Digital Commons Network^™

Synergizing Digital And Print: Leveraging Spine Surgeons' Social Media To Transform Publishing And Society Interaction, Benedikt W. Burkhardt, Kai-Uwe Lewandrowski, Choll W. Kim, Morgan P Lorio, Oscar L. Alves, Rossano Kepler Alvim Fiorelli, Sergio Luis Schmidt, Hansen A. Yuan, Alex R. Vaccaro

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Social media has fundamentally altered how information is created, disseminated, and consumed, with growing impact on spine surgeons and professional societies. Traditional academic publishing remains the standard for research validation, but digital platforms now shape much of the real-time dialogue in spine care.

OBJECTIVE: To explore strategies for integrating spine surgeons' social media presence with traditional publishing channels to enhance knowledge dissemination, support clinical innovation, and improve member engagement within spine societies.

METHODS: This perspective reviews current patterns of social media use among spine surgeons, focusing on platforms such as X (formerly Twitter), Instagram, and LinkedIn. It analyzes benefits …

From Plague To Cholera: The Prevention And Treatments Of Cholera In Thailand, 1820–1959, Suwasadee Photpun

Journal of Letters

This article aims to explore the history of cholera in Thailand from 1820 to 1959, focusing on disease prevention and the evolving treatment methods for cholera patients across different historical periods. The article argues that knowledge about pathogens and the discovery of Vibrio cholerae as the cause of cholera did not lead to significant changes in cholera prevention and treatment methods before the mid-20th century. Methods like maintaining hygiene, implementing quarantine, and treating the disease with Western medicine and intravenous saline infusions were already known and utilized before the acceptance of germ theory and before the discovery of bacteria as …

The Impact Of Parents’ School Choices Towards Schools And Students: A Case Study Of Secondary Schools In Inner Bangkok, Krittin Klaimee, Petchpilai Lattanan

Journal of Letters

Parents typically select the most suitable school for their children based on socioeconomic factors and geographic factors which impact on the ease of travel. With the decline in the student-age population and ongoing urban changes, schools have been significantly impacted, prompting them to adapt to the increasing competition. These impacts not only affect the schools themselves but also the students. This study aims to examine the impact of parental school choice decisions on secondary schools and students in inner Bangkok through in-depth interviews with teachers and focus group discussions with students. The findings reveal that schools with different service areas …

Knowledge Transfer For Improvement Of Local Administrative Organizations Capacities In Flood Hazard Risk Management Using Participatory Geographic Information System At Dan Makham Tia, Kanchanaburi, Komsan Sriboonruang, Nirut Jorncharoen, Malinee Kumkrua

Journal of Letters

This research aims to (1) create risk and vulnerability maps of flood hazard using participatory geographic information systems in Dan Makham Tia District, Kanchanaburi Province, (2) transfer knowledge on flood hazards risk management based on data from the flood risk and vulnerability maps to local administrative organizations ; and (3) transfer the action plans based on the maps to improve the capacities of local administrative organizations in flood hazard risk management. The sample groups were officers of Charakhe Phuek Subdistrict Administrative Organization, disaster prevention and mitigation volunteers, public health volunteers, rescue workers, and disaster victim households. The research framework included …

Work-Related Musculoskeletal Disorders: Epidemiology, Risk Factors, Socioeconomic Impact And Prevention - A Narrative Review, Swarna Radhakrishnan, Harini Ramendran, Priyanga Thirunavukkarasu

Digital Journal of Clinical Medicine

Abstract

Work-related musculoskeletal disorders (WMSDs) represent one of the most pervasive and costly occupational health challenges worldwide. Affecting muscles, tendons, ligaments, nerves, joints, and supporting blood vessels, these conditions arise from a complex interplay of physical, psychosocial, organizational, and individual risk factors present across diverse work environments. From factory floors and construction sites to offices and healthcare settings, WMSDs contribute substantially to pain, disability, reduced productivity, absenteeism, and diminished quality of life. This narrative review synthesizes existing literature on the epidemiology, pathophysiology, risk factors, and socioeconomic impact of WMSDs, with particular attention to high-risk occupational sectors. It further discusses prevention …

Retinal Vasculature In Schizophrenia Spectrum Disorder, Caroline Simon Sherman, Erik Gunnarsson, Nycole Hidalgo, Victoria Chen, Kevin Zhang, Shuo Chen, Hwiyoung Lee, Hugh O'Neill, L Elliot Hong, Osamah Saeedi

Faculty, Staff and Student Publications

The purpose of this research is to determine whether retinal vasculatures differ between participants with schizophrenia spectrum disorder (SSD) and controls. Ninety participants (51 SSD, mean age 35.8 ± 13.5, and 39 controls, mean age 35.5 ± 11.4) underwent 3 × 3 mm2 macular and 6 × 6 mm2 optic nerve head (ONH) optical coherence tomography angiography (OCTA) scans. En face macula and ONH region images were divided into quadrants, binarized, and then skeletonized. Skeletonized vessel densities were compared between our two groups. Additionally, the foveal avascular zone (FAZ) size and acircularity index were compared between the two groups. There …

Feeding Difficulties And Survival Outcomes In Advanced Dementia: A Multicentre Retrospective Study From Oman, Fatma Al-Shamsi, Ahmed Al-Darmaki, Said A Al-Busafi, Hamed Al-Sinawi, Ahmed Al-Harrasi, Athba Al-Ajmi, Abdullah Mohammed Al Alawi

Sultan Qaboos University Medical Journal

Objectives: Feeding problems are among the most common in patients with advanced dementia. This study aimed to assess the prevalence of feeding problems and evaluate survival outcomes following the onset of feeding problems in patients with advanced dementia. Methods: A retrospective cohort study of adults with advanced dementia identified from the electronic patient record using diagnostic codes and keyword searches was conducted. This multicentre study took place at Sultan Qaboos University Hospital, Muscat, Oman and the Royal Hospital, Muscat, Oman, from January 2010 to December 2023. Results: A total of 202 patients were included. The median age was 78.5 …

Beyond Charisma: A Critical Theory Perspective On Populist Leadership In A Post-Covid Age Of Crisis, Samuel Fianko-Ofori, Stephen Apolima

Interdisciplinary Journal of Leadership Studies

This paper argues that the digital communication environment has qualitatively transformed the dynamics of populist leadership, moving it beyond a reliance on personal charisma. While the affective bonds between leaders and followers—explored by classical theorists like Weber, Freud, and Adorno—are not new, their operation within the platformed public sphere marks a distinct shift. We introduce the concept of Affective Populist Leadership (APL) to conceptualize this shift. APL is a mode of leadership sustained through the strategic cultivation and digital amplification of collective emotions. It operates through three mutually reinforcing mechanisms: (1) the perpetual theatrical framing of politics as crisis, (2) …

“A Leader Or A Teacher”: A Latent Theory Of Transformative Education In James Macgregor Burns’S Transforming-Transactional Leadership Paradigm, Evan Rw Dutmer

Interdisciplinary Journal of Leadership Studies

The purpose of this paper is to uncover a latent theory of transformative teaching and learning to be found in James MacGregor Burns’s account of transforming leadership and place it in interdisciplinary conversation with transformative education. The importance of this interdisciplinary exploration consists in this: Burns’s view that good leadership and good teaching are nearly indistinguishable has powerful implications that have been too little recognized. For, if right, teachers ought to view their work as exemplifying leadership (of a mutually beneficial, elevating sort); similarly, leaders across organizations ought to look to transformative teachers as paradigmatic models of good leadership. Expanding …

The Perception Of Leader Identity: The Impact Of The Covid-19 Pandemic On Interfaith Hospital Chaplains, Zachary C. Wooten, Jocelyn R. Brown

Interdisciplinary Journal of Leadership Studies

This article showcases the results of one research question in a multi-question study, specifically, “How do interfaith hospital chaplains perceive themselves leaders or part of the leadership process?” To answer this question, researchers interviewed ten interfaith hospital chaplains and employed interpretive phenomenological analysis (IPA). The analysis revealed the participants’ views that interfaith hospital chaplains are part of the leadership processes in hospital systems. A significant opportunity exists for chaplains and the healthcare system at large to engage in a more expansive, interdisciplinary understanding of leadership with the work of healthcare chaplaincy at the center of such discourse. This understanding moves …

Comprehensive Mechatronic Design Methodology For 6-Dof Stationary Lower Limb Rehabilitation Exoskeleton Robot With Safety-Integrated Control Architecture, Javlonbek Rakhmatillaev Mr., Nodirbek Kimsanboyev Mr., Umidjon Takabaev Mr., Zafar Juraev3 Dr.

Chemical Technology, Control and Management

This paper presents the mechatronic design of a proposed six-degree-of-freedom (6-DOF) stationary lower limb rehabilitation exoskeleton (SLLRE) robot, developed through a comprehensive mechatronic design methodology that includes mechanical design, actuator and sensor selection, and the development of a control structure based on a safety-oriented control approach. The proposed 6-DOF SLLRE mechanical design introduces a comprehensive mechanical structure comprising bilateral hip, knee, and ankle joints, degrees of freedom, joint ranges of motion, human parameters for rehabilitation training, as well as the frames and structural elements of the proposed system. Furthermore, the selection of appropriate sensors, actuators, and control architecture for the …

Composite Flours For Sustainable Food Systems: Integrating Nutritional, Environmental, And Climate Resilience Strategies, Rashmi H. Poojara, Soumya P S, Alvina Rose, Niva Somarajan

Journal of Environmental Science and Sustainable Development

Composite flour blends prepared from cereals, millets, tubers, legumes, and vegetables have gained increasing attention due to their potential to enhance nutritional quality, improve functional properties, and support sustainable food systems. Previous studies have largely focused on individual nutritional or functional attributes, with limited integration of environmental and health perspectives. This review aimed to systematically analyze how composite flours simultaneously influence nutritional quality, functional performance, health relevance, and environmental sustainability within a unified analytical framework. A systematic literature review was conducted following PRISMA guidelines. Peer-reviewed studies published between 2014 and 2025 were retrieved from PubMed, Scopus, Web of Science, and …

A Return To The Real: Elder Wisdom, Story, And The Great Mystery Of Consciousness, Patrice V. Mathon-Nerad Phd

Journal of Conscious Evolution

This essay honors the life and legacy of consciousness scholar Allan Leslie Combs by exploring elder wisdom as an epistemic, ethical, and spiritual stance grounded in openness to the great mystery of consciousness. Drawing on Combs’s writings, Charlene Spretnak’s articulation of the Real, and Malidoma Somé’s teachings on elderhood, the essay contrasts elder understanding with contemporary psychiatric approaches that impose epistemic certainty upon the vastness and lived complexity of human consciousness. Portions of this essay are adapted from the author’s 2023 doctoral dissertation, Separation from the Real: The Power of Story at the Heart of the Civil Commitment Process, …

Effectiveness Of Different Home Bleaching Treatments On Color Change And Tooth Sensitivity: A Split-Mouth Design, Tarek Hanbali, Rim Bourgi, Carlos Enrique Cuevas-Suárez, Monika Lukomska-Szymanska, Walter Devoto, Nicolas Nassar, Naji Kharouf, Louis Hardan

International Arab Journal of Dentistry

Objectives: Dental at-home bleaching is a widely recognized and effective treatment for improving the shade of anterior teeth. However, the impact of varying application times of carbamide peroxide (CP) concentrations on whitening efficacy and tooth sensitivity (TS) remains unclear.

Methods: In this split-mouth, randomized clinical trial, 80 participants were divided into two groups (n = 40 each) to receive either 10% or 16% CP gel for home bleaching. Different application times were tested. Tooth color was measured using the Optishade colorimeter, and TS was evaluated via a five-point analog numerical rating scale. The Friedman test with post hoc Tukey test …

A Comprehensive Analysis Of The Accurate Diagnosis Of Chronic Non-Bacterial Osteomyelitis Of The Jaw In Young Patients: An Assessment Of Clinical And Laboratory Data, Alexander Yu Kugushev, Andrey V. Lopatin, Suzan Dagher

International Arab Journal of Dentistry

Objectives: Chronic non-bacterial osteomyelitis (CNO) is a rare autoinflammatory bone disorder predominantly affecting pediatric and adolescent populations. The clinical presentation is heterogeneous, with persistent pain and swelling representing the most frequent and often initial symptoms. These manifestations are commonly localized to the mandible, although involvement of other skeletal sites, including long bones, clavicle, and vertebrae, may occur in more advanced cases. Beyond localized symptoms, some patients exhibit mild systemic features such as low-grade fever, fatigue, or malaise; however, these systemic signs are generally less pronounced than those observed in infectious osteomyelitis. The diagnostic evaluation of CNO is intricate and necessitates …

Artificial Intelligence, An Aid In Teledentistry: A Review, Kavery Ittira Kuttappa, Mamatha Shetty, Upasana Reddy, Srilakshmi Mahadevan

International Arab Journal of Dentistry

The central question is whether teledentistry can effectively access and provide treatment to dental patients. This review seeks to examine how teledentistry improves oral health services through the use of various enabling technologies. This explores the integration of artificial intelligence in teledentistry in modern oral healthcare. Teledentistry expands its access to dental services, especially in remote and undeserved communities through synchronous, asynchronous and remote patient monitoring while reducing costs, logistical barriers and chairside time. It shifts its dynamic from a curative model to a proactive preventive one which focuses on patient centered care. Artificial Intelligence (AI) includes machine learning, deep …

Management Of Anterior Teeth Affected By Molar Incisor Hypomineralization Using Resin Infiltration Technique: A Case Report, Atika Bouabid, Selsebil Laajimi, Yamina Elelmi, Fatma Masmoudi, Ahlem Baaziz

International Arab Journal of Dentistry

Background: Molar-Incisor Hypomineralization (MIH) is a developmental enamel defect affecting first permanent molars and often incisors, presenting unique restorative challenges. In line with minimally invasive dentistry, the “Würzburg concept” promotes conservative management strategies with resin infiltration.

Objectives: This case report investigates the impact of modifications to the ICON resin infiltration protocol on esthetic outcomes and adhesion in MIH-affected anterior teeth.

Method: Three clinical cases involving MIH lesions on anterior teeth were treated using the Icon® resin infiltration system by DMG (Hamburg, Germany).

Results: Preconditioning hypomineralized enamel with 5.25% sodium hypochlorite followed by resin infiltration enhances the physical integrity of composite …

Effect Of Different Deep Margin Elevation Thicknesses Versus No Elevation On The Fracture Resistance Of Indirect Restorations: An In-Vitro Study, Fleurene Daraze, Karim Corbani, Brigitte Douaihy, Hadi Jomaah, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: This in-vitro study aimed to evaluate whether different deep margin elevation (DME) thicknesses (1 mm, 2 mm, 3 mm) influence the fracture resistance and fracture type of molars restored with CAD/CAM lithium disilicate overlays, compared to no elevation.

Methods: Seventy-six extracted human molars were randomly divided into four groups (n=19) based on Deep Margin Elevation thickness: 0 mm (control), 1 mm, 2 mm, and 3 mm. Standardized Class II cavities were prepared with cervical margins extending 1 mm below the cementoenamel junction. DME was performed using a low-viscosity hybrid composite. Using a CAD/CAM workflow, overlays were designed and milled …

Using Machine Learning To Predict Women At Risk Having A Child With Congenital Heart Defects, Amany M. Abdo Prof., Asmaa M. Mosallam Ms., Laila M. Abdelhamid Assoc.Prof.

Information Systems

Congenital heart defects (CHD) are heart malformations present at birth, affecting heart function and circulation, and are a leading cause of infant mortality. CHD can result from genetic, environmental, and maternal health factors, making early detection essential. Early diagnosis allows for timely intervention, reducing risks like heart failure or stroke. In countries like Egypt, CHD often remains undiagnosed due to limited healthcare resources. Artificial intelligence (AI) can improve early detection by analyzing risk factors. This study presents a predictive model for CHD using maternal and paternal health factors. Data was collected from 571 families: 260 with a CHD-affected child and …

Severe Drug-Induced Gingival Overgrowth In A 21-Year-Old: A Rare Presentation And Its Surgical Resolution, Raagul Somasundaram, Sumit Malhotra, Rahul Chopra, Gaurav Das

International Arab Journal of Dentistry

Gingival overgrowth is well documented side effect associated with three major classes of drugs viz, anticonvulsants, calcium channel blockers, and immunosuppressants. Dental Surgeons need to discuss this issue with their medical colleagues and to practice care while prescribing the drugs associated with gingival overgrowth. The aim of present article is to report a rare case of gingival enlargement with long term Drug history. Drug-induced gingival enlargement often occurs due to patient’s lack of awareness about the side effects of prescribed medications. This case report presents with an unusual rare instance of massive drug-induced gingival overgrowth in a 21-year-old male, successfully …

The Effect Of Loading On The Success Of Dental Implants After Immediate Extraction Compared To Delayed Dental Implants: A Systematic Review, Hassen Merzouk, Samir Habibi, Ben Ali Boutabout

International Arab Journal of Dentistry

Introduction: The study focuses on dental implants, which are used to replace missing teeth. A key decision in implant dentistry is when to place the implant relative to tooth extraction. This review compares two main approaches: immediate implant placement (placing the implant during the same surgery as tooth removal) and delayed implant placement (placing the implant after the extraction site has healed, typically 6 to 12 months later).

Objectives: The study aims to compare the success rates and complications associated with these two-timing strategies, especially concerning the implant’s ability to withstand chewing forces. The primary objective was to compare post-extraction …

Interdisciplinary Full-Mouth Rehabilitation Addressing Midline Shift And Gingival Discrepancies Through Crown Lengthening And Root Reshaping Procedures: A Case Report, Ghida Lawand, Roudy Khayat, Stephanie Khalaf, Tamara Rebeiz, Hani Tohme

International Arab Journal of Dentistry

This report describes a minimally invasive approach to address midline deviation and gingival discrepancies in a 50-year-old patient seeking rapid aesthetic results. Treatment included prosthetic crown lengthening, selective root modification, and biologic shaping to correct a 3 mm midline shift. Digital smile design and CAD/CAM technology guided the fabrication of zirconia restorations, achieving improved midline alignment, gingival harmony, and smile aesthetics with high patient satisfaction. This technique provides an efficient alternative for complex aesthetic cases.

Development And Evaluation Of A Smart Vacuum-Assisted Suspension System For Transtibial Prostheses, Zahraa Kathem Ali, Wajdi Sadik Aboud

Al-Bahir

A prosthetic socket is essential for achieving comfort, gait symmetry, and overall satisfaction for amputees. Effective suspension systems are crucial for securely attaching prostheses, thereby optimizing comfort, functional performance, and long-term limb health. This study aimed to develop and evaluate an intelligent vacuum-assisted suspension system for transtibial prostheses to improve socket fit, gait stability, and reduce residual limb movement. The system integrates force-sensitive resistors (FSRs) and an inertial measurement unit (MPU6050) with accelerometer and gyroscope sensors, continuously monitoring interface pressure and limb motion. Real-time data from these sensors dynamically adjusts vacuum pressure based on the user's gait pattern .Quantitative gait …

Seemingly Unrelated Exponetiated Exponential Geometric Regression Model, Oluwaseun Michael Famoni, Bamidele Mustapha Oseni

Al-Bahir

In the class of seemingly unrelated regression models, the dispersion nature of the dependent variable can greatly impact the efficiency and reliability of the parameter estimates for the model. Despite this, the seemingly unrelated Poisson regression model and seemingly unrelated negative binomial model are two most commonly used count data models for these class of regression models. This study introduces the seemingly unrelated exponentiated exponential geometric regression (SUEEGR) for modelling count data which might be equi-, under, or over-dispersed. Parameters estimation for the model was carried out using the method of maximum likelihood. A simulation study was carried out to …

Evaluating The Analgesic Activity Of The Ethanolic Leaf Extract Of Ipomoea Aquatica (Convolvulaceae), Blessy H. Vale, Lenny Shai Somer, Julie Mae Suico, Roselle L. Remulta, Junnin Gay Garay

Pacific Journal of Health

Ipomoea aquatica, commonly known as water spinach, is a leafy vegetable widely consumed in tropical and subtropical regions for its nutritional benefits. This study investigated the potential analgesic activity of the ethanolic leaf extract of I. aquatica, as no prior scientific evidence supports its role in acute pain management. Male Swiss albino mice were used in an acetic acid-induced writhing test, with aspirin as the positive control and plain normal saline solution (PNSS) as the negative control. The extract was administered at low, medium, and high doses. In the writhing test, I. aquatica significantly inhibited the writhing response …

Mortality, Temperature, And Public Adaptation Policy: Evidence From Italy, Filippo Pavanello, Giulia Valenti

Fondazione Eni Enrico Mattei Working Papers

In 2004, Italy introduced a national program to address heat-related health risks, combining public awareness campaigns, heat-wave warning systems, and hospital protocols. Leveraging administrative mortality data and high-frequency temperature variation, we show that the program reduced heat-related mortality by more than 57% on days at or above 30°C. To identify the mechanisms, we exploit the staggered introduction of heat-wave warning systems across provinces and show that treated areas experienced substantially larger reductions in heat-related mortality. We further document that information disclosure plays a key role in driving these reductions. Overall, our findings underscore the importance of public adaptation policies that …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

Is It Rape Or Consent? College Men Just Don’T Know, Stephanie A. Navarro Silvera, Eva S. S. Goldfarb, Amanda S. Birnbaum, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Introduction: Women and LGBTQ+ undergraduates face higher rates of sexual assault and rape compared to cisgender male peers—the overwhelming majority of perpetrators. Federal policies have aimed to curb campus sexual violence, yet questions remain about the efficacy of consent education, particularly among cisgender heterosexual men. Methods: This study surveyed 1567 undergraduate students at a large Northeastern public university in 2017 and 2022. Responses to a nine-item consent scale were analyzed by gender, sexuality, and demographic factors. Results: Cisgender heterosexual (cis-het) men had poorer understanding of consent compared to women and LGBTQ+ students, both in 2017 and 2022. Cis-het men’s consent …

Mediapipe-Based Extraction Of Joint Rom And Position From Patient Videos For The Functional Movement Screen: An Exploratory Study, Joshua Paul Verdillo, Lily Ann Bautista

Philippine Journal of Physical Therapy

Introduction. The Functional Movement Screen (FMS) is widely used to identify movement deficiencies and potential injury risk. However, its reliance on visual inspection introduces subjectivity, requires specialized training, and necessitates face-to-face assessment. Advances in computer vision, offer opportunities to automate and better objectify functional movement assessment. This exploratory study aimed to evaluate the feasibility of using a MediaPipe-based system, Software-Optimized Movement Assessment (SOMA), to extract joint range of motion (ROM), joint position, and compensatory movement patterns from patient videos during FMS performance.

Methods. SOMA was developed using MediaPipe Pose and MediaPipe Hands libraries integrated with Python-based tools to analyze videos …

Folding Architecture “Origami Art-Inspired” Applicability To Sustainable Architecture- Biomuseo As A Case Study, Vitta A. Ibrahim

Mansoura Engineering Journal

The growing need for sustainable architectural solutions in the contemporary era underscores the necessity for interactive architectural applications that can adapt to changing requirements. In architecture, folding systems refer to three-dimensional, foldable structural forms that create unique spatial configurations and possess a wide range of capabilities. Drawing inspiration from origami techniques, this study emphasizes the role of folding systems in generating innovative spatial designs. The research problem arises from the fact that the built environment is a significant contributor to greenhouse gas emissions and energy consumption, necessitating the implementation of smart solutions. The goal of this study is to identify …