Medicine and Health Sciences Commons^™

Comparative Analysis Of Papillary Thyroid Carcinoma And Benign Lesions; Immunohistochemical Diagnostic Markers And Their Gene Expression Correlation, Esraah Alharris, Samah Alkhalidy, Dina Saleh

Al-Qadisiyah Medical Journal

Background: Papillary thyroid carcinoma (PTC) incidence has increased globally, but it is unclear if this was because of an improvement in the patient’s knowledge or if the tumor was incidentally discovered. The microscopical features of the nuclei are the gold standard for diagnosing PTC. Many immunohistochemical markers have been used to accurately diagnose PTC, such as CK-19, TTF-1, HBME-1, ret, and S-100. Objectives: To assess the incidence of PTC in the Al-Qadisiyah governorate and examine the expression of several markers by immunohistochemistry in thyroid tissue biopsies. Materials and Methods: Two hundred and twenty surgically resected Thyroid glands were implanted in …

Faktor-Faktor Yang Berhubungan Dengan Kualitas Hidup Pasien Geriatri Yang Menjalani Hemodialisis, Nurhidayat Mohammad, Czeresna Heriawan Soejono, Aida Lydia, Ikhwan Rinaldi, Muhammad Syafiq, Elizabeth Yasmine Wardoyo

Jurnal Penyakit Dalam Indonesia

Introduction. The decline in quality of life among geriatric patients undergoing hemodialysis has a negative impact on treatment adherence, physical functioning, dietary patterns, and mortality. This study was conducted to assess the quality of life of geriatric hemodialysis patients and its association with comorbidities, functional status, frailty, sarcopenia, nutritional status, depression, hemoglobin levels, hemodialysis vintage, vascular access, and hemodialysis adequacy.

Methods. This study employed a cross-sectional design with primary data collection. Consecutive sampling was used to recruit participants. The study was conducted at the hemodialysis units of Cipto Mangunkusumo National General Hospital (RSCM), Persahabatan National General Hospital (RSP), …

Rekam Medis Elektronik Berbasis Artificial Intelligence: Sudahkan Saatnya Digunakan?, Sukamto Koesnoe

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Korelasi Kadar Serum Vegf-A Dengan Rasio Albumin-Kreatinin Urin Pada Pasien Penyakit Ginjal Diabetik, Hannie Q. Syaiful, Drajad Priyono, Harnavi Harun, Arina W. Murni, Akmal M. Hanif, Eifel Faheri, Arnelis Arnelis, Vesri Yoga

Jurnal Penyakit Dalam Indonesia

Introduction. Diabetic kidney disease (DKD) is a major microvascular complication of diabetes mellitus, characterized by persistent albuminuria and a progressive decline in glomerular filtration rate (GFR), making it a leading cause of chronic kidney disease (CKD) and end-stage renal disease. Vascular endothelial growth factor-A (VEGF-A) is implicated in the pathogenesis of DKD, being overexpressed in the kidneys and contributing to increased vascular permeability, inflammation, and fibrosis. Albuminuria, an early indicator of renal damage in DKD, is a strong predictor of CKD progression and cardiovascular events. The urine albumin-to-creatinine ratio (UACR) is the recommended test for detecting and monitoring albuminuria. …

Kadar Transthyretin Plasma Pada Lanjut Usia Sarkopenia Dan Non-Sarkopenia, R. Ifan A. Fahrurozi, Rose D. Martini, Roza Mulyana, Arina W. Murni, Eva Decroli, Saptino Miro, Deka Viotra, Vesri Yoga

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a geriatric syndrome marked by an age-related decline in muscle mass, which is affected by protein intake. Transthyretin is a visceral protein used to evaluate nutritional status and acts as a positive regulator of muscle mass. This study aimed to assess the difference in plasma transthyretin levels between elderly groups with and without sarcopenia.

Methods. This was an analytical observational study with a cross-sectional approach. Subjects were elderly patients who visited the Internal Medicine Polyclinic of Dr. M. Djamil Hospital Padang and met the inclusion and exclusion criteria from August to September 2024. Subjects were …

Optimalisasi Rekam Medis Elektronik Berbasis Artificial Intelligence, Ikhwan Rinaldi, Wahyu Sulistiadi

Jurnal Penyakit Dalam Indonesia

Electronic medical records (EMRs) are essential to modern healthcare systems, yet their implementation continues to face challenges such as disruption of doctor–patient communication, administrative burden, and documentation structures misaligned with clinicians’ clinical reasoning processes. This narrative review aims to assess the limitations of conventional EMRs and examine the potential of artificial intelligence (AI) to improve documentation efficiency, accuracy, and overall clinical performance. The literature indicates that AI technologies, including machine learning, deep learning, and natural language processing, can automate documentation, streamline workflows, enhance decision support, and reduce physician burnout, thereby allowing clinicians to devote more attention to patient care. Nevertheless, …

Faktor Prediktif Post Dialysis Fatigue Sedang Pada Pasien Yang Menjalani Hemodialisis Reguler, Ivan Virnanda Amu, Maruhum Bonar H Marbun, Pringgodigdo Nugroho, Ikhwan Rinaldi, Hamzah Shatri, Nunuk Mardiana, Rudy Hidayat, Endang Susalit, Evy Yunihastuti, Dyah Purnamasari, Elizabeth Y. Wardoyo

Jurnal Penyakit Dalam Indonesia

Introduction. Fatigue is often found in patients with CKD-HD. Fatigue serves as an indicator of mortality and may be a viable target in a treatment strategy. Current research has not established the determinants of moderate PDF in individuals with CKD who are undergoing HD. Therefore, this study was conducted to prove the predictor factors of moderate PDF.

Methods. A retrospective cohort study in CKD-HD patients at Fatmawati Central General Hospital during the period of November-December 2024. The independent variables of this study are comorbidities, MIS, depression, intradialytic SBPV, dialysis vintage, UFG, IDWG, and anemia status. Primary data from …

Pengaruh Ivabradin Terhadap Variabilitas Detak Jantung Pada Gagal Jantung Dengan Fraksi Ejeksi Rendah Akibat Penyakit Jantung Koroner, Handy Kurnia, Charles Limantoro, Friska Anggraini Helena Silitonga, Andreas Arie Setiawan

Jurnal Penyakit Dalam Indonesia

Introduction. Heart failure is one of the major challenges in global health due to its significant contribution to morbidity and mortality. One of the pathophysiological aspects is autonomic nervous system dysfunction which can be monitored through heart rate variability (HRV) parameters. Ivabradine is a pharmacological agent that potentially improves the balance of sympathetic and parasympathetic tone. This study was designed to evaluate the impact of ivabradine administration on HRV parameters in heart failure with reduced ejection fraction (≤40%) due to coronary heart disease in Indonesian population.

Methods. This study used a quasi-experimental research type with a pretest and posttest …

Polisitemia Sekunder Pada Pasien Laki-Laki Muda Dengan Sindrom Nefrotik, Ariani Intan Wardhani, Pringgodigdo Nugroho, Ikhwan Rinaldi, Meilania Sarasawati, Monik Ediana Miranda, Agnes Stephanie Harahap

Jurnal Penyakit Dalam Indonesia

Polycythemia is a condition characterized by an abnormal increase in the total red blood cell mass and is classified into primary and secondary polycythemia. Secondary polycythemia occurs as a physiological response to tissue hypoxia or increased erythropoietin production, without intrinsic abnormalities in erythroid progenitor cells. This condition is rare, particularly when associated with nephrotic syndrome. This report aims to describe a case of secondary polycythemia associated with focal segmental glomerulosclerosis (FSGS). A 20-year-old man presented with generalized edema for five months prior to admission, accompanied by foamy urine. Physical examination revealed peripheral edema and minimal ascites. Laboratory investigations demonstrated massive …

Going Nuclear: Exploring Mtor’S Transcriptional Role In Regulating Estrogen Receptor Positive Breast Cancer, Alek S. Torres

NYMC Student Theses and Dissertations

Global changes in gene expression are orchestrated by an array of transcription factors regulated by both extracellular and intracellular signals. The mechanistic target of rapamycin (mTOR) is a protein kinase that ubiquitously mediates signaling networks across every cell type, in two active complexes, mTORC1 and mTORC2. By phosphorylating its downstream targets, these classically cytosolic complexes regulate protein homeostasis, metabolism, cell growth, proliferation and survival. However, evidence from prostate cancer studies reveals mTOR and its partners can occupy the nucleus, where its interaction with chromatin (in complex with transcription factors) has been shown to regulate gene expression at the level of …

Occupational Resilience (Part 1): Origins And Significance To Health And Well-Being, Bernard A. Muriithi, Jyothi Gupta

Occupational Therapy Faculty Scholarship

Occupational resilience (OR) is a novel concept emerging in occupational therapy and occupational science, with significant implications for the field. However, its definition is still evolving and needs clarity and consensus. In this article, we offer a definition inspired by the real-life experiences of refugee immigrants who have been resettled in the United States of America (USA). We define OR as the ability to persist in an occupation, where the duration and intensity of engagement are the essential contributors. Therefore, we propose that three elements, occupation, intensity, and duration, constitute the nature of OR and shape how occupation impacts health, …

Perbandingan Ablasi Radiofrekuensi Dengan Transplantasi Hati Sebagai Terapi Kuratif Pada Karsinoma Hepatoseluler Stadium Awal: Laporan Kasus Berbasis Bukti, Mikhael Fabian Gunawan, Ranindita Amaida Safira, Gurmeet Singh, Kemal Fariz Kalista

Jurnal Penyakit Dalam Indonesia

Hepatocellular carcinoma (HCC) is the most common type of liver cancer and the second leading cause of cancer-related mortality worldwide. Liver transplantation is considered the definitive treatment for HCC; however, in Indonesia, adult liver transplantation is still rarely performed due to donor limitations and high costs. Radiofrequency ablation (RFA) has therefore become a preferred therapeutic option in the management of HCC. This report discuss about the survival and recurrence rates of HCC in patients treated with RFA compared with those undergoing liver transplantation. A literature search was conducted using the PubMed, Cochrane, Embase, and Scopus databases. Selected articles were screened …

Family Dementia Caregivers’ Disaster Preparedness In Chinese American Communities In New York City, Weiyu Mao, Bei Wu, Yaolin Pei, Zhen Cong

Health Sciences and Kinesiology Faculty Articles

Disaster preparedness is a significant public health concern. Disasters manifest in different forms and often lead to disruption of daily life. This is especially challenging for family dementia caregivers and their care recipients in the community. There remains much unknown regarding dementia caregiver disaster preparedness, especially in ethnic and racial communities. Guided by Protection Motivation Theory, with the backdrop of Hurricane Ida, this study explored the association between caregiving-related characteristics, cognitive appraisals, and disaster preparedness among caregivers in Chinese American communities. Data came from a pilot study on Chinese American family dementia caregivers in New York City between November 2021 …

Translating Evidence Into Action: Understanding How Community- Based Practitioners Make Intervention Implementation Decisions In Practice, Kristin C. Bennett

Dissertations and Theses (Open Access)

This study examined how community-based practitioners implement public health interventions in practice settings to identify gaps between existing implementation frameworks and real-world practice. Six farmers' markets in Southeast Texas served as cases to understand implementation decision-making by community-based practitioners addressing food access challenges. A qualitative case study approach was employed, using semi-structured interviews with program adopters and key stakeholders to examine how practitioners addressed food access problems, selected interventions, and navigated implementation decisions. This methodology captured the contextual nature of implementation decision-making in community settings. The findings revealed that program adopters recognized health problems through lived experience rather than formal …

Sirtuin 1 And Vitamin D3 As Prognostic Factors For Chronic Kidney Diseases And Nephrotic Syndrome, Fatima Al-Zahra’A ’Mohammed Radhi, Anwar Jasib Almzaiel

Al-Qadisiyah Medical Journal

Background: Kidney disease encompasses any form of damage or illness that affects these organs. Sirtuin-1 is an NAD+-dependent and class III histone deacetylase protein. Vitamin D3 is a fat-soluble steroid hormone. Recently, it was suggested that Sirtuin-1 and Vitamin D3 were involved in the pathogenesis of renal diseases. The exact protective mechanisms of Sirtuin-1 in renal diseases are still not completely understood. Objectives: The aim of this study was to explore the potential involvement of Sirtuin-1 in modulating the inflammatory response in various kidney diseases. Materials and Methods: The research study was carried out between October 2022 and April 2023. …

Molecular Detection Of Blaimp And Ompa Genes In Acinetobacter Baumannii Isolated From Burn Wound Infections, Zeinah Jawad Kadham, Manal Mohammed Kadham

Al-Qadisiyah Medical Journal

Background: antibiotic resistance in Acinetobacter baumannii can be acquired rapidly due mainly to chromosomal mutation, and its antibiotic-resistant metallo-beta-lactamase (MBL) production has been claimed to have a great contribution to nosocomial infection. Objective: This study aimed to detect the presence of the blaIMP carbapenemase-producing gene and the ompA gene in bacterial isolates obtained from burn patients, using the polymerase chain reaction (PCR) technique. Additionally, the study aimed to evaluate the role of these genes in antibiotic resistance. Methods: Cross-sectional research was conducted among a total of 150 clinical samples for patients of various ages and both sexes at the Specialist …

Association Of Serum Il-23 And Il-17 Levels With Alopecia Areata, Safa Naser Hussein, Israa A. Deep

Al-Qadisiyah Medical Journal

Background: Alopecia areata is a chronic, non-scarring autoimmune condition characterized by patchy hair loss. Materials and Methods: From December 2023 to April 2024, case-control research was carried out at Al-Diwaniya Teaching Hospital. It comprised 40 formally identified alopecia areata patients as well as 40 healthy controls who were compared for gender as well as age. Comprehensive dermatology tests as well as a thorough history-taking process were performed on the participants. According to the quantity as well as the size of the alopecic patches or the degree of hair loss, alopecia areata was divided into moderate and severe variants. Levels of …

Applications Of Artificial Intelligence In Dental Malocclusion: A Scoping Review Of Recent Advances (2020-2025), Man Hung, Owen Cohen, Nicholas Beasley, Cairo Ziebarth, Connor Schwartz, Alicia Parry, Martin S. Lipsky

Institute on Aging Publications

Introduction:

Dental malocclusion affects more than half of the global population, causing significant functional and esthetic consequences. The integration of artificial intelligence (AI) into orthodontic care for malocclusion has the potential to enhance diagnostic accuracy, treatment planning, and clinical efficiency. However, existing research remains fragmented, and recent advances have not been comprehensively synthesized. This scoping review aimed to map the current landscape of AI applications in dental malocclusion from 2020 to 2025. Methods: The review followed the Joanna Briggs Institute methodology and the PRISMA-ScR guidelines. The authors conducted a systematic search across four databases (PubMed, Scopus, Web of Science, and …

Antioxidant Activity Comparison Of Peperomia Pellucida And Piper Crocatum Leaf Extracts Using The Dpph Method (In Vitro), Dyah Ayu Kinasih, Arifa Mustika, Marijam Purwanta, Nurmawati Fatimah, Nozlena Binti Abdul Samad

Folia Medica Indonesiana

Peperomia pellucida (L.) Kunth and Piper crocatum Ruiz and Pav are members of the Piperaceae family, which contains many active phytochemical compounds, one of which functions as an antioxidant. Antioxidants in the human body play a crucial role in protecting cells and tissues from damage by free radicals. Free radicals are unstable molecules that can damage cells through a process called oxidation. The purpose of this study was to compare the levels of antioxidant activity in the two plants using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) method. The processing was conducted from simplicial to extraction, using the maceration method with 70% ethanol solvent. …

Delayed Management Of Bilateral Massive Epidural Hematoma Involving Parasagittal Sinus: A Comprehensive Scoping Review From Indonesian Perspectives, Wihasto Suryaningtyas, Alivery Raihanada Armando, Candra Dwantara Ramadhan, Muhammad Fadhil Kamaruddin, Ramadhani Rizki Zamzam, Nathania Nathania

Folia Medica Indonesiana

Introduction: Vertex epidural hematomas (VEDH) involving the superior sagittal sinus (SSS) are rare, critical injuries often complicated by massive venous hemorrhage. This study evaluates the clinical outcomes of VEDH and identifies systemic barriers contributing to treatment delays in Low- and Middle-Income Countries (LMICs). Methods: We present a case series of three patients managed at an Indonesian tertiary center alongside a scoping review of 33 studies. Delayed management was defined as prolonged injury-to-surgery intervals resulting from referral inefficiencies and transport logistics. Results: The series highlights a unique case of a 66-year-old male with bilateral VEDH and SSS laceration who underwent surgery …

Equivalent Survival Outcomes Across Different Management Strategies In Partial Small Bowel Obstruction At Dr. Kariadi Hospital, Semarang In January - December 2024, Ezra Endria Gunadi, Abdul Mughni

Folia Medica Indonesiana

Small bowel obstruction (SBO) is[30pc]AU: Please provide the publication history dates. a common clinical condition in general surgery, contributing to approximately 12% of surgical admissions globally. With over 300,000 operations performed annually, timely and appropriate management is crucial for reducing morbidity and mortality. Although operative management remains standard in many cases, non-operative strategies are increasingly utilized. However, comparative evidence on survival outcomes, particularly from developing countries, remains limited. To improve health outcomes, this study aimed to evaluate the survival outcomes of operative and non-operative management strategies for partial SBO at a tertiary referral hospital. A retrospective analytical cross-sectional study was …

Transforming Vision: Long Term Follow-Up Of Rigid Gas Permeable Contact Lens Therapy In Anisometropic Amblyopia, Christina Aritonang, Sarah Fauzia, Zafirah Mutiani, Hafiza Izyani Yaacob, Muhammad Irfan Kamaruddin

Folia Medica Indonesiana

Amblyopia is defined as a unilateral or bilateral reduction in visual acuity resulting from abnormal binocular interaction during the critical period of visual development. Amblyopia is classified into three etiologies: strabismus, refractive amblyopia, and other vision obstructions. Amblyopia refractive is the most common form resulting from the integration of the retina. Amblyopia is most prevalent in childhood, with a global prevalence of 1.44% mainly in Asia, the United States, and Europe. Early detection and treatment are crucial to ensure proper visual development and prevent long-term vision problems. RGP contact lenses are an alternative treatment method that creates a more effective …

Correlation Of F2-Isoprostane With Interleukin-6 And Interleukin-10 In Transfusion-Dependent Thalassemia Patients : A Cross-Sectional Study, Nurul Muhlisa, Yetti Hernaningsih, Puspa Wardhani, Mia Ratwita Andarsini, Zulfikar Ali Hasan

Folia Medica Indonesiana

Transfusion-dependent thalassemia (TDT)[-7pc]AU: Please Provide authors affiliations. is a condition in which patients require lifelong regular blood transfusions. However, regular blood transfusions carry a major risk of iron overload, which accumulates in the body and can trigger oxidative stress and chronic inflammation. Oxidative stress is characterized by an increase in reactive oxygen species (ROS), which can be assessed through the measurement of F2-Isoprostanes (8-iso-PGF2α). Excessive ROS affects cytokine production by inducing an inflammatory response, such as IL-6 and IL-10. This study aims to analyze the correlation between F2-isoprostane with Interleukin-6 and Interleukin-10 levels in TDT patients. This research …

Analysis Of Penis Size Differences In Patients With Severe Erectile Dysfunction Non-Responsive Pde5i With Mesenchymal Stem Cell Secretome From Umbilical Cord, Kristophorus Jonathan Wibowo, Reny I’Tishom, Mohammad Ayodhia Soebadi, Muhammad Hidayat Surya Atmaja, Supardi Supardi, Ria Margiana, Fatkhurrohmah Leo Amalia

Folia Medica Indonesiana

The ineffectiveness of PDE5i[-10pc]AU: Please provide the affiliation of all authors. therapy is indicated by the patient’s unresponsiveness to oral medication, evidenced by insufficient erection after four attempts with the dosage recommended by the manufacturer. Consequently, the application of regenerative therapy may be seen as an effort to stimulate a response or improvement in erectile function, especially in individuals with erectile dysfunction who exhibit no significant progress after utilizing PDE5 inhibitors. Regenerative therapy seeks to repair damaged erectile tissue, with the objective of enhancing erectile function and rehabilitating tissue impacted by existing comorbidities. The secretome denotes the aggregate of chemical …

Patterns Of Rifampicin And Isoniazid Resistance In Pulmonary Rr/Mdr-Tb With Or Without T2dm, May Ira Sopha, Laksmi Wulandari, Musofa Rusli, Dominicus Husada, Susantina Prodjosoewojo

Folia Medica Indonesiana

Tuberculosis (TB) causes approximately[-12pc]AU: Please provide ORCID ID for all authors. 1.6 million deaths each year. The incidence of drug-resistant TB has continued to rise, primarily due to multidrug-resistant tuberculosis (MDR-TB). Drug-resistant TB remains a primary concern in various parts of the world, especially in Eastern Europe, Russia, Asia, and sub-Saharan Africa. This study aimed to analyze the correlation between first-line anti-tuberculosis drug resistance and the presence or absence of T2DM comorbidity in patients with pulmonary RR/MDR TB. This research employed a cross-sectional design, which used secondary data from 2023, obtained from medical records, the Tuberculosis Information System (SITB), and …

Preliminary Laboratory Evaluation Of Rapid Diagnostic Test Prototype To Detect Hbsag In Whole Blood And Serum, Ema Qurnianingsih, Citrawati Dyah Kencono Wungu, Mochammad Amin, Dewi Setyawati, Yanna Debby Restifanny Yasan, Lina Lukitasari, Maria Inge Lusida, Soetjipto Soetjipto

Folia Medica Indonesiana

Chronic hepatitis B virus (HBV) remains a major global health issue,[-10pc]AU: Please provide ORCID ID for all authors.[-7pc]AU: Please provide affiliation’s for all authors. with over 250 million people affected worldwide. In Indonesia, HBV prevalence has declined from high to moderate endemicity, but challenges persist due to regional disparities, risk of mother-to-child transmission, and the predominance of B3 and C1 sub-genotype. Despite available preventive measures and diagnostic tools, approximately 90% of cases remain undiagnosed, particularly in low-resource settings, indicating the need for improved screening and control strategies. Therefore, this study aims to conduct preliminary performance tests of KODC hepatitis B …

Comparison Of Intraperitoneal And Intraductal Routes In The Growth Of N-Methyl-N-Nitrosourea-Induced Breast Cancer In Sprague Dawley Rats: A Systematic Review 2014–2024, Adilla Soraya Prameswari, Ruendhita Azzahra Sari Sompokan, Annisa Annisa, Rachma Greta Perdana Putri, Dewi Yuniasih, Muhamad Danian, Muhammad Tri Yoga Tianotak

Folia Medica Indonesiana

Breast cancer is one of the[-6pc]AU: Please provide affiliations for your paper. leading causes of death for women worldwide, characterized by malignant tumors in the mammary epithelium. Breast cancer modelling using Sprague Dawley animals induced by N-Methyl-N-Nitrosourea (MNU) compounds is commonly used through various administration routes. The intraperitoneal route is the conventional route and the intraductal route is a new route capable of directly targeting the mammary ducts. Both routes affect the speed and characteristics of breast cancer cells in experimental animals. This systematic review using PubMed and Scopus databases from 2014-2024 aims to compare the effects of intraperitoneal and …

Global Analysis Of Pyroptosis On Autoimmune Diseases: Bibliometric Study, Astri Dewayani, Kartika Afrida Fauzia

Folia Medica Indonesiana

Pyroptosis has gained increasing attention due to its role in immune responses and its implication in the pathogenesis of autoimmune diseases. Unlike apoptosis, pyroptosis is characterized by gasdermin D-mediated membrane pore formation and the release of pro-inflammatory cytokines. This bibliometric analysis aims to systematically explore trends, influential contributions, and emerging themes in the study of pyroptosis within the context of autoimmune diseases. Literature was retrieved from the Web of Science Core Collection covering publications from 2015–2024. A total of 1,271 English-language articles and reviews were analyzed using Biblioshiny and VOSviewer for performance metrics and network visualizations. Hotpots trend identification is …

Us Drug Policy Does Not Align With Experts' Rankings Of Drug Harms: A Multi-Criteria Decision Analysis, Michael Broman, Alan K. Davis, Stacey Armstrong, Adam Levin, Kaltum Ahmed, Gustavo A. Angarita, Brooke J. Arterberry, Cecilia Bergeria, Mitch Earleywine, Kathryn S. Gex, Tom Gregoire, Jamey J. Lister, David S. Mathai, Nicky J. Mehtani, Nathan Menke, Charles D. Nichols, Hillary Shaub, Alayna P. Tackett, Brandon Weiss, Nefize Yalin, Lawrence D. Phillips

School of Medicine Faculty Publications

Background United States drug policy is primarily based on the Controlled Substances Act of 1970 and largely contradicts scientific evidence about how to mitigate drugs' harms. Expert consensus on drug harms could inform policy that improves the health of people who use drugs while reducing negative societal impacts of drug use. Therefore, this study adapted and extended the relevant 2010 United Kingdom multi-criteria decision analysis, rating drug harms by criteria comprising health and social impacts to people who use drugs and their families, communities, and society.Methods Seventeen experts on drug use in the US, including three with lived experience of …

Assessment Perception: Delivery Matters, Nicole Marie Arcuri-Sanders, Chelsey Simmons

Educational Sciences and Organizations

Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …