Medicine and Health Sciences Commons^™

Wmdds Bulletin Summer 2024

West Michigan District Dental Society Bulletin

In the Summer 2024 issue, the reader will find the following feature articles:

• Camp Blodgett Receives MDA Public Relations Grant Money
• Meet John Tramontana, the New Executive Director of the MDA
• Advocacy Avenue: Dental Compacts

Also included are your monthly tripartite update, news from West Michigan counties, the President's Message and Editor's Letter.

Oral Manifestations Of The Dengue Virus, Griffin S. Eisele, Roman E. Brown Bs, Kristi Soileau Dds, Med, Mshce, Facd, Ficd

New Orleans Dental Association News

Dengue Fever, caused by the DENV virus, is a growing health concern, especially in arid regions. The disease presents oral symptoms that dentists must recognize for timely diagnosis. Dental professionals should exercise caution during surgical procedures due to potential hemorrhagic complications. Early identification and management of oral manifestations can prevent severe outcomes.

Stigma Experience Of Men With Eating Disorders: A Scoping Review, Rachael Maloney, Louise Lunney, Olivia-Mari Lennox, Elena Vaughan, Colette Kelly

Journal of Social Care

This scoping review aimed to synthesise the literature concerning the stigma experiences of men with eating disorders. Seven databases were searched using relevant keywords and subject headings. Following deduplication, articles published since 2000 were screened against eligibility criteria. Key information was charted and analysed using descriptive statistics and deductive content analysis. The final sample (n=9) was synthesised under four categories of stigma experiences within the Health Stigma and Discrimination Framework. Internalised stigma was the most prevalent stigma experience across the included studies. This review suggests that men with eating disorders experience stigma in many forms and across various contexts, including …

Two Lives, Shruti Trehan Mbbs

Journal of Wellness

A busy oncologist makes a decision to leave her busy, thriving, community practice in the Mid-West and moves to a Veterans Affairs hospital in South Florida in the quest for a better work-life balance.

Phytochemical Profiling And Antioxidant Potential Of Methanol Extract Of Vitis Vinifera L Seeds., Sindhuja Lakshmi, Kesavaram Padmavathy Dr, Thirunavukarasu Umaarasu Dr, Dhandapani Prabu Dr

Chulalongkorn Medical Journal

Background: Grapes are the most widely consumed fruit around the world. Grape seed comprises a group of polyphenols are known to have a broad pharmacological and therapeutic activities. The grape seed extract was known to have counteract against oxidative stress by its free radical scavenging activity.

Objectives: To identify the major phytocompounds of grape seed methanol extract and to evaluate its antioxidant activity

Methods: In this study, the methanol extract of the grape seed was subjected to Gas Chromatography-Mass Spectrometry to identify the major phytochemical compounds and further antioxidant activity was also evaluated by DPPH method using AOAC (Association of …

Evaluation Of The Clinical Performance Of A Multistep Algorithm For The Diagnosis Of Clostridioides Difficile Infection And Patient Characteristics In A Clinical Setting, Mayuree Khantipong, Ajcharaporn Sawatpanich, Kanphai Wongjarit, Somying Tumwasorn, Pattama Torvorapanit, Suwatchareeporn Rotcheewaphan Dr.

Chulalongkorn Medical Journal

Background: Clostridioides difficile infection (CDI) is a significant cause of antibiotic-associated diarrhea and colitis. The diagnosis of CDI relies on clinical presentations confirmed by laboratory investigations.

Objectives: This study aimed to evaluate the performance of current diagnostic tests and examine the characteristics of patients associated with CDI in a real hospital setting.

Methods: A total of 299 unformed stool specimens were collected and analyzed using the C. DIFF QUIK CHEK COMPLETE and PCR assays. Patient data were retrospectively reviewed from medical records.

Results: The C. DIFF QUIK CHEK COMPLETE and PCR assays detected toxigenic C. difficile …

Retrospective Analysis Of Sars-Cov-2 Rna Detection In Pooled Saliva Samples: An Effective Cost Saving Method., Jiraphat Charoenkupt, Arkom Chaiwongkot, Ati Burassakarn, Pokrath Hansasuta

Chulalongkorn Medical Journal

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a causative agent of coronavirus disease 2019 (COVID-19), first reported in December 2019. The virus rapidly spread throughout the globe. Laboratory investigations play an essential role in the early and effective detection of SARS-CoV-2-infected individuals to prevent transmission.

Objectives: The saliva pooling system to screen SARS-CoV-2 in the population has been applied to increase the surveillance widely and conveniently among healthcare personnel at King Chulalongkorn Memorial Hospital. The Ct-values of positive pools and positive individual samples were compared, and the cost effectiveness was also evaluated.

Methods: The retrospective study was conducted …

Histone 3 And 4 Acetylation Patterns In Nodular Goiter And Well-Differentiated Thyroid Tumors Compared With Normal Thyroid Tissue, Somboon Keelawat

Chulalongkorn Medical Journal

Purpose To estimate histone modification (hypoacetylation or hyperacetylation) in thyroid lesions, using immunohistochemistry compared with their normal counterpart.

Methods FFPE sections of surgically removed PTC, FA, FTC, and nodular goiter samples were collected from the archives of the Department of Pathology, Faculty of Medicine, Chulalongkorn University from 2016-2018 and stained with anti-acetyl histone 3 antibody (H3K9/K14ac) and anti-acetyl histone 4 antibody (H4K5,8,12 and 16ac). The intensity and proportion of immunostaining of the lesions and their normal thyroid tissue counterparts were automatically scored by Aperio Image Scope software.

Results A total of 147 benign and malignant thyroid lesions cases, including 28 …

Evaluating The Accuracy And Concordance Of The Dmind Ai Application With A Renowned Depression Assessment Tool In Thai Adults, Solaphat Hemrungrojn, Kittipoch Saengsai, Pasit Jakkrawankul, Chanyanart Kiattiporn-Opas, Kantapat Chaichareenon, Arisara Amrapala, Kulvara Lapanan, Titipat Achakulvisut, Peerapol Vateekul, Natawut Nupairoj, Phanupong Phutrakool, Rapinpat Yodlorchai, Narin Hiransuthikul, Sarunya Hengprapom

Chulalongkorn Medical Journal

Background: In Thailand, the high prevalence of depression, particularly in rural areas with limited mental health services, poses significant challenges. Advanced technologies like digital phenotyping and artificial intelligence (AI), particularly Natural Language Processing (NLP) and Large Language Models (LLMs), offer promising solutions by analyzing digital data to detect early signs of depression.

Objective: This study evaluated the performance of the “Detection and Monitoring Intelligence Network of Depression (DMIND)” application, an AI-powered screening tool for detecting depression in Thai adults that analyzes behavioral data from participant responses using machine learning algorithms, such as NLP models and LLMs. The study aimed to …

Prevalence And Factors Associated With Work-Related Musculoskeletal Disorder Among Central Sterile Supply Technicians In Nakhon Si Thammarat Province, Thailand, Withaya Chanchai Dr, Ratree Nacglud Ms, Keatkongkrai Bunnum Mr., Nureeya Promsorn Mrs., Laddawan Duangmusik Mrs., Warunee Suwanrat Mrs., Wichuda Chantasin, Kritsana Thonnan Ms.

Chulalongkorn Medical Journal

Background: Central Sterile Supply Technicians (CSSTs) face an elevated risk of work-related musculoskeletal disorders (WMSDs), notably affecting the back.

Objective: This study aimed to examine the prevalence and factors associated with work-related musculoskeletal disorders among CSSTs in Nakhon Si Thammarat Province, Thailand.

Methods: A cross-sectional study in Nakhon Si Thammarat, Thailand, assessed WMSDs among CSSTs using self-administered questionnaires on demographics and symptoms. Out of 188 distributed, 179 were completed, evaluating disorder presence and severity during sterilization in 33 hospitals.

Results: The prevalence rate of work-related musculoskeletal disorders (WMSDs) in various body regions, particularly the upper back, at the …

H4k20me3 Is Increased In Human Bladder Cancer Tissues, And It Is Upregulated By Reactive Oxygen Species In Bladder Cancer Cell Lines., Sotida Kayem, Suchittra Phoyen, Patcharawalai Whongsiri, Chaowat Pimratana, Udomsak Wijitsettakul, Chanchai Boonla

Chulalongkorn Medical Journal

Background: Previously, we demonstrated that reactive oxygen species (ROS) provoked oxidative stress, enhanced tumor aggressiveness, and induced a profound change in histone methylation in bladder cancer (BlCa). We also reported an upregulation of H4K20me3 by ROS in hepatocellular carcinoma. In this study, we investigated whether H4K20me3 was upregulated in human BlCa tissues (n = 37) and asked if ROS could induce H4K20me3 formation in BlCa cell lines. Methods: Immunohistochemical (IHC) staining was performed in 37 BlCa sections and 6 adjacent noncancerous tissues (as controls). H4K20me3 upregulated by ROS was investigated in three BlCa cell lines (UM-UC-3, VM- CUB-1 and TCCSUP). …

Effect Of Aquatic Exercises On Patellofemoral Joint Dysfunction In Middle Age Obese Women, Akshaya Joshi, Sandeep Shinde, Sawani Aphale

Chulalongkorn Medical Journal

Background: The patellofemoral joint, known for its incongruence, is susceptible to dysfunction due to abnormal pathomechanics, especially with increased body mass causing excessive stress on knee cartilage, leading to degeneration and dysfunction. Dysfunction results in pain, limited range of motion, and diminished quality of life.

Objectives: To determine the effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged obese women and to compare the effect of aquatic exercises with land-based exercises on patellofemoral joint dysfunction in middle-aged obese women.

Methods: In this experimental study, 100 subjects with patellofemoral joint dysfunction were separated into group …

Presentation And Study Of The Manuscript Entitled “The Sign Of Happiness In Habitual Foods By Doctor Abu Al-Hasan Ali Ibn Hassan Al-Marakshi”, Abdelhamid Bitari, Rachid Touzani, Belkheir Hammouti, Abdelkhaleq Legssyer

An-Najah University Journal for Research - B (Humanities)

Introduction: Morocco preserves manuscripts of significant scientific and cultural value, which require presentation, verification, and study. The importance of studying the book "The Sign of Happiness in Common Foods" lies in the fact that it serves as a scientific reference point for understanding the principles of nutrition and medicinal herbs during the Middle Ages, especially in the Islamic world. Objective: Manuscript books represent a cultural and scientific treasure for Moroccan and humanity civilizations. Therefore, they require uncovering, displaying, and studying. Our work in this context involves presenting and studying the manuscript book titled "The Sign of Happiness in Usual Foods …

Online Education And Its Impact On University Students’ Mental Health In The West Bank And Gaza Strip: A Cross-Sectional Study, Bilal Hamamra, Abdelkareem Daragmeh, Oqab Jabali, Guido Veronese, Fayez Mahamid

An-Najah University Journal for Research - B (Humanities)

Background: The educational performance stress during the pandemic outbreak has added to the many factors of pressure that students are exposed in Palestine. In addition to economic distress, mobility and access restrictions, lack of digital literacy and competence, and constant internet interruptions have added new burdens and significantly impacted university students' mental health. Objectives: This research examines the impact of the COVID-19 pandemic on the mental health of students in Palestinian universities. Methods: Using qualitative and quantitative methods, we identified the economic and political factors, access to educational portals, academic demands, and the general lack of interest …

Beyond Assistance: Amplifying The Lived Experiences Of Marginalized Communities Navigating Support Service Systems In Mississippi, Karla Mccullough, Rodney Washington, Angela A. Omondi

Journal of Public Health in the Deep South

Background

Perceived dehumanizing experiences when interacting with social assistance caseworkers and providers can contribute to negative perceptions of the service system that may impede enrollment and retention of families in need thereby contributing to health disparities.

Purpose

This study aimed to use secondary analysis of qualitative data to explore the interaction between social services workers/providers and recipients from the perspectives of families seeking social support services in Mississippi.

Methods

This study analyzed secondary qualitative data from a sample of (n=15) representatives in Mississippi. Data was analyzed using a thematic analysis approach.

Results

Participants reported perceived dehumanized experiences such …

A Model For Developing Emergency Medical Services Instructor Knowledge, David Hall, Lisa Fee

Journal of Public Health in the Deep South

PROBLEM: The task of educating Emergency Medical Services (EMS) providers requires EMS instructors to possess and convey translational knowledge and skills relevant to out-of-hospital emergency care. Insufficiently prepared or new EMS instructors may lack translational knowledge and skills along these lines and be at a deficit when it comes to educating EMS providers. PURPOSE: The project involved creation, implementation, and analysis of a model state EMS instructor core training program in Mississippi, with the aim of developing translational knowledge and skills for use by EMS instructors. METHOD: The project utilized a revised Evidence-Based Practice (EBP) model and a standardized survey …

Public Support For Tobacco Control Policies Among Mississippi Adults, Emily Mcclelland, Tiffany Johnson, Robert Mcmillen

Journal of Public Health in the Deep South

Background: Smoking kills 5,000 Mississippi adults per year and more than a third of cancer deaths are attributable to smoking. The annual healthcare costs to Mississippi due to smoking are $1.43 billion.

Purpose: Assess public support for policies that reduce tobacco use.

Methods: Telephone surveys were administered to a representative sample of 900 Mississippi adults in 2023. Participants were asked about their support or opposition to implementing a statewide smokefree law, restricting where people can vape, increasing the state cigarette tax, taxing e-cigarettes, and restricting e-cigarette advertising.

Results: The majority of respondents support each of these five policies, with an …

Teachers’ Perceptions Of An Integrated Nutrition Education Curriculum And The Impact On Preschoolers' Food Liking, Alicia Stapp, Laurel Lambert, Georgianna Mann, Kaitlyn Sills, Kenya Wolff

Journal of Public Health in the Deep South

Background: Nutrition education during early childhood that includes experiential learning, modeling, and family engagement can support lifelong healthy eating habits.

Purpose: The present study examined the impact of a nutrition-integrated, 32-week supplemental curriculum entitled Growing Healthy Minds, Bodies, and Communities on children’s exposure to fruits and vegetables, ability to identify fruits and vegetables, liking of fruit and vegetables, and teachers’ perceptions of the curriculum.

Methods: A pre- and post- fruit and vegetable pictorial Likert survey was administered to 261 Pre-K4 children. To investigate teachers’ perceptions of the curriculum, a post-intervention focus group was conducted with 19 teachers.

Results: Significant differences …

The Prevalence Rate Of Syphilis And Hiv Across Different Genders, Races, And Ages From 2017 To 2021 In The Southern Region Of The United States, Nafiseh Gavari, Rita Momah, Jessica Green Collins, Elizabeth Jones

Journal of Public Health in the Deep South

This study investigates the prevalence rates of Syphilis and HIV across different genders, races, and ages from 2017 to 2021 in regions 4 (Kentucky, North Carolina, Mississippi, Tennessee, South Carolina, Georgia, Florida, and Alabama) and 6 (New Mexico, Oklahoma, Texas, Arkansas, and Louisiana). These regions have been identified as high-risk areas for sexually transmitted diseases (STDs). Our study seeks to shed light on the trends and disparities in STD prevalence within these specific regions over the specified timeframe. Data were collected and analyzed from the AtlasPlus database, providing insights into the epidemiology of these diseases. The findings reveal increasing trends …

Social Determinants Of Alzheimer’S Disease And Dementia: The Mississippi Landscape, Kenneth R. Butler Jr., Denise Lafferty, Stacee B. Naylor, Kimberly C. Tarver Md

Journal of Public Health in the Deep South

Social determinants of health (SDOH) are those conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, physical and cognitive functions, and quality-of-life outcomes and risks. Numerous social factors are significant contributors to the development and progression of various diseases. Recently, much attention has focused on assessing the impact of social factors on Alzheimer's disease and related dementias (ADRD). The objective of this commentary is to describe and assess the SDOH that have been associated with increased risk of ADRD in the context of the social environment in …

The Jackson Water Crisis Across The Lifespan: Living And Dying For Clean Water, Ashley W. Jones, Antonio J. Gardner

Journal of Public Health in the Deep South

At the height of the COVID-19 pandemic and in the midst of freezing temperatures from a snowstorm, the city of Jackson, MS faced the potential demise of its drinking water infrastructure. Triggered by the freezing of water pipes in the city and a subsequent fire at a local water treatment facility, the lack of clean, accessible water made daily tasks more difficult for the city’s older adult population who had limited mobility, income, and ability to relocate. This commentary examines the effects of ongoing water infrastructure issues in Jackson, MS and its effect on aging in place. Considerations for a …

Ethical Requirements For Achieving Fairness In Radiology Machine Learning: An Intersectionality And Social Embeddedness Approach, Dessislava S. Fessenko

Journal of Health Ethics

Radiodiagnostics by machine-learning (ML) systems is often perceived as objective and fair. It may, however, exhibit bias towards certain patient sub-groups. The typical reasons for this are the selection of disease features for ML systems to screen, that ML systems learn from human clinical judgements, which are often biased, and that fairness in ML is often inappropriately conceptualized as “equality”. ML systems with such parameters fail to accurately diagnose and address patients’ actual health needs and how they depend on patients’ social identities (i.e. intersectionality) and broader social conditions (i.e. embeddedness). This paper explores the ethical obligations to ensure fairness …

Exploring Chatgpt’S Clinical Ethics Ability: A Pilot Study, Daniel Jenkins, Christian Vercler, Andrew Barnosky, Janice Firn

Journal of Health Ethics

Background: Artificial Intelligence (AI), particularly public models like ChatGPT, has revolutionized the generation of human-like thought processes and text. Across healthcare, the integration of AI in decision-making processes is increasingly pervasive. However, the application of AI in ethical decision-making remains relatively unexplored.

Methods: Ethics consultation notes from a tertiary academic medical center were de-identified. We trained ChatGPT using three separate ‘chats’ with one, two, or five unique notes and asked it to produce an ethical analysis/discussion and recommendations for a test case. We conducted this same series again but gave ChatGPT only the ethical analysis/discussion and recommendation sections from the …

Ethical And Legal Questions With Street Medicine, Gordon Wong

Journal of Health Ethics

The homeless problem has been worsening in the U.S. for many years. Homeless residents have many health issues. Yet their healthcare needs are difficult to be met. To address this problem, the federal government and state governments are encouraging the implementation of Street Medicine programs by providing funding and changing regulations. However, due to the unique characteristics of this population, there are many ethical and legal issues related to delivering care to them. These issues have not been well discussed. This paper attempts to highlight the ethical and legal issues in Street Medicine. The goal is to call the attention …

Advances In Biomedical Research And Treatments: What Is Acceptable?, Michael L. Clancy, Khalid M. Iskandarani, Mitchell C. Mccrea

Journal of Health Ethics

This study investigated the technology acceptance (TA) of twenty-first century biomedical treatments by adults in the United States. A new TA instrument was created, using five distinct levels: (1) Healing and Prevention, (2) Replacement Organs, (3) Enhancements-Medical, (4) Enhancements-Discretionary, and (5) Transhumans. An on-line survey produced 353 usable responses, which showed distinct patterns for each of five biomedical treatment levels. There was clear support for Levels 1–3, but very strong opposition to Levels 4–5. The TA finding draws the line between which human interventions are acceptable versus others that should be prohibited through public policies and medical guidelines.

Pengaruh Work Life Balance Dan Burnout Terhadap Tingkat Kepuasan Kerja Karyawan Organisasi Pelayanan Kemanusiaan: Studi Pada Karyawan Organisasi Pelayanan Kemanusiaan X, Diva Arum Pratami Martias

Jurnal Ilmu Kesejahteraan Sosial

Nothing is more important in the work lives of employees of human service organizations than job satisfaction. Job satisfaction is fundamental to employee welfare, organizational sustainability, and welfare services. The study aims to provide an overview of the influence of work life balance and burnout on the level of job satisfaction of employees of humanitarian service organizations. The study results using the Somers’D test partially proved the hypothesis that there is a positive and significant influence of work life balance on job satisfaction of 0.571 and a p-value of 0.000, stating that employees with high work life balance tend to …

Empowering Students Is “Perfectly Normal:" The Case For 𝘐𝘵'𝘴 𝘗𝘦𝘳𝘧𝘦𝘤𝘵𝘭𝘺 𝘕𝘰𝘳𝘮𝘢𝘭 In Middle Schools, Caroline H. Peabody

OUR Journal: ODU Undergraduate Research Journal

In September of 2023, a middle school teacher wrote an open letter to the Lexington County, Virginia school board expressing outrage over the “graphic sexual content” included in the county middle school’s library. Swiftly following the letter, the school board removed two books from the county’s Lylburn Middle School library without due process and avowed to reconsider the guidelines for including books in the library. One of the two books in question was It’s Perfectly Normal, a non-fiction illustrated book intended to educate readers ten and up on sex, intercourse, and puberty. It’s Perfectly Normal and should be available …

Visual Analysis Of International Medical Data Sharing Research, Meng Zhang, Mu Dongmei Mu, Ping Wang, Haitao Yu, Shutong Wang

Journal of Scientific Information Research

[Propose/significance]By summarizing the research results of international medical data sharing, this paper provides reference for related theoretical research and sharing practice. [Method/process]This paper tared, CNKI and Web of Science databases were used as data sources, and visualization software CiteSpace was used to draw keywords clustering maps, count high-frequency keywords and cluster label words, and analyze the macro trend of research results in the field of international medical data sharing. Further use the text content analysis method to carry out a systematic analysis of the research hot topics. [Result/conclusion]The research hot topics in the field of medical data shar‐ ing can …

Negara Hukum Kesejahteraan Di Batas Pantai: Paradoks Perlindungan Negara Terhadap Masyarakat Pesisir Di Tengah Perubahan Iklim, Aji Baskoro

Jurnal Ilmu Kesejahteraan Sosial

Climate change poses significant challenges to vulnerable coastal communities in Indonesia. As a welfare state, the Indonesian government is expected to safeguard these vulnerable groups through policies that promote their welfare and sustainable livelihoods. However, current policies create a paradox. This article explores this paradox: on the one hand, Indonesia adheres to the welfare state principle, which demands that all government actions be grounded in law, ensuring public safety and welfare. On the other hand, the policies focus on exploiting natural resources, exacerbating the vulnerabilities of coastal communities, particularly in the face of climate change. The article employs a normative …

How An Mda Policy Becomes State Law, Daniel Miller Dds, Tom Steinbis

The Journal of the Michigan Dental Association

The MDA Committee on Government and Insurance Affairs is addressing concerns raised by dentists regarding the use of virtual credit cards (VCCs) by insurance companies, which have led to financial challenges such as transaction fees and delayed payments. The MDA has initiated a structured legislative process to resolve the issue, involving data collection, policy review, and drafting a bill in collaboration with legal experts and insurance companies. The legislation, introduced by Rep. Sharon MacDonell, aims to ensure that dental practitioners have alternative payment options that guarantee full reimbursement. The MDA continues to advocate for the bill through the legislative process, …