Medicine and Health Sciences Commons^™

Pengaruh Heart Rate Variability Terhadap Kesintasan Pasien Dengan Kanker: Laporan Kasus Berbasis Bukti, Kartika Anastasia Kosasih, Nida Raniah, Rudi Putranto, Wulyo Rajabto, Hamzah Shatri, Edward Faisal, Vinandya Irvianita Poespitasari

Jurnal Penyakit Dalam Indonesia

Depression, anxiety, and poor outcomes in cancer are possibly mediated by autonomic dysfunction. Autonomic disfunction found in cancer patients can cause increase in sympathetic tone and decrease in cardiac muscle vagal tone. Heart rate variability (HRV) is a non-invasive index for measuring vagal response and a potential stress response in autonomic dysfunction. In patients with cancer, high vagal tone measured by HRV is significantly correlated with increased overall survival. This evidence-based case report aims to investigate the role of HRV as a prognostic factor in cancer patients. Literature search was done by two authors on five databases: Pubmed, Cochrane Library, …

Hubungan Visceral Adiposity Index Dengan Neuropati Diabetik Perifer Pada Pasien Diabetes Melitus Tipe 2, Muhammad Arif Sanusi, Dian Anindita Lubis, Santi Syafril

Jurnal Penyakit Dalam Indonesia

Introduction. Type 2 diabetes mellitus (T2DM) is the leading metabolic disease in Indonesia. Diabetic peripheral neuropathy (DPN), a major complication of T2DM, was associated with insulin resistance and adipose dysfunction. Visceral adiposity index (VAI) is a tool to measure visceral fat as the indicator of adipose dysfunction and insulin sensitivity. The association between VAI and DPN has not been widely researched, especially in Indonesia. This study aims to assess the association between them.

Methods. This was a cross-sectional study conducted on adult patients (aged ≥18 years) with T2DM at H. Adam Malik General Hospital, Medan, from December 2024 …

Clinical Characteristics And Risk Factors Of Acute Pancreatitis In Paediatric Patients In Oman: An 11-Year Experience From A Tertiary Centre, Shurooq S. Al Shereiqi, Aisha Al Fudhaili, Dafalla Rahmatalla, Ravi Chandra, Sanjay Jaju, Ahmed Al Adawi, Adawiya Al Jamei, Yusriya Al Rawahi

Sultan Qaboos University Medical Journal

Objectives: The incidence of acute pancreatitis (AP) in the paediatric population has increased over the past two decades, with an estimated annual rate of 0.78 per 100,000 children. This study aimed to describe the risk factors and characteristics of AP in Omani children. Methods: A retrospective cohort study was conducted, including all children <14 years who were admitted and treated with AP at Sultan Qaboos University Hospital in Muscat, Oman, from January 2010 to December 2020. Case presentations, aetiology, management, and outcomes were reviewed. Results: During the 11-year study period, 55 cases were identified (male: female, 1.2:1). The most frequently reported risk factors were toxic/metabolic (49.1%). Abdominal pain was the predominant symptom (76.4%). Conservative treatment was administered in 74.5% of cases, while the remaining patients required surgery or endoscopic retrograde cholangiopancreatography. …

Conference Proceedings: Select Abstracts Presented At The 2025 Advocate Aurora Scientific Day, Advocate Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This abstract supplement includes findings presented through oral or poster presentations at the 51st annual Scientific Day event held on May 21, 2025. Scientific Day provides both an in-person and virtual forum for the sharing of research, quality improvement, and case studies conducted by Illinois- and Wisconsin-based faculty, fellows, residents, and other health professionals associated with Advocate Health.

Study On The Beneficial Effects Of Garlic, Tribulus Terrestris, And Vitamin E Supplementation On Semen Quality, Fertility, And Hatchability Of Desi Male Chicken, Iqrar Uddin Lashari, Muhammad Mohsen Rahimoon, Qudratullah Kalwar, Zafar Ali Khoso, Barkat Ali Jataoi, Majid Hussain Soomro, Hidayatullah Soomro

Journal of Bioresource Management

This study evaluated the effects of dietary supplementation with garlic, Tribulus terrestris, and vitamin E on semen quality parameters in desi male chickens maintained under local farming conditions in Sindh, Pakistan. A total of twenty-four non-descriptive desi chickens (8 males and 16 females, aged 19–20 weeks) were allocated to four dietary groups for 42 days: G1 (basal diet with 150 g/kg garlic), G2 (basal diet with Tribulus terrestris at 1 capsule/liter of water), G3 (basal diet with vitamin E at 1 capsule/liter of water), and G4 (control with basal breeding ration only). Semen samples collected from treated males were analyzed …

Hawthorn (Crataegus Spp.): Unlocking Its Potential For Health And Environmental Sustainability – A Comprehensive Review, Abdelhak Maghchiche

Journal of Bioresource Management

Hawthorn (Crataegus spp.), traditionally regarded as an important medicinal plant and frequently cited in the literature, presents significant potential for sustainable development and medical biotechnology. This review looks at several areas of Hawthorn that can be explored in response to current healthcare and environmental sustainability issues. Bioactive compounds from hawthorn, including active compounds primarily comprised of flavonoids, procyanidins, and triterpenoids, are responsible for potent antioxidant, anti-inflammatory, cardio-protective, and antimicrobial activities, potentially providing a source of potent therapeutic alternatives. Moreover, hawthorn has a well-documented record as a source of cardiovascular benefits to address arterial hypertension, congestive heart failure, and arrhythmias. In …

Effect Of Dietary Supplementation Of Symbiotic, Prebiotics And Probiotics On Conformation Of Teats In Rabbits, Saqib Kakar, Allah Bux Kachiwal, Saeed Ahmed Soomro, Akeel Ahmed Memon

Journal of Bioresource Management

This study evaluated the effects of dietary supplementation with prebiotics, probiotics, and symbiotics on the reproductive and physiological performance of New Zealand White rabbits, emphasizing teat conformation. Forty-eight rabbits were divided into four groups: control (a), prebiotics (b), probiotics (c), and symbiotics (d). During the first parity, teat conformation varied across dietary treatments, with group d (symbiotic supplementation) generally exhibiting superior teat morphology. Horizontal teat length was highest in group a (4.38±0.35) and lowest in group d (4.02±0.43). The rear teat distance from the floor was longest in group d (1.71±0.25) and shortest in group a (1.41±0.50), with a similar …

Charting Truth, Trust, And Transformers: A Critical Look At Ai Text Detection And Recommendations For Medical Journals, Hari Mudipalli, Mahtab Milburn, Souritya Saha, Jamie Fairclough

Journal of Patient-Centered Research and Reviews

This editorial provides an overview of large language models (LLMs), the risks associated with their use, and the challenges involved in using artificial intelligence (AI) to determine the extent to which LLMs have been used to write text, including articles for publication in medical journals. As narratives generated by LLMs become increasingly difficult to distinguish from human writing, concerns have emerged about their impact on scholarly communication, particularly in health and medicine. The medical community is becoming more aware of various tools that can detect AI-generated text; however, adopting these tools comes with unique challenges. The purpose of this article …

Perspectives On Communicating Information And Shared Decision-Making In Patients Undergoing Transtibial Amputation, Lina Walther Sjödin, Lasse J. Lapidus, Eva Torbjörnsson

Journal of Patient-Centered Research and Reviews

Purpose: Patients undergoing lower extremity amputation often desire to take an active part in decision-making. The primary aim of this study was to explore patients’ experiences of the care trajectory and information provided after a new care program was introduced. The secondary aim was to explore patients' perspectives of their involvement and participation in shared decision-making throughout the care process. The care program features new educational material, recommendations for the sagittal surgical technique, and information about a rigid removable dressing, early liner treatment, and a multidisciplinary team follow up three weeks after amputation.

Methods: Fifteen participants who underwent transtibial amputation …

Self-Management And Support Needs Of Patients Experiencing Persistent Symptoms Consistent With Hypothyroidism: A Qualitative Study, Marike De Reuver-Schuurman, Esther C. Bakker, Lilian Lechner, Liset Van Dijk

Journal of Patient-Centered Research and Reviews

Purpose: To gain insight into the self-management and support needs of patients experiencing persistent symptoms consistent with hypothyroidism, despite thyroid laboratory values within the normal range.

Methods: A qualitative study using the phenomenological approach was conducted. Semi-structured interviews including 19 patients diagnosed with persistent symptoms consistent with hypothyroidism, despite receiving adequate replacement therapy, were performed. Respondents were recruited using purposive sampling via Schildklier Organisatie Nederland (Dutch Thyroid Organization) (www.schildklier.nl). After transcription and coding, a thematic analysis was performed.

Results: All respondents reported that the persistent symptoms reduced their quality of life. The patients’ main focus was on finding the cause …

Understanding The Burden Of Myocardial Infarction And Patient Preferences For Treatment: A Real-World Study Assessing Patients’ Perspectives Via An Online Survey, M. Cecilia Bahit, Serge Korjian, Gerald Chi, Yazan Daaboul, Alberto Castro Molina, Ginger Jiang, Christiana Dangas, Mudit Tandon, Deepak L. Bhatt, Roxana Mehran, Harriette G.C. Van Spall, Paul Nara, Alka Shaunik, Charles Michael Gibson

Journal of Patient-Centered Research and Reviews

Purpose: Myocardial infarction (MI) remains to be associated with a high risk of recurrent cardiovascular events and disease burden. This study assessed patient perspectives on the burden of disease and treatment in the first year post-MI.

Methods: Data were collected via a self-administered online questionnaire posted on the Carenity patient platform in the United States (10/30/2022−12/30/2022). Only patients who had an MI in the prior year were eligible for inclusion.

Results: A total of 151 patients completed the survey. The majority were men (69%), median age was 50 years, and 38% had an MI within the previous 90 days. Overall, …

Ready Or Not? An Autoethnography Of A Midwife’S Preparedness And Readiness Journey, Kristen Graham

The Qualitative Report

This emotive autoethnography explores my experiences working as an Australian midwife in low- and middle-income countries, which led to a Doctor of Philosophy journey exploring primary care midwives' preparedness and readiness in rural and remote communities in this context. I use the midwifery tradition of storytelling to explore personal experiences of preparedness and readiness as a way towards researcher reflexivity, understanding and meaning. Emerging themes of preparation for practice, resource limitations, heartache, and emotional resilience offer insights to inform midwifery education, research, and practice.

Development Of A Career Awareness Board Game Based On Augmented Reality For Generation Z Students, Caraka Putra Bhakti, Difa Ardiyanti, Agus Ria Kumara, Muhammad Alfarizqi Nizamuddin Ghiffari

Buletin Konseling Inovatif

The purpose of this research is to develop an augmented reality-based career awareness board game for Generation Z students. The current development of the era demands that Generation Z have a good career. In reality, currently, there are still many Generation Z students in schools who do not have the skills, competencies, and awareness to have an optimal career. One important thing that Generation Z students need to have is career awareness. Having career awareness will help someone recognise their career needs based on their competencies, talents, and interests. Developing career awareness can be achieved through guidance and counselling services. …

Plastic Makes Perfect: An Analysis Of Plastic Surgery As Rehabilitation In Early To Late 20th Century Prison Populations, Jack West

The Ozark Historical Review

As early as 1910, journalists from around the United States reported on the cause-and- effect relationship between a criminal’s physical appearance, their offenses, and the plastic surgeons willing to help them. These surgeons were interested in changing the physical “causes” of criminality to sever the mental roots of crime, inferiority, and anti-social attitude. This paper examines the use of plastic surgery programs as reform in prison through the lens of popular newspaper and journal articles and argues that public perception and reaction revealed in these articles shaped the prison program’s journey from its underground beginning to its eventual demise.

Sickle Cell Disease: A Story Of Injustice And Neglect, Nosakhare Edogun, Rosalyn Marar, Jasmine R. Marcelin

Graduate Medical Education Research Journal

N/A

A Case Of Kikuchi-Fujimoto Disease In Texas, United States, Divya Chandramohan, Moyosore Awabajo-Otesanya, Deepak Chandramohan, James C. Saca

Graduate Medical Education Research Journal

Kikuchi-Fujimoto disease (KFD) commonly presents with lymphadenopathy, with a third of cases presenting with fevers. It is seen in young female patients of Asian descent, with Taiwan accounting for most of the reported cases. It is imperative to consider KFD in an individual presenting with fever and lymphadenopathy. While it might not be common in the United States, there is an increasing number of cases being reported. Histologic features in KFD are unique, and a lymph node biopsy determines the diagnosis. We outline a case of KFD in the United States and describe histologic details that resulted in the diagnosis.

Urology Resident Associate: A Promising Alternative For The Unmatched Urology Applicant, Jayson Kemble, Grace Handleman, Chad A. Lagrange, Christopher M. Deibert

Graduate Medical Education Research Journal

Background. Demand for urology residency spots frequently outstrips supply, with unmatched urology applicants having limited options while waiting for reapplication. We aim to demonstrate our experience with a year-long Urology Resident Associate (URA) position, which merges the role of junior resident and APP with the mission to reduce resident workload and further the training of an unmatched urology applicant.

Methods. A year-long, non-Accreditation Council for Graduate Medical Education (ACGME) accredited URA position was created at our institution in 2023 and filled by an unmatched applicant to our program. The URA was given all the roles and responsibilities of a …

Improving Resident Orientation To Anesthesiology Subspecialties Using A Structured “Passport”, Ky Raymond, Adam Jackson, Angela Mcelrath, Kathryne Corrigan, Ivan Barannikov, Kayla Knuf, Kelly Ivins-O'Keefe

Graduate Medical Education Research Journal

Background. On an initial pediatric, cardiothoracic, or obstetric anesthesiology rotation, a resident faces new knowledge and procedural expectations. Lack of guidance to direct learning may lead residents to feel unprepared. The optimal way to prepare residents is unknown. This initiative included the introduction of a structured “passport” for each subspecialty specifying the knowledge and procedural goals of an introductory rotation. This intervention aimed to improve resident and attending perceptions of resident readiness on these anesthesiology subspecialty rotations, as measured using pre- and post-initiative surveys of residents and attendings.

Methods. This initiative occurred at a large anesthesiology residency with 53 residents …

Human Papillomavirus Vaccine Uptake Among U.S. Medical Residents In High-Exposure-Risk Specialties – A National Study, Madison Oxford, Christina Stetter, Arpit Dave

Graduate Medical Education Research Journal

Background. HPV vaccination is not required for the United States (U.S.) medical residents, despite their potentially high risk of iatrogenic exposure to the virus. We aim to evaluate vaccination status, patterns of HPV vaccine uptake, and perceived risk of iatrogenic infection among residents in high-exposure-risk specialties.

Methods. In spring 2023, an anonymous online survey was distributed via program directors and coordinators of all Accreditation Council for Graduate Medical Education (ACGME)-accredited Obstetrics & Gynecology, Family Medicine, Otolaryngology, and Dermatology training programs to assess residents’ vaccination status, HPV exposure, and HPV vaccine knowledge.

Results. Responses from 537 residents at programs located in …

Evaluation Of Vitamin D Status And Its Interrelationships With Different Variables In An Iraqi Cohort Of Kidney Transplant Recipients, Hussein Yousif Sinjari

Maaen Journal for Medical Sciences

Background: Recent studies have observed that vitamin D insufficiency is quite common among kidney transplant recipients (KTRs) and has several deleterious effects. Objective: This study aimed to assess vitamin D (VD) status and investigate its relationships with various health variables in KTRs in Erbil, Iraq. Methods: This observational cross-sectional study enrolled 130 consecutive KTRs; their mean age was 39.2 + 11.3 years, and 56.9% were men. Demographic data, comorbidities, and baseline clinical and laboratory characteristics were obtained, recorded, and analyzed. The value of 25-hydroxyvitamin D [25(OH)D] > 30 ng/mL was considered sufficient, values of 15-30 ng/mL were insufficient, and a value …

The Relationship Between Evening Screen Time Use And Objectively Measured Sleep Outcomes In Us College Students, Donya Sedaghat

The Pegasus Review: UCF Undergraduate Research Journal

High amounts of nightly screen time have been thought to negatively affect sleep outcomes (sleep duration, quality, and latency). There is a lack of evidence exploring if this pattern exists in U.S. college students. The purpose of this study is to investigate the relationship between evening screen time use and objectively measured sleep outcomes in U.S. college students. College students (N = 29) junior or senior standing in a Health Sciences major were recruited to participate in this cross-sectional study. Participants wore accelerometers on their non-dominant wrist for 24hr/day for 7 days to capture sleep (duration, efficiency, awakenings, timing). Participants …

2024 Impetus Platform Presentation Abstracts

Philippine Journal of Physical Therapy

No abstract provided.

2024 Impetus Poster Presentation Abstracts

Philippine Journal of Physical Therapy

No abstract provided.

Psychiatric Associations With Barriers To Use Of Mental Health Services In Medical Students, E. Cadence Rarity, Nora Newcomb, Aishwarya Vuppala, Jade Brunicardi, Kim Van, Amelia C. Phillips

Journal of Wellness

Introduction: Medical students experience stress, anxiety, and depression at rates greater than those of the general population. Medical students also underutilize mental health services. There exists a need for a comprehensive, multivariate analysis of the reasons medical students do not pursue mental health services, and the undesirable mental health outcomes that are associated with these barriers. This study associates psychiatric phenomena of stress, anxiety, and depression within the context of barriers to use of mental health services in medical students.

Methods: In this cross-sectional study, medical students (N = 128) from the University of South Florida engaged with …

Structural Variation Of The Right Coronary Ostium And Its Implications To Cardiac Medicine, Jessica L. Hensley, Joseph X. Anders, Timothy Robinson, William Srinivasan, Donald G. Matz, Ethan L. Snow

The Journal of Integrative Physiology

Introduction: The high oxygen demand of the heart’s myocardium is met via perfusion through the coronary arterial system. During embryological development, the right (RCA) and left (LMCA) coronary arteries fuse onto the aortic root, creating right (RCO) and left (LCO) ostial openings respectively to join the closed circulatory system. Regardless of their widely variable branching patterns, the ability of the RCA and LMCA to perfuse the myocardium initially relies on the functional patency of the coronary ostia. The objective of this study is to examine a unique extra-ostial tissue structure found overlying an RCO and provide a literature-based discussion of …

Electromyography Normalization And Assessment Methods For Muscle Activity: A Systematic Review And Meta-Analysis, Dariusz Tadeusz Skalski, Magdalena Prończuk, Kinga Łosińska, Ewelina Lulińska, Joanna Motowidło, Justyna Żurowska-Cegielska, Piotr Aschenbrenner, Mieszko Bartosz-Jefferies, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Background: Electromyographic (EMG) normalization is essential for accurately measuring muscle activity across different populations and tasks. Various methods, including Maxi-mum Voluntary Isometric Contraction (MVIC) and Recurrence Quantification Analysis (RQA), have been employed to improve measurement reliability. However, discrepancies in results across studies necessitate a comprehensive review of normalization techniques. Objective: This report analyzed 40 research studies to evaluate EMG normalization and assessment methods, focusing on their reliability, applicability, and effectiveness across healthy and clinical populations. Methods: The studies employed a range of normalization techniques, including MVIC, submaximal contractions, task-specific approaches, and advanced methods such as RQA and Pre-Fatigue Maximal Voluntary …

The Evaluation Of Variants Within Eight Collagen Genes Col1a1, Col1a2, Col3a1, Col5a1, Col11a1, Col15a1, Col22a1, And Col27a1 And A Risk Of Non-Contact Knee Ligament Rupture In Elite Handball Players: A Case-Control Study, Katarzyna Krawczak-Wójcik, Andrzej Mastalerz, Aleksandra Bojarczuk, Monika Johne, Alison V. September, Aleksandra Garbacz, Katarzyna Komar, Ewelina Maculewicz

Baltic Journal of Health and Physical Activity

Introduction: Knee ligament ruptures are common injuries among athletes. While most previous studies examined single collagen gene polymorphisms, few have investigated haplotype-level associations across multiple genes, particularly in elite handball players. Materials and methods: This case-control study analyzed variants in eight collagen genes (COL1A1, COL1A2, COL3A1, COL5A1, COL11A1, COL15A1, COL22A1, and COL27A1) in 103 elite Polish handball players with non-contact knee ligament rupture and 226 matched controls. Results: The COL22A1 rs11784270 CC genotype was associated with an increased risk (OR = 2.88, p = 0.01), with the strongest effect in the …

Scaling Symmetry Of The Hodgkin-Huxley Mathematical Model, Vladimir Valerievich Galanin

Progress in Scale Modeling, an International Journal

A computational method based on the application of a scaling transformation to the Hodgkin-Huxley mathematical model of the biological neuron and its generalizations to the case of various neural systems is proposed. The method makes it possible: 1) to obtain invariants of the scaling transformation of the Hodgkin-Huxley model; 2) to find self-similarity regions corresponding to the modes of neural activity; 3) to determine the conditions for the similarity of models of various types of biological neurons; 4) to reduce the order of the system of differential equations of the Hodgkin-Huxley model for neural systems with synchronous activity. The capabilities …

Airway Abnormalities In Children Operated For Congenital Heart Disease: Clinical Characteristics And Risk Factors From A Case-Control Study, Fatma Al Kindi, Rand Al Harthy, Saif A. Thani, Hamood Al Kindi, Hussain Mohsin

Sultan Qaboos University Medical Journal

Objectives: Congenital heart disease (CHD) is the most common congenital defect, with airway abnormalities (AAs) representing significant comorbidities that contribute to increased morbidity and clinical complexity. This study aimed to identify the most common AAs, associated risk factors, and clinical outcomes in children with CHD. Methods: This case-control study included children aged under 13 years with CHD who underwent cardiothoracic surgery between 1 January 2016 and 31 December 2018 at the National Genetic Centre in Oman. Cases were children with concurrent AAs, while controls were age- and gender-matched children with CHD but without AAs. Results: The prevalence …

Effectiveness Of An Adapted Physical Activity Program On Anxiety, Depression, And Self-Esteem On A Heterogenous Sample: A Randomized Controlled Trial, Mathilde Plard, Claire El Jor, Rebecca Shankland, Quentin Hallez

Baltic Journal of Health and Physical Activity

In recent decades, numerous studies have demonstrated the effectiveness of Adapted Physical Activity (APA) interventions in improving the mental health of individuals. However, a limitation of these studies is their predominant focus on homogeneous groups, characterized by similar diseases or disorders and characteristics. Thus, effects associated with these groups may largely account for the observed benefits, rather than the physical activity itself. This study aimed to investigate the impact of an eight-week APA intervention on anxiety, depression, and self-esteem in a heterogeneous group of participants with diverse health conditions and ages. Participants were randomly assigned to either an experimental group …