Medicine and Health Sciences Commons^™

Bony Affair – A Rare Case Of Osseous Metaplasia In A Native Non Functioning Kidney, Arthi M Dr, Leena Dennis Joseph Dr, Velmurugan P Dr, Meryl Saji Kottarathil Dr

Chulalongkorn Medical Journal

Renal osseous metaplasia is a rare condition in a native kidney with end stage renal disease showing mature bone with marrow elements in a background of chronic pyelonephritis. Although the pathogenesis is unknow, chronic ischemia and inflammation seems to be a trigger factor for the same. Osseous metaplasia has been reported in renal allograft specimen, but in this case report we present a histologically rare finding of osseous metaplasia in a native kidney.

Key words - Osseous metaplasia, native kidney, marrow elements

Clinical Characteristics And Risk Factors Associated With Acute Kidney Injury Among Hospitalized Primary Covid-19 Infected Patients, Monchai Siribamrungwong, Kamontip Chaikomon

Chulalongkorn Medical Journal

Background: Coronavirus disease 19 (COVID-19) mainly affects to respiratory system from mild to severe symptoms. Additionally, acute kidney injury (AKI) is an important complication causing substantially high morbidity and mortality. During the pandemic of COVID-19, Public health care in Thailand experienced many cases and complications.

Objectives: This study demonstrated an incidence, clinical characteristic, independent risk factors of AKI and mortality in hospitalized COVID-19 patients with AKI and non-AKI patients.

Methods: A retrospective, observational study was performed in Lesdsin Hospital from August 2021 to August 2022. A total of 576 hospitalized patients with diagnosis of COVID-19 infection were analyzed. AKI was …

Functional Outcome Of The Patients Treated Surgically For Traumatic Brain Injury (Tbi) Fast Tract (Gcs 9-12), Narongpong Lowprukmanee

Chulalongkorn Medical Journal

Background: Traumatic brain injury (TBI) is a major cause of disability, morbidity, and mortality worldwide Objectives: This study aimed to determine the effect of the fast-track protocol on clinical outcome of traumatic brain injury (TBI) patients. Hospitals should consider implementing similar protocols to enhance care for TBI patients and decreasing preventable death and preventable disability.

Methods: This study evaluates the functional outcomes in surgical groups of traumatic brain injury (TBI) fast track, with Glasgow Coma Scale (GCS) scores between 9 and 12. Data were retrospectively collected from 52 TBI patients treated surgically at Sawanpracharak Hospital between September 1, 2016, …

Factors Influencing Turnover Intention Among Registered Nurses In Thailand: A Preliminary Study, Vachira Posai, Associate Professor Chanokporn Jitpanya, Rn, Ms, Ph.D., Assistant Professor Wisarut Srisinthorn, Md, Associate Professor Paramee Thongsuksaid, Md

Chulalongkorn Medical Journal

Background: The global nursing shortage impacts healthcare systems. Understanding factors influencing nurses' turnover intentions is essential for developing effective retention strategies.

Objective: To identify predictors of turnover intention among nurses, focusing on variables such as age, number of children, years of nursing experience, monthly personal income, burnout, emotional labor, job stress (assessed through effort, reward, and overcommitment), nurse-practice environment, work-family conflict, and work engagement.

Methods: A secondary data analysis was conducted using data from a multicenter, longitudinal study involving 1,005 nurses from two public hospitals in Thailand. Data collection instruments included a demographic questionnaire, the Burnout Assessment Tool, the Emotional …

Knowledge, Attitude And Practice Of Butchers Regarding Crimean Congo Hemorrhagic Fever In An Endemic Area Of Iran, Mohammad Amin Gorouhi, Abbas Aghaei Afshar, Najmeh Mansoori, Parya Jangipour Afshar, Leila Shirani-Bidabadi, Ismaeil Alizadeh, Nariman Shahhosseini

Chulalongkorn Medical Journal

Background: In endemic countries, Crimean-Congo hemorrhagic fever (CCHF) is an important zoonotic disease with significant public health implications. Previous studies in Iran suggests that CCHF poses a significant health risk to slaughterhouse workers and butchers. The main objecive of this study was to investigate the knowledge, attitude, and practice of butchers regarding CCHF at their workplace in an endemic area in southeastern Iran.

Methods: A descriptive cross-sectional study was conducted from January to March 2022 in Zarand city. In total, 60 butchers were included in the city. Statistical analysis was performed using SPSS version 22.

Results: The average scores of …

Impact Of The Rs1050757 C>T Variant In The 3'Utr Of The G6pd Gene On Mrna Structure And Mirna Binding In G6pd Deficiency: A Nanopore Minion Sequencing Study, Lawrence Billy Vasco Djama, Vorthon Sawaswong Ph.D., Prangwalai Chanchaem, Punchalee Mungkalasut Ph.D., Thanaporn Pimpakan, Poonlarp Cheepsunthorn Ph.D., Sunchai Payungporn Ph.D., Chalisa L. Cheepsunthorn Ph.D.

Chulalongkorn Medical Journal

Background: Glucose 6-phosphate dehydrogenase (G6PD) deficiency is a genetic disorder caused by impaired enzyme function or instability due to mutations in the G6PD gene, resulting in reduced enzyme activity. This study aimed to investigate mutations in the regulatory regions of the G6PD gene using Nanopore MinION sequencing to explore the potential impact of non-coding variants on G6PD activity.

Methods: Blood samples from 19 males (13 adults, 6 neonates) with G6PD deficiency or intermediate enzyme activity but unidentified coding sequence mutations were analysed. Genomic DNA was amplified using degenerate oligonucleotide-primed PCR (DOP-PCR) and sequenced with the Oxford Nanopore MinION platform. Bioinformatic …

Cognitive Testing Of Candidate Items In A Wellbeing Measure Developed For Aboriginal And Torres Strait Islander Peoples, Alana Gall, Gail Garvey, Kate Anderson, Abbey Diaz, Kirsten Howard

Journal of the Australian Indigenous HealthInfoNet

Purpose Health and wellbeing for Aboriginal and Torres Strait Islander peoples is poorly understood, due to commonly used measures of quality of life and wellbeing not aligning with their collectivist worldviews. The need to develop a wellbeing measure, grounded in the aspects of life that Aboriginal and Torres Strait Islander people identify themselves as important, was therefore a priority. The current study aimed to cognitively assess the face and content validity of a new wellbeing measure under development for Aboriginal and Torres Strait Islander adults. Methods We employed a qualitative cross-sectional cohort design. Forty-nine unique draft wellbeing statements underwent cognitive …

Analyzing The Global Happiness Index, Victoria Hernandez, Christy W. Wachira

SMU Data Science Review

This study explores the Global Happiness Index using data compiled from the OECD and Our World in Data to identify key factors contributing to societal well-being. Six primary predictors were analyzed: GDP per capita, social support, healthy life expectancy, freedom to make life choices, generosity, and perceptions of corruption. Regression and clustering techniques were employed to uncover patterns among countries. By expanding the analytical scope beyond conventional economic and social indicators, this study helps identify new pathways for improving well-being across diverse cultural and economic landscapes. Additional variables such as perceived safety, political engagement, and values related to family and …

Satisfaction And Barriers To Online Learning Among Omani Undergraduate Nursing Students: A Cross-Sectional Study, Jansirani Natarajan, Mickael A. Joseph, Dooa S. Al Jabri, Juhaina N. Al Shabibi, Sheikha H. Al Quwaiti, Bushra K. Al Bahri

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess Omani nursing students’ satisfaction with online learning and perceived barriers that may hinder the seamless integration of online theory courses into the nursing curriculum. Methods: This descriptive cross-sectional study was administered to nursing students at Sultan Qaboos University, Muscat, Oman, in the Spring 2024 semester. The 34-item Distance Education Learning Environment Survey and the 22-item Barriers to Online Learning Scale were used. Descriptive statistics and t-tests/ANOVA examined associations. Results: A total of 155 respondents were included (response rate = 73.1%); most respondents were female (n = 126, 81.3%), aged 18– 22 years (n = …

The National Landscape On Wellness Culture And Well-Being Best Practices In Healthcare Systems And Academic Institutions: Results From The Fourth National Summit On Promoting Clinician Well-Being, Megan Amaya, Bernadette Mazurek-Melnyk, Josh Winn, Jeff Messinger

Journal of Wellness

Introduction: The health of our nation’s healthcare workforce continues to decline. A comprehensive, whole-system, evidence-based approach is key to a successful wellness initiative and is the foundation for culture change. Building a culture of wellness leads to better mental health outcomes, healthier lifestyle behaviors, higher levels of engagement and job satisfaction, improved patient satisfaction and employee retention, and a positive return (ROI) and value on investment (VOI).

Methods: The purpose of this cross-sectional, descriptive, anonymous survey was to assess the organizational wellness culture of participants who attended the National Summit on Promoting Well-being and Resilience in Healthcare Professionals. …

An Essay On Trailblazing With Service Animals Langer, Pilot, Bowie, And Izzie: Preserving Non-Partisan Public Health And The Law, Gary C. Norman

Journal of Law and Health

A direct correlation exists among humans, their animals, and human health and wellness. This article will focus concisely on law students with disabilities and lawyers with disabilities and how they can be empowered to be trailblazers while remaining healthy and well. Salutogenic Model should be optimized by lawyers with disabilities working at the intersection of animal law, disability law, and public health law. Service animals have positive and salubrious impacts upon their handlers in several ways, including psychosocial health and wellbeing. The Grand Architect (or in my Cherokee tradition, "great spirit") continuously partners me with complicated but magnificent dog partners …

A Conversation With Dr. Shannon Jones Faculty Highlight, Paxton Mills

Osmosis Magazine

Dr. Shannon Jones, Senior Teaching Faculty in the Department of Biology, is a toxicology expert, teacher, and long-time mentor from Roper, North Carolina. With a PhD in Toxicology from the University of North Carolina at Chapel Hill, Dr. Jones came to the University of Richmond with a purpose: to transform the lives of her students.

Computer Problems? Must Have Been The Sun How Solar Particles And Cosmic Rays Affect The Future Of Computing, Ned Markham

Osmosis Magazine

Imagine playing your favorite video game, when suddenly, your character teleports to the top of the level. One may be quick to blame the software for faulty code, clueless that this error may have originated from an unlikely source: the sun. That’s right, during a speed run of Nintendo’s Super Mario 64, one stray cosmic ray flipped a single bit (a bit is the most basic unit of information inside a computer, storing one of only two possible values of 0 and 1), causing a streamer’s character to glitch in front of him and a live audience. This phenomenon, however, …

A Journey Into The Mysterious Quantum Realm, Kien Bui

Osmosis Magazine

Toward the end of the 18th century, many scientists believed that all the fundamental laws of physics had already been discovered. Falling apples obeyed Newton’s laws of motion, spinning compasses were explained by Maxwell’s unification of electricity and magnetism, and steam engines drove the first industrial revolution through the rise of thermodynamics. Lord Kelvin stated, “[t]here is nothing new to be discovered in physics now, all that remains is more and more precise measurement.” Only “two small clouds,” he warned, were the two remaining mysteries: black-body radiation and the theory of light. These small clouds, however, turned out to be …

From Sci-Fi To Reality: Could There Be Life On Mars?, Matea Šarkinović

Osmosis Magazine

Have you ever wondered: Are we alone in the universe? Well, scientists hope to answer the age-old question and they believe that Mars could hold the answer. The red planet has been identified as a potential home to life beyond Earth, and this article aims to explore what makes Mars such a strong candidate. Understanding the conditions on extraterrestrial objects is key to determining if our existence is a unique phenomenon or if we are the product of a recurring event that happens throughout the universe.

My Roman Empire: The Mystery Of Roman Concrete, Lilly Cashen

Osmosis Magazine

After the fall of an empire and millennia of conflict and decay, most structures crumble. Yet the monumental dome of the Pantheon, the towering ruins of the Colosseum, and the sprawling miles of aqueducts still stand today, two thousand years later, as testaments to Roman engineering brilliance. The survival of these ancient structures was made possible by one of Rome’s greatest innovations: Roman concrete, or opus caementicium.

True Silver: A Story Of Skin Coining With Silver In Traditional Asian Medical Practice, Trang Nguyen

Osmosis Magazine

Silver, one of the most precious metals on Earth, has captivated humans since prehistoric times for its natural shimmer, which has found its way into coins, jewelry, and ornaments (The Natural Sapphire Company, 2025). In traditional Asian medicine, silver’s significance extends beyond jewelry or currency; it is a key component in a practice called “cạo gió”, which involves releasing energy blockages and restoring balance to the body using a smooth metal tool to scrape the skin. Although it has been passed down through generations as a remedy for various ailments, a question remains: what makes silver the material of choice?

A Tragic Love Story Neanderthal-Human Interbreeding, Parth Patel

Osmosis Magazine

Humans moved northward when it became too hot and arid. Before that, we spent a few hundred thousand years evolving to the conditions of Africa (Hajdinjak et al., 2018). Our bones, genes, and skills were all honed to ensure survival in a particular climate, so when that climate began to change, the evolutionary traits that developed through years of mutations suddenly became deficient. It forced us to move in droves to Western Eurasia, where we found some comfort in the cooler weather (Slimak et al., 2024). We also found another species of human: the Neanderthal.

Spicomellus The Jurassic Enigma, Bryan Nam

Osmosis Magazine

Imagine stepping into a time machine and messing with the controls until you find someplace interesting to go. Your destination? Morocco, 165 million years ago. You arrive and look around at vast floodplains stretching far across the horizon; flat land cut through by mighty rivers. In the distance, you see something, a creature unlike any you’ve ever seen before. It looks straight out of a sci-fi movie. It seems almost like a reptilian tank, with huge spikes on its neck and hips. The dinosaur looks towards you, then turns away to look for food. You have just come face to …

Let’S Talk About Birds Baby: How Did Birds Evolve To Have Such Elaborate Courtship Rituals?, Lautaro Lo Prete

Osmosis Magazine

If you’ve ever watched a nature documentary featuring David Attenborough, you’ve definitely marveled at the eccentric and complex rituals of some bird’s courtship display. This behavior is a phenomenon among birds where males will often complete a ritualistic dance as a way to attract a female. But why go through all the hassle? What is the purpose of expending so much energy— all the while putting yourself at such a heightened risk of predation?

Does Free Food Lead To Less Food? Dependency Theory & The Ambiguous Effects Of Food Aid, Stevi Dugas

Osmosis Magazine

Dependency Theory, in the context of food aid, holds that food aid and subsequent increases in food supply disincentivize local agricultural production, resulting in local dependence on food aid for survival. But, is this actually the case? This article first explains the economic theory behind Dependency Theory, then examines why this theory may not connect to reality and some strategies for remedying the flaws of modern non-emergency food aid to ensure effective humanitarian aid.

From Convenience To Consequence The Health Risks Of Eating Ultraprocessed Food, Eve Snyder

Osmosis Magazine

Understanding Ultraprocessed Foods and Their Effects on the Body What happens to the body when it's deprived of vital nutrients from fiber and protein, and pumped full of excessive sugar, fats, and salt? This situation can happen by eating ultraprocessed foods. Ultraprocessed foods are made with processes you wouldn't normally perform in a home kitchen, with ingredients that have little, if any, nutritional value. Pumped with additives to enhance color and taste, ultraprocessed foods may look appealing, but they can have harmful, longterm health risks (Monteiro et al., 2019).

Mushrooms And Mind Control, Connor Beasley

Osmosis Magazine

In a humid forest climbs a lone carpenter ant. At midday, it sinks its mandibles into a leaf’s vein and is locked in place. A few days later, a thin stalk of mycelium erupts from its head, dusting the forest floor in spores to infect a new victim. The ant has been infected by an unseen puppeteer known as Ophiocordyceps unilateralis sensu lato, more commonly called cordyceps or the “zombie‑ant fungus” (de Bekker et al., 2021). When we think of mind control, visions of mad scientists and maniacal villains tend to dance through our heads; the true culprits, however, are …

Chew On This How Gum Can Prevent Cavities, Garrett Mayover

Osmosis Magazine

Gum has become a staple in my daily routine. What started as something I chewed casually after school has evolved into a small yet essential part of how I relax, focus, and stay alert throughout the day. Beyond its familiar chewy texture and refreshing flavors, gum has a surprising hidden benefit - it can actually help prevent cavities. This article will explore what gum really is, the science behind its cavity-fighting abilities, and which types of gum are best for maintaining a healthy smile.

Red Flags Are My Favorite Color: The Psychology Of Falling For The 'Bad Boys', Erlinda Sali

Osmosis Magazine

The “bad boy” has been a recurring figure in popular culture for years. He’s the leather-jacketed brooding rebel, the dangerous lover, the tortured antihero that we have learned to romanticize. This archetype blends “juvenile masculinities (aggression, rebellion, hypersexuality)” with appealing qualities like “charisma, ruggedness, and sensitivity,” creating a moral ambiguity that captivates audiences (Gopaldas and Molander, 2019). This contradictory mix keeps him popular across movies, songs, and advertisements. But with this archetype being ‘a walking red flag,’ why are we still so bewitched by the bad boy, and should we be?

Trouble-Making Teens: Can They Control Their Impulses?, Natasha Troike

Osmosis Magazine

Teenagers can be moody, irritable, and defiant; they may snap at their parents and make risky decisions that they regret. Decisions such as having unprotected sex or taking harmful, illegal substances can be drastically life-changing. Are these risky decisions acts of purposeful defiance, or is there more to it? Are teens truly in charge of their impulses, or are they victims of their developmental biology?

To Q-Tip Or Not To Q-Tip, Ainsley Coleman

Osmosis Magazine

If you are one of the many people on this earth lucky enough to have wet earwax and use earbuds, you have likely experienced some sort of discomfort at some point in your ears. Maybe it’s a slight itch, or a feeling of build-up, and so you reach for a q-tip. And, maybe as you reach for that cotton swab, you feel nagged by a reminder that q-tips are not to be put in your ears! But still, you use one to relieve that discomfort.

Synthetic Biology: Could You Donate Yourself A New Kidney?, Charlie Lanning

Osmosis Magazine

Currently in the United States, there are over 100,000 Americans stuck on the national transplant waiting list for lifesaving surgery. Eighty-six percent of them need kidney transplants (Organ Donation Statistics, 2025). However, only 27,000 kidney transplants take place every year. This shortage, along with other factors such as lack of public awareness, donor health complications, and financial disincentives, results in around 4,000 deaths every year (Soltani-Nia, 2024). While organizations such as the Organ Procurement and Transplantation Network and the National Kidney Registry have helped increase the number of transplants through public advocacy and the voucher program, emerging technologies such as …

Stem Cells: Potent Potential For Disease Treatment, Natalie Small

Osmosis Magazine

Different cells in the body serve a variety of functions. Cardiac muscle cells contract to pump blood through the heart. Nerve cells transmit electrical and chemical signals throughout the body. Lymphocytes play a role in the immune system to fight infections (Mostafa, 2022). But how do these different cell types arise? The answer is a special type of cell: stem cells.

The Math That Keeps Your Money Safe: Why A Few Extra Characters Could Save You, Joanna Petridi

Osmosis Magazine

Imagine a cracker (yes—that is what malicious hackers are named) sitting behind a screen. Their computer is trying millions of password combinations every minute. Your bank account password, just eight characters long, is the only thing standing between them and your savings. The difference between a password that takes a week to crack and one that would take longer than the universe has existed isn’t magic or luck. It’s simply math.