Medicine and Health Sciences Commons^™

The Impact Of Storage Duration And Elevated Temperature On The Biological And Chemical Characteristics Of Whole Milk Powder, Hussein Ali Shaghati, Rawia Mahmood Yousif, Asmaa Ali Awad

Al-Nisour Journal for Medical Sciences

A total of 45 Whole milk powder(WMP) samples from the same brand and batch were collected and tested pre and post-storage under closed conditions at 45–50 °C. during 60, 90, 120, and 150-day intervals. For the chemical indicators of the WMP, there were no significant differences in the content of fat during the different storage intervals, as the fat value was 30.00–29.99%, while the protein percent was 23.23% and did not change significantly during the storage at 60, 90, 120, and 150 days respectively. On the other hand, significant differences occurred in the moisture content, where the moisture value ranged …

The Impact Of Smoking On The Health And Academic Level Of Male High School Students In Anbar, Esraa Abd Al-Karim Marouf

Al-Nisour Journal for Medical Sciences

Many studies have been conducted on the effects of smoking of all kinds on middle and high school students. Furthermore, smoking has recently become normal lifestyle for many university and school students (especially in the preparatory and secondary stages). Where smoking included tobacco cigarettes, e-hookah and hookahs of various types and flavors. As is well known, smoking has many negative effects on health, physical, psychological, cognitive, social and economic aspects. According to the World Health Organization, the use of tobacco leads to catastrophic effects on public health and it’s a direct cause of death for more than 7 million people …

Nanoseal-X: A Theoretical Design For A Phase-Aligned Multifunctional Wound Dressing Based On Chitosan–Ha–Nanoparticle Composite, Mohammed Mahdi Salman Ghadban

Al-Nisour Journal for Medical Sciences

Chronic wounds pose major clinical and economic challenges, especially in patients with comorbidities or impaired healing responses. This study presents NanoSeal-X™, a bioinspired multifunctional wound dressing engineered to address distinct biological demands at each phase of healing. The theoretical construct integrates a dual-layer matrix: a hyaluronic acid-based hydrogel embedded with silver nanoparticles, amoxicillin, and lidocaine, supported by a chitosan-based scaffold. Each component is strategically selected to provide hemostasis, infection control, tissue regeneration, and pain relief. This work presents a theoretical design framework to guide the development of multifunctional wound dressings. NanoSeal-X™ integrates pharmacological and bioactive components aligned with distinct healing …

Therapeutic Potential Of Sh-Hp (His-D-Trp-Ala-Trp-D-Phe-Lys) In Helicobacter Pylori Infection And Acute Gastric Intoxication, Mohammed Mahdi Salman Ghadban

Al-Nisour Journal for Medical Sciences

Helicobacter pylori is a highly prevalent gastric pathogen (colonizing ∼50% of people worldwide) that causes chronic gastritis, peptic ulcer disease, MALT lymphoma, and gastric cancer. Rising antibiotic resistance (e.g. >15% clarithromycin resistance) has compromised standard eradication regimens, necessitating novel therapies. SH-HP (His-D-Trp-Ala-Trp-D-Phe-Lys) is a synthetic hexapeptide analogue of the endogenous hormone ghrelin/GHRP-6, originally developed as a growth hormone secretagogue. Preclinical studies reveal that SH-HP/GHRP-6 has potent gastroprotective and anti-inflammatory effects: it prevents stress-induced gastric mucosal lesions and mitigates multiorgan damage in ischemia/reperfusion models. Given that ghrelin receptor signaling plays a key role in gut mucosal defense (via nitric oxide and …

Shohani Hormonal Guard (Shg): A Multifunctional Nutraceutical Approach To Treating Polycystic Ovary Syndrome Through Metabolic, Hormonal, And Anti-Inflammatory Pathways, Mohammed Mahdi Salman Ghadban

Al-Nisour Journal for Medical Sciences

Polycystic Ovary Syndrome (PCOS) is a complex endocrine-metabolic disorder affecting women of reproductive age. It is characterized by ovarian dysfunction, insulin resistance, and hyperandrogenism, often accompanied by an overactive hypothalamic-pituitary-adrenal (HPA) axis. “Shohani Hormonal Guard” (SHG) is a nutraceutical formulation designed to target PCOS pathophysiology via multiple ingredients. We present a comprehensive review of SHG’s components – including inositols, N-acetylcysteine (NAC), berberine, ashwagandha, omega-3 fatty acids, and micronutrients (zinc, magnesium, vitamin B6, vitamin D3/K2, resveratrol, chromium, probiotics, etc.) – and their mechanistic roles and clinical benefits in PCOS. The literature demonstrates that SHG’s ingredients improve insulin sensitivity, modulate cortisol and …

Correlation Of Immunological Biomarkers And Severity Of Pneumonia In Pediatric Patients, Dhifaf Abdulrhaman, Mohammed B Hassan

Al-Nisour Journal for Medical Sciences

Among children under five, pneumonia stands as a major contributor to both illness and death, creating a significant challenge for global health efforts. This study aimed to evaluate the correlation between radiological severity, clinical parameters (such as fever and oxygen saturation), and laboratory markers (including CRP levels, white blood cell count, and the neutrophil-to-lymphocyte ratio) in pediatric patients with pneumonia. A retrospective analysis was conducted on 51 hospitalized children with severe pneumonia admitted to Al Mansour Pediatric Hospital in Baghdad from July 2024 to February 2025. The results revealed a strong association between radiologic severity and clinical indicators, with higher …

The Role Of Regulatory T Cells In Ischemic Heart Disease Patients, Duha Alaa Hassan, Hayfaa Mahmood Fahad, Saad Fadhel Nassar

Al-Nisour Journal for Medical Sciences

Background: Regulatory T cells (Tregs) represent 5–10% of the total T cell population and are known as potent suppressors of the immune system. They are crucial for managing immune activation, ensuring peripheral tolerance, and supporting tissue repair and overall homeostasis. These cells are characterized by the expression of specific biomarkers, including CD4+, FOXP3+, and CD25+. While CD4 and CD25 were initially used for their identification, the discovery of CD25 on other T cell types led to a more precise evaluation of Tregs through the assessment of the intracellular Foxp3 transcription factor.

Objective: The primary goal of this study was to …

Radiological Insights Into Spina Bifida Occulta In Adults: Unveiling The Hidden Defect In The Lumbosacral Spine Of The Northern Indian Population At A Tertiary Care Centre, Binita Chaudhary, Ruchika Narayan, Prem Kumar, Bijaya N. Nayak, Padamjeet Panchal

Sultan Qaboos University Medical Journal

Objectives: Spina bifida occulta (SBO) is a congenital spinal defect characterised by incomplete closure of the posterior neural arch. Despite its clinical relevance, discrepancies remain in the published literature. This study aimed to determine the distribution pattern and prevalence of SBO in the Northern Indian population using three-dimensional reconstructed specimens of the lumbosacral spine. Methods: This retrospective study was conducted between March 2023 and November 2024 at the All India Institute of Medical Sciences Patna, India. A total of 241 computed tomography (CT) scans of the spine from patients aged over 18 years were analysed. Three-dimensional images were reconstructed …

Noda News October 2025

New Orleans Dental Association News

New Orleans Dental Association (NODA) News includes regular columns with regional news impacting the New Orleans membership including: columns from the President and Executive Director, feature articles relating to the field of dentistry, association events and upcoming activities, component news, continuing education opportunities, and classifieds.

Markers Of Tissue Hypoperfusion And Response To Vasopressors In Patients With Septic Shock, Islam M. El-Desoky, Ahmed A. Abdelaziz, Hossam A. Galbt, Ahmed S. Abdelgawad, Ola S. Mohamed

Journal of Medicine in Scientific Research

Background Patients in the early stage of septic shock require individualized fluid resuscitation and early administration of vasopressors to ensure tissue perfusion. We aimed to assess the performance of tissue perfusion markers in patients with septic shock and assessing its role in predicting the response to vasopressors. Methods This observational study was included 90 patients with septic shock within the first 24 hours of admission to the intensive care. Arterial (a) and central venous (cv) blood samples were obtained before beginning vasopressors (T0), and then at 12 and 24 hours after the initial sampling (T12, 24) for analysis of oxygen …

Analysis Of Transcripts And Cardiac Myosin-Binding Protein With Variants Of Uncertain Significance In Cardiomyocytes, Egas Manuel Guterres, Luis Manuel Guterres

Folia Medica Indonesiana

Mutations in the myosin-binding protein C (MYBPC3) gene, particularly variants of uncertain significance (VUS), are associated with cardiomyopathies. This systematic review aims to analyze the impact of VUS mutations in MYBPC3 on transcripts and proteins in cardiomyocytes. A comprehensive literature search across multiple databases (i.e., PubMed, Google Scholar, and ScienceDirect) identified relevant studies focusing on the effects of these mutations on transcript and protein levels. Additionally, exclusion criteria were applied, and studies were excluded if they did not focus on cases analyzing transcript levels and MYBPC3 protein behavior in cardiomyocytes harboring VUS mutations. A total of fifteen studies published between …

Detection Of Serotypes And Knockdown-Resistance Mutations In Dengue And Other Flavivirus Samples Collected From Mengare Island, Indonesia, Tasya Amalia Dwiyanti, Teguh Hari Sucipto, Khoirunnisa Suhandarini, Azizia Kanya Fathiarachman, Helena Putri Nastiti, Anika Rahma Putri, Shifa Fauziyah, Prihartini Widiyanti, Hariyono Hariyono, Saifur Rehman

Folia Medica Indonesiana

Dengue fever, caused by the dengue virus (DENV), poses a significant public health challenge, particularly in tropical regions. This study aimed to detect flavivirus presence, DENV serotypes, and knockdown-resistance (kdr) mutations in mosquito samples collected from Mengare Island, Gresik, Indonesia. A cross-sectional experimental design was employed, utilizing reverse transcription polymerase chain reaction (RT-PCR) for flavivirus detection and serotyping, as well as for identifying kdr mutations. Ribonucleic acid (RNA) extraction was performed using the Quick-RNA\texttrademark Miniprep Plus Kit (Zymo Research, Irvine, CA, USA), followed by RT-PCR with specific primers for DENV serotypes 1–4 and kdr mutations (V1016G and F1534C). …

Impact Of Microplastics Contaminated Food And Beverages On Reproductive And Mental Health, Lala Opeyemi Titilayo, Adisa Ayomide Funmilayo, Adelowo Joy Motunrayo, Oladapo Jesutomi Eniola, Oyekanmi Bolape Adeola, Lala Olusegun Gbenga, Afolabi Opeyemi Olanike, Ajayeoba Titilayo Adenike, Morakinyo Adetoun Elizabeth, Oladipo Elijah Kolawole, Oyowvi Mega Obukohwo, Oyedepo Temitope Adenike

Folia Medica Indonesiana

Microplastics, defined as plastic particles smaller than 5 mm, have emerged as a global environmental pollutant resulting from widespread plastic waste. Increasing concerns have been raised regarding their potential contamination of food and beverages, which may pose health risks to humans. This review aimed to evaluate current literature focusing on potential reproductive and mental health risks associated with the consumption of microplastic-contaminated food and beverages. A comprehensive literature search was conducted using multiple databases and Boolean operators to identify peer-reviewed English-language articles published within the past thirteen years. The review included studies that addressed microplastics in food and beverages, their …

The Effect Of Astaxanthin On Tumor Necrosis Factor Alpha (Tnf-Α) And Interleukin 10 (Il-10) Expression In Uv-B-Induced Rats Model, Akhmad Setyo Rahman, Theresia Indah Budhy, Jusak Nugraha, Nur Lailatul Fadhilah

Folia Medica Indonesiana

The skin, the largest organ in the human body, serves as a protective barrier against external factors. Exposure to UV-B radiation accounts for approximately 90% of skin damage, leading to aging characterized by dryness and wrinkles. Proper nutrition has been associated with skin repair and delayed aging. Astaxanthin, known for its pharmacological properties including anti-cancer, anti-diabetic, anti-inflammatory, and antioxidant activities has garnered attention for its ability to improve damaged skin when administered as a daily supplement. This study investigated the roles of TNF-α and IL-10 as inflammatory markers in skin damage and repair, which remain underexplored. A true experimental randomized …

The Effect Of Mlc901 On Red Cell Distribution Width (Rdw) As A Predictor Of Acute Ischemic Stroke Outcome In Acute Ischemic Stroke Model In Rats, Muhammad Arya Rifqi Ilham, Ilsa Hunaifi, Bayu Tirta Dirja

Folia Medica Indonesiana

Stroke is the second leading cause of death globally, with ischemic stroke being the most prevalent type. Thrombolysis is the standard treatment for ischemic stroke; however, the rate of thrombolysis administration remains low. Therefore, neuroprotective therapies such as MLC901 are considered promising alternatives. The role of MLC901 in influencing red cell distribution width (RDW) during pathological ischemic stroke remains unclear. Hence, research on the effect of MLC901 on RDW is warranted. Male rats (n = 15) were divided into three groups: (1) acute ischemic stroke treated with MLC901 at a dose of 43.2 mg, (2) acute ischemic stroke treated with …

A Network Meta-Analysis: Efficacy And Safety Of Rotational Atherectomy, Orbital Atherectomy, And Intravascular Lithotripsy Comparisons For Nodular Coronary Lesions In Percutaneous Coronary Intervention, Riana Handayani, Yudi Her Oktaviono, I Gde Rurus Suryawan, Hendri Susilo, Karimah Khitami Aziz, Nabila Erina Erwan

Folia Medica Indonesiana

Percutaneous Coronary Intervention (PCI) has continued to evolve since its introduction in 1977. Currently, 12% of all PCI procedures for coronary artery stenosis involve Calcified Nodules (CN). CN is defined as nodular calcification that protrudes into the lumen of the coronary artery. In this era, improving the feasibility and success of PCI is essential through the use of advanced techniques, innovative approaches, and specialized devices in coronary interventions. These techniques include Rotational Atherectomy (RA), Orbital Atherectomy (OA), and Intravascular Lithotripsy (IVL). Comparisons of RA, OA, and IVL are still being extensively studied in terms of their effectiveness and safety in …

Assessment And Identification Of Bacteria In Sagu Lempeng Sold In Ambon City, Indonesia, Dilya Maghfirah Taher, Melda Yunita, Yuniasih Mulyani Jubeliene Taihuttu, Siti Nur Azizah

Folia Medica Indonesiana

Maluku Province in Indonesia is known for its diverse traditional foods, including sagu lempeng, which is widely consumed across different social groups. However, poor hygiene during its preparation, packaging, and sale in traditional markets can serve as a medium for microbial contamination, posing potential health risks. In Ambon City, the capital of Maluku, no research had been conducted concerning the total plate count (TPC) analysis and identification of food-contaminating bacteria in sagu lempeng, which are crucial for ensuring its microbiological safety. Therefore, this study aimed to assess the microbiological quality of sagu lempeng according to Indonesian National Standards …

Towards The Four-Hour Rule: Impact Of Observation Units And Emergency Medicine Specialists In An Indonesian Tertiary Hospital, Septo Sulistio, Ascobat Gani

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Emergency Department (ED) overcrowding is a global challenge. In response, the government of Indonesia mandates an ED Length of Stay (LOS) of ≤4 hours. This study aims to evaluate the impact of implementing an Emergency Department Observation Unit (EDOU) combined with an Emergency Medicine (EM) specialist-led disposition process on ED LOS at a national referral hospital in Indonesia. This was a retrospective, pre-post analysis comparing all ED visits in 2023 (pre-intervention, n = 26,282) with all visits in 2024 (post-intervention, n = 31,483). The primary outcome was the proportion of patients with an ED LOS ≤4 hours. Secondary outcomes included …

Analisis Implementasi Rekam Medis Elektronik Terhadap Kelengkapan Dokumentasi Rekam Medis, Novita Purnamasari, Adang Bachtiar

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Completeness of medical records is one of the important factors in improving the quality of health services. Despite its importance, incomplete documentation remains a prevalent issue, and the adoption of Electronic Medical Records (EMRs) is anticipated to address this challenge. This study is a narrative review and utilized the PRISMA 2020 flow diagram for literature selection. Articles were sourced from the ProQuest and Scopus databases for articles published in 2019-2024. From an initial selection of 431 articles, eight articles met the inclusion criteria for this study. The analysis of these studies shows that the implementation of electronic medical records positively …

Effect Of Establishing A Separate Outpatient Pharmacy Counter On Reducing Waiting Time In Mayapada Hospital, Hanifan Irham, Masyitoh Basabih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Pharmacy waiting time is one of the quality indicators that affects patient satisfaction in hospitals. One of the various efforts to reduce drug waiting times is adding outpatient pharmacies. This study aims to see whether the addition of pharmacies based on guarantors can reduce drug waiting times for outpatients. This is an observational study with a cross-sectional design. The sample included 11,703 patients who received prescriptions at Mayapada Hospital Bogor outpatient with insurance and private coverage. Data were collected over four months, two months before and two months after the separation of pharmacies. Waiting time data were obtained from the …

The Role Of The Triage Nurse Deployment In Reducing Triage Time In Emergency Department, Ristanti Karina, Masyitoh Basabih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Emergency Departments (ED) operate under high-pressure conditions where rapid and accurate triage is essential to ensure optimal patient outcomes. This study aimed to evaluate whether the assignment of dedicated triage nurses could reduce triage procedure time in the ED. The study employed an observational cross-sectional design using secondary data extracted from the Hospital Information System (HIS) at XYZ Private Hospital, Bogor. The intervention involved assigning trained triage nurses for each shift starting in June 2024, replacing the previous practice of ad hoc triage by available nurses. The results showed a significant reduction in median triage time from 4 minutes and …

Determinant Factors Of Completeness Of Medical Resume Filling By Doctors At Pesawaran Regional General Hospital, Achmad Deza Farista, Aila Karyus, Abikusno Djamaluddin

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

A medical resume serves as a vital document that compiles essential information related to a patient’s clinical management. In 2019, the completeness rate of medical resume documentation at Pesawaran Regional General Hospital was only 37.4%. This study aimed to identify factors influencing the completeness of medical resume documentation by doctors through a quantitative, cross-sectional design involving 37 inpatient care doctors. Data were collected via questionnaires and direct observation, then analyzed using univariate, bivariate (Chi-Square), and multivariate (Logistic Regression) methods. Observation showed that 56.8% of medical resumes were incomplete. Questionnaire results indicated that 54.1% of respondents had negative perceptions of Standard …

Educating Future Nurse Practitioners And Physician Associates On Pretreatment Of Swallowing In Head And Neck Cancer, Hannah M. Berk, Erin L. O'Bryan, Imran Musaji, Carly A. Thomas, Jamie Harrington

Teaching and Learning in Communication Sciences & Disorders

Head and neck cancer treatment frequently results in long-term severe swallowing deficits, often requiring feeding tube dependency. Patients who have completed swallowing exercise programs before and during cancer treatment experienced more positive swallowing outcomes, but most patients are not referred for swallowing intervention early enough in their care to prevent long-term deficits. This student research project aimed to measure health profession students’ knowledge of swallowing pretreatment for head and neck cancer patients and to investigate the impact of an educational module developed and presented by a Communication Sciences and Disorders graduate student to improve knowledge and awareness of this clinical …

The Role Of Interprofessional Education In Preparing The Next Generation Of Pre-Service Professionals: A Pilot Study, Shannon Wade Salley, Jennifer Cuchna, Tammy M. Hines, Karla Collins, Jennifer Hutchinson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional practice is a growing expectation in health and human services professions, as is collaboration between education professionals, to bring the best care and services to clients and students. Future professionals need to learn about other professions and be taught how to work with others as members of an interprofessional team. This mixed-methods pilot study examined the impact of an interprofessional education experience on future education, health, and human services professionals, including speech language pathologists, teachers, and counselors. Event participants showed an increased understanding of the roles of other professionals and recognition of the benefits of working in an interprofessional …

Exploring Metacognition And Mindset In Communication Sciences And Disorders Graduate Students, Kelly Rutherford

Teaching and Learning in Communication Sciences & Disorders

Purpose: Embedding metacognition into higher education curricula can be particularly challenging in accredited communication sciences and disorders (CSD) graduate programs. Many faculty aim to promote both metacognitive development and a growth mindset among students. This pilot study explored the use of periodic "mindset check-in" surveys within a neurology course for speech-language pathology (SLP) students to examine changes in student attitudes and learning behaviors over time.

Method: This study examined metacognition and mindset in graduate CSD students through six surveys tracking attitudes, study habits, and mindset. Using varied question formats, data analysis summarized patterns and cohort growth over time.

Results: Students …

Comparing Massed And Distributed Course Formats: Effects On Outcomes In A Graduate Augmentative And Alternative Communication Course, Brandon Scott Eddy, Alli Sauerwein, Leah Meloy, Eric Sanders

Teaching and Learning in Communication Sciences & Disorders

The effects of massed versus distributed learning have been well studied in the verbal and motor learning literature, with findings suggesting enhanced outcomes from distributing learning over time. However, some studies have found limited evidence to support enhanced outcomes from distributed learning when applied to an entire academic course. The effects of course scheduling on student learning in speech-language pathology graduate coursework have received limited attention. This study compared learning outcomes between a one-week massed format and an eight-week distributed format in an online two-credit augmentative and alternative communication graduate-level course. Learning outcomes were assessed before students enrolled, immediately after …

Students’ And Faculty’S Experiences With An Objective Structured Clinical Examination: A Pilot Study, Carrie A. Axt, Jessica M. Smith, Kathie M. Stillwell

Teaching and Learning in Communication Sciences & Disorders

This study examined the implementation of an objective structured clinical examination (OSCE) as a competency-based assessment in a graduate speech-language pathology program. Although OSCEs are widely used in health professions education, they remain less common in speech-language pathology. OSCEs provide opportunities to assess clinical skills beyond traditional knowledge-based measures through simulated patient encounters across multiple stations. The purpose of this mixed-methods study was to explore student and faculty perceptions of OSCE participation, identify factors contributing to effective competency assessment, and gather feedback for future use. Fifteen first-year graduate students and four faculty members completed surveys, station rating scales, and interviews. …

Impact Of A Novel Hybrid Computer-Based Simulation Adult Dysphagia Training On The Confidence And Clinical Knowledge Of Speech-Language Pathology Graduate Students, Jaime Bauer Malandraki, Jennine Bryan, Dawn Wetzel, Allison Schaser, Bruce A. Craig, Georgia A. Malandraki

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to examine the impact of a novel hybrid computer-based dysphagia simulation training on student confidence and clinical decision-making in the area of adult dysphagia. We developed a pilot SBT database, including computer-based simulations utilizing real-life actors who simulated standardized adult patients with dysphagia. Students completed a comprehensive bedside swallowing evaluation and analysis of a videofluoroscopic swallow study (VFSS) as part of the training. We evaluated confidence and clinical decision-making through the following outcome measures: student self-rated confidence levels using a self-efficacy survey and agreement levels with our gold standard rater on clinical evaluation forms. …

A Preliminary Survey Of Slp Students’ Language Sample Analysis Experiences, Rebecca Bawayan, Michelle H. Lenhart, Alexa Van Doren

Teaching and Learning in Communication Sciences & Disorders

Purpose: Although practicing school-based speech-language pathologists (SLPs) report that most of their training in language sample analysis (LSA) comes during their educational program, SLP students’ experiences with LSA in their training program have not been investigated. The purpose of this study was to gather information on the LSA use, methods, and contexts in addition to perceived knowledge and skills of speech-language pathology undergraduate and graduate students.

Method: Undergraduate and graduate students studying speech-language pathology responded to an invitation to complete an online survey related to LSA knowledge and experiences.

Results: Results indicated that most students gain experience with LSA …

Bridging Autism Care: Dental And Occupational Therapy School Collaboration, Trina Hoang, Divya Desai

Oral Health

This study examines the interdisciplinary collaboration between dental and occupational therapy schools to support dental education on autism spectrum disorder (ASD). An occupational therapy student created a recorded training module to educate international dental students on ASD. The participants completed a self-reported pre- and post-survey questionnaire examining their confidence levels in interacting with the ASD population and their awareness of other healthcare professions. The survey results showed improvements in confidence levels for identifying characteristics of ASD, communicating with clients with ASD, identifying sensory-based strategies, navigating uncooperative behaviors, and providing education for at-home care. There was an increase in the awareness …