Digital Commons Network^™

New Modifications Of The Loop Electrosurgical Excision Procedure (Leep) For The Management Of Cervical Lesions In The Low Resource Conditions, Amal Abdulrahman Al-Kbous, Rafik Ibrahim Barkat, Mohamed A. Elnegeri, Amany A. Makroum, Reda Abdelhadi Hemida Dr.Reda Hamida, Mohamed Elsayed Taman

Mansoura Medical Journal

Background: Cervical intraepithelial neoplasia (CIN) encompasses a range of abnormal changes within the cervical squamous epithelium and is regarded as a precursor to invasive squamous cell carcinoma of cervix. Management of CIN-1 generally involves follow-up with repeat testing after one year, while CIN-2 and higher lesions require treatment aimed at complete removal of the lesion and transformation zone using ablative or excisional methods such as Loop electrosurgical excision (LEEP), or cold-knife cone biopsy. This study aimed to test applying a new modification on LEEP to facilitate its use in the management of cervical lesions in the low resource conditions regarding …

Association Of Uric Acid Index And Cardiovascular Risk In Egyptian Patients With Type 2 Diabetes, Reem Fathallah, Talaat Abdelaaty, Hend Ghallab, Shimaa M. Elrahmany

Mansoura Medical Journal

Background The uric acid index (UAI) has recently gained recognition as a potential indicator for cardiovascular risk, particularly among middle-aged individuals. This research investigated the association between UAI levels and cardiovascular disease risk in Egyptian patients with type 2 diabetes (T2DM). Methods 200 individuals with T2DM were included in this cross-sectional analysis. The UAI was derived using the logarithmic formula: Ln [fasting triglycerides × fasting uric acid × fasting glucose ÷ 2]. To estimate the 10-year risk of cardiovascular events, the SCORE2-Diabetes was employed. Results The average serum uric acid level was 4.40 ± 1.48 mg/dL, and the mean UAI …

Oncologic Outcome Of Hemithyroidectomy For Low Risk Patients With Well Differentiated Thyroid Carcinoma, Yasser Sharaf El Din, Khaled Gaballa, Mohamed Attia, Mohamed A. Hegazy

Mansoura Medical Journal

Background: The incidence of well-differentiated thyroid cancer (WDTC) has increased in recent decades, yet most cases remain indolent and categorized as low-risk, typically associated with excellent prognoses. The rising identification of these tumors has led to continued discussion about optimal surgical management. In recent years, there has been a clear trend in the evolution of guidelines addressing surgical management of WDTC toward de-escalation, including hemithyroidectomy, for appropriately selected low-risk WDTC patients. Methods: We performed a retrospective case series included 24 individuals with an incidentally discovered and pathologically proven diagnosis of WDTC following hemithyroidectomy, over a five-year period (January 2018-December 2022) …

Evaluation Of Serum Zinc-To-Copper Ratio In Adults With Type 2 Diabetes And Its Association With Microvascular Complications, Magdy H. Megallaa, Shimaa M. Elrahmany, Rehab Safwat, Mohamed Zietoun

Mansoura Medical Journal

Background Zinc (Zn) and copper (Cu) are indispensable trace metals that contribute fundamentally to insulin biology, antioxidant defense, and vascular health. In this research, we sought to explore the association between the serum zinc-to-copper (Zn/Cu) ratio and microvascular complications among adults diagnosed with type 2 diabetes (T2DM). Methods For this case-control design, a total of 336 participants were selected and divided into two main groups: Group 1, comprising 224 patients with T2DM, and Group 2, consisting of 112 healthy subjects serving as controls. Group 1 was further stratified into two subgroups based on the presence of microvascular complications; Group 1A …

Treatment Of Xanthelasma Palpebrarum With Plasma Energy Device, Merna Azab, Fawzia A Saafan, Amal Wagdy

Mansoura Medical Journal

Background: Semisolid, yellowish deposits known as Xanthelasma palpebrarum (XP) may develop at the inner and outer corners of the eyelids. The goals of ideal XP treatment are complete clearance with no recurrence, ensuring safety, comfort, and affordability, with no or minimal undesirable side effects, including pigmentary changes or scarring. One non-ablative electrosurgical method is plasma sublimation therapy, which involves generating plasma from atmospheric gas using radio frequency energy. This process creates ionized and mixed chemicals, which then sublimate epidermal tissue. Aim: to evaluate the efficacy of plasma energy devices in treatment of xanthelasma palpebrarum. Patients and methods: The current study …

Low-Carbohydrate, Low-Fat, And Balanced Diets In Weight Reduction Among Obese Adolescents., Ashraf A. Elsharkawy, Gihan Fouad Ahmad, Ahmed El-Husseiny, Amany K. Elhawary, Ola Shawky Ahmed, Asmaa Taha Zaher Taha, Fatma El-Zahraa M. Hashish

Mansoura Medical Journal

Background: Obesity in adolescents is a major public health concern, leading to early onset of metabolic abnormalities. This study aimed to compare the effects of the Low- Carbohydrate Diet (LCD) and Low-Fat Diet (LFD) in comparison with the balanced calculated diet (BCD) on weight reduction in obese adolescents and their impact on metabolic health markers. Patients and methods: 75 obese adolescents aged less than 18 years were enrolled in this prospective, randomized, controlled study and were randomly assigned to either LCD group, LFD group, or BCD group. Anthropometric and laboratory measures were collected before and after a 10-week intervention. Results: …

Vitamin D Status In Coronary Artery Disease, Yasmeen M. Zayed, Hamdy F Marzouk, Alshaimaa H. Abd-Elmaksoud, Ahmed H. Eladawy, Shereen A Mourad

Mansoura Medical Journal

Background: Vitamin D deficiency, dyslipidemia, and systemic inflammation are recognized contributors to coronary artery disease (CAD), so the aim of this study was to assess association of serum vitamin D (25(OH)D), traditional and nontraditional lipid indices, and neutrophil lymphocyte ratio (NLR) with CAD risk and severity, and to evaluate their predictive value using the Gensini score. Methods: A cross-sectional study included 55 CAD patients (group I) and 55 age- and sex-matched individuals (group II). lipid profiles, NLR, and serum 25(OH)D levels were measured. Nontraditional lipid indices, including Castelli’s Risk Indices and atherogenic coefficient were calculated. The severity of CAD was …

Impact Of Insulin Resistance And Obesity Indices On Patients Received Recombinant Tissue Plasminogen Activator (R-Tpa) In Acute Ischemic Stroke, Manar Hamada Abou El-Wafa, Azza E. Elmongui, Ahmed Saad Almenshawy, Nada Abd Elhameed Elsaid

Mansoura Medical Journal

Background Insulin resistance (IR) and obesity may influence stroke outcomes after recombinant tissue plasminogen activator (r-TPA) therapy. The aim of this work was to analyze the potential impact of IR, body mass index (BMI) and relative fat mass on stroke prognosis in non-diabetic patients after intravenous thrombolytic therapy Methods This Cross-sectional observational study was conducted on 44 patients, with acute ischemic stroke (AIS) received r-TPA. Every single patient underwent routine laboratory examination in addition to serum insulin and assessment of insulin resistance (IR) by the HOMA-IR index (defined as HOMA-IR>2.5). Body mass (BMI), relative fat mass (RFM) indices and …

Sexual Dysfunction After Hysterectomy Based On Female Sexual Function, Elsayed M. Abd Elfattah, Amany A. Makroum, Mohamed A. Fekry, Mohamed Sayed Abdelhafez, Maher Shams, Ahmed El Mennayyer

Mansoura Medical Journal

Abstract Hysterectomy is the most common major gynecological surgical procedure. There are raised concerns regarding its impact on sexual function. Objective: This study aimed to assess the effects of vaginal, abdominal, and laparoscopic hysterectomy on women’s sexual functioning based on the female sexual function index (FSFI). Methods: This prospective Cohort study was conducted on 48 patients who underwent hysterectomy by different routes at the OB/GYN department at Mansoura University Hospitals, Mansoura, Egypt, aged between 25 and 49 years, from October 2024 to October 2025. The patients’ sociodemographic and clinical data were collected. The patients were asked to fill the FSFI …

Food Allergies And Quality Of Life In Older Adults: Development Of A Food Allergy Questionnaire, Avalon F. Mustafa

UNF Graduate Theses and Dissertations

The United States is experiencing a rapid increase in the number of older adults, yet there is a lack of research on food allergies in this demographic. While there are survey instruments available to study food allergies and quality of life, none of these are tailored to the unique needs of elderly individuals. This study aims to create and validate an on-line survey instrument specifically designed for older adults, focusing on their quality of life in the context of food allergies. The survey will be used to establish a food allergy severity score and a quality-of-life score, enabling comparison between …

Indications Of Hospitalization And Predictors Of Outcome Among Patients With Rheumatological Diseases Admitted To Mansoura Rheumatology And Immunology Unit, Hanan Mohamed Elberashi, Nibal Morad, Samar Tharwat

Mansoura Medical Journal

Background correction: Systemic autoimmune rheumatological diseases (SARDs) constitute a category of disorders that can affect several organs. SARDs are persistent, incapacitating illness characterized by significant morbidity and mortalityrates. Patients with SARDs necessitate hospitalization more frequently than the general population.

Aim: To determine the characteristics of patients hospitalized with SARDs at Mansoura University Hospital.

Materials and methods: This cross-sectional study was carried out on patients with different SARDs. The collected data

included patients’ sociodemographic data, autoimmune disease diagnoses, the onset and duration of the disease, rate of

readmission, the main cause of admission, the main organ affected at time of admission, …

Effect Of Dexmedetomidine Versus Magnesium Sulfate On Intraocular Pressure In Glaucoma Surgery: A Randomized Controlled Trial, Nourhan E. Elhadidi, Nevert A. Abdelghaffar, Nabil A. Mageed, Amany Tarbay

Mansoura Medical Journal

Background : Lowering the intraocular pressure (IOP) is regarded as a primary and initial treatment option for glaucoma. Dexmedetomidine and Magnesium sulfate are known to have intraocular pressure-lowering effects which improve visual fields in patients with primary open angle glaucoma and attenuate intraocular pressure spikes induced by tracheal intubation. Aim: To evaluate and compare the safety and efficacy of using Dexmedetomidine versus Magnesium Sulfate on intraocular pressure and the incidence of postoperative hyphema. Methods : This study included 100 patients both male and female with American Society of Anesthesiologists (ASA) physical status class ɪ and ɪɪ scheduled to undergo elective …

Efficacy Of Intradermal Injection Of Tranexamic Acid And Ascorbic Acid Versus Tranexamic Acid And Placebo In The Treatment Of Melasma: A Split-Face Comparative Trial, Wafaa H. A. Mahmoud, Bothaina M. Ghanem, Amal Wagdy

Mansoura Medical Journal

Background: Melasma is a common hyperpigmentation disorder affecting millions worldwide. This study was done to evaluate effectiveness of combined intradermal injections of Tranexamic acid (TxA) and ascorbic acid compared to TxA alone with placebo in managing facial melasma. Methods: This randomized controlled study included twenty patients diagnosed with epidermal melasma were divided into two groups. In Group A, one side of the face received 0.5 ml of TxA (50 mg) with 0.5 ml of normal saline; in Group B, the other side received 0.5 ml of TxA plus 0.5 ml of ascorbic acid. Treatment efficacy was assessed by measuring the …

Role Of Magnetic Resonance Diffusion Tensor Imaging In Differentiating Osteomyelitis From Osteoarthropathy In Diabetic Foot, Mona Mohamed Hamid Ibrahim Barakat, Saher Ebrahim Taman, Samer Abdelhamid Regal, Ahmed Galal Sadek

Mansoura Medical Journal

Background: Diabetic foot ulcer (DFU) represents a major cause of preventable morbidity among adults with diabetes mellitus (DM). Diabetic foot osteomyelitis (DFO) frequently arises through contiguous spread of soft tissue infection to the underlying bone. Diffusion tensor imaging (DTI) is an advanced magnetic resonance imaging (MRI) technique that enables quantitative evaluation of tissue microstructure. Aim: To assess the diagnostic value of magnetic resonance DTI in differentiating osteomyelitis from acute osteoarthropathy in patients with diabetic foot complications. Methods: This prospective study included 28 diabetic patients presenting with clinically suspected foot complications. According to the final diagnosis, patients were classified into two …

Evaluation Of The Stigmatizing Attitude Towards Mental Illness Among A Group Of Egyptian Nonpsychiatric Physicians, Mohamed Elhasanein Elshehedy, Mahmoud Ahmed Elwasify, Ibtihal Mohamed Aly Ibrahim, Roshdy Mohamed El Gamal

Mansoura Medical Journal

Background Stigmatizing attitudes toward persons had mental illness remain a major barrier to effective mental healthcare. While psychiatrists’ perspectives have been studied extensively, less attention has been paid to non-psychiatric physicians, whose attitudes significantly influence early detection and referral. Objective To evaluate stigmatizing attitudes toward mental illness among Egyptian nonpsychiatric physicians. Methods This cross-sectional research has been performed on a sample of non-psychiatric physicians in various Egyptian events and occasions, including the Mansoura University conference, the Ain Shams University conference, and the Alexandria University conference over the year 2023. Participants completed a socio-demographic questionnaire and the Mental Illness Clinicians’ Attitudes …

Urinary Transferrin As A Marker For Diagnosis And Progression Of Diabetic Nephropathy: Short-Term Follow Up, Ghada El-Said Ahmed Ibrahim, Ibrahim Mohammed Adel Ibrahim Bakr, Amany Ragab Youssef Ahmed, Rasha Mahmoud Abdel Fattah

Mansoura Medical Journal

Background: One of the most serious and devastating effects of diabetes mellitus is diabetic nephropathy, which in many cases progresses to end-stage kidney disease (ESKD). Microalbuminuria is currently the gold standard biomarker for DN diagnosis. Microalbuminuria has a poor predictive value, though. Patients occasionally experienced progressive renal failure without microalbuminuria. A plasma protein called transferrin has a different ionic charge from albumin but is otherwise similar in weight. Aim: Our objectives were to evaluate urinary transferrin as a more accurate and earlier marker for the diagnosis of diabetic kidney disease and to investigate its relationship to the excretion of urinary …

A Comparative Study On The Therapeutic Efficacy Of Manual Versus Automated Prepared Platelet Poor Plasma Gel For Atrophic Acne Scar Treatment: A Prospective Randomized Interventional Study, Yassmin Gamal Salem Dorgham, Fatma Faisal El Dakrory, Marwa Zohdy Ali Moubarak

Mansoura Medical Journal

Introduction Atrophic acne scars are challenging to treat, prompting interest in regenerative therapies like platelet-poor plasma (PPP) gel. The purpose of this study is to compare the therapeutic efficacy and safety of manually versus automatically prepared PPP gel for treating atrophic acne scars. Material and Methods In a prospective, randomized, single-blind study, 40 patients with atrophic acne scars were divided into two equal groups. Group 1 received manually prepared PPP gel, and Group 2 received automated PPP gel, both following subcision. Treatment outcomes were evaluated using dermoscopic imaging, Goodman and Baron qualitative grading system, and patient satisfaction scores over a …

Serum Resistin Levels In Patients With Acne Vulgaris And It's Correlation With Disease Severity, Marwa M. Lasheen, Magdy A. Elsohafy, Gehad M. El Mazny, Manar A. Hassan

Mansoura Medical Journal

Background: Acne is a condition characterized by inflammation of the pilosebaceous unit, and resistin—an inflammatory hormone may contribute to its pathogenesis, as studies show altered serum levels in acne patients. This work aimed to evaluate serum resistin levels in acne vulgaris patients and its association with disease severity. Methods: This Case control study involved 46 individuals had acne vulgaris, ranged in age from 18 to 35, free of systemic medication for the three months or topical treatment for the last month and 46 apparently healthy age and sex matched subjects. The patients were then split into two categories: Cases (n …

Predicting Federal Third-Party Funding Regulation, Victoria Sahani

Faculty Scholarship

Third-party funding is a global phenomenon, although regulatory enforcement is local. Regulatory approaches vary widely from country to country and within countries, especially in federal legal systems, such as Canada, Australia, and the United States. The United States federal government is learning about third-party funding with an eye toward potential future regulation. Congress has been investigating funding, as evidenced by testimony in congressional hearings, proposed federal legislation, and a nonpartisan study on third-party funding by the Government Accountability Office. In addition, after more than a decade of observation, the United States Federal Civil Rules Advisory Committee recently formed a committee …

Response: Work And Home, Katharine B. Silbaugh

Faculty Scholarship

The idea of work, as it pertains to a place called home, as distinct from the market, has engaged and perplexed scholars for generations. Work in the home raises complicated issues that have accordingly drawn the focus of generations of scholars, from Charlotte Perkins Gilman and the material feminists of the late nineteenth century¹ to historians of labor such as Eileen Boris² and of law like Reva Siegel,³ from legal scholars like Fran Olson, Dorothy Roberts, and Robert Ellickson⁴ to social theorists like Friedrick Engels⁵ and architectural historians like Dolores Hayden,⁶ to name just …

Judicial Accountability, Anya Bernstein

Faculty Scholarship

Judicial decisions are moving ever more authority over regulatory statutes away from agencies and to courts instead. One justification offered for this power transfer: agencies lack the accountability of courts. This Article takes up that claim, assessing the institutions’ relative capacities for accountability in their authoritative interpretations of regulatory statutes—agency regulations and court rulings. I take accountability to involve actors undertaking reasoned decisionmaking grounded in publicly recognized values and facts and justifying their decisions to others who can evaluate, influence, or override those judgments. Accountability thus involves a give and take: it gives an account of government reasoning to a …

[Introduction To] Unbecoming Persons, Ladelle Mcwhorter

Bookshelf

A damning genealogy of modern personhood and a bold vision for a new ethics rooted in belonging rather than individuality.
 
In the face of ecological crisis, economic injustice, and political violence, the moral demands of being a good person are almost too much to bear. In Unbecoming Persons, Ladelle McWhorter argues that this strain is by design. Our ideas about personhood, she shows, emerged to sustain centuries of colonialism, slavery, and environmental destruction. We must look elsewhere to find our way out.

This history raises a hard question: Should we be persons at all, or might we live a …

The Digital Loophole: Evaluating The Effectiveness Of Child Age Verification Methods On Social Media, Fatmaelzahraa Eltaher Ph.D, Rahul Gajula, Luis Miralles-Pechuán, Christina Thorpe, Susan Mckeever

Conference papers

Social media platforms are an integral part of daily life for nearly five billion people worldwide. However, the growing presence of underage users on these platforms raises significant concerns regarding children's exposure to harmful content and its impact on their mental health. This paper examines the effectiveness of age verification measures implemented on leading platforms Facebook, YouTube, Instagram, TikTok, Snapchat, and X. We evaluate the age verification processes required for account creation by simulating the registration steps for minors on these platforms. We also compare these methods to best practices in online age assurance in finance, betting and public transportation …

Synthesising Cross-Speaker Data For Low-Resource Pathological Speech Recognition With Peft, Kesego Mokgosi, Milad Dadgar, Cathy Ennis, Robert Ross

Conference papers

Dysarthric speech recognition is essential for enhancing communication and accessibility for individuals with speech impairments, yet its development is hindered by a scarcity of robust, speaker-specific datasets. This study explores low-resource dysarthric speech recognition through cross-speaker transfer using synthetic data and parameter-efficient fine-tuning (PEFT). We integrate SpeechT5 text-to-speech (TTS) synthesis with x-vector speaker embeddings to generate speaker-specific dysarthric speech, enabling model adaptation while preserving pathological speech characteristics such as prosodic irregularities. Experiments on the TORGO dataset show that mixed cross-synthetic data with LoRA fine-tuning achieves a WER of 0.17, representing a 71.7% improvement over the standard model (0.60 WER) without …

Decision-Making Supports And Cognitive Decline, Rebekah Diller

Articles

For persons with a range of cognitive disabilities, supported decision-making, rooted in a human rights approach to disability, has emerged as a tool that permits them to make legally binding decisions and avoid guardianship. As supported decision-making policy has evolved in the United States, state statutes have primarily focused on formal agreements through which individuals can designate trusted supporters to assist in obtaining information, processing that information, and communicating a decision. This Article argues that supported decision-making has promise for preserving the autonomy of persons living with dementia, but that the model of a supported decisionmaking agreement embodied in the …

Doubting Thomas And Questioning Stare Decisis Under The Roberts Court, Wilfred U. Codrington Iii

Articles

The article critically examines the erosion of stare decisis under the Roberts Court, highlighting concerns about the Supreme Court's increasing willingness to overturn established precedents. While acknowledging the importance of stare decisis in maintaining stability and equality, the author argues that its practical value is being undermined by ideological polarization and a departure from traditional legal reasoning. The article questions the Court's recent approach to precedent, particularly in cases like Dobbs v. Jackson Women's Health Organization and Students for Fair Admissions v. Harvard, and critiques the conservative majority's aggressive use of judicial power.

2025 January, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for January of 2025.

Summer Research Fellowship Project Descriptions 2025, Clark Science Center's Summer Research Fellows Program

SURF Abstracts (Women in Science)

A summary of research done by Smith College’s 2025 Summer Research Fellowship (SURF) Program participants. Ever since its 1967 start, SURF has been a cornerstone of Smith’s science education. Supervised by faculty mentor-advisors drawn from the Clark Science Center and connected to its eighteen science, mathematics, and engineering departments and programs and associated centers and units. At summer’s end, SURF participants were asked to summarize their research experiences for this publication.

Retention Rate Of The Human Performance Course In Flight Training, Ahmet Uğur Avcı, Erdinç Ercan

Journal of Aviation/Aerospace Education & Research

Pilots are obliged to accurately assess a situation that poses a risk to flight safety and take the necessary corrective action. The theoretical knowledge in flight training is essential to accomplish this. The objective of the study is to ascertain the retention rate of the human performance (HP) course and to determine the necessity of refresher training. Sixteen questions were prepared for pre- and post-tests about the atmosphere, hypoxia and hyperventilation, barotrauma, and spatial disorientation. After completion of the pre-test, participants were instructed to watch the online training video covering the same HP subjects, and finally, a post-test was administered …

The Influence Of Social Achievement Goals On Grit In Aviation Education, Austin T. Walden

Journal of Aviation/Aerospace Education & Research

Aviation students have multiple ways of persisting and persevering in their aviation education, and they do not learn in a vacuum. Their social goals may help explain why some aviation students show more grit than others in an aviation education environment. The study examined the relationship and predictive ability of social achievement goals (i.e., social development goal, social demonstration-approach goal, and social demonstration-avoid goal) to predict grit in an aviation education environment. The constructs of social achievement goals and grit have yet to be examined together in motivation research. This paper provides a new predictive model for using the two …