphus mauritiana leaves against S. aureus.

Methods: The extract was prepared by maceration and tested in vitro using microdilution for minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) against S. aureus ATCC 25923. Antibiofilm activity was assessed via crystal violet staining on mature biofilms, with …

Correlation Between Maxillary Morphology And Sinus Dimensions In Skeletal Class I, Ii, And Iii Subjects: A Comparative Study, Nida Shaikh, Dipti Shastri, Pradeep Tandon, Gyan Prakash Singh

Journal of Dentistry Indonesia

Background: This study aimed to evaluate variations in maxillary and sinus morphology and their correlations with skeletal malocclusion patterns using CBCT.

Methods: This retrospective study analyzed CBCT records of 70 subjects aged 17–40 years, divided into three groups: Skeletal Class I (N = 25), Class II (N = 25), and Class III (N = 20). Five maxillary skeletal and four sinus parameters were assessed. Intergroup comparisons were performed using one-way analysis of variance (ANOVA) followed by Tukey’s post hoc test. Correlations were evaluated using Pearson’s correlation test. Intra-observer reliability was assessed by re-measuring 8 randomly selected CBCT scans …

Retrospective Cbct Evaluation Of Missed Root Canals And Their Association With Periapical Lesions In A Makkah-Based Population, Mashael Alqahtani, Samia Mohamed Elsherief, Ibtesam Kamel Afifi

Journal of Dentistry Indonesia

Background: Missed root canals are common and can cause persistent periapical disease, making the assessment of their prevalence essential for improving diagnostic accuracy and treatment outcomes. This study aimed to investigate the prevalence of missed canals and evaluate their association with periapical lesions in root canal–treated teeth in the Makkah population.

Methods: This retrospective cross-sectional study analysed 815 cone-beam computed tomography scans obtained from Umm Al-Qura University between 2019 and 2024. Missed canals and their association with periapical lesions were assessed by two independent observers. Statistical analysis was performed using the chi-square test.

Results: Missed canals were …

Comparison Of Chatgpt, Claude Ai, And Dental Students In The Detection Of Artifacts On Panoramic Radiography, Elif Çeçen Erol, Ceren Aktuna Belgin, Gözde Serindere, Kaan Gunduz

Journal of Dentistry Indonesia

Background: Accurate radiographic diagnosis requires images obtained with proper technique. Artifacts are unwanted irregularities or densities not produced by the primary X-ray beam and may obscure anatomical details in radiographic images. This retrospective study aimed to evaluate the performance of ChatGPT, Claude AI, and intern dental students in detecting artifacts in panoramic radiographs (PRs).

Methods: Between January and December 2024, panoramic radiographs of 40 patients containing 74 artifacts (motion, mispositioning, airway/soft tissue, and foreign body/metal artifacts) were retrospectively evaluated. The artifact detection performance of ChatGPT-4.0, Claude AI 3.5 Sonnet, and intern dental students was subsequently evaluated and compared …

Oral Health Behaviors And Oral Health Status In Elementary School Children In East Kalimantan, Indonesia, Lia Hapsari Andayani, Amabelle Elisanditya, Abdul Gani Soulisa, Sri Lestari

Journal of Dentistry Indonesia

Background: Children's oral health can be influenced by various factors, including health behaviors, dietary patterns, and oral health knowledge. This study aimed to determine the correlation between oral health behaviors and oral health status in elementary school children.

Methods: This cross-sectional study involved 182 elementary school children in Bontang, East Kalimantan, taken by convenience sampling. Health behavior data were acquired by 12-item questionnaires based on the WHO guideline. Examination of dental and oral health status was done by using the DMFT Index and OHI-S. Chi-square was used to determine the correlation between oral health behaviors and oral health …

Evaluation Of Drug Use In Inpatient Care: A Retrospective Study At A Tertiary Hospital In Bandung, Indonesia (2024), Aliya Rosyidah Fitrianti, Athoya Delarosa, Husna Muharram Ahadi, Imam Adi Wicaksono, Falerina Puspita

Pharmacology and Clinical Pharmacy Research

Rational drug use is a critical component of improving healthcare quality. However, irrational prescribing remains a significant concern, particularly in developing countries like Indonesia. This study evaluates drug use patterns at a Type B hospital in Bandung using WHO standard: average number of drugs per prescription, percentage of generic drugs, antibiotics, injections, and adherence to the National Formulary. A retrospective, descriptive observational method was applied, using 2024 inpatient Drug Use Evaluation (DUE) data. Findings reveal an average of 3.4 drugs per prescription—slightly above the WHO standard (≤ 3.3); 68.4% of prescriptions used generic drugs (meeting the WHO standard ≥ 59%); …

Comparative Analysis Of The Quality Of Life Of Schizophrenic Patients On Antipsychotic Treatment Between Aripiprazole Monotherapy And Combination Of Risperidone-Clozapine At Mental Hospital In West Java, Taufiqurahman Taufiqurahman, Sani Asmi Ramdani Lestari, Ardilla Kemala Dewi

Pharmacology and Clinical Pharmacy Research

Quality of life (QoL) is a critical outcome measure in schizophrenia management, yet antipsychotic side effects may negatively impact patients' well-being. Objective: This study aimed to compare the QoL of schizophrenia patients receiving aripiprazole monotherapy versus a risperidone-clozapine combination at West Java Mental Hospital. An analytical observational study with a cross-sectional design was conducted at the outpatient clinic of West Java Mental Hospital from March to May 2025. The Indonesian version of the WHOQOL-BREF questionnaire was used to assess QoL. A total of 58 outpatients with schizophrenia who met the inclusion criteria were enrolled, comprising 28 patients in the aripiprazole …

Adherence To Malaria Treatment And Its Associated Factors: A Narrative Review, Lafie Urwatul Wutsqo, Eli Halimah, Sofa Dewi Alfian

Pharmacology and Clinical Pharmacy Research

Malaria is an infectious disease that remains a global health concern, particularly in Asia and Africa. The success of malaria medication largely depends on patients' adherence to the prescribed therapeutic regimen. This article aims to identify the level of adherence to malaria treatment and the factors that influence it, based on observational studies. A narrative review was conducted using the PRISMA approach, involving 12 articles published between 2019 - 2023 from various countries. The results indicate that adherence levels vary widely, ranging from 15.6% to 93.31%, depending on respondent characteristics and the intervention strategies implemented. Factors influencing adherence include patient-related …

Patterns Of Adverse Drug Reactions In Tuberculosis Treatment: A Literature Review, Jasmine R. Aisyah, Ivan S. Pradipta, Widya N. Insani

Pharmacology and Clinical Pharmacy Research

Tuberculosis (TB) treatment is often interrupted by adverse drug reactions (ADRs). However, few studies have thoroughly examined these ADR patterns in TB treatment, and no research has assessed the prevalence of ADRs in specific organs. This narrative review describes the patterns of ADRs in tuberculosis treatment, including how common each type is and its impact on organs across different countries and populations. A structured narrative literature review was conducted to identify relevant original studies published in PubMed database between 2019 and 2025. The search combined Medical Subject Headings (MeSH) and free-text terms related to ``tuberculosis'' and ``adverse drug reactions''. Eligible …

Final Project Report Emergency Supply Management Team, Gregory Cole, Rory Duncanson, Kaelin Leishman, Paulina Warner

Engineering Senior Design Reports

This project is designed to deliver upon the requirements and expectations of Dr. Mehran Aminian of St. Mary’s University. As the project sponsor, he requested an iterative improvement upon the work of previous years’ senior design projects. These projects focused on supplying water to areas in deserts over long periods of time without water supply replenishment. Now, our team seeks to adapt the design to emergency situations, particularly natural disaster relief efforts. In such emergency situations, it can be helpful to be able to deliver supplies and retain needed personnel elsewhere. To meet this need, Dr. Aminian has asked us …

Enhancing Assessment Tools For Foster Youth: A Phenomenological Approach To Preparing For Independent Living, Karen M. Armstead

Journal of Nonprofit Innovation

Abstract

Foster youth transitioning to independent living often face challenges that extend beyond technical life skills. This qualitative phenomenological study explored the lived experiences of 10 former foster youth (ages 18–21) regarding readiness for independent living and the adequacy of preparation they received. Semi-structured interviews were guided by an 18-question instrument reflecting real-world transition domains commonly addressed by nonprofit independent living programs. Thematic analysis yielded three primary themes: (1) lack of preparation, (2) emotional strain and abandonment, and (3) life skills training. Findings indicate that readiness is multidimensional and shaped by practical preparation, emotional readiness, and relational support. For nonprofit …

Framing Digital Donation: Innovation And Audience Engagement In Short Video Fundraising On Douyin, Qiuyi Chen

Journal of Nonprofit Innovation

Short video platforms are increasingly adopted by nonprofit organizations as tools for charitable communication and fundraising. However, limited research has examined how donation appeals are structured and interpreted within these environments. Existing studies focus on emotional appeal, influencer involvement, and algorithmic visibility, yet donation is often treated as a behavioral outcome rather than as a communicative process.

This study conceptualizes charitable donation as a social situation that must be framed and recognized by audiences in short video contexts. Drawing on Goffman’s frame analysis and employing the Visual–Verbal Video Analysis (VVVA) method, the study analyzes 32 publicly available videos from a …

An Improved Logarithmic Ratio-Product Type Estimator For Mean Modeling And Estimation Under Neutrosophic Uncertainty, Anchal Yadav, Mukesh Kumar

Neutrosophic Systems with Applications

In classical statistics, population mean estimation generally assumes precise and determinate data along with known auxiliary information. However, in real-world situations where observations are imprecise or expressed in interval form, such as temperature variations or financial market data, classical approaches become less effective. To address this limitation, neutrosophic statistics provide a more flexible framework for handling uncertainty and indeterminacy. This study proposes a neutrosophic logarithmic ratio-product type estimator for estimating the finite population mean using auxiliary information. The bias and mean squared error (MSE) of the proposed estimator are derived using a first-order approximation. Furthermore, performance evaluation is carried out …

Uncertainty Handling In Stock Market Prediction: A Fuzzy Markov Chain Approach, Alpa Singh Rajput, Arpan Singh Rajput

Neutrosophic Systems with Applications

Predicting the stock market is never easy because it is influenced by many uncertain and constantly changing factors such as economic conditions, investor behaviour, and global events. Traditional models like the Crisp Markov Chain (CMC) try to predict market movements by using fixed probabilities for different states like bullish, bearish, or stagnant. However, real markets do not behave in such a strict way—they often move gradually between states, which these models fail to capture. To overcome this limitation, this study introduces a Fuzzy Markov Chain (FMC) model, where fuzzy logic is used to handle uncertainty and allow smoother transitions between …

Modeling Agentic Artificial Intelligence Uncertainty In Agriculture Based 6generation: A Hybrid Q-Rung Orthopair Fuzzy Mcdm Methodology, Zekra Sakr, Mona Mohamed

Neutrosophic Systems with Applications

In era of advanced intelligent revolutions, the collaboration between intelligent technologies became imperative. For instance, integrating 6G communications with agentic artificial intelligence considered a catalyst to shift agriculture sector into optimized and intelligence sector. This integration resulted in transitioning the sector from static automation to autonomous, agent-based ecosystems. Accordingly, the efficiency roles for artificial intelligence agents (AIAs), deploying and selecting optimal AIA is important. Yet, selection process is still difficult because agricultural criteria are multifaceted and there are inherent environmental uncertainties. To address these challenges and bolster the selection process, this paper suggests a hybrid multi-criteria decision-making (MCDM) that bolstered …

Feast And Faith: An Ethnographic Study Of Communication And Culture In Noemuti's Fole Mako, Inosensius Enryco Mokos

Paradigma: Jurnal Kajian Budaya

This article investigates Fole Mako, a significant traditional communal feast in Noemuti, North Central Timor, Indonesia. The event is analyzed in the context of its deliberate timing to coincide with the 100th anniversary of the Sacred Heart of Jesus Parish and the consecration of a new church. Using the Ethnography of Communication framework, a detailed analysis is provided of the intricate communication practices, profound cultural meanings, and vital social functions embedded within this elaborate feast. Data for the study were meticulously collected through direct observation and engaged participation. The findings reveal that Fole Mako is much more than a mere …

Therapists’ Perspectives On Female Patients’ Recovery From Sexual Violent Trauma Committed By Familiar Offenders, Lauren S. Doran

Walden Dissertations and Doctoral Studies

A mental health therapist is a licensed professional who is trained to identify any barriers or regression during the recovery process with their female patients’ psychological experiences from sexual violent trauma (SVT) perpetrated by a degree of familiar offenders. In this study, the therapists’ perceptions identified the impact of the SVT committed by a familiar offender toward the female victim’s recovery process. The theoretical foundation included betrayal trauma theory, moral injury, and victimology. The research question addressed how therapists described the psychological recovery of female patients who experienced sexual violence by a familiar offender. The research design was data collection …

Perceptions Of Novice Elementary Teachers Working In Mainstream Classrooms With English Language Learner Students, Cristin Mccue

Walden Dissertations and Doctoral Studies

Research indicates preservice teacher training frequently does not foster the pedagogical and linguistic expertise required to support students developing English proficiency. The problem addressed through this study was that novice teachers do not have the skills and knowledge to meet the learning needs of English language learners (ELLs) in mainstream classrooms. Guided by the integrated collaborative learning approach, the purpose of this basic qualitative study was to examine how novice teachers perceive the challenges of supporting ELLs in mainstream classrooms and the types of support they believe are necessary for student success. Data were collected through semistructured interviews with 10 …

Strategies To Improve Caregiver Satisfaction With Telehealth In Autism Care, Navid Dezhnabadi

Walden Dissertations and Doctoral Studies

The increasing use of telehealth in autism care has created opportunities to improve caregiver satisfaction as it remains a critical challenge in pediatric specialty settings. The purpose of this integrative review was to identify strategies that healthcare administrators can implement to improve caregiver satisfaction with telehealth platforms and optimize care delivery for autism patients. Using an integrative review methodology and viewed from the lens of the unified theory of acceptance and use of technology framework, evidence from 20 research and non-research sources published between 2018 and 2025 were analyzed, using the Johns Hopkins nursing evidence-based practice model and synthesized. The …

Successful Strategies Business Leaders Use To Implement Artificial Intelligence For Achieving Financial Benefits, Swain C. Riley

Walden Dissertations and Doctoral Studies

Ineffective implementation of artificial intelligence (AI) strategies can erode organizational performance. Senior business leaders who struggle to integrate AI into core operations may find their organizations facing increased costs, reduced efficiency, and weakened competitiveness. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies business leaders use to implement AI technologies to reduce costs and improve profitability. The participants were 10 senior business leaders who successfully implemented AI strategies within their organizations and were recruited via professional networking platforms. Data were collected through semistructured interviews and publicly available …

Peran Strategis Kesenian Nusantara Dalam Peta Jalan Indonesia Emas 2045, Muhammad Nur Salim, Harun Isma'il

Paradigma: Jurnal Kajian Budaya

The Indonesia Emas (Golden Indonesia) 2045 vision, which targets Indonesia's transformation into a developed nation, tends in practice to prioritize material development (economy, technology) at the risk of neglecting the nation's character-building. This article argues that the arts of the archipelago must be positioned as a strategic driver to address this gap. Using a literature study method and the conceptual frameworks of Soft Power and Creative Economy, this paper proposes a Cultural Roadmap based on three fundamental pillars. The first pillar is the Revitalization of Arts-Based Education to shape superior human resources with strong character and creativity. The second is …

Multicultural, Trauma‑Informed Feeding Protocols For Children With Spd In Student‑Led Ot Clinics, Matt Crummel

Capstone Projects

This capstone project aims to develop and implement feeding protocols for children with sensory processing disorders in a student-led occupational therapy clinic, emphasizing trauma-informed care and multicultural practices. By creating evidence-based interventions and fostering interdisciplinary collaboration, the project seeks to enhance therapeutic outcomes while providing OT students with hands-on learning experiences. OT is a healthcare profession that enhances individuals’ independence in daily activities through personalized interventions targeting physical, sensory, and cognitive skills. Student-led OT clinics offer a valuable learning environment where students work under licensed clinicians to provide therapeutic care.

Sensory processing disorders (SPD) significantly impact feeding behaviors, often leading …

Comparison Of Chop And R-Chop For Treatment Non-Hodgkin Lymphoma, Yogyakarta, Indonesia: A Cost-Effectiveness Analysis, Woro Supadmi, Rizky Gustinanda, Lalu M. Irham, Riat El Khair

Pharmacology and Clinical Pharmacy Research

CHOP and R-CHOP are commonly used chemotherapy regimens for Non-Hodgkin Lymphoma (NHL). While R-CHOP has demonstrated clinical benefits, its higher cost raises concerns regarding economic efficiency, particularly in middle-income countries such as Indonesia. This study aimed to compare direct medical costs and clinical outcomes of CHOP and R-CHOP regimens among NHL patients treated at a national referral hospital in yogykarta. A retrospective cohort study was conducted using medical record data of NHL patients who received CHOP or R-CHOP chemotherapy at Dr. Sardjito General Hospital Yogyakarta, between 2020 and 2023, with follow-up extended until April 30, 2025. Clinical outcomes included overall …

Balanced Scorecard In Healthcare Facilities: A Ten-Year Review Of Strategies To Improve Organizational Effectiveness, Larasati Tunggadewi, Sofa Dewi Alfian, Auliya A Suwantika

Pharmacology and Clinical Pharmacy Research

The Balanced Scorecard (BSC) has increasingly been adopted as a strategic performance management framework within healthcare organizations. Evidence from the past decade shows varied implementation outcomes, shaped by institutional readiness, leadership commitment, and the maturity of health information systems. This narrative review synthesizes findings from 47 scientific articles selected through a systematic screening process, covering studies conducted in hospitals, primary health centers, and pharmacy units in Indonesia, Morocco, Iran, China, and other countries. The studies employed case study and descriptive cross-sectional designs using both quantitative and qualitative approaches. Overall, BSC implementation contributed to improvements in service performance across the financial, …

Exploring Protein-Protein Interactions: A Promising Avenue For Biomarker And Anti-Tb Drug Development, Rajwa Dwifauza Suryanto, Maritsa Widati Aqila Rumawan, Imam Adi Wicaksono

Pharmacology and Clinical Pharmacy Research

In 2023, tuberculosis (TB) reached its highest incidence with 8.2 million new cases reported by the World Health Organization (WHO). The virulence of Mycobacterium tuberculosis (MTB) is strongly governed by protein-protein interactions (PPIs) that regulate essential processes such as cell wall biosynthesis, immune evasion, and persistence. This study aims to map and analyze the mechanisms of key PPIs in MTB using a scoping review approach. Data was retrieved from PubChem and related literature with the keyword ``PPIs Network TB''. Our findings highlight crucial PPI-driven mechanisms, including the role of DprE1/DprE2 in arabinogalactan synthesis, VapB4/VapC4 in stress response and self-toxicity, ESX-1 …

Low To Moderate Intensity Home-Based And Online Exercise For Cognitive Health In Older Adults: A Narrative Review, Novita Salim, Melisa Intan Barliana, Anna Meiliana

Pharmacology and Clinical Pharmacy Research

Cognitive decline represents one of the most pressing public health challenges associated with global population ageing, prompting growing interest in accessible and scalable exercise-based interventions. This narrative review synthesizes evidence from 15 randomized controlled trials to compare the cognitive effects of 3 exercise modalities in older adults across varying cognitive and functional profiles: conventional aerobic and resistance training, exergame-based interventions, and dual-task or multicomponent training. Interventions were evaluated on their capacity to improve global cognition, executive function, working memory, and attention, with additional consideration of adherence, supervision format, and implementation feasibility. The evidence consistently demonstrates that dual-task and multicomponent training …

Understanding Higher Education Resources: A Critical Policy Analysis Of The Fafsa Simplification Act Of 2019 Implementation At A Private, Catholic University, Jasmine Hamm

LMU Theses and Dissertations

The qualitative study examined a private, Catholic university’s implementation of the FAFSA Simplification Act of 2019 alongside the broader, layered federal and state policies involved in financial aid award allocation in higher education (Glaser & Strauss, 1967; Rubin & Rubin, 2011; Strauss & Corbin, 1990). Critical Policy Analysis and Institutional Theory guided the research in examining (1) policy development, (2) implementation, (3) external pressures, and (4) organizational adaptation (Diem et al., 2014; Meyer & Rowan, 1977). Eight administrators and staff members who worked in the Enrollment Management Division and the Financial Aid Office were interviewed regarding the implementation of the …

Exploring Learning Analytics (La), Artificial Intelligence (Ai) And User Feedback To Evaluate The Impact Of Webxr In Distance Education, Kamran Mir, Geraldine Gray, Ana Elena Schalk, Muhammad Zafar Iqbal

Research Outputs: 2025-Present

This study explores the use of Learning Analytics (LA), artificial intelligence (AI), and user feedback to evaluate the impact of immersive WebXR content in distance education. It examines how the integration of WebXR with generative AI agents into Moodle, a widely used virtual learning environment (VLE), can enhance student engagement, learning outcomes, and satisfaction. The research design includes two learner groups: an experimental group interacting with AI-enhanced WebXR environments, and a control group receiving the same course content of ICT subject, through conventional online learning design methods. Using LA combined with the DeLone and McLean Information Systems Success Model, the …

Global Study On Newborn Hospitalization And Parental Experiences (Hope): Rationale And Design Of A Multinational Cross-Sectional Mixed-Methods Online Survey, Hope Study Working Group, Julia Hoffmann, Ruth Kemper, Helmut Hummler, Ayse Düzenli, Luc J I Zimmermann, Silke Mader, Christina Tischer, Jos Latour

School of Nursing and Midwifery

INTRODUCTION: Newborns who are born too soon, too small or sick are a vulnerable group who require special/high-dependency/intensive care after birth. Infant and Family-Centred Developmental Care (IFCDC) is an integrated healthcare approach that prioritises and values parental/familial involvement and participation by fostering competencies in essential newborn care skills and thus parental empowerment. There is a paucity of data globally on the IFCDC practice and the challenges faced by parents/caregivers during hospitalisation and post-discharge and the potential country-specific support.

OBJECTIVE: The primary objective of the HOPE study (Global Study on Newborn HOspitalization and Parental Experiences) is to assess parents'/caregivers' experiences, needs …