Medicine and Health Sciences Commons^™

Management Of Pilar Cyst On The Scalp With Individualised Homoeopathic Medicine: An Evidence-Based Case Report, Anindita Das, Suparja Sinha, Mihir Kanti Biswas

Indian Journal of Research in Homoeopathy

Introduction: Pilar cysts, also referred to as trichilemmal cysts, are benign cystic lesions that commonly occur on the scalp. Conventional management generally involves surgical excision. Homoeopathy provides an individualised, non-invasive therapeutic approach based on the totality of symptoms. Case summary: A 35-year-old female patient presented with a soft, cystic swelling on the scalp associated with itching and tenderness, clinically diagnosed as pilar cyst. Thuja occidentalis was prescribed on the basis of individualisation and a follow-up period of over twelve months showed gradual resolution of the cyst without any surgical intervention, along with improvement in general well-being. The patient was subsequently …

Delicate, Backward, Puny, And Stunted Children By J. Compton Burnett, M.D.- A Book Review, Shreyank Kotian

Indian Journal of Research in Homoeopathy

NA

Resolution Of Vocal Cord Papilloma With Potentised Causticum: An Evidence-Based Case Report, Partha Pratim Pal, Souvik Dutta

Indian Journal of Research in Homoeopathy

Introduction: Vocal cord papilloma, also known as laryngeal papilloma, is a benign wart-like growth on the vocal cord folds caused by the Human papilloma virus (HPV). This condition presents with symptoms such as hoarseness, stridor, dysphonia, and potential airway obstruction, depending on the size and location of the papillomas. Diagnosis of vocal cord papilloma involves laryngoscopy, a procedure used to visualise the growths on the vocal cords. Treatment options for vocal cord papilloma include surgical excision, laser therapy, and antiviral medications. Case Summary: A 55-year-old male attended the outpatient department of Dr. Anjali Chatterji Regional Research Institute for Homoeopathy, Kolkata, …

From Clinical Success To Scientific Publication: Writing Meaningful Homoeopathic Case Reports And Case Series, Chaturbhuja Nayak

Indian Journal of Research in Homoeopathy

NA

Issue Editorial: Case Reports Special, Subhash Kaushik

Indian Journal of Research in Homoeopathy

NA

Individualised Homoeopathic Treatment In Alopecia Areata: An Evidence-Based Case Series, Dinesh Sura, Niharika Shaw, Rubina Bashir, Rahnuma Rao, Ramakrishna Ghosh

Indian Journal of Research in Homoeopathy

Background: Alopecia areata (AA) is an autoimmune disease characterised by hair loss in patches from one or more areas of skin. While it can affect the scalp, it may occur in other parts of the body as well. No age group is predominantly affected. Objective: This case series evaluates the effects of individualised homoeopathic treatment in patients with AA. Method: A total of 5 cases are included in this study. AA was diagnosed based on presentation of clinical symptoms. Two patients improved with Phosphorus. Another two were prescribed Natrium muriaticum and Typhoidinum respectively. One patient improved with Tuberculinum when …

Intraepidermal Squamous Cell Carcinoma In Situ (Bowen's Disease) Managed With Classical Homoeopathy: A Case Report, Anastasia Leivada, Aaditi Lakshmana, Ioannis Constantaras, Seema Mahesh, George Vithoulkas

Indian Journal of Research in Homoeopathy

Introduction: Bowen's disease, also known as intraepidermal squamous cell carcinoma in situ (SCCIS), is a pre-cancerous skin condition with the potential for progression into invasive carcinoma. Long-term exposure to ultraviolet (UV) radiation from sunlight is considered a primary causative factor, leading to DNA damage and subsequent cellular mutations within the epidermis. Conventional treatments are generally effective but may be associated with complications, including pain, local infection, scarring, pigmentation changes, and occasional recurrence. Case summary: This case report describes a 58-year-old male with Bowen's disease who experienced limited benefit from conventional treatments and sought homoeopathic therapy. The patient was treated with …

Research Highlights, Sujata Madhukar, Sakshi Chaudhary

Indian Journal of Research in Homoeopathy

NA

Bridging The Evidence Gap: The Need For Scientific Research On The Effects Of Thiosinaminum In Adhesive Capsulitis, Nuzhatul Arab

Indian Journal of Research in Homoeopathy

NA

Athletic Training Preceptors' Accuracy In Assessing Ai-Generated Clinical Scenarios Aligned With Caate Educational Standards, Elisabeth (Beth) Shoulders

Graduate Theses, Dissertations, and Capstones

Athletic training preceptors play a critical role in clinical education by evaluating student competence; however, little is known about their preparedness to assess competency-based standards, particularly when using emerging tools such as artificial intelligence (AI). The purpose of this study was to examine preceptors’ accuracy in applying Commission on Accreditation of Athletic Training Education (CAATE) standards and classifying student proficiency within AI-generated clinical scenarios, and to determine whether accuracy differed based on preceptor characteristics.

This quantitative, cross-sectional study included Board of Certification-certified athletic trainers who had served as preceptors within the past five years (N = 68). Participants completed an …

Community Perceptions And Hospital Selection In Depok: A Comparative Study Of Rsud Anugerah Sehat Afiat And Competitors Based On The 5a Framework, Iva Nur Faridah, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

RSUD Anugerah Sehat Afiat (ASA) Depok faces challenges in enhancing service utilization and competitiveness as a public hospital in the increasingly competitive healthcare environment of eastern Depok City. This study aimed to identify factors influencing community preferences in hospital selection and to determine appropriate positioning strategies for RSUD ASA. A mixed-methods case study design was employed. Quantitative data were collected from 132 respondents aged over 25 years who had visited four hospitals included in the study, using structured questionnaires. Qualitative data were obtained through in-depth interviews with eight key informants representing RSUD ASA management. Data analysis was based on five …

Exploring The Determinants Of Operating Room Utilization: A Scoping Review Of Influential Factors In Surgical Efficiency, Isma Sari Chumairah, Masyitoh Basabih

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Optimal utilization of the operating room (OR) is a crucial element in improving the efficiency of surgical services and hospital performance. This scoping review aimed to identify and map the factors influencing OR utilization based on recent scientific literature. We conducted a scoping review using the Population–Concept–Context (PCC) framework and reported it according to the PRISMA-ScR guidelines. We systematically searched PubMed, Scopus, and ScienceDirect for articles published between 2015 and 2025. Eligible studies were screened, and information on study characteristics and reported determinants of OR utilization was extracted and summarized descriptively. Forty studies were included. The reported determinants clustered into …

In Silico Screening And Molecular Analyses Identify Apigenin From Scutellaria Barbata As A Potent Akt1 Inhibitor In Breast Cancer, Md. Maruf Khan, Md. Arju Hossain, Fatematuz Zohora, Md. Sohel, Md. Faisal Amin, Fatematuz Zuhura Evamoni, M. Nazmul Hoque

School of Integrative Biological & Chemical Sciences Faculty Publications

Breast cancer (BC) remains a leading cause of cancer-related mortality in women worldwide. Scutellaria barbata, a traditional Chinese medicinal herb, possesses recognized anticancer properties, but its mechanistic role in BC is not fully elucidated. This study employed an integrated in silico approach to identify the key flavonoids, targets, and pathways through which S. barbata exerts its anti-BC effects. A multi-step computational methodology incorporating network pharmacology, molecular docking, and dynamics simulations was utilized to profile bioactive compounds from S. barbata. From an initial set of 34 phytocompounds, three flavonoids namely apigenin, 4’-hydroxywogonin, and hispidulin demonstrated favorable drug-likeness, high bioavailability, …

Pengetahuan Dan Motivasi Meningkatkan Penggunaan Aplikasi Mobile Jkn Pada Pasien Bpjs Di Instalasi Rawat Jalan Rsd Idaman Banjarbaru, Salbia Putri Kanzha Khairunnisa, Raziansyah Raziansyah, Fahriadi Fahriadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The development of digital health services encourages the use of the Mobile JKN application to enhance access and service efficiency for BPJS participants. However, its utilization remains inconsistent due to limited knowledge of its functions and low motivation to use it. This study examined the relationship between knowledge and motivation with the use of the Mobile JKN application among BPJS patients at the Outpatient Installation of RSD Idaman Banjarbaru in 2025. This study employed a quantitative approach with a cross-sectional design. The population comprised 10,478 BPJS patients, while the sample consisted of 100 outpatient BPJS patients who used the Mobile …

Harmonizing Intervention, Context, And Implementation Strategies With Context-Driven Co-Design (Cd2), Sarah A Birken, Emily R Haines, Cheyenne R Wagi, Bonny B Morris, Kathryn E Weaver, Kathleen M Lisborg, Sara J Landes, Geoffrey M Curran, Miriam Bender, Maria E Fernandez, Ashley Strahley, Kimberly Wiseman, Kristie L Foley

Faculty, Staff and Student Publications

Background: Extant approaches to close the gap between implementation evidence and practice have been unsuccessful due in part to overreliance on researcher engagement. In practice, change is often driven by mid-level managers. We developed Context-Driven Co-Design (CD2) to equip mid-level managers with a theory- and evidence-based approach to implementation planning.

Methods: We used a two-pronged design. First, we engaged six established implementation researchers in a modified Delphi process, involving two hour-long meetings and asynchronous feedback to develop and refine a CD2 prototype. Second, we piloted an in-person CD2 training and conducted an hour-long focus group to solicit feedback from mid-level …

Impact Of Anatomical Changes On Treatment Plan Robustness: A Comparative Study Of Intensity Modulated Proton Therapy And Volumetric Modulated Arc Therapy In Head And Neck Cancer., Jennifer Croft

Masters Projects

Head and neck cancer patients often experience anatomical changes during radiation therapy, including weight loss and tumor regression. These changes can alter planned dose distribution and affect treatment accuracy. Based on the previous understanding, IMPT offers highly conformal dose delivery but is sensitive to the patient’s geometry changes and daily setup uncertainties, while VMAT may provide greater stability under these uncertainties. However, as of today, there is no quantitative analysis and comparison between the two modalities using real clinical data. The purpose of this study is to compare the robustness of IMPT and VMAT for head and neck cancer by …

Gambaran Administrasi Rekam Medis Semi-Digital Berdasarkan Pendekatan 5m Dan Poac Di Rsu X Kota Depok Tahun 2025, Dewi Shinta, Risky Kusuma Hartono, Malihah Ramadhani Rum

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Medical record administration is an essential component in supporting healthcare service quality. During the transition toward Electronic Medical Records (EMR), many hospitals still use semi-digital systems that combine conventional and electronic processes. This study aimed to describe semi-digital medical record administration at RSU X, Depok City, based on the Man, Money, Material, Method, and Machine (5M) management elements and the Planning, Organizing, Actuating, and Controlling (POAC) management functions. This study employed a descriptive qualitative approach through in-depth interviews and observations involving five informants. The results showed that the semi-digital system operated through the parallel use of physical medical records and …

Real-World Outcomes Of Dedicated Leaflet Modification For Bioprosthetic Valve-In-Valve Tavr: A 150-Patient Commercial Experience., Raj R Makkar, Aakriti Gupta, Ignacio Inglessis, Curtiss T Stinis, Pradeep K Yadav, Vinod H Thourani, Stanley J Chetcuti, Matthew Summers, Vivek Patel, Bassem M Chehab, Apurva Patel, Gilbert H L Tang, Sahil Khera, Michael Rinaldi, Trevor Simard, Jeffrey Southard, Benjamin R Stripe, Brian Whisenant, Keith Allen, Yoseph Rozenman, Danny Dvir, Carlos E Sanchez, Jeffrey Popma, Martin B Leon, Philippe Généreux

Heart and Vascular Articles

BACKGROUND: Coronary obstruction during valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) is infrequent but catastrophic. Mechanical splitting of bioprosthetic leaflets may mitigate this risk, but real-world experience remains limited.

OBJECTIVES: The aim of this is to evaluate procedural performance and in-hospital outcomes of a dedicated mechanical leaflet-splitting device in ViV TAVR.

METHODS: Consecutive postapproval cases were performed at 28 centers from February to November 2025. Patients were selected for elevated risk based on preprocedural computed tomography criteria, including virtual valve-to-coronary distance ≤4 mm and/or virtual valve-to-sinotubular junction distance ≤3 mm. Procedural outcomes were assessed among patients in whom splitting was …

Tea Polyphenol-Assisted Green Synthesis Of Silver Nanoparticle-Boron-Doped Diamond Nanoparticles For Theophylline Electrochemical Detection, Prastika Krisma Jiwanti, Adira Ainun Tsalsabilla, Angellita Wijaya Gunawan, Siti Wafiroh, Mohammad Kalimanjaro, Mai Tomisaki

Makara Journal of Science

Drug theophylline is a bronchodilator used to treat asthma and chronic obstructive pulmonary disease (COPD), but precise monitoring is required to avoid side effects. Therefore, this study aimed to develop a screen-printed electrode (SPE) modified with a composite of green-synthesized silver nanoparticles and boron-doped diamond nanoparticles using tea polyphenols (Ag-BDDTP/SPE) for detecting theophylline. Formation of AgNPs was confirmed by UV-Vis spectroscopy, which showed a localized surface plasmon resonance peak at ~450 nm. Transmission electron microscopy revealed polydisperse nanoparticles with an average diameter of 39.94 nm. During the electrochemical detection of theophylline, square-wave voltammetry (SWV) was employed to evaluate signal-to-background (S/B) …

Mutation Screening For Confirming Suspected Spinal Muscular Atrophy Using Dried Blood Spotted On In-House Cellulose-Based Cards, Yogik Onky Silvana Wijaya, Farda Tsaqouva Ahza, Annisa Naufal Almaszahra, Mawaddah Ar Rochmah, Dian Kesumapramudya Nurputra

Makara Journal of Science

Early and accurate diagnosis for spinal muscular atrophy (SMA) has gained relevance in an era of emerging therapies to improve patient outcomes. While screening of dried blood spots (DBS) effectively detects deletion-type SMA, non-deletion cases are often missed. Mutation screening from DBS is needed to address this gap. Here, we aimed to evaluate the feasibility of an in-house, cellulose-based card for direct Sanger sequencing for variant hunting, avoiding DNA extraction and offering an alternative to commercial cards. As a proof of concept, sequences obtained from DBSs of 23 healthy individuals were compared with sequences derived from isolated genomic DNA (gDNA). …

Effectiveness Of Lay Workers Delivering Behavioural Activation For People With Depression: Systematic Review And Meta-Analysis, Shwikar Othman, Lauren Blekkenhorst, Asangaedem Akpan, Irene Ngune, Nilufeur Mckay, Alison Kennedy, Elizabeth Armstrong, Michael Hunter, Kevin Murray, Mathew Coleman, Richard Gray, Emma Jones, Christopher Lee, Martin Jones

Research outputs 2022 to 2026

Background Behavioural activation is effective for depression, but its effectiveness in treating adults with depression when delivered by lay workers remains unclear. Aims To examine the effectiveness of behavioural activation delivered by lay workers, compared with any control group, in reducing depressive symptoms in adults. Method This systematic review searched six databases from inception to January 2025, for randomised controlled trials (RCTs) comparing behavioural activation and any control conditions for individuals with depression when delivered by lay workers. Additional searches were conducted in the international trial registries and reference lists (PROSPERO registration CRD42024625620). Risk of bias was assessed using the …

Scholarship, Discovery, And The Formation Of Physicians, Anderson Spickard

Cumberland Medica

The launch of Cumberland Medica marks an important milestone for the Thomas F. Frist, Jr. College of Medicine. More than a journal, it reflects something we hope will be deeply woven into our culture: a community of learners committed to discovery, scholarship, and the formation of physicians. This issue showcases the work of our students while also reflecting the scholarship, mentorship, and educational leadership of faculty and staff. More importantly, it reflects our belief that scholarship is not simply about producing knowledge. It is one of the ways physicians learn how to see.

Refining Of An Online Rotator Cuff Related Pain Screening Tool (Orcs): A Mixed Methods Refinement Study, Andrew J. Smythe, Rhiannon Whale, Melanie Farlie, Peter Malliaras

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study is to refine an online rotator cuff related shoulder pain screening tool. Method: A mixed methods item-refinement study was used. The original tool was designed through expert opinion and informal literature review. In this study the original tool was refined over three rounds of cognitive interviews totalling 39 participants. The screening tool consisted of two sections, red flag screening followed by rotator cuff related shoulder pain differential diagnostic items. Results from each round of interviews were summarised and informed a nominal group research panel review process to modify items and develop a finalised version …

Objectively And Subjectively Measured Physical Activity Levels Among Children And Adolescents In Poland (2012–2022): A Systematic Review, Jarosław Herbert, Vasylyna Petrovets

Baltic Journal of Health and Physical Activity

This article aims to provide a comprehensive review of research on physical activity levels among children and adolescents in Poland from 2012 to 2022, considering both objective and subjective assessment methods. A systematic review of the literature was conducted in accordance with the PRISMA reporting recommendations. PubMed, Scopus, Web of Science, Google Scholar databases, as well as Polish scientific databases were searched. The review included studies published from 2012 to 2022, on children and adolescents aged 3–18 living in Poland, assessing physical activity levels using objective and/or subjective methods. This analysis of the selected studies showed that physical activity levels …

Influence Of Peak Height Velocity On The Level Of Motor Skills And Anthropometric Features In Young Male Footballers, Dariusz Tadeusz Skalski, Magdalena Prończuk, Artur Terbalyan, Kinga Łosińska, Adam Maszczyk, Robert Krzysztof Roczniok

Baltic Journal of Health and Physical Activity

Background: This study examines the influence of Peak Height Velocity (PHV) on motor abilities and anthropometric characteristics of young male football players aged 12–16. The research aimed to determine whether PHV significantly affects motor performance beyond the chronological age, providing insights for talent identification and training optimization. Materials and methods: A total of 248 male football players from four professional academies were assessed and categorized into three maturation groups: Pre-PHV (n = 95, 38.3%), Mid-PHV (n = 98, 39.5%), and Post-PHV (n = 55, 22.2%) Anthropometric measurements included height, body mass, BMI, and leg length, while motor tests …

Quality Improvement Project Improving Provider Confidence For Medication Adherence Screening Through Use Of The Medication Adherence Rating Scale (Mars), Tamara Cheek

Doctor of Nursing Practice Projects

Medication nonadherence affects 50% to 70% of individuals with serious mental illness. This contributes to symptom relapses, hospitalization, poor treatment outcomes, and higher healthcare costs. The purpose of this quality improvement project was to evaluate the impact of a competency-based Medication Adherence Rating Scale (MARS) training program on provider confidence and standardized adherence screening in a psychiatric clinic, to improve confidence and increase use of a standardized assessment. Guided by Bandura's Self-Efficacy Theory and Lewin's Change Management Model and implemented using the Plan-Do-Study-Act framework, the project used a quantitative quasi-experimental pre-post design with eight psychiatric mental health nurse practitioners. Data …

Quality Improvement Project: Addressing Appointment Non-Adherence Through Social Needs Screening, Dorathy Anderson

Doctor of Nursing Practice Projects

Mental health care access in the US faces systemic barriers that delay treatment and disrupt care, often worsening patient outcomes. Unmet social needs of health, such as transportation, financial, and housing issues, lead to missed appointments and fragmented care, thereby increasing health disparities. This quality improvement project evaluated whether targeted staff education improved the identification and response to social needs that affect appointment adherence. Adult Learning Theory guided the training, while Lewin’s Theory of Change and the Plan-Do-Study-Act framework informed implementation and evaluation. The intervention population consisted of five clinic staff members. A quasi-experimental pretest-posttest design was used to evaluate …

The Impact Of Telephonic Versus Video Platforms On Nurses’ Intrinsic Motivation: An Evidence-Based Practice Project, Brittney Saldierna

Doctor of Nursing Practice Projects

Ambulatory pediatric nurses frequently rely on telephone-only encounters for telehealth triage and patient education despite the availability of video-enabled technology. Literature demonstrates that the inability to visually assess patients limits clinical assessment accuracy, communication effectiveness, and nurse confidence. The purpose of this evidence-based practice project was to evaluate whether educating ambulatory pediatric nurses on the integration of video-enhanced telehealth encounters impacts intrinsic motivation and perceived competence compared with telephone-only encounters. Guided by the Iowa Model of Evidence-Based Practice and the ADKAR Change Management Model, this quantitative, quasi-experimental project was applied utilizing the PDSA cycle implementation framework in ambulatory pediatric specialty …

Quality Improvement Project: The Impact Of Standardized Handoff Communication In A Home Acute Care Setting, Antonius Devon Speed

Doctor of Nursing Practice Projects

Effective nurse-to-nurse handoff communication is essential in hospital-at-home telehealth care, where remote nurses depend on accurate electronic health record documentation and structured shift-to-shift communication. This quality improvement project evaluated whether education and implementation of a standardized Situation, Background, Assessment, Recommendation (SBAR) workflow improved staff-reported handoff quality and reduced communication-related near-miss events over 8 weeks. Lewin's Change Theory, Rogers's Diffusion of Innovations, and the Plan-Do-Study-Act framework guided implementation and sustainability. A quantitative, quasi-experimental one-group pretest-posttest design was used. The intervention included SBAR education, a workflow checklist, and a handoff template. Outcomes were selected Handover Evaluation Scale (HES) responses and aggregate near-miss …

Assessing Renal Dysfunction Incidence Related To Intravenous Acyclovir Usage, Marwa Said Aljahwari, Mohammad Abobakr Alghazali, Aya Said Alsaidi

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess the incidence and contributing factors of renal dysfunction among patients receiving intravenous (IV) acyclovir at Khoula Hospital, Muscat, Oman. Specifically, this study aimed to evaluate the incidence of acute kidney injury (AKI) following IV acyclovir administration, associated risk factors and potential preventive strategies to reduce nephrotoxicity. Methods: This retrospective cohort study was conducted at Khoula Hospital and included patients aged 12–80 years who received IV acyclovir between January 2019 and December 2023. Patients with pre-existing renal disease or increased baseline serum creatinine were excluded. The sample size was computed using Daniel's formula, resulting …