Digital Commons Network^™

Perspective In Biomedical Sciences Field: Education And Career, Fitra Adi Prayogo, Mellyaning Oktaviani Sonya Kirana Sari, Isy Royhanaty, Poppy Fansisca Amelia, Heni Wijayanti, Ni Nyoman Maryaningtyas Adinatha, Dyah Wulandari, Anto Budiharjo

Chulalongkorn Medical Journal

Abstract

Background: The biomedical sciences represent a dynamic and multidisciplinary field pivotal to advancing human health through research, education, and innovation.

Objective(s): This review explores the evolving landscape of biomedical education and career pathways, driven by technological advancements, interdisciplinary integration, and global health demands.

Methods: We examine the distinctions between biomedical science, biomedicine, and biomedical engineering, highlighting their historical origins and contemporary roles. The education and career trajectories of biomedical laboratory scientists (BLS) are analysed, emphasising diverse competencies, core curricula, and the impact of regional policies on professional qualifications. Emerging trends and ethical/regulatory challenges are discussed.

Result(s): Key trends include …

Sequential Presentation Of Diabetic Ketoacidosis, Acute Ischemic Stroke, And St-Elevation Myocardial Infarction: A Case Report, Ichlasul Mahdi Fardhani, Putu Aditya Darmawan Kuntadi, Hammam Arif Shabri, Muhammad Isra Rafidin Rayyan, Zarrah Yuniar Qolbi Harris, Tristi Lukita Wening, Azham Purwandhono

Chulalongkorn Medical Journal

Cardio-cerebral infarction (CCI), the simultaneous occurrence of acute ischemic stroke (AIS) and acute myocardial infarction (AMI), is a rare and life-threatening emergency. Management becomes even more challenging when accompanied by metabolic complications like diabetic ketoacidosis (DKA). We report a case of a 45-year-old man with hypertension and a chronic smoking history, found unresponsive with right-sided hemiparesis. He was last seen well six hours before arrival. On examination, he was hypertensive, tachypneic, had a ketotic breath odor, GCS 12, and NIHSS 15. Laboratory results confirmed DKA, with a random blood glucose of 412 mg/dL and metabolic acidosis. Non-contrast brain CT revealed …

Effect Of Music Therapy On Biophysical Profile And Oxygen Consuption In Preterm Babies In A Rural Hospital., Mahaveer Singh Lakra, Roshan Prasad, Ashwini Lakra, Amar Taksande, Revat J. Meshram, Sagar Karotkar, Mayur Wanjari

Chulalongkorn Medical Journal

Introduction: Music therapy in preterm babies helps in early weight gain, stabilization of heart and respiratory rates, and affect the biophysiological profile. It has a beneficial effect on oxygen consumption and hospital stay. Objectives: This study aimed to assess the effect of music therapy on biophysical profile and oxygen requirement in preterm babies. Methodology: The present comparative, observational study was carried out in the department of neonatology, a rural tertiary care hospital, Sawangi Meghe, Wardha, Maharashtra, India, for one year. All the relevant data was collected and analyzed using the prevalidated Performa. Results and observations: The male-to-female ratio both …

Performance And Cost Comparison Of A Rapid Diagnostic Test For Malaria And Microscopy. A Cross-Sectional Diagnostic Study, Abubakar Sunusi Ishak, Habibu U. Isgogo, Abubakar A. Lawan, Yuda Chongpison

Chulalongkorn Medical Journal

Background: The shift from traditional microscopy to rapid diagnostic tests (RDTs) for malaria diagnosis is gaining popularity, especially in resource-limited settings with unstable electricity and limited expertise. However, trust issues arise due to the inconsistent performance of different RDT kits.

Objectives: This study identified the variations in performance and cost of an RDT brand for malaria among different population demographics: pregnant women, young children, and adults, when compared with microscopy as a gold standard.

Method: The research was carried out in northwestern Nigeria and involved 360 participants stratified into 3 groups: children (5–17 years), adults (≥ 18 years), and pregnant …

Clinical Characteristics Of Cystic Biliary Atresia, Kanokrat Thaiwatcharamas, Sinobol Chusilp, Katawaetee Decharun, Pachareeporn Tanming, Nimmita Srisan, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Background & Objective: Cystic biliary atresia (BA) is a unique form of BA. Our objective was to review the clinical characteristics of cystic BA in order to better understand its nature.

Methods: We retrospectively reviewed all infants diagnosed with cystic BA during January 2005 to December 2019. The diagnosis of BA was confirmed in all cases by laparotomy. Clinical data, pre-operative laboratory and imaging, intraoperative findings, and post-operative outcome were recorded. Data were expressed as mean and SD.

Results: There were 14 cystic BA patients out of the 227 BA patients (6.2%) during the studied period. The mean pre-operative ultrasound …

Superior Mediastinal Cut-Off Measurements In Chest Radiographs For Screening Of Silent Thoracic Aortic Diseases, Kantheera Leesmidt, Boonyarit Sintuvikaiwong, Apichaya Sripariwuth

Chulalongkorn Medical Journal

Objective: To determine cut-off values for superior mediastinal width and the mediastinal width-to-thoracic cage ratio from chest radiographs for the early detection of unrecognized thoracic aortic diseases. Additionally, this study aims to enhance diagnostic strategies for identifying aortic abnormalities.

Materials and Methods: This retrospective analysis included 152 subjects who underwent both computed tomography angiography (CTA) of the thoracic aorta and chest radiograph between April 2007 and January 2021. Superior mediastinal width was measured at 3 levels on chest radiographs. Thoracic CTA findings were categorized into normal and abnormal groups, the latter comprising aortic dissection, intramural hematoma, penetrating atherosclerotic …

Aircraft Wastewater Surveillance As A Tool For Monitoring Disease In The Pacific, Carla J. Eaton, Joanne R. Chapman, Brent J. Gilpin

Pacific Journal of Health

Wastewater surveillance is a powerful tool for monitoring infectious diseases within a population. However, as most wastewater surveillance relies on interconnected wastewater networks to provide samples representative of the population, many Pacific Islands have been excluded from benefiting from this tool due to their lack of reticulated sewerage systems. Many diseases of concern for the Pacific are detectable in wastewater even though individuals may be asymptomatic. We investigated whether analysis of wastewater from aircraft arriving in New Zealand from Pacific Island nations could be used as a proxy for in-country surveillance. Flights from the Pacific arrive in Auckland daily, with …

Lowering Of The Lowered: The ‘Spectacular’ Construction Of ‘Humiliation’ In The Indian Prevention Of Atrocities Act 1989, Ashna Singh

National Law School of India Review

The Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Act, 1989 is the only law in India that explicitly recognises caste-based insults or hate speech as an offence. In doing so, it captures the distinctive harm of such speech as humiliation. This article focuses on Section 3(1)(r) of the Act and argues that this recognition is significantly qualified by the “public view” requirement. Drawing on socio-political scholarship on humiliation, I show that judicial interpretation of this requirement has produced an extra-legislative condition of spectacularity. Courts tend to read caste-based humiliation through the paradigm of visible, overt, and collective atrocity, …

Integrating Artificial Intelligence Into Fnp/Dnp Simulation To Enhance Clinical Competency, Doris K. Gonzales

SACAD: Scholarly Activities

Abstract  

This poster presents a theoretically grounded, AI-integrated simulation program design structured across 3-4 semesters of Family Nurse Practitioner (FNP) and Doctor of Nursing Practice (DNP) education. This program is designed to support the development of clinical judgment and diagnostic reasoning among FNP students. Guided by Tanner’s Clinical Judgment Model and Roy's Adaptive Model as Theoretical Framework. The program addresses identified gaps in differential diagnosis and role transition from Registered Nurse (RN) to FNP practice. A needs assessment informed the development of a semester-sequenced curricular framework integrating AI-supported simulation across four semesters. The proposed design illustrates how progressive simulation experiences …

An International Approach To Homelessness. Part Ii. Slums Demolition Or Upgrading?, Pranit Lanjewar, Jaroslaw Richard Romaniuk

Faculty Scholarship

In search of the best approach to eradicating homelessness in underdeveloped countries with large populations, we conducted interviews with professionals involved in different models of helping the unhoused. Although it has been established that the Housing First model combined with human services is the best model to end homelessness, the cost of housing might be prohibitive for many national governments. In situations where governments are over-whelmed by the numbers of homeless people, communities and organizations develop specific methods and practices to meet the needs of unhoused individuals. For the purpose of this paper, phenomenological research was undertaken to learn how …

Manfaat Latihan Kekuatan Otot Terhadap Kadar Hba1c Pada Orang Dewasa Dengan Prediabetes: Laporan Kasus Berbasis Bukti, Owen Paruhum Simanjuntak, Anna Mira Lubis

Jurnal Penyakit Dalam Indonesia

Prediabetes is a metabolic condition of impaired glucose homeostasis which results in elevated blood glucose levels. Besides the higher risk of developing diabetes, prediabetes is associated with increased risk of cancer, dementia, heart failures, and coronary artery disease. The common first line treatment regimen given to this group are healthy diet and aerobic exercise. However, some conditions might prevent patients from doing aerobic exercises therefore there is a need for alternatives. This evidence-based case report aims to evaluate the benefit of resistance training on HbA1c levels compared to control group (no exercise) in prediabetic adults. Literature search was conducted across …

Campak Dan Vaksinasi Campak Pada Orang Dewasa, Robert Sinto, Sukamto Koesnoe, Erni Juwita Nelwan, Alvina Widhani, Sharifah Shakinah, Adeline Pasaribu, Bernadine Gracia Duindrahajeng, Suhendro Suwarto, Leonard Nainggolan, Lie Khie Chen, Adityo Susilo, Suzy Maria, Anshari Saifuddin Hasibuan, Bramantya Wicaksana

Jurnal Penyakit Dalam Indonesia

Measles is a highly contagious viral infection that remains a significant global health problem despite the availability of an effective vaccine. Measles re-emergence is driven by gaps in immunization coverage, waning post-vaccination immunity, and increased population mobility. In adults, measles infection is associated with greater disease severity compared to children. This literature review was conducted by reviewing recent scientific publications addressing the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, complications, and prevention of measles, with a focus on the adult population.  Measles is caused by an RNA virus of the Paramyxoviridae family and is transmitted through respiratory droplets and aerosols. Typical …

Efficiency Comparison Of Reduced Graphene Oxide (Rgo) Composite-Incorporated Polyacrylonitrile Nanofibrous Filters For Respirable Crystalline Silica Dust And Coal Dust, Mahsa Moradi, Ashish Kakoria, Lina Zheng, Guang Xu

Mining Engineering Faculty Research & Creative Works

The health of miners working in underground mines is greatly threatened by their exposure to respirable crystalline silica (RCS) found in coal dust. While coal dust includes RCS, it is important to know the specific filtration efficiency for RCS particles compared to coal dust to improve protective measures. This study compares the filtration efficiency of reduced graphene oxide (rGO) composite-incorporated Polyacrylonitrile (PAN) nanofibrous filters at four different concentrations of rGO (0, 2, 6, and 10 wt.%) for RCS particles and coal dust. The filters were made using the electrospinning method. They were tested separately with RCS particles and coal dust …

The Lost Art Of Play: Recovering Joy, Creativity, And Purpose In Sports, Darin Keizer

Staff Work

"The pursuit of excellence should not have to come at the cost of creativity, joy, or worship."

Posting about ­­­­­­­­a Christian perspective on sports from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

The Lost Art of Play

Child Welfare Upholds Black Family Separation While Denying Essential Constitutional Protections, Samantha Nichol

UC Law Journal of Race and Economic Justice

This note examines the refusal to expand constitutional protections to include proceedings concerning child welfare. A system that largely mirrors and works in tandem with the criminal system, which enjoys robust constitutional safeguards. Important to the analysis of the rejection of these protections is an acknowledgement that child welfare, or welfare more broadly, is a system that upholds racial power structures and a tradition of family separation. Just as the overincarceration of Black people has been acknowledged by legal scholars to be a particular badge and incident of slavery, the child welfare system should also be critiqued as a system …

The Private Prison Problem: Finding Pathways To Justice In HawaiʻI, Nathan Lee

UC Law Journal of Race and Economic Justice

This article considers the many obstacles in place to challenging private prison operation. Given decades of meaningful scholarship and legal activism on the “private prison problem”, it is puzzling that successful challenges to privatized incarceration remain elusive. This article seeks to introduce the lengthy and tragic history of Hawaiʻi’s use of out of state private prisons, stretching from 1995 to the present. For 30 years, people have been sent thousands of miles from home, effectively banished. Worse, Hawaiʻi has failed to take appropriate action to implement oversight or to bring individuals back home. Moreover, despite Hawaiʻi’s prominent involvement in private, …

Inverse Problem Of Determining Initial Conditions In A Mixed Problem For A Two-Dimensional Hyperbolic Equation, Yashar T. Mehraliyev, Elvin I. Azizbayov

Baku Mathematical Journal

The article deals with the determination of initial conditions in a mixed problem for a two-dimensional hyperbolic equation. First, the uniqueness of the solution to the corresponding initial–boundary value problem is established. Then, by imposing certain restrictions on the given data, the existence of a solution to this problem is demonstrated. Furthermore, existence and uniqueness theorems are proved for the associated inverse problem of determining the initial conditions.

Chronic Post-Mastectomy Pain: Insights Into Mechanisms, Prevention, And Treatment Approaches, Abdulaziz H. Algain

Journal of Medical Rehabilitation Science

Chronic post-mastectomy pain (CPMP) is a prevalent and significant concern for many breast cancer surgery patients, affecting between 25% and 60% of females within the first year after surgery. This multifactorial condition arises from a combination of peripheral nerve injury, central sensitization, and immune-mediated inflammation. Although no single intervention can fully prevent CPMP, a comprehensive, multidisciplinary approach that addresses the biological, psychological, and social aspects of pain is crucial for enhancing the quality of life for breast cancer survivors. It is often underrecognized by clinicians, who may attribute pain to the expected postoperative recovery process, while patients sometimes accept discomfort …

The Roles Of The Human Resources Management Director And Their Impact On Entrepreneurial Training:An Analytical Study At The Ministry Of Labor And Social Affairs, Ali Abd Al-Salam Abd Al-Daem

Muthanna Journal of Administrative and Economics Sciences

The research problem lies in the weak level of entrepreneurial training in Iraqi ministries despite the importance of the strategic roles of human resources management. The research gap is represented by the scarcity of empirical studies that measure the relative impact of the roles of the HR manager (according to Ulrich’s model) in activating entrepreneurial training within the Iraqi public sector environment. Accordingly, this study aims to analyze the relationship between the roles of the Human Resources Management Director—as a strategic partner, administrative expert, developmental supporter, and change agent—and their impact on activating entrepreneurial training at the Ministry of Labor …

The Economic Impacts Of Climate Change And External Shocks On Tourism Demand In The Kurdistan Region Of Iraq: Econometric Modeling For The Period (2007–2023), Asst. Prof. Dr. Khadeeja Qader Same, Asst. Prof. Dr. Aswad Qadir Ahmed

Muthanna Journal of Administrative and Economics Sciences

This study aims to Analysis of the Economic Impacts of Climate Change and External Shocks on Tourism Demand in the Kurdistan Region for the Period (2007-2023), utilizing a rigorous econometric methodology that includes unit root tests, Granger causality, and the Autoregressive Distributed Lag (ARDL) model to verify long-term equilibrium relationships through the Bounds Test. The results revealed a “developmental paradox,” where tourism demand grows annually by 18.51% despite a steady rise in temperatures, a decline in rainfall by approximately 3.15 mm per year, and an increase in dust storms. The econometric modeling proved that every unit increase in temperature inflicts …

Approved Courses 3-31-26, Angela Brock

Individual Course Committee (ICC)

No abstract provided.

Dairy And Food Science Student Newsletter, March 31, 2026, Department Of Dairy And Food Science

Dairy and Food Science Student Newsletter

No abstract provided.

The Importance Of Proximal Non-Obstructive Plaque For Predicting Risk Of Future Acute Coronary Syndrome In Stable Cad: Prognostic Value Of Coronary Ct Angiography, Har R. S. Dhillon, Hilfan A. P. Lubis, Yuke Sarastri, Andre P. Ketaren, Teuku B. Haykal

Journal of the Hong Kong College of Cardiology

Objective: To evaluate the prognostic value of proximal non-obstructive coronary plaques detected by coronary computed tomography angiography (CCTA) in predicting acute coronary syndrome (ACS) among patients with stable coronary artery disease (CAD). Methods: This retrospective cohort included patients with stable CAD who underwent CCTA at Adam Malik General Hospital, Medan, between January and December 2023. Of 458 patients with non-obstructive plaques, 416 met inclusion criteria and were followed for 18 months. Patients were classified into proximal involvement (left main, proximal left anterior descending artery, proximal left circumflex artery, or proximal right coronary artery) and non-proximal groups. The primary endpoint was …

Approach To Management Of Grown-Up Cyanotic Congenital Heart Disease, Pak-Cheong Chow

Journal of the Hong Kong College of Cardiology

Despite of advances in cardiac and surgical care, some children with complex congenital heart disease remain cyanotic in adulthood. The grown-up cyanotic congenital heart diseases are heterogeneous due to their underlying cardiac anatomy and physiology. Other than cardiovascular problems, they patients are also faced with multi-system complications in the long run. Therefore, these patients need nuanced and comprehensive assessment, regular follow-up monitoring, and multi-facet management. In this article, the types and classification of cyanotic congenital heart diseases, the multi-system complications and the approach to assessment and treatment will be presented.

Emotional Intelligence Of Early College High School Juniors, Donna M. Besant

Morehead State Theses and Dissertations

A capstone submitted in partial fulfillment of the requirements for the degree of Doctor of Education in the Ernst and Sara Lane Volgenau College of Education at Morehead State University by Donna M. Besant on March 31, 2026.

Operating Fund Budget/ Expenditure Summary Report 3rd Quarter 2025-26, Csusb Budget Office

University Budget Office records

No abstract provided.

Leveraging Accounting Analytics To Enhance Payroll Accuracy And Fraud Detection In U.S. Public Sector Institutions: A Case Study Approach, Regina Debrah

Beacom School of Business Student Publications

This study explores how accounting analytics can be leveraged to enhance payroll accuracy and improve fraud detection in U.S. public-sector institutions, addressing persistent irregularities amid rising demands for fiscal transparency. The research employs a qualitative design with secondary sources including academic literature, reports, and case studies. The literature identifies successful analytics implementation, such as Treasury OPI’s machine learning for data integration for unemployment claims. These precedents demonstrate direct transferability to payroll’s high volume and rules-based structure. Findings show that analytics significantly reduce improper payments through real-time screening, data integration, and risk prioritization when embedded in workflows. The findings also show …

Analisis Disparitas Geospasial Dan Determinan Sosio-Demografis Masalah Kesehatan Jiwa Di Indonesia: Analisis Data Survei Kesehatan Indonesia (Ski) 2023, Alya Zahrah Zhafirah, Sutanto Priyo Priyo Hastono

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kesehatan jiwa merupakan pilar utama pembangunan sumber daya manusia yang kini menjadi tantangan struktural di Indonesia. Masalah ini dipengaruhi secara signifikan oleh determinan sosio-demografi seperti tingkat pendidikan, status ekonomi dan lingkungan. Penelitian ini diinisiasi oleh urgensi untuk memetakan distribusi beban masalah kesehatan jiwa secara nasional sekaligus menginvestigasi ketidakonsistenan prevalensi antara data Riskesdas 2018 dan SKI 2023. Penelitian ini menggunakan desain potong lintang dengan menganalisis prevalensi masalah kesehatan jiwa pada penduduk Indonesia berusia ≥15 tahun, menggunakan data SKI 2023. Kondisi kesehatan jiwa dinilai menggunakan instrumen SRQ-20 untuk mengidentifikasi probabilitas masalah kesehatan jiwa. Hasil utama menunjukkan prevalensi masalah kesehatan jiwa Indonesia tahun …

Digital Financial Innovation, Currency Outside Banking System, And Inflationary Rate In Nigeria: Implications For Exchange Rate Management, Philip Ifeakachukwu Nwosa

Bullion

Digital financial innovation has expanded globally, supporting cashless systems and reducing currency outside banks and inflation in advanced economies. In Nigeria, however, rising use of digital payment platforms has coincided with increasing inflation and higher cash in circulation. This study explores the relationship among digital financial innovation, currency outside the banking system, and inflation from 2009 to 2024, while assessing implications for exchange rate management. Findings show that despite rapid digital payment growth, both inflation and cash outside banks remain elevated, creating challenges for effective exchange rate stability. The study adopts a descriptive research design to examine the relationship among …

Intergovernmental Relations, Market-Preserving Federalism, And Digital Governance In Nigeria, Dhikru Adewale Yagboyaju, Jeremiah Oluwadara Omotayo

Bullion

This paper analyses intergovernmental fiscal relations in Nigeria using Barry Weingast’s theory of market-preserving federalism. It argues that excessive fiscal centralisation, weak subnational autonomy, and recurring disputes over revenue allocation, such as those involving value-added tax and oil derivation, undermine inclusive economic development. Using qualitative analysis of policy documents, legal frameworks, and audit reports, the study finds that embedding digital governance within a market-preserving federal framework could enhance subnational revenue generation, fiscal transparency, and competitive horizontal federalism.