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From The Archives: Continued Competency Assessment: Its History And Role In The Health Professions Jan 2026

From The Archives: Continued Competency Assessment: Its History And Role In The Health Professions

Journal of the American College of Dentists

Each issue of the Journal of the American College of Dentists (JACD) features an archival article selected for its continued relevance to contemporary issues in dentistry. This article provides historical context and enduring insights that inform current discussions in the profession.


J Am Coll Dent 2026 92 4 Jan 2026

J Am Coll Dent 2026 92 4

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.


Core Standards For Leadership In Oral Healthcare, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc Jan 2026

Core Standards For Leadership In Oral Healthcare, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc

Journal of the American College of Dentists

This article introduces the American College of Dentists’ core standards for leadership in oral healthcare, grounded in well-established ethical principles and in response to ever-increasing expectations for patient-first care. It is suggested that the new standards must be consistently upheld to maintain patient trust and professional credibility. Effective leadership, in contrast to management, improves patient engagement and outcomes, team performance, and resilience. The article calls for more leadership training in dentistry, beginning in dental schools, and highlights the need for effective leadership in oral healthcare to strengthen the profession’s standing and status.


Standards For Leadership In Oral Health Care. A Project Of The Board Of Regents Of The American College Of Dentists, Robert A. Faiella Dmd, Mmsc., Mba, Teresa A. Dolan Dds, Mph, Facd, N. Karl Haden Phd, Facd, Sreenivas Koka Dds, Ms, Phd, Mba, Mas, Facd, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc Jan 2026

Standards For Leadership In Oral Health Care. A Project Of The Board Of Regents Of The American College Of Dentists, Robert A. Faiella Dmd, Mmsc., Mba, Teresa A. Dolan Dds, Mph, Facd, N. Karl Haden Phd, Facd, Sreenivas Koka Dds, Ms, Phd, Mba, Mas, Facd, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc

Journal of the American College of Dentists

This section of the Journal of the American College of Dentists presents professional conference proceedings and/or published guidelines relevant to dentistry, ethics, education, leadership, policy, or clinical care. Conference proceedings may also include documents from affiliate organizations in dentistry.


Letters Of Support From Affiliate Organizations Jan 2026

Letters Of Support From Affiliate Organizations

Journal of the American College of Dentists

This section of the Journal of the American College of Dentists presents professional conference proceedings and/or published guidelines relevant to dentistry, ethics, education, leadership, policy, or clinical care. Conference proceedings may also include documents from affiliate organizations in dentistry.


Humanities And The Moral Vision Of Dentistry, Toni M. Roucka Rn, Dds, Ma, Facd Jan 2026

Humanities And The Moral Vision Of Dentistry, Toni M. Roucka Rn, Dds, Ma, Facd

Journal of the American College of Dentists

The Editorial is a feature in each issue of the JACD. It includes commentary on issue content, relevant topics, or other items of interest to the fellowship.


Empathy And Human-Centered Leadership In Community Health Center Dental Clinics, Pamela S. Alston Dds, Mpp, Facd Jan 2026

Empathy And Human-Centered Leadership In Community Health Center Dental Clinics, Pamela S. Alston Dds, Mpp, Facd

Journal of the American College of Dentists

A person-centered approach, with empathy toward patients, can improve satisfaction among both patients and dental health professionals. A dental director with a human-centered leadership style can improve the well-being of oral health team members. This article describes the role that empathy, a core value of humanism and professionalism, plays in accomplishing these improvements in community health center dental clinics. This article also describes the risks of empathy, as experienced by the author in her role as a dental director and practitioner, as well as documented in the literature. It further focuses on dental directors’ human-centered approaches to supporting oral health …


The History Of Dr. Suess And European Dentists From The Past: Relevant Lessons In Bioethics For Today, Howard A. Israel Dds, Facd Jan 2026

The History Of Dr. Suess And European Dentists From The Past: Relevant Lessons In Bioethics For Today, Howard A. Israel Dds, Facd

Journal of the American College of Dentists

The works of the author-illustrator Dr. Seuss evoke images of children’s books with moral themes, such as Yertle the Turtle and Horton Hears a Who. The life story of another Dr. Suess has remained relatively unknown. Walter Suess was an extremely talented dentist and musician in Austria. Brilliant and courageous, he became a victim of a morally depraved authoritarian regime and the absence of biomedical ethics during the reign of the Third Reich. The serendipitous discovery of the true story of Dr. Seuss and European dentists from this era offers lessons in bioethics relevant to today.


The Personal, Professional, And Practice: Integrating Health Humanities Into Dental Education, Margie Hodges Shaw Jd, Ma, Phd, Michael Yunker Dds, Nicholas Mercado Drph, Ms Jan 2026

The Personal, Professional, And Practice: Integrating Health Humanities Into Dental Education, Margie Hodges Shaw Jd, Ma, Phd, Michael Yunker Dds, Nicholas Mercado Drph, Ms

Journal of the American College of Dentists

Dentistry’s evolution as a profession reflects both scientific progress and enduring tensions between commercial and service-oriented models of care. Despite long-standing commitments to ethical education, dental training continues to privilege technical mastery over professional identity formation, leaving some future practitioners underprepared for the ethical and relational complexities of clinical practice. This paper situates these challenges within the historical separation of dentistry and medicine and argues that integrating the health humanities into dental education can strengthen professional identity formation and clinical ethics competency. Using a case study, we demonstrate how biases, professional obligations, and patient trust intersect in practice. We introduce …


Contemporary Icebreaking Capacity In The North American Region : Detailing The Present State Of Affairs And Challenges To Be Confronted, Bryan Watts, Dimitrios Dalaklis, Antonios Andreadakis Jan 2026

Contemporary Icebreaking Capacity In The North American Region : Detailing The Present State Of Affairs And Challenges To Be Confronted, Bryan Watts, Dimitrios Dalaklis, Antonios Andreadakis

Articles

No abstract provided.


The Persistent Shock Of The Old: Making The Case For The Responsive Development Of Artwork Deploying Historical Museological Display Techniques., Duncan Cameron Jan 2026

The Persistent Shock Of The Old: Making The Case For The Responsive Development Of Artwork Deploying Historical Museological Display Techniques., Duncan Cameron

School of Art, Design and Architecture Theses

My sculpture work and thesis investigate the potential of historical museological practices—particularly Victorian and Edwardian display technologies—in contemporary art-making and sculptural practice. I ask three central questions: how can the collection and display of natural history materials be ethically defended in the present day; how might traditional exhibition orthodoxies be reconfigured to privilege the prosaic, domestic, and handmade over the novel and precious; and what role does the idiosyncratic and beautiful play in narrating material stories within an ethical, Anthropocene-aware framework?The study employs a practice-led methodology combining iterative art-making, critical reflection, and active fieldwork. Working from a studio in Somerset, …


All Life As Witness: Developing A Mode Of Investigation Into Political Disappearance In 1960s Venezuela Reframed By Skinner Releasing Technique And Indigenous Knowledge, Livia Daza-Paris Jan 2026

All Life As Witness: Developing A Mode Of Investigation Into Political Disappearance In 1960s Venezuela Reframed By Skinner Releasing Technique And Indigenous Knowledge, Livia Daza-Paris

School of Art, Design and Architecture Theses

This practice-based research develops Ecologies of Poetic Forensics, an investigative mode for approaching political disappearance as a felt, ongoing condition that also reverberates across worlds beyond the human. Focused on my father's disappearance during Venezuela's 1960s revolutionary movement, the research follows relational dynamics within the personal, political, ecological ‘many worlds’ (Indígena Zapatistas 1996) shaped by state violence, including those of campesinos (land-based workers) in Cocorote, Lara State. The inquiry unfolds across Venezuela, Canada, and the United States, tracing territory that exceeds state borders.

The research brings the Skinner Releasing Technique, a movement practice oriented by poetic imagery and embodied …


A Balm For The Broken: Bearing The Scars And Songs Of Generational Survival In A World That Denies Our Humanity, Desmond Beach Jan 2026

A Balm For The Broken: Bearing The Scars And Songs Of Generational Survival In A World That Denies Our Humanity, Desmond Beach

School of Art, Design and Architecture Theses

“We survived to tell the tale.” This dissertation explores the intersections of visual art, Black cultural memory, and spiritual labor through a body of creative and scholarly work rooted in Black textile traditions. Informed by the artist’s upbringing in West Baltimore and shaped by the spiritual and communal practices of the Black church, the research considers artmaking as a form of ritual, resistance, and remembrance. Patchwork, performance, and mixed media installations become not only expressive gestures but also repositories of intergenerational memory, sites of ancestral presence, and acts of survival that exceed mere endurance.The dissertation integrates creative production with critical …


Planetarity And Relation: Ecology As Method, Ashish Ghadiali Jan 2026

Planetarity And Relation: Ecology As Method, Ashish Ghadiali

School of Art, Design and Architecture Theses

The List of Works submitted comprises research through film, text, exhibition, performance and policy engagement, developed during a three-year period from 2021 to 2024 in the site-specific location of Southwest England. This multi-modal and interdisciplinary practice is framed in response to the question of how art and cultural strategy can, in the contexts of climate breakdown and global racial inequity, be conceived of as agency for environmental justice. In this integrative summary, I present a theoretical framework where ecology, in response to conditions of environmental crisis, is understood not only as a subject of inquiry but also as method. In …


The Influence Of Historical Technological Constraints On Contemporary Music Practice, Clive Mead Jan 2026

The Influence Of Historical Technological Constraints On Contemporary Music Practice, Clive Mead

School of Art, Design and Architecture Theses

This practice-based research project explores the creative implications of working within historically constrained music production environments. By composing and producing original music using only emulated instruments, effects, and recording technologies from four key eras—1955, 1965, 1975, and 1985—the study examines how technological limitations affect contemporary compositional practice. The project is situated at the intersection of music production, creative practice research, and is conducted by a composer-producer with extensive experience across diverse musical genres.The research addresses three central questions: What occurs when a proficient modern producer is restricted to using tools from earlier periods of recorded music history? In what ways …


Feminism, Domestic Abuse And The Singer-Songwriter, Kathryn Ferguson Jan 2026

Feminism, Domestic Abuse And The Singer-Songwriter, Kathryn Ferguson

School of Art, Design and Architecture Theses

This project explores how feminism and domestic abuse can be articulatedthrough songwriting. Research in music therapy, sociology and popular musicincreasingly speaks to the value of songwriting as a tool for personal andcommunity empowerment, but there is space to actively use songwriting toexplore feminist issues independently of the traditional commercial context ofpopular music. Existing feminist music has been deemed as at its mostsuccessful when it is linked clearly to social change in our communities(Greene, 2017, p.8). Modern popular feminist songwriting has been criticised fornot going far enough in deconstructing systemic patterns of patriarchy (Tong,2024, p.9). Considering this, engaging with academic research …


Machine Learning Prediction Of Federal Appellate Court Outcomes: A Multi-Circuit Analysis With Administrative Law Implications, Nicky Nuertey Apenahier Jan 2026

Machine Learning Prediction Of Federal Appellate Court Outcomes: A Multi-Circuit Analysis With Administrative Law Implications, Nicky Nuertey Apenahier

Dissertations and Theses

Federal appellate courts are the final arbiters in many cases, yet systematic machine learning analysis across all twelve circuits remains largely absent from the computational law literature. With courts of appeals deciding tens of thousands of cases annually and the Supreme Court reviewing only a fraction, understanding what predicts reversal outcomes has both theoretical importance and practical consequences for litigants, attorneys, and judicial administrators. This study addresses that gap using eleven years of federal appellate decisions from the Federal Judicial Center’s Integrated Database. A systematic comparison of twenty-five machine learning models, spanning five algorithms and five class-imbalance correction strategies, identifies …


Retention In A Community College In A Rural State In The Midwest: Factors Associated With Persistence And Withdrawal, Samantha Reeves Grady Jan 2026

Retention In A Community College In A Rural State In The Midwest: Factors Associated With Persistence And Withdrawal, Samantha Reeves Grady

Dissertations and Theses

This qualitative case study examined the factors associated with students’ persistence or withdrawals from courses during the Fall 2025 semester at a community college in the Midwest. Guided by research questions exploring what factors supported students in completing their courses and what prompts course withdrawals. Data was collected through semi-structured interviews and focus groups with students who had withdrawn from one or more courses during the Fall 2025 semester. Using thematic analysis, several key themes emerged. Findings indicated that academic difficulties contributed significantly to student withdrawals. Additionally, course load intensity and competing external factors further hindered student persistence. Students, in …


Orexin Receptor Modulation In Amygdalar Stress Circuitry Differentiates Resilient And Vulnerable Phenotypes, Megan Marie John Jan 2026

Orexin Receptor Modulation In Amygdalar Stress Circuitry Differentiates Resilient And Vulnerable Phenotypes, Megan Marie John

Dissertations and Theses

Social stress is important for evaluating threats and resource opportunities, however, chronic exposure initiates the onset of psychological disorders, such as anxiety, depression, and post-traumatic stress disorder (PTSD). Stress responsiveness varies between individuals and sexes, resulting in disproportionate diagnoses and ineffective treatment outcomes. Enhancing therapeutic efficacy requires understanding of stress responsivity, phenotype development, and neurocircuitry modifications. Key contributors to stress responsiveness, such as threat of aggression and motivational initiation, influence the development of resilient or vulnerable phenotypes through behavioral and molecular adaptations to stress-related neurocircuitry. The basolateral amygdala (BLA) is a brain region associated with fear learning and integrates stress …


Meeting The Occupational Needs Of Older Adults With Long-Term Conditions: An Exploration Of Occupational Therapy In Primary Care, Sam Wakley Jan 2026

Meeting The Occupational Needs Of Older Adults With Long-Term Conditions: An Exploration Of Occupational Therapy In Primary Care, Sam Wakley

School of Health Professions Theses

This thesis investigated the occupational needs of older adults with long-term conditions to determine how these needs could be met through primary care, acknowledging this as a contemporary area of occupational therapy practice. Combining three studies offered a comprehensive, occupationally centred analysis of a growing area of practice that remains underexplored. Strand One involved conducting a scoping review to map existing models of primary care for adults with long-term conditions. It demonstrated that current approaches largely neglect occupation, favouring biomedical outcomes and fiscally related priorities. However, growing awareness to quality of life and the role of an integrated multidisciplinary team …


Decentralization's Effects On Food-Insecure Households In Drought-Prone Woredas In Ethiopia, Vân Lê Jan 2026

Decentralization's Effects On Food-Insecure Households In Drought-Prone Woredas In Ethiopia, Vân Lê

Research Honors

In Ethiopia, more than 16 million people face hunger and malnutrition due to conflict, poverty, or extreme weather conditions caused by climate change. In 2005, the government launched its flagship social protection strategy, the Productive Safety Net Program (PSNP), to meet the food security needs of the rural population by providing humanitarian food access and boosting productive capacity to reduce vulnerability. This work-for-food/cash transfers program allows beneficiaries to buy food while working on public infrastructure. The transfers can then be used to help participants build livelihood assets and become more resilient to shocks. Although the PSNP has substantially improved food …


“We Only Care For White Germs”: How Black Chicagoans Used Community Care To Overcome Medical Discrimination, Kylie Power Jan 2026

“We Only Care For White Germs”: How Black Chicagoans Used Community Care To Overcome Medical Discrimination, Kylie Power

Research Honors

This project examines the use of Community Care as a means of healthcare within Black American populations, specifically in Chicago. Background information is provided on the evolution of Community Care, from slavery, to post-emancipation, to the early 20th century. Provident Hospital of Chicago in particular is examined during the early 20th century section, with a look at how the 1918 Spanish Influenza affected the Hospital, it's patrons, and Chicago. Important pieces of literature from the time period are combined with newspaper articles and other reports, as well as secondary literature, to construct this social history.


Reply To: Malik Mmud On Early And Sustained Improvements In Sense Of Smell With Tezepelumab Treatment In Patients With Chronic Rhinosinusitis With Nasal Polyps (Waypoint), Joaquim Mullol, Joseph K. Han, Tanya M. Laidlaw, Claire Hopkins, Anju T. Peters, Oliver Pfaar, Martin Desrosiers, Stella E. Lee, Andrew P. Lane, Claudia Chen, Yun Chon Jan 2026

Reply To: Malik Mmud On Early And Sustained Improvements In Sense Of Smell With Tezepelumab Treatment In Patients With Chronic Rhinosinusitis With Nasal Polyps (Waypoint), Joaquim Mullol, Joseph K. Han, Tanya M. Laidlaw, Claire Hopkins, Anju T. Peters, Oliver Pfaar, Martin Desrosiers, Stella E. Lee, Andrew P. Lane, Claudia Chen, Yun Chon

Department of Otolaryngology (ENT) Faculty Publications

[Introduction] To the Editor:

We thank Professor MMUD Malik [1] for his interest in our recent publication describing the improvements in loss of smell symptoms with tezepelumab versus placebo in patients with uncontrolled chronic rhinosinusitis with nasal polyps in the WAYPOINT trial (NCT04851964) [2]. We appreciate Professor Malik's comments on the language used to describe the findings and the specific analyses presented as well as his note regarding the consistent improvements in sense of smell observed with tezepelumab treatment versus placebo, demonstrated by large effect sizes across three instruments.


The Development Of Collaborative Relationships Between Disaster Relief Ngos: Barriers And Solutions, Christopher Phillips Jan 2026

The Development Of Collaborative Relationships Between Disaster Relief Ngos: Barriers And Solutions, Christopher Phillips

Plymouth Business School Theses

Collaborative responses amongst disaster relief NGOs can be more effective in delivering aid when compared with responses conducted individually. Collaboration enables the sharing of resources, expertise, personnel, and funding, resulting in more efficient aid distribution in the wake of natural disasters. However, current research highlights that it is often challenging for NGOs to establish and sustain collaborative relationships due to different barriers. The challenges these barriers cause have been explored in previous research, but limited attention has been given with respect to how these can be addressed. Additionally, there is a lack of understanding of the relationships between these barriers, …


Analysis Of Volatility Between Macroeconomic Variables And Busan Port Cargo Throughput According To Global Risks, Sang Ho Cho Jan 2026

Analysis Of Volatility Between Macroeconomic Variables And Busan Port Cargo Throughput According To Global Risks, Sang Ho Cho

Plymouth Business School Theses

This study investigates how container (BPC) and non-container (BPB) cargo throughput at Busan Port responds to structural shocks in global and domestic macroeconomic variables, and how their relative importance changes over time. The selection of variables was based on a combination of a Systematic Literature Review (SLR) and semi-structured interviews (SSI). The econometric analysis applied a stepwise framework, employing cumulative Impulse Response Functions (IRF) and Forecast Error Variance Decomposition (FEVD) based on Vector Error Correction Model (VECM) estimations, as well as Historical Decomposition (HD) for specific crisis periods. While IRF and FEVD were used to capture dynamic properties under general …


Driving Venture Success: A Collaborative Framework For The Consumer Goods Industry, Mohammad Alhusaeini Mohammad Jan 2026

Driving Venture Success: A Collaborative Framework For The Consumer Goods Industry, Mohammad Alhusaeini Mohammad

Plymouth Business School Theses

This thesis addresses the persistent gap between the strategic promise of external corporate venturing (ECV) and its frequently disappointing outcomes in the global consumer goods industry, with a specific focus on the non-durable consumer goods sub‑sector. Despite ECV’s recognised importance for innovation—particularly in a sector characterised by rapid consumer preference shifts, tight margins, and complex supply chains—collaborations with external start-ups are often undermined by cultural misalignment, strategic ambiguity, and ineffective performance measurement. Through an abductive, mixed-methods research design within an interpretivist paradigm—integrating archival analysis, six in-depth corporate case studies (P&G, PepsiCo, Unilever, Danone, Henkel, and L’Oréal), and 32 interviews with …


The Epidemiology Of Catastrophic Head And Neck Injuries In High School And College Non-Football Sports: A 4-Decade Review, Courtney M. Meyer, Kristen L. Kucera, Samantha E. Scarneo-Miller, Zachary K. Winkelmann, Susan W. Yeargin Jan 2026

The Epidemiology Of Catastrophic Head And Neck Injuries In High School And College Non-Football Sports: A 4-Decade Review, Courtney M. Meyer, Kristen L. Kucera, Samantha E. Scarneo-Miller, Zachary K. Winkelmann, Susan W. Yeargin

Rehabilitation Sciences Faculty Publications

Background:

Catastrophic head and neck injuries (CHNIs) in sport are rare but can have disabling or fatal outcomes. Prior studies have focused on football, equipment-laden sports, or different injury severities, not CHNI in nonfootball sports.

Purpose:

To describe the epidemiology of CHNI across levels (high school vs collegiate) in nonfootball sports and evaluate differences in injury rates (IRs) by sport, sex, and decade.

Study Design

Descriptive epidemiological study.

Methods:

This study utilized 40 academic years (1982-1983 to 2021-2022) of surveillance data from the National Center for Catastrophic Sports Injury Research. Descriptive statistics summarized athlete, event, and injury characteristics. IRs were …


Graduate Catalog 2026-2027, Southwestern Oklahoma State University Jan 2026

Graduate Catalog 2026-2027, Southwestern Oklahoma State University

Graduate Catalogs

No abstract provided.


Rare Manifestation Of Scapular Cutaneous Larva Migrans Infection Among Sand Porters In Warm Climate: A Case Report, Prio Hangudi Sampurno, Tri Wisesa Soetisna Jan 2026

Rare Manifestation Of Scapular Cutaneous Larva Migrans Infection Among Sand Porters In Warm Climate: A Case Report, Prio Hangudi Sampurno, Tri Wisesa Soetisna

Occupational and Environmental Medicine Journal of Indonesia

Background Cutaneous larva migrans is a serpiginous helminthic infection common among certain occupations dealing with contaminated soil especially in warm climate. Most common predilections include the feet, legs, and buttocks with only a fraction of cases found on the trunk and upper extremities.

Case Presentation A rare scapular cutaneous larva migrans manifestation on a thirty-six years old sand porter with high occupational exposure was described. Physical examination revealed progressive pruritic and warm rash in a serpiginous pattern on the left shoulder.

Results Diagnosis was established based on characteristic serpiginous rash physical findings supported by history of contact. This case needed …


Incident Of Sensorineural Hearing Disorder In Toll Road Workers Exposed To Noise And Lead, Fitria Rimadhanty Setyaningtyas, Muhammad Ilyas, Dewi Yunia Fitriani, Suryo Wibowo Jan 2026

Incident Of Sensorineural Hearing Disorder In Toll Road Workers Exposed To Noise And Lead, Fitria Rimadhanty Setyaningtyas, Muhammad Ilyas, Dewi Yunia Fitriani, Suryo Wibowo

Occupational and Environmental Medicine Journal of Indonesia

Background Toll road workers are exposed to traffic noise and lead, both of which may increase the risk of sensorineural hearing loss (SNHL). This study aimed to examine the association between noise and lead exposure and the occurrence of SNHL among toll road workers.

Methods A cross-sectional study was conducted using secondary data derived from medical check-up records of 1,445 toll road workers in 2022. Study variables included age, sex, length of employment, past medical history, smoking status, job position, blood lead levels and SNHL incidence. Descriptive analyses were performed, followed by bivariate analysis using the chi square test and …