Digital Commons Network^™

Knowledge, Practice And Perceived Barriers Of Healthcare Provider Adherence To The Notifiable Disease Surveillance System (Ndss) In Government Hospitals And Primary Healthcare Centers In Jazan, Saudi Arabia: A Cross-Sectional Study, Moatasem F. Hakmi, Alaa Mathkour, Yousef Zahrani, Rayan I. Binduhayyim, Saad S. Alqahtani, Muhammad Z. Iqbal

Saudi Medical Journal

Objective: To assess and compare healthcare providers' understanding of the Notifiable Disease Surveillance System (NDSS), alongside reported and perceived challenges, across public hospitals and primary healthcare centers in Jazan, Kingdom of Saudi Arabia.
Methods: A cross-sectional study was conducted between 10 January 2025 and 30 December 2025 among health care providers at Jazan hospitals and primary healthcare centers (PHCs) (n = 420). Data were collected via structured self-administered questionnaire that included the following sections: demographic data, knowledge of the NDSS, reporting practices, competency of the Health Electronic Surveillance Network (HESN) and perceived barriers. Descriptive and inferential statistics were used to …

Cranial Mri In Girls With Central Precocious Puberty: Clinical Characteristics And Predictors Of Abnormal Findings, Fahad N. Al Juraibah, Mashael M. Alharbi, Reem D. Alharbi, Joud S. Albaraki, Sarah S. Aldharman, Hala A. Alghamdi, Nagarajkumar Yenugadhati, Abdullah I. Alhammad, Angham N. Almutair, Ibrahim A. Al Alwan

Saudi Medical Journal

Objectives: To describe the clinical profile of girls with central precocious puberty (CPP) and determine the factors associated with abnormal cranial magnetic resonance imaging (MRI) findings.
Methods: This retrospective study included girls aged 8 years or younger with a diagnosis of CPP who received care at King Abdullah Specialized Children's Hospital in Riyadh, Kingdom of Saudi Arabia, between 2015 and 2023. Data on clinical presentation, biochemical results, imaging findings, and treatment were obtained from medical records. Logistic regression analysis was performed to determine variables associated with MRI utilization and the occurrence of abnormal MRI findings.
Results: The cohort comprised 70 …

Thrombosis Rate And Risk Factors In Pediatric Patients With Peripherally Inserted Central Catheters, Ahmed A. Alabdulkarim, Abdullah I. Almojali, Tharaa S. Alhowaish, Dena S. Alsuhaibani, Norah I. Alshafi, Amin I. Alzahrani, Mohammed O. Alotaibi, Yousef A. Alghamdi, Hamad A. Alkhalaf

Saudi Medical Journal

Objective: To determine symptomatic thrombosis incidence in pediatric patients with peripherally inserted central catheters (PICCs) and identify associated patient and procedure-related risk factors in a tertiary pediatric center in Saudi Arabia.
Methods: We conducted a retrospective cohort study at King Abdullah Specialized Children's Hospital, Riyadh, Kingdom of Saudi Arabia, including patients aged 0–14 years who underwent PICC insertion in the Interventional Radiology department between January 2019 and June 2023. Data on demographics, comorbidities, procedural details, and outcomes were extracted from the electronic medical record system (BestCare). Symptomatic thrombosis was defined as Doppler-confirmed thrombosis with clinical signs. Associations were tested using …

Advancing Impact: A National Approach To Knowledge Translation In Saudi Arabia-The Saudi National Institute Of Health Experience, Maha M. Aleid, Manar A. Alharbi, Amal N. Almadouj, Ahmad I. Alrawaji, Lamia A. Alhaqbani, Fars K. Alanazi

Saudi Medical Journal

Objectives: To present a reproducible national model for translating research findings into evidence-based clinical practice guidelines.
Methods: The Saudi National Institute of Health launched the initiative titled ``Transforming the Outcomes of Published Health Research into Medical Guidelines that Enhance Medical Practices to Improve the Quality of Human Health'' on February 3, 2025. The initiative aimed to identify and assess research outcomes published between January 1, 2020, and December 31, 2024 across 6 predefined thematic tracks relevant to the Saudi population. Eligible publications were collected within one month after the submission portal opened. Following closure of portal, all submissions were evaluated …

Estimating Radiation Dose And Proposing Institutional Diagnostic Reference Levels For Paediatric Fluoroscopy Of Micturating Cystourethrogram: Age- And Weight - Specific Comparisons, Khalid M. Aloufi

Saudi Medical Journal

Objective: To compare age- and weight-specific methods used to estimate radiation doses and to propose institutional diagnostic reference levels (DRLs) for paediatric fluoroscopy of micturating cystourethrogram (MCUG).
Methods: In this retrospective study, MCUG fluoroscopy parameters were gathered for 100 paediatric patients from July 2025 to January 2026. The data included the MCUG paediatric procedures for patients aged 0–15 years. The data were categorized into paediatric weight- and age-specific groups. Paediatric weight-specific groups were ≤ 5, 5 < – 10, 10 < – 20, and >20 kg, and paediatric age-specific groups were ≤ 1, 1 < – 5, 5 < – 10, and < 10 – 15 years old.
Results: Differences were observed in dose area product (DAP) and DRL results for age- …

Potential Drug–Drug Interactions In Patients Undergoing Hemodialysis: A Retrospective Observational Study, Buthainah B. Al-Ammash, Fawaz A. Alharbi, Omar D. Al-Hejaili, Mansour A. Mahmoud, Mazin A. A. Abdelaziz, Alaa I. Alrais, Shahad A. Albakri, Ibrahim F. Alharbi, Sara A. Felemban, Abdullah H. Almatrafi, Salman A. Alabdali, Yaser M. Alahmadi

Saudi Medical Journal

Objectives: To evaluate the prevalence, characteristics, and determinants of potential drug–drug interactions (pDDIs) among patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) at a tertiary care hospital in Al-Madinah Al-Monawara, Kingdom of Saudi Arabia.
Methods: Data for this retrospective observational study were extracted from the electronic medical records of adult patients (≥ 18 years) diagnosed with ESRD and receiving hemodialysis (HD) between October 2022 and March 2023. The pDDIs were identified and classified using Lexicomp® (Wolters Kluwer, Alphen aan den Rijn, Netherlands). Descriptive statistics summarized patient characteristics and pDDIs, and univariate logistic regression was implemented to investigate the determinants …

Drooling In Children With Cerebral Palsy: A Narrative Review Of The Current Management Landscape, Kamel A. Alenazi

Saudi Medical Journal

Children with developmental or neurological disorders, such as cerebral palsy, present with impaired motor function, resulting in impaired swallowing, feeding, and drooling. The prevalence of chronic drooling radically changes from 0.5% in children >4 years to 60% in children with neurological ailments. Drooling can have a serious impact on the quality of life of affected children, which can create a sense of isolation and refusal by peers. In addition, drooling results in not only financial but also considerable emotional turmoil for caregivers of affected children, who are frequently confronted with difficulty managing the underlying neurological impairment of their child. In …

Scoping Review Of Mental Health Outcomes Of Cosmetic Procedures Among The Saudi Population, Hessah Alzahrani

Saudi Medical Journal

Objective: To comprehensively examine the mental health outcomes associated with cosmetic procedures among the Saudi population, with a particular focus on psychological well-being, self-esteem, anxiety, body image, and quality of life.
Methods: This scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. A structured search was performed across international databases, including PubMed, PsycINFO, Scopus, Web of Science, and Google Scholar, in addition to national Arabic databases. Studies investigating the psychological outcomes of both surgical (rhinoplasty and body contouring) and …

Quality, Patient Experience, And Service Gaps In Home Healthcare In Saudi Arabia: A Systematic Review Aligned With Vision 2030, Eman Alawad, Rasha M. Mahrous, Lubna A. Elshaib

Saudi Medical Journal

Objectives: To assess the quality of home healthcare (HHC) services, patient experience, and existing service gaps in Kingdom of Saudi Arabia.
Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) statement. PubMed, MEDLINE, Scopus, Web of Science, CINAHL, and Google Scholar were searched for studies published between January 2011 and January 2025. Eligible studies included observational, qualitative, mixed-methods, and interventional studies conducted in Saudi Arabia that examined home healthcare quality, patient or caregiver experience, or service delivery gaps. Two reviewers independently screened studies, extracted data, and assessed methodological quality …

Implementing Diagnosis-Related Groups For Value-Based Healthcare In Saudi Arabia: A Systematic Review Of Evidence On Barriers And Facilitators, Racha M. Naim, Michelle A. Badore, Justin J. Needle

Saudi Medical Journal

Objective: To examine the barriers and facilitators to implementing Diagnosis-related groups (DRGs) in Kingdom of Saudi Arabia, aiming to identify actionable insights for policymakers and stakeholders to advance value-based healthcare (VBHC) adoption effectively.
Methods: A systematic search of bibliographic databases and relevant grey literature was conducted. Data were synthesized using the Consolidated Framework for Implementation Research (CFIR) to categorize barriers and facilitators across 5 domains.
Results: A total of 10 studies met the eligibility criteria. Key facilitators included the adoption of patient classification systems, standardized data sets, government policy support, and the availability of advanced health information systems. Barriers included …

From Bench To Bedside: Evolving Definitions Of Translational Research, Hana A. Alhumud, Fars K. Alanazi, Edward B. Devol

Saudi Medical Journal

Objective: To synthesize current evidence on the evolution, frameworks, and methodological approaches used to define and operationalize translational research, which serves as a bridge between scientific discovery and its application in clinical medicine, public health, and policy.
Methods: We systematically searched PubMed, Scopus, and Web of Science for peer-reviewed studies published up to 2023. Search terms combined translational research–related keywords (such as ``bench-to-bedside,'' ``implementation science,'' ``precision medicine'') and relevant MeSH terms. Eligible studies focused on conceptual models, frameworks, or methodological approaches related to translational research and were published in English. After duplicate removal and PRISMA-guided screening, 33 publications were included. …

A Process For The Preparation Of Crystalline Form Of Pirtobrutinib, Msn Laboratories Private Limited, R&D Center; Hyderabad, India; Srinivasan Thirumalai Rajan; Sagyam Rajeshwar Reddy; Keshavareddy Navin Kumar Reddy; Parigi Raghavendar Reddy And Yata Murali.

Defensive Publications Series

The present disclosure relates to a process for the preparation of crystalline form-S of Pirtobrutinib of formula-1 which is represented by the following structural formula-1

Formula-1.

System And Method For Certainty-Driven Payment Authorization With Adaptive Optimization, Xi Kan, Michiharu Yamashita, Xiaoran Tang, Elisa Warner

Defensive Publications Series

A method (400) for processing authorization decisions in a payment transaction is provided. The method (400) includes receiving transaction attributes, risk scores, behaviour signals, issuer response patterns, and an action space definition from a plurality of data sources. A certainty score is computed based on normalized signals from the plurality of data sources and compared with a threshold value. When the certainty score indicates high certainty, an approval or decline is issued directly based on a weighted mean of the normalized signals. When the certainty score indicates low certainty, a conflict type and conflict severity are determined, expected values are …

Benchmarking Two Saudi Ba English Programs: Accreditation Alignment, Exit Points, And Cefr Proficiency Targets, Abdullah Ali Altamimi

University of Bisha Journal for Educational Sciences

The Bachelor of Arts in English degree program at the University of Tabuk was benchmarked against both national accreditation requirements and those of a similar institution within the country: Imam Mohammad ibn Saud Islamic University. Through a comparative analysis of the curricula and degree requirements of both universities, including two degree plans and 38 course specifications across five dimensions, the alignment between the two universities’ English department requirements was determined. The alignment of each degree plan was calculated through the use of a 25-point rubric, and each alignment category was summarized within the report. Results indicated that the two-degree programs …

Lanthorn, Vol. 61, No. 03, September 14, 2026, Grand Valley State University

Volume 61, August 10, 2026 – current

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.

Extending W-Event Differential Privacy To The Publish-Subscribe Framework, Jacob Jerome Olinger

Dissertations and Theses

Internet of Things (IoT) devices have become ubiquitous, permeating both enterprises and homes, and they increasingly rely on publish-subscribe (pub-sub) frameworks that give subscribers real-time, high-fidelity access to device data. For privacy and confidentiality, however, today's pub-sub systems largely stop at channel-level authentication, encryption, and access-control lists. These protect data in transit and restrict who may receive it, but place no quantitative limit on what a subscriber with legitimate access to messages can infer about its publishers.

We close this gap by extending w-event differential privacy to the pub-sub setting. We generalize it from count queries to any aggregate …

Rocmoine Linton V. Attorney General New Jersey

2026 Decisions

USDC for the District of New Jersey

Gina Russomanno V. Us District Court For The District Of New Jersey

2026 Decisions

USDC for the District of New Jersey

Recent Advances In Bioethanol Production From Water Hyacinth: A Critical Review, Umuamina A. Matola, Mahir Mohammed Said, Olga-Ioanna Kalantzi, Abraham K. Temu

Tanzania Journal of Engineering and Technology (TJET)

Water hyacinth (WH) is a highly invasive tropical aquatic weed with high holocellulose and low lignin content, making it a promising lignocellulosic feedstock for second-generation bioethanol production. Producing bioethanol from WH offers a sustainable approach to simultaneously managing invasive biomass and producing renewable energy. This review critically evaluates recent advancements in bioethanol production from WH by examining pretreatment, hydrolysis, and fermentation technologies reported between 2014 and 2024. A PRISMA-guided literature search was conducted using the Scopus and Web of Science databases, and fifty-nine original research articles were selected for analysis. The reviewed studies were comparatively assessed based on pretreatment strategies, …

A Lament For Readers (Of Landscape), Howard Schaap

Faculty Work Comprehensive List

"Maybe what I lament is the lack of readers of the landscape, that as we drive through the countryside, we so often fail to get out of our cars to actually see “the beguiling nooks and crannies” of the world."

Posting about appreciating nature from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

A Lament for Readers (of Landscape)

Reducing Nurse Burnout Within A Pediatric Specialty Unit At A Midwest Hospital By Incorporating A Peer Mentor Program, Amanda Ortmeier, Gina Crudden

Group: Nebraska Methodist College

Problem: Burnout among nurses continues to negatively impact staff well-being, patient safety, and job satisfaction. Pediatric specialty units face unique stressors related to high patient acuity, emotional demands, complex interdisciplinary collaboration, and family interactions. The purpose of this quality improvement project was to implement and evaluate a structured peer mentorship program aimed at reducing nurse burnout within a pediatric specialty unit at a Midwestern hospital and to provide mentor education designed to improve mentor self-efficacy and preparedness.

Intervention: Maslach’s Burnout Theory served as the guiding framework for this project, which implemented a 45-day structured peer mentorship program in which experienced …

Co-Prescribing Naloxone With Opioids In The Emergency Department, Autumn K. Boyd, Gina Crudden, Shelley Hultman

Group: Nebraska Methodist College

Problem: The opioid epidemic continues to contribute to significant morbidity and mortality in the United States, with inconsistent naloxone access among high-risk patients discharged with opioid prescriptions. The purpose of this project was to implement and evaluate a naloxone co-prescribing process for high-risk adult patients discharged from the emergency department (ED) while enhancing staff knowledge and confidence in naloxone co-prescribing practices over a 30-day period.

Intervention: Guided by the Iowa Model of Evidence-Based Practice, this project implemented the Opioid Risk Tool (ORT) to identify ED patients at increased risk for opioid misuse and provided a structured educational program for ED …

Bridging The Gap: Enhancing Adult Cancer Survivors’ Self-Efficacy To Spark Activation Through Evidence-Based Community Support, Julie L. Chytil

Group: Nebraska Methodist College

Problem: The number of cancer survivors in the United States is continuing to grow and yet cancer survivors often lack the knowledge of community resources available to them. Survivors must not only know that resources and programs exist but also trust that these tools are relevant and beneficial to them.

Intervention: The purpose of this project was to implement evidence-based strategies in a community setting to improve self-efficacy among adults who are transitioning from frontline cancer treatment to the next phase of survivorship. Strengthening self-efficacy is an important step toward increasing potential future patient activation and supporting long-term survivorship outcomes. …

Martinelli, Kathleen A (1956-2024), San Jose State University

Emeritus and Retired Faculty Biographies

Stanford University, Communication Theory & Research, Special Area–Political Science, 1993 Ph.D.

Ball State University, Public Relations, Economics concentration, 1985 M.A.

Ball State University, Journalism (Public Relations Sequence) & English (double major), 1979 B.S.

George W. Polk To Charles P. Jackson - Correspondence, George W. Polk

Correspondence

Correspondence from George W. Polk to Charles P. Jackson concerning their ancestral connection to James Jackson and the Forks of Cypress, as well as their "Uncle Harry," Admiral Richard Harrison Jackson.

Transcription

George W. Polk to Charles P. Jackson – Correspondence (Envelope + 3 pages) Date stamped: SPRING VALLEY, CALIF., APR 6 PM 1969; addressed to Mr. Charles P. Jackson, 2945 Balmoral Rd, Birmingham, Ala. 35223.

--- Page 1 ---

George W. Polk 9745 La Mar St. Spring Valley, Calif., 92077 5 April '69

Mr. Charles P. Jackson

Birmingham, Ala.

Dear Mr. Jackson,

I have been asked to write you …

Admiral Richard Harrison Jackson To Charles Jackson - Correspondence, Richard Harrison Jackson

Correspondence

Correspondence from Admiral Richard Harrison Jackson to his nephew Charles Jackson discussing the Forks of Cypress and original Jackson Family portraits. The transcription and additional materials also include a note sent to William Lindsey McDonald regarding the letters on the last page. The transcription retains the quality of the original document, including any grammatical or spelling errors.

Transcription

Admiral Richard Harrison Jackson Correspondence (October 7 and 16, 1950)

--- Page 1 ---

[Envelope]

CORONADO, CALIF.

UNITED STATES POSTAGE

OCT 16,1950 4:30PM

MR CHARLES P. JACKSON

311 BERKLEY PLACE

BIRMINGHAM ALA

--- Page 2 ---

504 GLORIETTA BOULEVARD

CORONADO CALOF.

7 …

Metro Monitor 2026: Las Vegas And Reno, Nevada, Kevin Yang, Lara Karaalp, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents economic growth performance indicators in the Las Vegas-Henderson-North Las Vegas, NV and Reno, NV metropolitan statistical areas (MSAs), using data provided by the Brookings Institution’s Metro Monitor 2023  and 2026. The Metro Monitor explores five indicators of economic performance over ten year periods: the 2023 report provides data measuring the period from 2011 to 2021, while the 2026 report provides data measuring the period from 2014 to 2024. The Metro Monitor reports data on growth, prosperity, economic inclusion, racial inclusion, and geographic inclusion across 196 MSAs in the U.S.

Morehead & North Fork Railroad Photographs, 1900-1920, Morehead & North Fork Railroad.

Morehead State University Manuscripts Collections

No abstract provided.

Toward A Polyvocal Semantic Infrastructure For Tabletop Role-Playing Game Research: A Scoping Review Of Multimedia Play Data, Cristo Leon, Julian Marcone

STEM for Success Resources

This article presents a scoping review of 35 studies examining multimedia data in tabletop role-playing game (TTRPG) research and proposes a Polyvocal Semantic Infrastructure (PSI) for organizing, connecting, retrieving, and reusing multimodal evidence. The framework emphasizes provenance, interpretive plurality, and future AI-assisted analysis while preserving the contextual richness of TTRPG scholarship.

Exploring Consultancy-Related Variations In Public Building Projects: A Review Towards A Management Framework, Grayson Bambaza, Ismail W. R. Taifa, George S, Mwaluko

Tanzania Journal of Engineering and Technology (TJET)

Consultancy-related variations remain one of the leading causes of cost overruns, schedule delays, quality deficiencies, and contractual disputes in public building projects. Although various studies have been undertaken to document the causes of variations in construction works, the same level of interest has not been shown for consulting services variations across the consulting services spectrum and their consequences for effective management. This study explores variations in consulting services for public works by systematically reviewing the existing literature using the PRISMA (Preferred Reporting Items for Systematic reviews and Meta Analyses) guidelines. Relevant articles published from 2020 to 2026 were retrieved from …