Medicine and Health Sciences Commons^™

Mda Dental Pac: Why It’S So Important To You, James Mashni Dds

The Journal of the Michigan Dental Association

The MDA Dental PAC (Political Action Committee) supports the Michigan Dental Association’s (MDA) lobbying efforts on state legislation. It is funded entirely by voluntary contributions from MDA member dentists, mainly collected through a notice included in the annual dues statement. The PAC pools these funds to support political officials who advocate for issues important to organized dentistry, regardless of political party. Key advocacy priorities for 2025 include establishing Dental Loss Ratio laws, legislating Assignment of Benefits, regulating Virtual Credit Card Payments, addressing fees for Non-Covered Services, and increasing Medicaid Anesthesia Reimbursement. The PAC is managed by a Board of Governors …

Triple Air Leak Syndrome In Cannabinoid Hyperemesis: A Diagnostic Challenge Managed Conservatively, Kashif Ali, Aresha Masood Shah, Arsalan Hyder, Valeska Balderas

School of Medicine Publications

Cannabinoid hyperemesis syndrome (CHS) is a condition marked by recurrent nausea, vomiting, and abdominal pain in chronic cannabis users. Rarely, severe vomiting can lead to complications such as spontaneous pneumomediastinum, pneumopericardium, and pneumoretroperitoneum. We present a case of a 21-year-old woman with CHS who developed a rare triad of spontaneous pneumomediastinum, pneumopericardium, and pneumoretroperitoneum. Initial findings raised concern for Boerhaave syndrome; however, imaging ruled out esophageal perforation. The patient was managed conservatively with bowel rest, intravenous fluids, electrolyte correction, antiemetics, and antibiotics, resulting in full recovery. This case highlights the diagnostic challenges in distinguishing CHS common nonserious complications from more …

Readability Of Custom Chatbot Vs. Gpt-4 Responses To Otolaryngology-Related Patient Questions, Yossef Alsabawi, Pompeyo R. Quesada, David T. Rouse

School of Medicine Publications

Background: Low health literacy among patients hinders comprehension of care instructions and worsens outcomes, yet most otolaryngology patient materials and chatbot responses to medical inquiries exceed the recommended reading level of sixth- to eighth-grade. Whether chatbots can be pre-programmed to provide accurate, plain-language responses has yet to be studied. This study aims to compare response readability of a GPT model customized for plain language with GPT-4 when answering common otolaryngology patient questions.

Methods: A custom GPT was created and provided thirty-three questions from Polat et al. (Int J Pediatr Otorhinolaryngol., 2024), and their GPT-4 answers were reused with permission. Questions …

The Impact Of Long-Term Exposure To Lip Cosmetics On The Fertility Of Female Drosophila Melanogaster, Neeka Oghli

Holster Scholar Projects

Are products marketed as safe to use, truly safe to use? Inspired by an article exposing the dangers of Tampax tampons, this study examines potential reproductive risks from consumer lip products marketed as natural and safe18. Drosophila melanogaster, a model organism with genetic and reproductive similarities to humans, was utilized to test the impacts of Rhode and Avène lip cosmetics. Avène’s Cicalfate + Lips Repair Lip Balm is the closest alternative to Rhode’s unscented peptide lip treatment, which was mindfully chosen to test if affordability comes at the expense of safety. Various concentrations of these products will be exposed to …

Antibiotic Resistance Trends In Coliform Bacteria Of Kittitas County Waters, Kaitlyn Holbrook, Bella Blasingim, Cruz Veronica Guillen Mejia, Holly Pinkart

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Holly Pinkart, PhD

Since the mid-1900s, antibiotics have been developed to help fight against bacterial pathogens. However, bacteria can evolve rapidly and have evolved resistance to many types of antibiotics. Using coliform bacteria collected from waters around Kittitas County, BIOL 323 students at Central Washington University have identified a variety of antibiotic-resistant bacteria in Kittitas County streams and canals. Antibiotic resistance was measured from 2014-2019 and compared to data collected in 2024. This study focuses on three antibiotics, ampicillin, kanamycin, and trimethoprim-sulfamethoxazole. In the past (2014-2019) we saw no change in the trend of antibiotic resistance in collected …

Characteristics Contributing To The Risk Of Diabulimia In Adults Living In The United States, Danielle Van Hout, Nicole Stendell-Hollis, Tafere Gebreegziabher Belay, Kelly Pritchett

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Nicole Stendell-Hollis, PhD, RDN; Tafere G Belay, PhD; Kelly Pritchett, PhD, RDN, CSSD

The purpose of this study was to determine the prevalence and factors that contribute to the risk of diabulimia by using the validated Diabetes Eating Problem Survey-Revised (DEPS-R)¹ screening tool in adults living in the U.S., as well as to examine differences in individuals at-risk and not-at-risk for diabulimia. This observational study included a 30-question Qualtrics survey containing the DEPS-R distributed via various social media outlets and flyers on the CWU Ellensburg campus. Participants were required to be 18 years or older, diagnosed with …

Focus Group Interview: Perspectives Of Virtual Dietary Counseling Method’S Post Covid-19 Pandemic, Maria Mendoza

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Nicole Stendell-Hollis, PhD; Tafere Belay, PhD; Katy Williams; Jessica Tyrrell

The purpose of this study is to examine the perceptions related to different delivery methods of dietary counseling. This qualitative research study will examine the perceptions related to different methods of dietary counseling (telephone calls, video calls, or face-to-face visits). Focus group one contained provider participants (N = 7), which were all RDNs and focus group two hosted patient participants (N = 6). Semi structured interviews were performed asking subjects about any personal experiences related to receiving or providing nutrition education, positive or negative, as they participated in …

Prevalence Of Diabetes Related To Acculturation, Dietary Quality, And Sedentary Lifestyle In Mexican Americans: National Health And Nutrition Examination Survey 2011 To 2018, Kivima Acevedo

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): David Gee, PhD; Kathaleen Briggs Early, PhD, RDN, CDCES; Katy Williams, MS, RDN

Objective: This study examined the prevalence of diabetes in Mexican American adults (MA-adults) and how risk factors like acculturation, dietary quality, and sedentary lifestyle contribute to the rising rates of diabetes, using the National Health and Nutrition Survey (NHANES) 2011 to 2018 data. Methods: We analyzed the NHANES data of MA-adults and Non-Hispanic White adults (NHW-adults) (n= 10670) for the association of diabetes and its risk factors (dietary habits and sedentary lifestyle) by acculturation levels. Diet quality was assessed using the Healthy Eating Index (HEI). …

Exploring Workplace Mental Health And Counseling Needs In Open University Staff: A Mixed-Methods Study, Pathanin Sangaroon, Oranuch Kanjanaprakorn, Araya Prasertchai, Worrawit Nakpan

Journal of Health Research

Background: Workplace mental health is a growing concern in higher education, especially in open and distance learning (ODL) settings, where staff face unique stressors. This study examines the mental health and counseling needs of academic and support staff at Sukhothai Thammathirat Open University (STOU), Thailand, using a biopsychosocial lens.

Methods: An explanatory sequential mixed-methods design was used. In the quantitative phase, 332 staff completed a questionnaire on mental health and biopsychosocial factors. Twelve participants then took part in interviews to explore their experiences and counseling preferences. Quantitative data were analyzed using stepwise regression, and qualitative data through thematic analysis. …

Dermatological Primary Health Care Services For Older Adults In Thailand, Chinmanat Lekhavat, Jiruth Sriratanaban

Journal of Health Research

Background: The increasing population aging worldwide poses challenges to accessibility to dermatological care, especially in rural areas with limited dermatologist availability. Establishing dermatological primary health care (PHC) services for older adults is crucial for improving access, efficiency, and equity. However, no study has systematically explored such a system.

Method: This mixed-methods study employed a participatory action research (PAR) model to identify structural and procedural requirements, patient journeys, health needs, and expectations. Data were collected through focus groups, in-depth interviews, and surveys. Design thinking workshops, guided by PAR principles, were used to develop dermatological PHC services. A survey was conducted across …

Elite Beach Volleyball Match Analysis: Rally Structure, Work-To-Rest Patterns, And Gender Considerations, Flavia F. Pereira, Jason M. Curtis, Jose Antonio, Jennifer Austin, Riceler Waske, Victor Romano

Journal for Sports Neuroscience

This study analyzed the physical and temporal demands of elite male and female beach volleyball athletes during professional competitions, specifically focusing on match duration, rally characteristics, and work-to-rest ratios. Utilizing the Balltime AI platform, 7,832 rallies from 92 matches (49 males, 43 females) during the 2023 FIVB Elite 16 Tour and the 2024 Paris Olympic Games were examined. The findings indicate an average total match duration of approximately 46 min (45:55 ± 10:11), with active playing time averaging 13:30 ± 03:06 min and rest periods totaling 32:25 ± 07:29 min. The average rally duration was 9.49 ± 0.57 seconds, yielding …

Comparison Of The Efficacy Of Smart Polymer Burs With Carisolv Gel In Removing Dental Caries And Reducing Pain In Children - A Clinical Study., Nagham N. Khoury, Mohannad G. Laflouf, Mohammad S. Rikab

Arabian Journal of Pediatric Dentistry

Introduction The disadvantages of using conventional method in dental caries removal, such as patient discomfort, pain, and use of local anesthesia, in addition to thermal effects on dental pulp as a result of using high speed rotating burs, have increased the need for new approaches in removing caries can be more acceptable to patients and more conservative for dental tissues. Such as chemo-mechanical method (Carisolv) and smart polymer burs.

Methodology:. A total of 44 carious primary mandibular molars were selected for the study from children aged (6-8) years, they were selected from Damascus schools.

Results: Statistical analyzes of …

Evaluation Of The Irrigation Efficacy Of Chlorhexidine Gel In Disinfection Necrotic Pulp Root Canals Of Anterior Primary Teeth (Clinical Comparative Bacteriological Study), Dania K. Alkhourbotly, Mohamed Kamel Altinawi2 K. Altinawi, Rouaida Abou Samra

Arabian Journal of Pediatric Dentistry

Objectives: The study aimed to compare Qmix2in1 and sodium hypochlorite solution in eliminating Enterococcus faecalis bacteria within root canals of primary teeth.

Materials and Methods: The study sample consisted of 30 extracted primary molars, which were divided into two groups: Group 1 experimental

(n=15) Qmix²ⁱⁿ¹, Group 2 control (n=15) 5.25% sodium hypochlorite. The root canals were prepared using Kedo-S file rotary then sterilized within autoclave and then contaminated with Enterococcus faecalis bacteria. The root canals were irrigated for 5 minutes in a quantity of 3 ml using a 31-gauge irrigation needle and then bacterial sample were …

Comparing The Pull Out Resistance Of Two Typs Of Posts Used In Restoration Of Severely Damaged Primary Anterior Teeth )A Comparative In Vitro Study.(, Ayham H. Hijaz, Mohamed Kamel Altinawi2 K. Altinawi

Arabian Journal of Pediatric Dentistry

Background: severely damaged primary anterior teeth that require pulp therapy present a high-risk of failure due to the loss of tooth substance resulting from pre-existing decay and endodontic therapy itself. The ideal post material should have physical and mechanical properties that are similar to those of dentin . Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb in a similar way to natural tooth structure as a part of the exfoliation process allowing normal eruption of permanent successors . Accordingly there is no such material other than dentine itself.The introduction of …

Evaluation Of Dentinal Bridge Formation And Canal Obliteration After Pulpotomy In Primary Molars Using Mta And Bioceramic Putty (Well-Root-Pt), Ibrahim S. Alnassar, Mohamed K. Altinawi, Mohammad S. Rekab

Arabian Journal of Pediatric Dentistry

Summary: Preserving the primary teeth is important, as it plays an important role in the integrity of the dental arch, the development of the craniofacial complex, and the integrity of speech and chewing, as early loss of primary teeth leads to cosmetic, functional and verbal problems.

Objective: This study aimed to evaluate the formation of the dentinal bridge and canal obliteration after pulpotomy n in the primary molars using both mineral trioxides aggregate and Bioceramic putty (Well_Root PT) in the pulpotomy of the primary molars.

Materials and Methods: The study sample included forty second lower primary molars …

Assessing The Effect Of Aqueous Lavender Extract Sprays On Gingivitis In Pediatric Patients With Type 1 Diabetes (Randomized Clinical Trial), Doaa J. Sadea, Chaza N. Kouchaje

Arabian Journal of Pediatric Dentistry

Introduction: The prevalence of diabetes mellitus in children and adolescents has increased worldwide over the past three decades. High blood sugar levels in diabetic patients negatively affect the inflammatory response to dental plaque, leading to gingivitis and periodontitis, manifested by periodontal abscesses, and xerostomia, which leads to cervical caries and a high carious predisposition. Several studies have shown that plaque removal is not completely achieved using mechanical methods alone, so chemical control methods have emerged as an adjuvant and enhancing method.

The aim of the research: The current study aims to evaluate lavender sprays on gingivitis in pediatric patients with …

Evaluation Of The Time Taken To Remove Caries From Immature Permanent Molars Using Brix 3000 Gel Compared To The Traditional Rotary Method (Clinical Study), Malek Rajab, Samar Alsalameh, Shadi Azzawi

Arabian Journal of Pediatric Dentistry

Background: The traditional method of removing caries using rotary instruments is associated with a number of disadvantages, such as thermal effects that are harmful to the pulp tissue and excessive preparation of the dental tissue, in addition to the feeling of discomfort, fear, and anxiety that accompany it.

Aim: This study aims to evaluate the time taken to remove caries by the chemo-mechanical method using Brix 3000 compared to the traditional rotary method.

Materials and methods: The study sample consisted of 30 permanent first molars with Class I dentine caries, in 30 children between 7 and 9 years …

A Study Of The Knowledge And Awareness Of Dental Students In Syrian Public Universities About The Using Artificial Intelligence In Pediatric Dentistry, Abdulrhman A. Alkhaled, Chaza N. Kouchaje

Arabian Journal of Pediatric Dentistry

Background : The advent of artificial intelligence (AI) has caused a paradigm change in the medical and dental disciplines in recent years. It is crucial for practitioners to comprehend the basic ideas, underlying principles, and applications of AI as it continues to influence clinical practices in the present and the future. AI is a potent diagnostic tool in pediatric dentistry that improves precision, effectiveness, and judgment. To maximize AI's potential in clinical practice, a thorough grasp of its function in this field is essential.

Object: The purpose of the current study was to evaluate a group of Syrian dental …

Effectiveness Of Apple Cider Vinegar And Mechanical Removal On Dental Plaque And Gingival Inflammation In Preschool Children (In-Vivo Study), Nour A. Asaad, Mohannad G. Laflouf

Arabian Journal of Pediatric Dentistry

Background: Daily oral care is a great challenge for preschool children. Therefore, it is essential to study methods that facilitate oral care to establish early oral hygiene and improve oral health in these groups.

This study was designed evaluate the effectiveness of apple cider vinegar (ACV) 5% and mechanical plaque removal with a manual toothbrush without toothpaste or both ACV with mechanical removal, on dental plaque and gingivitis in preschool children.

Materials and Methods: The sample consisted of 75 children aged 3-6 years, divided into three groups based on the applied method. The modified plaque index (TQHPI) and the modified …

The Relationship Between Body Mass Index And Oral Health Indices In Adolescent Children: A Cross-Sectional Study., Lana Anwar Alshayeb, Mayssoon A. Dashash

Arabian Journal of Pediatric Dentistry

Background and Objective: The prevalence of obesity has increased dramatically worldwide in recent years, becoming a growing public health concern globally, especially among children, due to its association with systemic health. Despite emerging evidence suggesting a bidirectional relationship between obesity and oral health, limited studies have examined this association in adolescent populations, particularly in Syria. This study aimed to investigate the relationship between body mass index (BMI) and oral h

ealth indices, including gingival index (GI), plaque index (PI), and decayed, missing, and filled teeth (DMFT) index, among adolescents aged 12-14 years in Damascus, Syria.

Materials and Methods: In this …

Efficiency And Clinical Outcomes Of Platelet-Rich Plasma Therapy On Canine Coxofemoral Osteoarthritis, Patama Arunrattanakul, Kumpanart Soontornvipart

The Thai Journal of Veterinary Medicine

The purpose of this study was to find out the optimal technique to prepare plasma with the highest platelet concentration in platelet rich plasma (PRP), as well as determine the result of autologous PRP from the dogs with osteoarthritis (OA) condition. It was shown that the PRP could reduce inflammation, cell regeneration and enhance angiogenesis to support the injured tissue. This study was composed of two phases; the first phase aimed to find the best centrifugation speed and time that could be able to produce the plasma with the highest platelet concentration by conducting the experiment from a total of …

The Effect Of The Actn3 Gene Variation On Physically Active Individuals' Susceptibility To Muscle Injury, Agata Leońska-Duniec, Piotr Kabelis, Agata Rzeszutko-Bełzowska

Baltic Journal of Health and Physical Activity

Background: The R577X polymorphism (rs1815739) in the ACTN3 gene, which encodes α-actinin-3, results in deficiency of the functional protein in the muscles of the XX carriers, what could potentially impair muscle fiber function and increase susceptibility to injuries. Thus, this study aimed to assess the relationship between the ACTN3 R577X polymorphism and non-contact muscle injury risk in a physically active Caucasians cohort. Mate-rials and Methods: The study included 142 physically active individuals (26 females and 116 males) who experienced either single (n = 26) or multiple (n = 116) non-contact muscle injuries. The control group included 163 participants (47 females …

Effect Of Pitch Dimensions On External Load Measures During Large-Sided Soccer Games: Manipulating Pitch Size To Control Load, Alireza Rabbani, Robert Trybulski, Filipe Manuel Clemente

Baltic Journal of Health and Physical Activity

Background: The aims of this study were to examine the variability and differences of selected external load metrics during soccer large-sided games (LSGs) depending on the pitch size. Materials and methods: The external load metrics of 13 male soccer players were monitored during 14 sessions. These metrics included total distance (TD), high-intensity running distance (HIR) (meters covered with speed >14.4 km^.h^-1), high-speed running distance (HSR) (meters covered with speed >19.8 km^.h^-1), high-metabolic load distance (HMLD), mechanical work (MW) (the sum of accelerations and decelerations >3 m²), maximal velocity (Max V) …

Hubungan Frailty Dengan Kesintasan Satu Tahun Pada Pasien Lanjut Usia Dengan Tumor Padat Ganas Stadium Lanjut, Trian Satrio, Aulia Rizka, Findy Prasetyawaty, Alvina Widhani, Noto Dwimartutie, Rm Suryo Anggoro, Mira Yulianti, Dono Antono

Jurnal Penyakit Dalam Indonesia

Introduction. Frailty is characterized by a multisystem physiological decline that increases the risk of morbidity and mortality, especially in patients with advanced-stage solid malignancies. The association between frailty and one-year survival in older adults with solid malignancies in Indonesia has not yet been established. This study aimed to assess the association between frailty status and one-year survival in elderly patients with advanced-stage solid tumors.

Methods. This was a retrospective cohort study conducted at Dr. Cipto Mangunkusumo National General Hospital, Jakarta utilizing patient data from a previous study conducted between November 2020 and 2021. Subjects were cancer patients aged …

Hubungan Aktivitas Fisik Dengan Kualitas Hidup Pasien Hemodialisis Reguler, Shofi 'Ainun Azzahra Br Manurung, Bayu Rusfandi Nasution, Imelda Rey

Jurnal Penyakit Dalam Indonesia

Introduction. Hemodialysis (HD) is one of the renal replacement therapies commonly used in patients with end-stage renal disease. Patients undergoing hemodialysis typically exhibit lower levels of physical activity compared to inactive yet healthy individuals. A decline in physical function and muscular strength may impair the ability to perform daily activities, ultimately affecting patients’ quality of life (QoL). This study aimed to examine the relationship between physical activity and quality of life among hemodialysis patients at Rumah Sakit Khusus Ginjal Rasyida Medan.

Methods. This was an analytical observational study with a cross-sectional design involving 50 respondents undergoing hemodialysis therapy …

Faktor-Faktor Yang Berhubungan Dengan Gejala Depresi Pada Pasien Insomnia Usia Lanjut Di Rawat Jalan, Amalia Nur Pratiwi, Edy Rizal Wahyudi, Profitasari Kusumaningrum, Hamzah Shatri, Ikhwan Rinaldi, Rino Alvani Gani, Ika Prasetya Wijaya, Adityo Susilo, Kaka Renaldi

Jurnal Penyakit Dalam Indonesia

Introduction. The elderly population is increasing globally, including in Indonesia, where 10.7% of the population in 2020 were elderly. Insomnia is a common health issue among older adults and has been identified as a predictor of depression. This study aims to identify factors associated with depressive symptoms in elderly outpatients with insomnia.

Methods. This cross-sectional study was conducted in 2024 on patients aged ≥60 years at the outpatient unit of Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, using consecutive sampling to select participants. Elderly patients were screened using the Pittsburgh sleep quality index (PSQI), and those with a score …

Penggunaan Continous Glucose Monitoring Pada Pasien Dm Tipe 2 Dengan Insulin Dosis Tinggi, Amanda Trixie Hardigaloeh, Dicky Tahapary, Em Yunir, Tri Juli Edi Tarigan

Jurnal Penyakit Dalam Indonesia

Type 2 diabetes mellitus (T2DM) is a chronic disease with a high risk of complications, requiring optimal glycemic control. This case report aims to describe the use of continuous glucose monitoring (CGM) in the evaluation of a patient with T2DM and obesity whose glycemic levels remained uncontrolled despite high-dose insulin therapy. A 58-year-old woman with an 18-year history of T2DM presented to the Endocrinology Clinic of Cipto Mangunkusumo Hospital with uncontrolled blood glucose accompanied by classic diabetic symptoms. CGM revealed that the majority of glucose levels were within the time above range (TAR) at 83% without hypoglycemia, while the time …

Kerentanan Dan Kanker Pada Usia Lanjut: Sebuah Tantangan, Rahmat Cahyanur

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Quality Improvement Project Improving Faculty Support For First-Generation Rural Nursing Students, Charlotte Dowdy

Doctor of Nursing Practice Projects

The barriers to academic success among first-generation rural nursing students are substantial, including a lack of knowledge of academic resources, ineffective study strategies, and difficulty navigating the higher education system. These challenges are documented in the literature as resulting in higher attrition rates and lower graduation rates. This quality improvement project was intended to implement and analyze a faculty training module designed to increase faculty awareness and confidence in supporting first-generation rural nursing students at the project site. The project adopted a pre-post intervention design based on High-Reliability Organization principles and Lewin’s Change Model, to determine the effectiveness of targeted …

Staff Education And Implementation Of Phq-9 And Gad-7 In An Adult Psychiatric Private Practice, Exta Oppong Tweneboa

Walden Dissertations and Doctoral Studies

The PHQ-9 and the GAD-7 are short screening instruments used for the detection of depression and anxiety symptoms in various settings, including general and mental health care settings (Pranckeviciene, et al., 2022). The purpose of this Doctor of Nursing Practice (DNP) project was to educate staff on the implementation of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) into an adult psychiatric private practice to standardize screening, improve diagnostic accuracy, and support measurement-based care for depression and anxiety. A structured staff education program was conducted with five nurse practitioners, one psychiatrist, two therapists, and two front-end administrative staff. …